title: [TigerKids. Successful health promotion in preschool settings].
abstract: The high prevalence of childhood obesity necessitates broadly effective prevention measures. A behavioral program for children in daycare settings was developed, and its effects were assessed in a 2-year cluster randomized controlled trial. A total of 64 daycare settings were cluster randomized in a 2:1 ratio to intervention and control in order to assess the effects of the program. Samples of 1318 and 1340 children were assessed after 5.7±2.6 and 17.6±2.3 months. Main outcome measures were prevalence of high fruit and vegetable consumption and of low consumption of high caloric drinks at home assessed by parental questionnaires. TigerKids achieved a significantly higher prevalence of high home consumption of fruits (66.6 vs. 55.7%, p<0.0001) and vegetables (42.7 vs. 33.6%, p=0.001) as well as a lower frequency of high consumption of energy rich beverages (47.7 vs. 60.4%, p<0.0001). The TigerKids group tended to show a lower prevalence of overweight (13.9 vs. 18.0%, p=0.05) and obesity (3.4 vs. 5.4%, p=0.07) in the first year. TigerKids is a low cost program applied in daycare settings which achieves significant behavioral changes in the home environment.
authors.affiliation: Dr. von Haunersches Kinderspital, Abt. Stoffwechsel- und Ernährungsmedizin, Lindwurmstrasse 4, Munich, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Strauss
authors.forename: B
authors.initials: B
authors.lastname: Herbert
authors.forename: C
authors.initials: C
authors.lastname: Mitschek
authors.forename: K
authors.initials: K
authors.lastname: Duvinage
authors.forename: B
authors.initials: B
authors.lastname: Koletzko
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005858:Germany / Q000453:epidemiology; D006293:Health Promotion / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009765:Obesity / Q000453:epidemiology* / Q000517:prevention & control*; D015995:Prevalence; D016896:Treatment Outcome