Tracking healthy behaviors in Head Start children (251.7)

Abstract

Background. Overweight among preschoolers remains a public health concern, especially in low‐income children. Methods. To encourage healthy behaviors, Head Start families participated in a 6‐week program to promote dietary and physical activity habits. Families tracked their behavior weekly as it related to 5 specific goals: 1) eat more fruits and vegetables, 2) eat more low‐fat dairy, 3) drink less soda, 4) eat less fast food, and 5) be more active. To gain an understanding of the benefits and challenges of the program, site directors and teaching staff were asked to complete a brief survey. Results. Five Head Start programs participated with 230 families completing weekly data tracking forms. Significant increases were reported in servings of fruits/vegetables (p<.01), low‐fat dairy servings (p<.01), and minutes of physical activity (p<.01). Significant reductions in consumption of soda (p<.01) and fast food (p=.01) were also found. Ninety percent of respondents (n=79) indicated the tracking calendars and weekly newsletters motivated families to improve the targeted health behaviors. Most respondents (87%) indicated the distribution of weekly calendars and newsletters to families was easy. When asked what parents were sharing about the program, comments included how the program helped parents become more aware of unhealthy choices, how children were excited to participate, and the barriers families faced while trying to eat healthier. Recommendations included the need to include family‐based nutritional classes and additional resources. Discussion. Based on positive findings, Head Start programs should continue to collaborate with families to promote healthy behaviors within the home setting.