Interventions to prevent or treat obesity in preschool children: a review of evaluated programs

Objective: To identify effective programs to prevent or treat overweight among 2‐ to <6‐year‐old children. Research Methods and Procedures: We searched six databases to identify evaluated intervention programs assessing changes in weight status or body fat and systematically summarized study attributes and outcomes. Results: Four of the seven studies (two intervention, two prevention) documented significant reductions in weight status or body fat. Among these, three sustained reductions at 1 or 2 years after program initiation, three incorporated a framework/theory, two actively and one passively involved parents, three included multicomponent strategies, and all four monitored behavioral changes. Of the three (prevention) studies that did not show reduction in weight or fat status, all performed assessments between 4 and 9 months after program initiation, and one used a multicomponent strategy. Other significant changes reported were reductions in television viewing, cholesterol, and parental restriction of child feeding. Discussion: The paucity of studies limits our ability to generalize findings. Among the available studies, multicomponent programs with 1‐ to 2‐year follow‐up in clinics or child care settings were successful in their impact on weight; they were likely enhanced by parental involvement. Both treatment programs and two of five prevention programs reduced weight/fat status. Our review highlights the need to evaluate more programs, advocate for use of a framework/behavioral theory and objective behavioral measures, further examine the impact of involving parents and the impact of intervention duration and follow‐up time, strengthen prevention programs, and further evaluate successful programs in other settings and among other racial/ethnic groups.     

Decrease of CD4+ T-lymphocytes in children exposed to environmental lead

The effects of environmental lead on the immune system of young children were assessed by determining the peripheral blood lymphocytes CD3⁺, CD4⁺, CD8⁺, B(CD19⁺) counts, and natural killer (CD16⁺ CD56⁺) cells in 35 preschool children whose mean blood lead level was 140.6 μg/L. The results were compared to an age- and sex-matched control group with a mean blood lead level of 64.3 μg/L. Compared to the controls, a significant reduction in the percentage of CD4⁺ cells and a significant increase of CD8⁺ cells were seen in the high-lead group. The negative correlation between the percentage of CD4⁺ cells and blood lead levels was found to be significant (p<0.01). These results suggest that exposure to environmental lead might result in alterations in the immune function of young children.     

Neurobehavioral Dysfunction as a Possible Sentinel of Methylmercury Exposure

The main concern regarding methylmercury neurotoxicity relates to adverse effects on the brain during development. Many environmental chemicals may act as developmental neurotoxicants, but solid documentation from epidemiological studies exists only on methylmercury, lead, and polychlorinated biphenyls (PCBs). Neurobehavioral tests may reveal subtle dysfunctions, but the tests chosen must be valid and appropriate for the setting. In a prospective study in the Faroe Islands, the main neuropsychological functions affected by prenatal methylmercury exposure were attention, language and memory. Deficits in visuospatial function were mainly related to postnatal exposures. These associations were stable after adjustment for confounders and exclusion of the children with the highest exposures to methylmercury and PCBs. Tests with good psychometric properties were more likely to show an association with mercury exposure. Greater sensitivity was also seen with tests administered by specialized academic staff rather than a trained technician. Despite highly significant effects on nervous system function, the deficits were subtle, and mercury exposure explained only a small part of the variation. Available evidence suggests that neurotoxicity may have severe implications on public health, but current methods are not amenable to application as sentinels of adverse health effects in environmental health surveillance.     

Spinning a yarn about adaptations in different biomes: stories and science for preschool learners

Evolution and ecology are essential to an understanding of biology, but questions remain as to when and how young children can learn about these concepts. The concept of adaptation represents an opportunity for children to engage with these ideas, and this article presents several lessons used to teach adaptation to children aged three through six at a summer Science Technology Engineering Art and Mathematics camp. The lessons incorporate interactive yarn stories to illustrate particular adaptations in three biomes: desert, arctic tundra, and deciduous forest. The yarn stories also introduce environmental features and particular organisms that are used in subsequent investigations. Examples and assessment data from preschool children in this camp are used to illustrate young children’s emerging understandings of adaptation throughout these lessons.     

Prevalence of Enterobius vermicularis among preschool children in Gimhae-si, Gyeongsangnam-do, Korea

The present study was performed to determine the prevalence of Enterobius vermicularis among preschool children in Gimhae-si, Korea. A total of 6,921 preschool children in 76 kindergartens were examined using the cellotape perianal swab method. The overall egg positive rate (EPR) was 10.5%. The EPR in boys was higher than that in girls (adjusted odds ratio [AOR]: 1.5, P<0.001), and it was higher in rural than in urban children (AOR: 1.2, P=0.022). The present study confirmed that the prevalence of E. vermicularis infection is fairly high among preschool children in Gimhae-si. Therefore, systematic control and preventive measures should be adopted to reduce morbidity associated with this nematode infection.     

