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Healthy Nutrition and Physical Activity in Childcare: Views from Childcare Managers, Childcare Workers and Parents on Influential Factors

Author

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  • Ilona Van de Kolk

    (Department of Health Promotion, NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

  • Anne J. M. Goossens

    (Department of Health Promotion, NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

  • Sanne M. P. L. Gerards

    (Department of Health Promotion, NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

  • Stef P. J. Kremers

    (Department of Health Promotion, NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

  • Roos M. P. Manders

    (Department of Health Promotion, NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

  • Jessica S. Gubbels

    (Department of Health Promotion, NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

Abstract

Childhood obesity is an important public health issue influenced by both personal and environmental factors. The childcare setting plays an important role in children’s energy balance-related behaviours (EBRB), such as physical activity, sedentary behaviour and healthy nutrition. This study aimed to explore facilitators and barriers of healthy EBRB in childcare in a comprehensive way, from the perspective of three crucial stakeholders: childcare managers, childcare workers and parents. A qualitative study was performed using semi-structured interviews. Content analysis was performed using the ‘Environmental Research framework for weight Gain prevention’ (EnRG framework) to guide the analysis. Forty-eight interviews were held with a total of 65 participants (9 childcare managers, 23 childcare workers and 33 parents). Influential factors in all types of environment (physical, sociocultural, economic and political) were mentioned. Although a need for change was not always expressed, the interviews revealed opportunities for improvement of healthy EBRB in childcare. These opportunities were related to the sociocultural, physical and political environment. Childcare workers and managers expressed an influence of the home setting on the childcare setting, resulting in a need for more congruence between these settings. There are opportunities for improvement in the childcare setting to promote healthy EBRB in young children in the Netherlands. It appears important to align intervention components between the childcare and home setting.

Suggested Citation

  • Ilona Van de Kolk & Anne J. M. Goossens & Sanne M. P. L. Gerards & Stef P. J. Kremers & Roos M. P. Manders & Jessica S. Gubbels, 2018. "Healthy Nutrition and Physical Activity in Childcare: Views from Childcare Managers, Childcare Workers and Parents on Influential Factors," IJERPH, MDPI, vol. 15(12), pages 1-17, December.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:12:p:2909-:d:191668
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    References listed on IDEAS

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    1. Jessica S. Gubbels & Dave H. H. Van Kann & Greet Cardon & Stef P. J. Kremers, 2018. "Activating Childcare Environments for All Children: the Importance of Children’s Individual Needs," IJERPH, MDPI, vol. 15(7), pages 1-11, July.
    2. Marlou L A De Kroon & Carry M Renders & Jacobus P Van Wouwe & Stef Van Buuren & Remy A Hirasing, 2010. "The Terneuzen Birth Cohort: BMI Changes between 2 and 6 Years Correlate Strongest with Adult Overweight," PLOS ONE, Public Library of Science, vol. 5(2), pages 1-8, February.
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    Cited by:

    1. Sze Lin Yoong & Jannah Jones & Nicole Pearson & Taren Swindle & Courtney Barnes & Tessa Delaney & Melanie Lum & Rebecca Golley & Louisa Matwiejczyk & Bridget Kelly & Erin Kerr & Penelope Love & Emma E, 2021. "An Overview of Research Opportunities to Increase the Impact of Nutrition Intervention Research in Early Childhood and Education Care Settings According to the RE-AIM Framework," IJERPH, MDPI, vol. 18(5), pages 1-18, March.
    2. Ilona van de Kolk & Sanne M. P. L. Gerards & Lisa S. E. Harms & Stef P. J. Kremers & Jessica S. Gubbels, 2019. "The Effects of a Comprehensive, Integrated Obesity Prevention Intervention Approach (SuperFIT) on Children’s Physical Activity, Sedentary Behavior, and BMI Z-Score," IJERPH, MDPI, vol. 16(24), pages 1-15, December.
    3. Ilona van de Kolk & Sanne M. P. L. Gerards & Lisa S. E. Harms & Stef P. J. Kremers & Angela M. H. S. van Dinther-Erkens & Monique Snellings & Jessica S. Gubbels, 2020. "Study Protocol for the Evaluation of “SuperFIT”, a Multicomponent Nutrition and Physical Activity Intervention Approach for Preschools and Families," IJERPH, MDPI, vol. 17(2), pages 1-15, January.

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