Presentation Abstract

Session: LBCT.02-Prevention: From Schools to Countries
Presentation: Promotion of Cardiovascular Health in Preschool Children: 36-month Cohort Follow-up
Pres Time: Monday, Nov 18, 2013, 9:00 AM - 9:10 AM
Location: Ballrooms C1&C2
Pres. Time: Monday, Nov 18, 2013, 9:00 AM - 9:10 AM
Specialty: Epidemiology
Keywords: Health promotion; Health education; Cardiovascular disease prevention; Behavior change; Community-based care
Presenter: Jaime Céspedes, Fundación CardioInfantil Insto de Cardiología, Bogotá, Colombia
Abstract: Background.
Educational interventions in preschool children could improve dietary behavior and physical activity, and prevent unhealthy body weights in low- and middle- income countries. We have previously reported the beneficial impact of an educational intervention in preschoolers in a six month trial. We now report extended results after 36 months.
Methods.
Evaluating the cohort of previously intervened children, baseline measurements were made in May 2009 in 14 preschool facilities in Usaquén (Bogotá, Colombia). Follow-up measurements were performed at 18 and 36 months. The primary outcome was the mean change in children's knowledge and attitudes scores regarding healthy eating and living an active lifestyle, including habits scores related to physical activity. Secondary outcomes were the change over time of children's nutritional status and the mean change in parent's knowledge, attitudes and habits.
Results.
We included 1,216 children, 3-5 years of age, and 928 parents. After adjusting by sex and age of children, socioeconomic status, age of parents, age and education level of teachers, we found a significant increase in mean knowledge, attitudes and habits scores at 36 months, compared to baseline: 87.94 vs. 76.15 (p<0.001); 86.39 vs. 57.03 (p<0.001); and 66.29 vs. 48.72 (p<0.001) respectively. We observed a similar increase in knowledge and attitude scores in parents:73.45 vs.
70.01 (p<0.001); and 78.08 vs. 74.65(p<0.001). The proportion of eutrophic children increased from 62.1% at baseline to 75.0% at 36 months (p<0.0001).
Conclusions.
After 36 months, the educational intervention maintained a beneficial trend towards a healthy lifestyle in children and their parents.
Key Words: Cardiovascular disease prevention • Nutrition • Physical activity
Disclosures:  J. Céspedes, None; G. Briceño, None; M. Farkouh, None; R. Vedanthan, None; J. Baxter, None; M. Leal, None; P. Boffetta, None; M. Hunn, None; R. Dennis, None; V. Fuster, None.



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