Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2013 Apr 1:13:45.
doi: 10.1186/1471-2431-13-45.

Long term effects of a health promotion intervention in low socioeconomic Arab- Israeli kindergartens

Randomized Controlled Trial

Long term effects of a health promotion intervention in low socioeconomic Arab- Israeli kindergartens

Dan Nemet et al. BMC Pediatr. .

Abstract

Background: Obesity is the most common chronic pediatric disease in westernized, especially low socioeconomic societies. We previously demonstrated the beneficial effects of a randomized prospective school-based health education program for low socioeconomic status Arab-Israeli kindergarten children.

Methods: To examine whether the effects of our program on nutrition and physical activity knowledge and preferences, anthropometric measures, and fitness persisted one year after the end of intervention.

Results: At one year following the intervention BMI and BMI percentiles approached baseline level in both the intervention (16.4 ± 0.2 kg/m2 and 61.5 ± 2.4%, respectively) and control group participants (16.5 ± 0.2 kg/m2 and 58.5 ± 3.3%, respectively). Yet, a year after the end of the intervention, the decrease in BMI%ile from baseline was significantly greater in the intervention group (-7.8 ± 1.5 vs. -1.9 ± 1.9, p<0.012). Nutritional and physical activity knowledge and preferences, and physical fitness remained significantly elevated in the intervention compared to the control group participants.

Conclusions: The beneficial effects of a kindergarten dietary-physical activity intervention applied by the kindergarten teachers, on nutrition and physical activity knowledge and preferences, fitness, and BMI percentile were evident one year after the end of intervention. This promising program may play a role in health promotion, prevention and treatment of childhood obesity.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Long-term effects of the health promotion intervention on nutritional knowledge and preferences.
Figure 2
Figure 2
Long-term effects of the health promotion intervention on physical activity knowledge and preferences.
Figure 3
Figure 3
Long-term effects of the health promotion intervention on physical fitness.
Figure 4
Figure 4
BMI percentile changes from baseline in the intervention and control, one year following the completion of the intervention.

References

    1. Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson CL. Overweight prevalence and trends for children and adolescents. The National Health and Nutrition Examination Surveys, 1963 to 1991. Arch Pediatr Adolesc Med. 1995;149:1085–1091. doi: 10.1001/archpedi.1995.02170230039005. - DOI - PubMed
    1. Lissau I, Overpeck MD, Ruan WJ, Due P, Holstein BE, Hediger ML. Body mass index and overweight in adolescents in 13 European countries, Israel, and the United States. Arch Pediatr Adolesc Med. 2004;158:27–33. doi: 10.1001/archpedi.158.1.27. - DOI - PubMed
    1. Thorpe LE, List DG, Marx T, May L, Helgerson SD, Frieden TR. Childhood obesity in New York City elementary school students. Am J Public Health. 2004;94:1496–1500. doi: 10.2105/AJPH.94.9.1496. - DOI - PMC - PubMed
    1. Eliakim A, Nemet D, Balakirski Y, Epstein Y. The effects of nutritional-physical activity school-based intervention on fatness and fitness in preschool children. J Pediatr Endocrinol Metab. 2007;20:711–718. - PubMed
    1. Nemet D, Geva D, Eliakim A. Health promotion intervention in low socioeconomic kindergarten children. J Pediatr. 2011;158:796–801. doi: 10.1016/j.jpeds.2010.10.040. - DOI - PubMed

Publication types