Designing and implementing a kindergarten-based, family-involved intervention to prevent obesity in early childhood: The ToyBox-study

Yannis Manios; Odysseas Androutsos; Christina Katsarou; Violeta Iotova; Piotr Socha; Christine Geyer; Luis Moreno; Berthold Koletzko; Ilse De Bourdeaudhuij; John Reilly; Boyd Swinburn; Dianne Ward; Eva Grammatikaki; Eftychia Apostolidou; Eirini Efstathopoulou; Kristin Duvinage; Sabine Ibrügger; Angelika Strauß; Birgit Herbert; Julia Birnbaum; Annette Payr; Greet Cardon; Marieke De Craemer; Ellen De Decker; Lieven Annemans; Stefaan De Henauw; Lea Maes; Carine Vereecken; Jo Van Assche; Lore Pil; Mai Chin A Paw; Saskia te Velde; Theodora Mouratidou; Juan Fernandez; Maribel Mesana; Pilar De Miguel-Etayo; Esther M. González-Gil; Luis Gracia-Marco; Beatriz Oves; Agneta Yngve; Susanna Kugelberg; Christel Lynch; Annhild Mosdøl; Bente B. Nilsen; Carolyn Summerbell; Helen Moore; Wayne Douthwaite; Catherine Nixon; Susanne Kreichauf; Andreas Wildgruber; Zbigniew Kulaga; Kamila Zych; Magdalena Góźdź; Beata Gurzkowska; Katarzyna Szott; Mina Lateva; Natalya Usheva; Sonya Galcheva; Vanya Marinova; Zhaneta Radkova; Nevyana Feschieva; Tim Lobstein; Andrea Aikenhead; Goof Buijs; Annemiek Dorgelo; Aviva Nethe; Jan Jansen; Otto Gmeiner; Jutta Retterath; Julia Wildeis; Axel Günthersberger; Leigh Gibson; Claus Voegele

doi:https://doi.org/10.1111/obr.12175

Designing and implementing a kindergarten-based, family-involved intervention to prevent obesity in early childhood: The ToyBox-study

Yannis Manios, Odysseas Androutsos, Christina Katsarou, Violeta Iotova, Piotr Socha, Christine Geyer, Luis Moreno, Berthold Koletzko, Ilse De Bourdeaudhuij, John Reilly, Boyd Swinburn, Dianne Ward, Eva Grammatikaki, Eftychia Apostolidou, Eirini Efstathopoulou, Kristin Duvinage, Sabine Ibrügger, Angelika Strauß, Birgit Herbert, Julia BirnbaumAnnette Payr, Greet Cardon, Marieke De Craemer, Ellen De Decker, Lieven Annemans, Stefaan De Henauw, Lea Maes, Carine Vereecken, Jo Van Assche, Lore Pil, Mai Chin A Paw, Saskia te Velde, Theodora Mouratidou, Juan Fernandez, Maribel Mesana, Pilar De Miguel-Etayo, Esther M. González-Gil, Luis Gracia-Marco, Beatriz Oves, Agneta Yngve, Susanna Kugelberg, Christel Lynch, Annhild Mosdøl, Bente B. Nilsen, Carolyn Summerbell, Helen Moore, Wayne Douthwaite, Catherine Nixon, Susanne Kreichauf, Andreas Wildgruber, Zbigniew Kulaga, Kamila Zych, Magdalena Góźdź, Beata Gurzkowska, Katarzyna Szott, Mina Lateva, Natalya Usheva, Sonya Galcheva, Vanya Marinova, Zhaneta Radkova, Nevyana Feschieva, Tim Lobstein, Andrea Aikenhead, Goof Buijs, Annemiek Dorgelo, Aviva Nethe, Jan Jansen, Otto Gmeiner, Jutta Retterath, Julia Wildeis, Axel Günthersberger, Leigh Gibson, Claus Voegele

Epidemiology and Data Science (VUmc)