Prevalence of Enterobius vermicularis among Preschool Children in Muan-gun, Jeollanam-do, Korea

We assessed the prevalence of Enterobius vermicularis infection and changes in the egg positive rate (EPR) over 1-year time, using the adhesive cellophane-tape perianal swab method in 2,347 preschool children in Muan-gun, Jeollanam-do, Republic of Korea in 2008 and 2009. The overall EPR for E. vermicularis was 4.1% in 2008 and 4.5% in 2009. A study population of 389 children was repeatedly examined for 2 years. Within this group, the EPR in 2009 was twice higher than in 2008, and the EPR of the group of 5-7-year-old children was significantly higher than that of other age groups. Moreover, in the group of 5-7-year-old children in 2009, the rates of positive and negative conversion were significantly higher and lower, respectively, than in other age groups. Conclusively, enterobiasis was prevalent during 2008-2009 among preschool children in Muan-gun, Jeollanam-do, and the increased EPR in 2009 was due to an increase in newly acquired infections among 5-7-year-old children.     

News & Analyses

ABSTRACT

The purpose of this study was to examine preschoolers' (n = 11) ability to follow instructions in the presence or absence of a real dog while executing a variety of motor skills tasks. These tasks were divided into one of three general classifications: 1) Modeling Tasks: the children were asked to emulate the behavior of a model, 2) Competition Tasks: the children were asked to do the task faster than a competitor, and 3) Tandem Tasks: the children were asked to do the tasks at the same time as a co-performer. Typical and Identified (language impaired) preschool children were randomly assigned to perform five tasks of each general classification alone, with a human, with a real dog, and with a stuffed dog that was similar in size and appearance to the live dog. Two independent raters rated each child's adherence to instructions (interrater reliability = 0.99) on a 7-point scale. A significant interaction between task classification and type of co-performer revealed that in the Modeling Tasks the preschoolers adhered better to the instructions when the real dog was present relative to the other conditions. In the Tandem Tasks the children adhered to instructions best when they performed the task with a human, followed by the stuffed dog (as manipulated by a human), the real dog, and worst when they were asked to perform the tasks alone. The type of co-performer made no significant difference in the Competition Tasks. These results indicate the presence of a real dog tends to be beneficial for promoting preschoolers' compliance with instructions in motor skills tasks that require modeling behavior, but not in those tasks that stress competition or those performed in tandem.     

Comparison of egg positive rates of Enterobius vermicularis among preschool children in three Korean localities

This survey was performed to investigate and compare egg positive rates (EPRs) of Enterobius vermicularis among preschool children in 3 Korean localities (Chuncheon-si, Inje-gun, and Paju-si) in 2008. A total of 7,048 preschool children were examined. Overall, the total EPR was 4.0%; the EPR was the highest in Chuncheon-si (5.6%), followed by Inje-gun (4.5%) and Paju-si (3.4%). The EPR of boys (4.9%) was higher than that of girls (3.1%). The EPR significantly increased with age, with the highest observed in 5~7-year-olds. These findings demonstrate that E. vermicularis infection is widely prevalent among preschool children in Chuncheon-si, Inje-gun, and Paju-si, Republic of Korea.     

恒毅力养成：针对城市学龄前儿童的一种自然教育

恒毅力是一种基础性的人格特征。恒毅力对于人一生的健康和福祉都有着重要的积极影响。大量研究证明接触自然对当代人恒毅力的养成有显著的促进作用。根据人类身心发展的规律,以恒毅力为主要目标的自然教育最好从学龄前儿童期（5~6岁）开始进行。遗憾的是,关于此类自然教育的理论及实践知识仍然处于分散和不足的状态。因而,发展相对完整的自然教育体系以培养学龄前儿童的恒毅力是十分紧急且重要的。从恒毅力自然教育的理论框架、关键要素及其权重、自然教育及体验活动智库、对自然教育场所及活动的策略性设计这4部分探讨该类自然教育的理论体系和实践策略,或可为研究者提供儿童恒毅力的未来研究趋势,为教育者提供自然教育的实践启示,为设计师提供自然体验的新思路。     

健康学龄前儿童血浆氨基酸与血红蛋白含量

本文采用丹酰氯聚酰胺薄层分析法研究了６５名３—７岁健康儿童的血浆游离氨基酸和血红蛋白浓度。结果表明：（１）赖氨酸促进蛋白质合成不仅供机体生长需要,同样也供合成血红蛋白;（２）贫血前期已有血浆游离氨基酸的变化,继而出现贫血,提示儿童时期生长旺盛,应注重补充某些氨基酸消耗和补充维生素、叶酸、铁元素等造血原料。