260566 Life-style intervention among low SES preschoolers: A randomized controlled trial

Tuesday, October 30, 2012 : 3:20 PM - 3:35 PM

Vered Kaufman-Shriqui, MSc RD , Department of Epidemiology and Health Services Evaluation, Faculty of Health Sciences., Ben-Gurion University of the Negev. The S. Daniel Abraham International Center for Health and Nutrition., Beer-Sheva, Israel
Drora Fraser, PhD , Department of Epidemiology and Health Services Evaluation, Faculty of Health Sciences., Ben-Gurion University of the Negev. The S. Daniel Abraham International Center for Health and Nutrition., Beer-Sheva, Israel
Michael Friger, PhD , Department of Epidemiology and Health Services Evaluation, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Dikla Geva, MSc , Department of Epidemiology and Health Services Evaluation, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel
Hillel Vardi, MSc , Department of Epidemiology and Health Services Evaluation, Faculty of Health Sciences., Ben-Gurion University of the Negev. The S. Daniel Abraham International Center for Health and Nutrition., Beer-Sheva, Israel
Natalya Bilenko, MD MPH , Department of Epidemiology and Health Services Evaluation, Faculty of Health Sciences., Ben-Gurion University of the Negev. Ministry of Health, Southern district, Beer-Sheva, Israel., Beer-Sheva, Israel
Kathleen Abu-Saad, PhD , Cardiovascular Epidemiology Unit, The Gertner Institute for Epidemiology and Health Policy Research, Chaim Sheba Medical Cent, Ramat-Gan, Israel
Naama Elhadad, MMedSc , Ashalim: The Association for Planning & Development of Services for Children and Youth at Risk and their Families, American Jewish Joint Distribution Committee, Jerusalem, Israel
Karen Mor, MSW , Ashalim: The Association for Planning & Development of Services for Children and Youth at Risk and their Families, American Jewish Joint Distribution Committee, Jerusalem, Israel
Zvi Feine, PhD , Ashalim: The Association for Planning & Development of Services for Children and Youth at Risk and their Families, American Jewish Joint Distribution Committee, Jerusalem, Israel
Danit Shahar, RD PhD , Department of Epidemiology and Health Services Evaluation, Faculty of Health Sciences., Ben-Gurion University of the Negev. The S. Daniel Abraham International Center for Health and Nutrition., Beer-Sheva, Israel
BACKGROUND: This study aimed to determine the impact of the "Nutrition Enrichment and Healthy Living Model" (NEHLM by the JDC) on diet quality, nutrition knowledge, eating behaviors and dental health in low socioeconomic status (LSES) kindergarten children. METHODS: A randomized controlled trial conducted in a single town, where 258 preschoolers (aged 4-7y) and their mothers were randomly assigned either to the intervention group (n=184; nutrition, physical activity and dental hygiene classes for both children and parents), or to the control group (n=74; physical activity classes only). All interventions were performed by professional personnel. Family data were obtained by parental interviews and children's pre- and post- data were obtained by games and observations. Statistical analysis included use of t or 2 tests, and Generalized Estimating Equations models. RESULTS: Of the 258 children enrolled 238 children (94.8%) had complete baseline data and 220 completed the intervention period (87.6%). Children in the intervention group improved their nutritional knowledge by 38.9% from baseline (p<0.001). In addition in this arm, there was a 45.4% increase in the variety of the foods consumed (p<0.001), a 37.9% increase in daily fruit and vegetables consumption (p=0.001), 44.0% increase in habitual water drinking (p=0.02) and 31.4% decrease in sweet drink consumption (0.05). Improvements in dental hygiene were also seen in the intervention group but no differences were found in BMI scores between the groups. CONCLUSIONS: NEHLM delivered by trained professionals resulted in significant positive changes in both nutrition and dental hygiene knowledge and health behaviors in LSES preschool children.

Learning Areas:
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
1. Compare between lifestyle and physical activity interventions aimed for obesity prevention. 2. Evaluate the impact of nutritional intervention in promoting nutritional knowledge and healthy eating.

Keywords: Intervention, Child Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a registered dietitian, currently pursuing a PhD degree in Epidemiology at Ben-Gurion University in Israel.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.