Research output: Contribution to journal › Article › Academic › peer-review

77 Citations (Scopus)

Abstract

The development of the ToyBox-intervention was based on the outcomes of the preliminary phase of the ToyBox-study, aiming to identify young children's key behaviours and their determinants related to early childhood obesity. The ToyBox-intervention is a multi-component, kindergarten-based, family-involved intervention with a cluster-randomized design, focusing on the promotion of water consumption, healthy snacking, physical activity and the reduction/ breaking up of sedentary time in preschool children and their families. The intervention was implemented during the academic year 2012-2013 in six European countries: Belgium, Bulgaria, Germany, Greece, Poland and Spain. Standardized protocols, methods, tools and material were used in all countries for the implementation of the intervention, as well as for the process, impact, outcome evaluation and the assessment of its cost-effectiveness. A total sample of 7,056 preschool children and their parents/caregivers, stratified by socioeconomic level, provided data during baseline measurements and participated in the intervention. The results of the ToyBox-study are expected to provide a better insight on behaviours associated with early childhood obesity and their determinants and identify effective strategies for its prevention. The aim of the current paper is to describe the design of the ToyBox-intervention and present the characteristics of the study sample as assessed at baseline, prior to the implementation of the intervention.

Original language	English
Pages (from-to)	5-13
Number of pages	9
Journal	Obesity Reviews
Volume	15
Issue number	SUPPL.3
DOIs	https://doi.org/10.1111/obr.12175
Publication status	Published - 1 Jan 2014

Keywords

Design
Kindergarten
Obesity prevention
Preschool children

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https://doi.org/10.1111/obr.12175

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Manios, Y., Androutsos, O., Katsarou, C., Iotova, V., Socha, P., Geyer, C., Moreno, L., Koletzko, B., De Bourdeaudhuij, I., Reilly, J., Swinburn, B., Ward, D., Grammatikaki, E., Apostolidou, E., Efstathopoulou, E., Duvinage, K., Ibrügger, S., Strauß, A., Herbert, B., ... Voegele, C. (2014). Designing and implementing a kindergarten-based, family-involved intervention to prevent obesity in early childhood: The ToyBox-study. Obesity Reviews, 15(SUPPL.3), 5-13. https://doi.org/10.1111/obr.12175

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title = "Designing and implementing a kindergarten-based, family-involved intervention to prevent obesity in early childhood: The ToyBox-study",

abstract = "The development of the ToyBox-intervention was based on the outcomes of the preliminary phase of the ToyBox-study, aiming to identify young children's key behaviours and their determinants related to early childhood obesity. The ToyBox-intervention is a multi-component, kindergarten-based, family-involved intervention with a cluster-randomized design, focusing on the promotion of water consumption, healthy snacking, physical activity and the reduction/ breaking up of sedentary time in preschool children and their families. The intervention was implemented during the academic year 2012-2013 in six European countries: Belgium, Bulgaria, Germany, Greece, Poland and Spain. Standardized protocols, methods, tools and material were used in all countries for the implementation of the intervention, as well as for the process, impact, outcome evaluation and the assessment of its cost-effectiveness. A total sample of 7,056 preschool children and their parents/caregivers, stratified by socioeconomic level, provided data during baseline measurements and participated in the intervention. The results of the ToyBox-study are expected to provide a better insight on behaviours associated with early childhood obesity and their determinants and identify effective strategies for its prevention. The aim of the current paper is to describe the design of the ToyBox-intervention and present the characteristics of the study sample as assessed at baseline, prior to the implementation of the intervention.",

