Evidence map›Paper›PMID 41372951›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2025

Creating healthy habits for Maryland preschoolers (CHAMP): a cluster-randomized controlled trial among childcare centers.

Alysse J Kowalski, Bridget Armstrong, Angela C B Trude, Raquel Arbaiza, Amber Czinn, Laura L Bellows, Susan L Johnson, Yan Wang, Erin R Hager, Maureen M Black

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The international journal of behavioral nutrition and physical activity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03111264 (Building Blocks for Healthy Preschoolers), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT03111264 naterminatednot on this map

Building Blocks for Healthy Preschoolers: Child Care and Family Models

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2016 to 2020Enrolled1,943ConditionsPediatric ObesityArmsCHAMP, CHAMP+
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

10 authors.

Alysse J KowalskiDepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, MD, USA.
Bridget ArmstrongDepartment of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
Angela C B TrudeDepartment of Nutrition and Food Studies, School of Culture, Education, and Human Development, New York University Steinhardt, New York, NY, USA.
Raquel ArbaizaDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Amber CzinnSchool of Medicine, Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Laura L BellowsDivision of Nutritional Sciences, Cornell University, Ithaca, NY, USA.
Susan L JohnsonDepartment of Pediatrics, Section of Nutrition, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Yan WangDepartment of Prevention and Community Health, District of Columbia, Washington, USA.
Erin R HagerDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Maureen M BlackDepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, MD, USA. mblack@som.umaryland.edu.

Funding

Building Blocks for Healthy Preschoolers: Child Care and Family ModelsR01DK107761 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI BLACK, MAUREEN M · 2016 to 2019
$2.6M
HRSA HHS T76MC00003NIDDK NIH HHS R01 DK107761NIDDK NIH HHS R01DK107761
6 · The paper itself

Abstract

backgroundRisks for chronic health problems are embedded in preschoolers' dietary and physical activity habits. Childcare centers are a potential venue to establish healthy habits. We hypothesized that health-promoting center plus parent interventions would improve preschoolers' dietary and physical activity outcomes, including body weight, over control.

methodsWe made local modifications to the 30-week Food Friends

resultsFifty-six centers were randomized (CHAMP = 21, CHAMP+ = 20, Control = 20); 855 children. Centers were diverse by location, race, and income; children were mean age 48.44 (SD 7.50) months, 54% male; 26% experienced overweight/obesity. Analyses adjusted for baseline differences in child age, race, and ethnicity. The intervention improved motor competence (gross motor quotient: pooled CHAMP/CHAMP+ vs. Control 5.67 [95% CI: 0.60, 10.75]; locomotor score: pooled CHAMP/CHAMP+ vs. Control 1.74 [95% CI: 0.43, 3.05]) and reduced BMIz (pooled CHAMP/CHAMP+ vs. Control (-0.08 [95% CI: -0.15, 0.00]); with no intervention effects on willingness-to-try-new-foods, FV preference, or MVPA and no impact enhancement by the parent intervention (CHAMP+). Moderation analyses showed stronger increases in willingness-to-try-new-foods and MVPA in centers with higher quality nutrition/physical activity environments.

conclusionsChildcare center interventions can improve motor competence and reduce BMIz among preschoolers. Higher quality nutrition/physical activity environment can increase the impact of interventions on children's dietary behaviors and physical activity, contributing to healthy habits.

trial registrationNCT03111264.

Indexed as

Child Day Care CentersExerciseHealth PromotionChild, PreschoolDietFeeding BehaviorFemaleHealth BehaviorHumansMaleMarylandParentsVegetablesDietaryFruit and vegetable consumption; motor skillsObesity preventionPhysical activityWillingness-to-try-new-foods

Identifiers

PMID41372951
PMCPMC12701592

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.