Childhood obesity prevention: Small changes with a big impact

Childhood obesity has reached alarming proportions both nationally and locally. Experts report that obesity-related health problems such as diabetes, high blood pressure, high cholesterol and other chronic conditions are appearing with increased frequency in young children. Unhealthy diets and decreased levels of physical activity are the primary contributors to obesity in children. Parents are fundamental to mitigating childhood obesity since they shape the lifestyle and eating habits of their children as well as encourage healthful behaviors. To best inform program development, graduate students conducted a targeted needs and assets assessment (NA+A) at a preschool located in Redlands, CA. Data were collected through windshield surveys, literature reviews, site observations, 9 theory-based semi-structured interviews, and a confirmatory focus group. Data were coded, themed and analyzed using Grounded Theory methods. Emerging themes revealed the need for a program that introduces simple, healthy, inexpensive, time-considerate meals and food alternatives. One common barrier voiced by participants was busy family schedules which will require that changes be easily integrated into families' lifestyles. Other barriers mentioned were: differing parental eating habits, lack of cooking knowledge, children's selective eating habits, and the additional cost of healthy food. The participants were unified in their interest in learning more about healthier nutrition and exercise options for their families. These issues are important at all levels of the community, regardless of ethnicity. We then developed, implemented and evaluated a pilot program using process and impact evaluation for program improvement. Results will be discussed in light of program sustainability.