Improving healthy energy balance- and obesity-related behaviours among preschoolers in Malaysia: feasibility of adapting the ToyBox-Study

改善马来西亚学龄前儿童的健康能量平衡和肥胖相关行为：采用玩具盒研究的可行性

基本信息

批准号：
MR/P013805/1
负责人：
Edward Gibson
金额：
$ 39.57万
依托单位：
University of Roehampton
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2017
资助国家：
英国
起止时间：
2017 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=MR%2FP013805%2F1
关键词：
Improving healthy energy balance obesity

项目摘要

This research addresses the urgent need to tackle the rise of childhood obesity; Malaysia is suffering more than other Southeast Asian countries in terms of increasing numbers of young children becoming overweight or obese. There are many adverse consequences of obesity, including development of non-communicable diseases such as Type-2 diabetes, cardiovascular disease and some cancers. These diseases will occur at younger ages and increase in prevalence in the population if obesity levels continue to grow. In addition, obesity can harm both physical and mental development and function, thus harming both individual wellbeing and national welfare and economy. A recent report from the World Health Organisation recognises that ending childhood obesity will require multiple and multifaceted interventions, involving changes to policy, education and the environment, in order to deliver sustained changes in behaviours related to obesity risk. Since many of these behaviours rapidly become habitual, key recommendations include targeting early childhood to encourage healthy eating, physical activity, less sedentary behaviour and reduced intake of sugar-sweetened beverages. However, to do this successfully requires not just education, but also removal of environmental barriers to these behaviours, and engagement of the young children's families. The ToyBox-Study programme (www.toybox-study.eu) is one intervention that incorporates these facets and has already been trialled in 4-6 year-old kindergarten children across six European countries. The intervention is designed to be carried out in kindergartens, involving the kindergarten teachers encouraging healthy behaviours in the children, by educating through specially focussed activities, and by changing the kindergarten environments. This permits hands-on learning to instil healthy habits, such as drinking water as the main fluid in place of sweetened drinks, healthier snacking, enjoying more physical activity, and avoiding prolonged periods of sedentary behaviour. The kindergarten setting is also a relatively inexpensive and less disruptive, than a school setting for such an intervention. The ToyBox-Study programme has a complete set of materials to guide kindergarten teachers, and the primary caregivers of the children, in achieving these healthier behaviours. However, it is recognised that some adaptation of the materials, as well as translation, may be necessary for the Malaysian sociocultural context. Thus, the primary aim of this research is to conduct a feasibility study of the adaptation and application of the ToyBox intervention in Malaysian kindergartens, in sites in both Peninsular Malaysia, and in Sarawak. The intervention will run for 24 weeks across a kindergarten year. Similar measurements will be taken at baseline and post-intervention as in the original study, including height and weight of the children, so that comparisons can be made with published evidence from the ToyBox-Study. These will evaluate whether the intervention has altered the health-related behaviours, as well as the acceptability of the intervention to stakeholders, teachers and families of the children. In addition, a follow-up set of measurements will be made 6 months later, to determine how sustainable any behavioural changes have been. Comparison will be made to kindergartens not enrolled in the intervention but whose children will be measured in the same way over the same period. The kindergartens will be recruited from the KEMAS pool of kindergartens, so that a greater number of underprivileged children and families can benefit. The research will be conducted by experienced University staff with expertise in obesity, nutrition, behaviour and education: a separate team will be based at each site. The local teams will be strongly supported by UK experts, two of whom worked on the original ToyBox-Study programme. Guidance and training will be provided at every stage.

