Evidence map›Paper›PMID 30845936›Full record

ArticleBMC public health2019

A preschool-based intervention for Early Childhood Education and Care (ECEC) teachers in promoting healthy eating and physical activity in toddlers: study protocol of the cluster randomized controlled trial PreSchool@HealthyWeight.

Nicole Toussaint, Martinette T Streppel, Sandra Mul, Anita Schreurs, Marielle Balledux, Karen van Drongelen, Mirka Janssen, Ruben G Fukkink, Peter J M Weijs

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Nicole ToussaintFaculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Dokter Meurerlaan 8, Amsterdam, SM, 1067, The Netherlands. n.toussaint@hva.nl.ORCID http://orcid.org/0000-0002-0463-9827
Martinette T StreppelFaculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Dokter Meurerlaan 8, Amsterdam, SM, 1067, The Netherlands.
Sandra MulFaculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Dokter Meurerlaan 8, Amsterdam, SM, 1067, The Netherlands.
Anita SchreursChildcare organization Impuls, Sam van Houtenstraat 74, Amsterdam, JP, 1067, The Netherlands.
Marielle BalleduxNetherlands Youth Institute, Catharijnesingel 47, Utrecht, GC, 3511, The Netherlands.
Karen van DrongelenThe Netherlands Nutrition Centre, Bezuidenhoutseweg 105, The Hague, AC, 2594, The Netherlands.
Mirka JanssenFaculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Dokter Meurerlaan 8, Amsterdam, SM, 1067, The Netherlands.
Ruben G FukkinkFaculty of Child Development and Education, Amsterdam University of Applied Sciences, Wibautstraat 2-4, Amsterdam, GM, 1091, The Netherlands.
Peter J M WeijsFaculty of Sports and Nutrition, Amsterdam University of Applied Sciences, Dokter Meurerlaan 8, Amsterdam, SM, 1067, The Netherlands.
Amsterdam University of Applied Sciences · NLAmsterdam University Medical Centers · NLNetherlands Nutrition Centre · NLNetherlands Youth Institute · NL

Funding

Nationaal Regieorgaan Praktijkgericht Onderzoek SIA 2015-02-07P
6 · The paper itself

Abstract

backgroundInterventions to prevent overweight and obesity in toddlers are needed to minimize health inequalities, especially in migration and lower socio-economic groups. Preschools are identified as important environments for interventions to prevent overweight and obesity. Early Childhood Education and Care (ECEC) teachers in preschools are potential key actors in promoting healthy eating and physical activity. This paper describes the research design of a Dutch preschool-based intervention for ECEC teachers in promoting healthy eating and physical activity in toddlers.

methodsPreSchool@HealthyWeight concerns a cluster randomized controlled trial on preschools in Amsterdam Nieuw-West, Netherlands. This city district is characterised by inhabitants with a migration background and low socio-economic status. Forty-one preschools, with 115 ECEC teachers and 249 toddlers/parents, were randomly allocated to an intervention or control group. An intervention for teachers will be carried out on intervention locations and consists of modified versions of 2 existing programs: 'A Healthy Start' and 'PLAYgrounds'. In 'A Healthy Start', ECEC teachers learn to provide a healthy and active environment for toddlers. The 'PLAYgrounds for Toddlers' program, coaches ECEC teachers to stimulate physical activity in the playgrounds of preschools. PreSchool@HealthyWeight aims to evaluate the effectiveness of the intervention after 9 months. Primary outcomes are the teachers' knowledge, attitude and practices concerning healthy eating and physical activity, and consequently the level of confidence of ECEC teachers in promoting healthy eating and physical activity in toddlers. Secondary outcomes include the Body Mass Index, body composition, dietary intake and physical activity level of teachers and toddlers. In addition, the activating role of ECEC teachers and the physical activity of toddlers on the playgrounds will be evaluated. Lastly, the knowledge, attitude and practices of parents concerning healthy eating and physical activity will be assessed. DISCUSSION: It is hypothesized that this preschool-based intervention for ECEC teachers improves the knowledge, attitude and practices regarding healthy eating and physical activity, and consequently the level of confidence of ECEC teachers in promoting healthy eating and physical activity of toddlers. The intervention addresses the call for early intervention to prevent overweight and obesity and to minimize health inequalities.

trial registrationNetherlands Trial Register (NTR): NL5850 . Date registered: August 26, 2016.

Indexed as

ExerciseChild, PreschoolDiet, HealthyHealth PromotionHumansNetherlandsOverweightParentsPediatric ObesityPovertyRandomized Controlled Trials as TopicSchool Health ServicesTransients and MigrantsDietary intakeECEC teachersLifestyle interventionObesityOverweightPhysical activityPreschoolPreventionToddlers

Identifiers

PMID30845936
PMCPMC6407271
OpenAlexW2930701388

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.