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01.12.2016 | Original Article

Comparing strategies to improve the implementation of healthy nutrition in kindergartens: a prospective observational study

verfasst von: Tilman Brand, Ingeborg Jahn, Hermann Pohlabeln, Silke Böttcher, Sabrina Hense, Antje Hebestreit, Wolfgang Ahrens

Erschienen in: Journal of Public Health | Ausgabe 3/2017

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Abstract

Aim

To compare different implementation strategies to improve healthy nutrition in kindergartens.

Subjects and methods

Healthy 3–6-year-old children and their parents were recruited from kindergartens (n = 56) in two cities in Northwestern Germany. A prospective observational study was conducted including three study groups that followed different implementation approaches to healthy nutrition. In group A, a comprehensive nutrition concept was implemented including environmental changes, educational components and parent involvement. Study group B implemented a child nutrition-related training program for the kitchen staff of the kindergartens. Study group C did not follow a structured implementation approach. A parent-completed food frequency questionnaire assessed the children’s dietary behavior at baseline and 12 months. Change over time and comparison of study groups were analyzed using hierarchical linear regression models.

Results

Of the 1368 eligible children, 478 completed the baseline assessment (35%). Three hundred seventy-four of these completed the follow-up assessment. Children from group A showed significant reductions in sweet food consumption (−2.4 portions per week, p = 0.005) and increased water consumption (+2.4 portions per week, p = 0.016) compared to baseline. No significant changes over time occurred in group B and C. A comparison of change over time between the study groups yielded no significant effects.

Conclusions

This study did not provide evidence for the effectiveness of a particular implementation strategy in comparison to the other strategies. However, contrasts between the study groups were limited by the high levels of nutrition-related activities and availability of healthy foods in all groups.

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Titel: Comparing strategies to improve the implementation of healthy nutrition in kindergartens: a prospective observational study
verfasst von: Tilman Brand
Ingeborg Jahn
Hermann Pohlabeln
Silke Böttcher
Sabrina Hense
Antje Hebestreit
Wolfgang Ahrens
Publikationsdatum: 01.12.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: Journal of Public Health / Ausgabe 3/2017
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-016-0779-7

Springer Medizin

Abstract

Aim

Subjects and methods

Results

Conclusions

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