这项研究解决了解决儿童肥胖问题的迫切需要；马来西亚比其他东南亚国家面临的问题是，越来越多的幼儿超重或肥胖。肥胖会带来许多不良后果，包括引发 2 型糖尿病、心血管疾病和某些癌症等非传染性疾病。如果肥胖水平继续增加，这些疾病将在年轻时发生，并且在人群中的患病率会增加。此外，肥胖还会损害身心发育和功能，从而损害个人福祉以及国家福利和经济。世界卫生组织最近的一份报告认识到，消除儿童肥胖需要采取多种多方面的干预措施，包括改变政策、教育和环境，以便持续改变与肥胖风险相关的行为。由于其中许多行为很快就会成为习惯，因此主要建议包括针对幼儿期鼓励健康饮食、体育活动、减少久坐行为和减少含糖饮料的摄入量。然而，要成功做到这一点，不仅需要教育，还需要消除这些行为的环境障碍，以及幼儿家庭的参与。 ToyBox-Study 计划 (www.toybox-study.eu) 是一项综合了这些方面的干预措施，并已在六个欧洲国家的 4-6 岁幼儿园儿童中进行了试验。该干预措施旨在在幼儿园进行，幼儿园教师通过有针对性的活动进行教育以及改变幼儿园环境来鼓励儿童的健康行为。这样可以通过实践学习灌输健康的习惯，例如以饮用水代替甜饮料作为主要液体、吃更健康的零食、享受更多的身体活动以及避免长时间久坐。与学校环境相比，幼儿园环境相对便宜且破坏性较小，适合进行此类干预。 ToyBox-Study 计划拥有一套完整的材料来指导幼儿园教师和儿童的主要看护者实现这些更健康的行为。然而，人们认识到，根据马来西亚的社会文化背景，可能需要对材料进行一些改编和翻译。因此，本研究的主要目的是对马来西亚半岛和砂拉越幼儿园中 ToyBox 干预措施的适应性和应用进行可行性研究。该干预措施将在幼儿园学年持续 24 周。将在基线和干预后进行与原始研究类似的测量，包括儿童的身高和体重，以便可以与玩具盒研究中已发表的证据进行比较。这些将评估干预措施是否改变了与健康相关的行为，以及利益相关者、教师和儿童家庭对干预措施的可接受性。此外，还将在 6 个月后进行一组后续测量，以确定任何行为改变的可持续性。将与未参加干预但其孩子在同一时期以相同方式进行测量的幼儿园进行比较。这些幼儿园将从KEMAS幼儿园库中招募，让更多贫困儿童和家庭受益。该研究将由经验丰富的大学工作人员进行，他们在肥胖、营养、行为和教育方面拥有专业知识：每个地点都将有一个单独的团队。当地团队将得到英国专家的大力支持，其中两名专家参与了最初的玩具盒研究项目。每个阶段都会提供指导和培训。

项目成果

期刊论文数量（10）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

ToyBox Study Malaysia: a feasibility study to improve healthy energy balance and obesity-related behaviour.

ToyBox Study Malaysia：一项旨在改善健康能量平衡和肥胖相关行为的可行性研究。

DOI：
10.1017/s002966512000261x
发表时间：
2020
期刊：
Proceedings of the Nutrition Society
影响因子：
7
作者：
Reeves S
通讯作者：
Reeves S

Process evaluation of a kindergarten-based intervention for obesity prevention in early childhood: the Toybox study Malaysia.

DOI：
10.1186/s12889-023-16023-w
发表时间：
2023-06-06
期刊：
BMC public health
影响因子：
4.5
作者：
通讯作者：

From ToyBox Study to eToyBox: Advancing Childhood Obesity Reduction in Malaysian Kindergartens.

DOI：
10.3390/ijerph20166614
发表时间：
2023-08-20
期刊：
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
影响因子：
0
作者：
Reeves, Sue;Poh, Bee Koon;Chong, Yi Ting;Lee, Julia Ai Cheng;Cheah, Whye Lian;Hafizah, Yatiman Noor;Nelson, Georgia;Ruzita, Abd Talib;Koh, Denise;Summerbell, Carolyn;Essau, Cecilia A;Gibson, Edward Leigh
通讯作者：
Gibson, Edward Leigh

ToyBox Study Malaysia: Improving healthy energy balance and obesity-related behaviours among pre-schoolers in Malaysia