Extrait

Background and study aims Nearly 10% of children aged 4 to 5 in England are obese and more than 13% are overweight. . In Wales over 11% of children aged 4-5 are obese and 15% are overweight. Obesity is more common in children from poorer backgrounds. However, we have little information about how to prevent young children becoming obese. It is recommended that pre-school children are physically active for at least 3 hours per day. Yet, only one third of 2 to 4 year olds are physically active for at least 60 minutes per day. Young children do not eat enough fruits and vegetables and most of their sugar intake is from soft drinks. It is important that care environments are healthy to reduce the risk of obesity. Over 3 million children attend some form of child care in England. In England and Wales free child care is available for children aged 3 to 4. This study will aim to test whether we can adapt and use a 6 month programme from the United States called “The Nutrition and Physical Activity Self Assessment for Child Care” (NAP SACC). We will make changes to use it in the UK and test whether we can work with child care providers to make the environments more healthy. Who can participate? Child care providers in North Somerset and Cardiff will be invited to take part in the study if they provide a main meal to children. The providers will include day nurseries, private nursery schools, maintained nurseries, Children’s Centres with nurseries and pre-schools. Parents of children aged 2-4 in the child care providers will be asked if they would like their child to take part. Children can take part if they receive an average of at least 12 hours per week of child care and receive at least 1 main meal per week provided by the setting. What does the study involve? We will work with child care providers and parents before we start using NAP SACC to find out how we need to change to use it in the UK. We will invite child care providers and parents of children in these providers to take part. We will work with 12 providers. Six will be chosen at random to receive NAP SACC UK and six will be chosen at random not to receive NAP SACC UK. The six providers receiving NAP SACC UK will use the NAP SACC UK self assessment tool (‘Review and Reflect’) to assess their environment with respect to food, drink and physical activity. They will then work with trained staff (NAP SACC UK Partners) to action plan and set goals to make improvements in areas that have been identified as not meeting best practice. This will be supported by workshops and ongoing support over six months. The other half of child care centres will not receive the programme but will take part in the measurements. At the beginning and end of the study we will take measurements from the children in all twelve child care providers. With the parent’s agreement we will measure the child’s height, weight, physical activity levels and diet. We will also collect information from parents about the child’s quality of life. We will collect information about the costs of providing NAP SACC UK. We will be interested in whether it is possible to take the measurements. We will also be interested in comparing the group who have the NAP SACC UK intervention and those who did not. This will help us to see if there may be benefits from using NAP SACC UK. We will also be able to calculate how many child care providers and children we would need for a larger study. At the beginning and end of the study we will talk to child care staff, staff who work to support child care providers and parents about their views on the study. What are the possible benefits and risks of participating? The child care providers will gain from having an expert work alongside them to review and offer suggestions for improving the child care environment. The risks of taking part are very small and mainly involve the time taken to participate in the study, the assessments, communication with parents and measurements with children. Where is the study run from? The study is led by the University of Bristol with staff involved from the Universities of Cardiff, Glasgow and North Carolina at Chapel Hill. When is the study starting and how long is it expected to run for? September 2014 to April 2017 Who is funding the study? The research costs are funded by the National Institute of Health Research. The costs for running the programme are funded by North Somerset Council and Public Health Wales. Who is the main contact? Dr Ruth Kipping [email protected]

Critère d'inclusion

• Physical activity, sedentary time and diet

Liens

• ictrp
• isrctn