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author = "Yannis Manios and Odysseas Androutsos and Christina Katsarou and Violeta Iotova and Piotr Socha and Christine Geyer and Luis Moreno and Berthold Koletzko and {De Bourdeaudhuij}, Ilse and John Reilly and Boyd Swinburn and Dianne Ward and Eva Grammatikaki and Eftychia Apostolidou and Eirini Efstathopoulou and Kristin Duvinage and Sabine Ibr{\"u}gger and Angelika Strau{\ss} and Birgit Herbert and Julia Birnbaum and Annette Payr and Greet Cardon and {De Craemer}, Marieke and {De Decker}, Ellen and Lieven Annemans and {De Henauw}, Stefaan and Lea Maes and Carine Vereecken and {Van Assche}, Jo and Lore Pil and {Chin A Paw}, Mai and {te Velde}, Saskia and Theodora Mouratidou and Juan Fernandez and Maribel Mesana and {De Miguel-Etayo}, Pilar and Gonz{\'a}lez-Gil, {Esther M.} and Luis Gracia-Marco and Beatriz Oves and Agneta Yngve and Susanna Kugelberg and Christel Lynch and Annhild Mosd{\o}l and Nilsen, {Bente B.} and Carolyn Summerbell and Helen Moore and Wayne Douthwaite and Catherine Nixon and Susanne Kreichauf and Andreas Wildgruber and Zbigniew Kulaga and Kamila Zych and Magdalena G{\'o}{\'z}d{\'z} and Beata Gurzkowska and Katarzyna Szott and Mina Lateva and Natalya Usheva and Sonya Galcheva and Vanya Marinova and Zhaneta Radkova and Nevyana Feschieva and Tim Lobstein and Andrea Aikenhead and Goof Buijs and Annemiek Dorgelo and Aviva Nethe and Jan Jansen and Otto Gmeiner and Jutta Retterath and Julia Wildeis and Axel G{\"u}nthersberger and Leigh Gibson and Claus Voegele",

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doi = "https://doi.org/10.1111/obr.12175",

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Manios, Y, Androutsos, O, Katsarou, C, Iotova, V, Socha, P, Geyer, C, Moreno, L, Koletzko, B, De Bourdeaudhuij, I, Reilly, J, Swinburn, B, Ward, D, Grammatikaki, E, Apostolidou, E, Efstathopoulou, E, Duvinage, K, Ibrügger, S, Strauß, A, Herbert, B, Birnbaum, J, Payr, A, Cardon, G, De Craemer, M, De Decker, E, Annemans, L, De Henauw, S, Maes, L, Vereecken, C, Van Assche, J, Pil, L, Chin A Paw, M, te Velde, S, Mouratidou, T, Fernandez, J, Mesana, M, De Miguel-Etayo, P, González-Gil, EM, Gracia-Marco, L, Oves, B, Yngve, A, Kugelberg, S, Lynch, C, Mosdøl, A, Nilsen, BB, Summerbell, C, Moore, H, Douthwaite, W, Nixon, C, Kreichauf, S, Wildgruber, A, Kulaga, Z, Zych, K, Góźdź, M, Gurzkowska, B, Szott, K, Lateva, M, Usheva, N, Galcheva, S, Marinova, V, Radkova, Z, Feschieva, N, Lobstein, T, Aikenhead, A, Buijs, G, Dorgelo, A, Nethe, A, Jansen, J, Gmeiner, O, Retterath, J, Wildeis, J, Günthersberger, A, Gibson, L & Voegele, C 2014, 'Designing and implementing a kindergarten-based, family-involved intervention to prevent obesity in early childhood: The ToyBox-study', Obesity Reviews, vol. 15, no. SUPPL.3, pp. 5-13. https://doi.org/10.1111/obr.12175

TY - JOUR

T1 - Designing and implementing a kindergarten-based, family-involved intervention to prevent obesity in early childhood

T2 - The ToyBox-study

AU - Manios, Yannis

AU - Androutsos, Odysseas

AU - Katsarou, Christina

AU - Iotova, Violeta

AU - Socha, Piotr

AU - Geyer, Christine

AU - Moreno, Luis

AU - Koletzko, Berthold

AU - De Bourdeaudhuij, Ilse

AU - Reilly, John

AU - Swinburn, Boyd

AU - Ward, Dianne

AU - Grammatikaki, Eva

AU - Apostolidou, Eftychia

AU - Efstathopoulou, Eirini

AU - Duvinage, Kristin

AU - Ibrügger, Sabine

AU - Strauß, Angelika

AU - Herbert, Birgit

AU - Birnbaum, Julia

AU - Payr, Annette

AU - Cardon, Greet

AU - De Craemer, Marieke

AU - De Decker, Ellen

AU - Annemans, Lieven

AU - De Henauw, Stefaan

AU - Maes, Lea

AU - Vereecken, Carine

AU - Van Assche, Jo

AU - Pil, Lore

AU - Chin A Paw, Mai

AU - te Velde, Saskia

AU - Mouratidou, Theodora

AU - Fernandez, Juan

AU - Mesana, Maribel

AU - De Miguel-Etayo, Pilar

AU - González-Gil, Esther M.

