Clinical trial NCT01921842: Child Care Wellness Study on Nutrition and Physical Activity
Official title: Promoting Nutrition and Physical Activity in Child Care Centers
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Overweight
Obesity
Lead sponsor: University of North Carolina, Chapel Hill
Sponsor class: OTHER
Collaborators: name: Yale University
name: University of California, San Francisco
name: HRSA/Maternal and Child Health Bureau
First posted: 2013-08-13
Enrollment: 18
Sex: ALL
Minimum age (years): 2
Maximum age (years): 5
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The study is an evaluation of a nutrition and physical activity intervention in child care centers in NC, CA, and CT.

Detailed description: The broad, long term goal is to develop a reproducible nutrition and physical activity intervention which utilizes child care consultant nutrition specialists to reduce the risk of overweight among children in regulated out-of-home child care. The objectives are:

1. To train Child Care Health consultants (CCHCs) to become specialists in nutrition consultation in child care such that they will increase their daily consultation activities on nutrition, physical activity, and childhood overweight,
2. To increase child care staff and parental knowledge of and positive attitudes toward providing healthy foods, appropriate portions of foods, and appropriate levels of physical activity for young children in out-of-home child care centers.,
3. To strengthen child care center policies, procedures, practices and behaviors, regarding providing healthy foods, appropriate portions of foods, and appropriate levels of physical activity for young children in out-of-home child care centers, and
4. To improve dietary intake and levels of physical activity, and to prevent increases in overweight and the risk of overweight as determined by body mass indexes among children in out-of-home child care centers.

Eligibility criteria: Inclusion Criteria:

* In each of the three geographical areas (NC, CA, CT), two pairs of community-based child care centers in urban areas with English-speaking directors, kitchens, and with 50-60 children between the ages of 2 and 5 years, 35% of whom are eligible for subsidy.

Exclusion Criteria:

* If the randomly selected child care center has an open case of child abuse or neglect.

Primary outcomes:
measure: Change in Nutrition and Physical Activity Policies
timeFrame: Baseline, Year 1, Year 2
Secondary outcomes:
measure: Change in Nutrition and Physical Activity Behaviors
timeFrame: Baseline, Year 1, Year 2
Other outcomes:
measure: Change in Body-Mass Index (BMI) of children in child care centers
timeFrame: Baseline, Year 1, Year 2
Locations:
city: Wilmington
country: United States
facility: Child Care Centers
state: North Carolina
Study officials:
affiliation: University of North Carolina in Chapel Hill
name: Jonathan B Kotch, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Alkon A, Crowley AA, Neelon SE, Hill S, Pan Y, Nguyen V, Rose R, Savage E, Forestieri N, Shipman L, Kotch JB. Nutrition and physical activity randomized control trial in child care centers improves knowledge, policies, and children's body mass index. BMC Public Health. 2014 Mar 1;14:215. doi: 10.1186/1471-2458-14-215.