We express our deepest appreciation and sincere thanks to all the teachers, staff, and administration at the participating Head Start centers, as well as families and other community members who assisted in the development and implementation of the CHILE study. We also wish to thank all members of the CHILE research team. Thank you to Theresa Cruz for help preparing the manuscript. CHILE was funded by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)—grant no. 1 R01 DK72958-01.
CHILE: An Evidence-Based Preschool Intervention for Obesity Prevention in Head Start
Version of Record online: 24 JAN 2013
© 2013, American School Health Association
Journal of School Health
Volume 83, Issue 3, pages 223–229, March 2013
How to Cite
CHILE: an evidence-based preschool intervention for obesity prevention in Head Start., , , , , .
- Issue online: 24 JAN 2013
- Version of Record online: 24 JAN 2013
- Manuscript Accepted: 1 SEP 2012
- Manuscript Revised: 31 AUG 2012
- Manuscript Received: 4 MAY 2012
- National Institute of Diabetes and Digestive and Kidney Diseases. Grant Number: 1 R01 DK72958-01
- child and adolescent health;
- chronic diseases;
- nutrition and diet;
- physical fitness and sport;
Obesity is a major concern among American Indians and Hispanics. The Child Health Initiative for Lifelong Eating and Exercise (CHILE) is an evidence-based intervention to prevent obesity in children enrolled in 16 Head Start (HS) Centers in rural communities. The design and implementation of CHILE are described.
CHILE uses a socioecological approach to improve dietary intake and increase physical activity. The intervention includes: a classroom curriculum; teacher and food service training; family engagement; grocery store participation; and health care provider support.
Lessons learned from CHILE include the need to consider availability of recommended foods; the necessity of multiple training sessions for teachers and food service; the need to tailor the family events to local needs; consideration of the profit needs of grocery stores; and sensitivity to the time constraints of health care providers.
HS can play an important role in preventing obesity in children. CHILE is an example of a feasible intervention that addresses nutrition and physical activity for preschool children that can be incorporated into HS curricula and aligns with HS national performance standards.