AU - Gracia-Marco, Luis

AU - Oves, Beatriz

AU - Yngve, Agneta

AU - Kugelberg, Susanna

AU - Lynch, Christel

AU - Mosdøl, Annhild

AU - Nilsen, Bente B.

AU - Summerbell, Carolyn

AU - Moore, Helen

AU - Douthwaite, Wayne

AU - Nixon, Catherine

AU - Kreichauf, Susanne

AU - Wildgruber, Andreas

AU - Kulaga, Zbigniew

AU - Zych, Kamila

AU - Góźdź, Magdalena

AU - Gurzkowska, Beata

AU - Szott, Katarzyna

AU - Lateva, Mina

AU - Usheva, Natalya

AU - Galcheva, Sonya

AU - Marinova, Vanya

AU - Radkova, Zhaneta

AU - Feschieva, Nevyana

AU - Lobstein, Tim

AU - Aikenhead, Andrea

AU - Buijs, Goof

AU - Dorgelo, Annemiek

AU - Nethe, Aviva

AU - Jansen, Jan

AU - Gmeiner, Otto

AU - Retterath, Jutta

AU - Wildeis, Julia

AU - Günthersberger, Axel

AU - Gibson, Leigh

AU - Voegele, Claus

PY - 2014/1/1

Y1 - 2014/1/1

N2 - The development of the ToyBox-intervention was based on the outcomes of the preliminary phase of the ToyBox-study, aiming to identify young children's key behaviours and their determinants related to early childhood obesity. The ToyBox-intervention is a multi-component, kindergarten-based, family-involved intervention with a cluster-randomized design, focusing on the promotion of water consumption, healthy snacking, physical activity and the reduction/ breaking up of sedentary time in preschool children and their families. The intervention was implemented during the academic year 2012-2013 in six European countries: Belgium, Bulgaria, Germany, Greece, Poland and Spain. Standardized protocols, methods, tools and material were used in all countries for the implementation of the intervention, as well as for the process, impact, outcome evaluation and the assessment of its cost-effectiveness. A total sample of 7,056 preschool children and their parents/caregivers, stratified by socioeconomic level, provided data during baseline measurements and participated in the intervention. The results of the ToyBox-study are expected to provide a better insight on behaviours associated with early childhood obesity and their determinants and identify effective strategies for its prevention. The aim of the current paper is to describe the design of the ToyBox-intervention and present the characteristics of the study sample as assessed at baseline, prior to the implementation of the intervention.

AB - The development of the ToyBox-intervention was based on the outcomes of the preliminary phase of the ToyBox-study, aiming to identify young children's key behaviours and their determinants related to early childhood obesity. The ToyBox-intervention is a multi-component, kindergarten-based, family-involved intervention with a cluster-randomized design, focusing on the promotion of water consumption, healthy snacking, physical activity and the reduction/ breaking up of sedentary time in preschool children and their families. The intervention was implemented during the academic year 2012-2013 in six European countries: Belgium, Bulgaria, Germany, Greece, Poland and Spain. Standardized protocols, methods, tools and material were used in all countries for the implementation of the intervention, as well as for the process, impact, outcome evaluation and the assessment of its cost-effectiveness. A total sample of 7,056 preschool children and their parents/caregivers, stratified by socioeconomic level, provided data during baseline measurements and participated in the intervention. The results of the ToyBox-study are expected to provide a better insight on behaviours associated with early childhood obesity and their determinants and identify effective strategies for its prevention. The aim of the current paper is to describe the design of the ToyBox-intervention and present the characteristics of the study sample as assessed at baseline, prior to the implementation of the intervention.

KW - Design

KW - Kindergarten

KW - Obesity prevention

KW - Preschool children

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U2 - https://doi.org/10.1111/obr.12175

DO - https://doi.org/10.1111/obr.12175

M3 - Article

C2 - 25047374

SN - 1467-7881

VL - 15

SP - 5

EP - 13

JO - Obesity Reviews

JF - Obesity Reviews

IS - SUPPL.3

ER -

Designing and implementing a kindergarten-based, family-involved intervention to prevent obesity in early childhood: The ToyBox-study

Abstract

Keywords

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