Abstract

This article describes the processes used to develop two different types of games used to improve the consumption of healthful foods and increase exercise in preschool Hispanic populations. They were created to meet criteria for effectiveness: age and culturally appropriate, fun, and foster family participation. The first, a pictorial bilingual food bingo game, emphasized vegetable and water consumption and the limitation of sugar-sweetened beverages. A population was selected to study the effectiveness in changing dietary habits, and we were able to show a significantly improved consumption of vegetables at home after using the game during the school year. Next, we developed bilingual video games used to teach nutrition and enhance exercise. The animal characters and narrative were created to allow immersion. The concept was that the animals needed the children’s help to obtain food, exercise tasks were assigned, and nutritional foods were discussed. Focus groups were reviewed for the effectiveness of the concept, ease of usability, and appropriateness for the target audience. The videos were tested in a summer session, and teachers concluded that after two viewings the children enhanced their exercise, bonded to the animals, and were answering the nutrition questions correctly.

Highlights

  • IntroductionForty million children under the age of 5 years and more than 330 million children and adolescents aged 5–19 years were overweight or obese worldwide in 2016

  • The bilingual board game was demonstrated to a focus group of teachers and the administrator of the Hidalgo Head Start centers to determine the feasibility of use in the classrooms

  • The game was distributed to Head start centers in the region to reach more than 1000 children in South Texas to provide a source of dietary education

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Summary

Introduction

Forty million children under the age of 5 years and more than 330 million children and adolescents aged 5–19 years were overweight or obese worldwide in 2016. This condition is in part due to the availability of inexpensive energy-dense unhealthful foods and beverages that are utilized by those families in the lower socioeconomic strata [2]. The report targeted the primary causes, as unhealthful diets low in fruit and vegetables and high in sugar-sweetened beverage and lack of physical exercise, and suggested intervention at an early age. Proposed interventions generally involved both parents and children in dietary instruction and implemented exercise for children as part of the school curriculum

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