ArticlePreventive medicine reports2017
Attainment of '5-2-1-0' obesity recommendations in preschool-aged children.
Article in Preventive medicine reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Adherence to the World Health Organization's physical activity recommendation in preschool-aged children: a systematic review and meta-analysis of accelerometer studies.The international journal of behavioral nutrition and physical activity · 2023Pooled it
- Measurement of screen time among young children aged 0-6 years: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Pooled it
- INSIGHT responsive parenting intervention reduces infant's screen time and television exposure.The international journal of behavioral nutrition and physical activity · 2018Trial
- Implementation research on the intervention mode of "Comorbidity-Co-causes-Joint-prevention" comprehensive demonstration district of depression and obesity among children and adolescents in Beijing: study protocol.BMC public health · 2025Article
- The Relationship with Meeting Physical Activity Guidelines in Preschool-Aged Children: A Systematic Review.Pediatric reports · 2025Review
- Weight Status and Myopia in Children and Adolescents: A Nationwide Cross-Sectional Study of China.Nutrients · 2025Article
- Article
- A cluster randomized trial of a comprehensive intervention nesting family and clinic into school centered implementation to reduce myopia and obesity among children and adolescents in Beijing, China: study protocol.BMC public health · 2023Article
- Brazilian Immigrant Parents' Preferences for Content and Intervention Modalities for the Design of a Family-Based Intervention to Promote Their Preschool-Age Children's Healthful Energy Balance-Related Behaviors.International journal of environmental research and public health · 2023Article
- Prevalence of healthy diet and activity behaviours among U.S. Latino preschool children living in an emerging Latino community.Journal of nutritional science · 2023Article
- Risk of Obesity Among Children Aged 2-6 Years Who Had Prolonged Screen Time in Taiwan: A Nationwide Cross-Sectional Study.Clinical epidemiology · 2023Article
- Central American Parents' Preferences for Content and Modality for a Family-Centered Intervention to Promote Healthful Energy Balance-Related Behaviors of Their Preschool-Age Children.International journal of environmental research and public health · 2022Article
- Examination of the '5-2-1-0' Recommendations in Racially Diverse Young Children Exposed to Tobacco Smoke.American journal of health promotion : AJHP · 2021Article
- E-cigarette and marijuana use and the attainment of obesity prevention guidelines among U.S. adolescents.Preventive medicine reports · 2021Article
- Clinical Assessment and Treatment of Early-Onset Severe Obesity.Current obesity reports · 2021Review
- Treatment of children and adolescents who are overweight or obese.Current problems in pediatric and adolescent health care · 2020Review
- Adherence to sleep guidelines reduces risk of overweight/obesity in addition to 8-5-2-1-0 guidelines among a large sample of adolescents in the United States.Sleep health · 2019Article
- Early educators' practices and opinions in relation to pre-schoolers' dietary intake at pre-school: case Finland.Public health nutrition · 2019Article
- Soda, salad, and socioeconomic status: Findings from the Seattle Obesity Study (SOS).SSM - population health · 2019Article
- Patterns of Screen Time Among Rural Mexican-American Children on the New Mexico-Mexico Border.Preventing chronic disease · 2018Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
Obesity prevention guidelines recommend children eat ≥ 5 servings of fruits and vegetables, view ≤ 2 h of screen time, participate in 1 h of physical activity, and consume 0 sugar-sweetened beverages daily, commonly known as '5-2-1-0'. We sought to determine: the extent to which preschool-aged children attending child care meet these guidelines, predictors of attainment, and associations of attainment with weight status. We analyzed in 2016, 24-hour dietary, physical activity, and screen time data collected in 2009-10 from 398 preschool-aged children in 30 child-care centers in Cincinnati, OH. Dietary intake, screen time and body-mass index (BMI) were obtained by research staff during child care and from parents when at home. Accelerometers measured physical activity. Mixed-effects models and generalized estimating equations were used to determine associations between '5-2-1-0' recommendations, demographic variables, and BMI z-scores. Average child age was 4.3 ± 0.7 years; 26% had a BMI ≥ 85th percentile. Seventeen percent of children with complete dietary data (n = 307) consumed ≥ 5 servings of fruits and vegetables and 50% consumed 0 sugar-sweetened beverages. < 1% with complete physical activity data (n = 386) met the activity recommendation; 81% of children (n = 379) had ≤ 2 h of screen time. Only 1 child met all of the '5-2-1-0' recommendations. There were no consistent demographic predictors of attaining individual recommendations. An additional hour of screen time was associated with a 0.11 (SD 0.06) increase in BMI z-score. Our data suggests there is ample room to increase fruit and vegetable intake and physical activity in preschool-aged children.
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Registered trials
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