Implementation of Nutritional Promotion Guidelines for Preschool Children with Overweight in a Childcare Centre

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Apawan - Nookong Somsiri Rungamornrat Nattira Kraimongkol Rungradee Puttisatean


Objectives: To develop and implement nutritional promotion guidelines for preschool
children with overweight in a childcare centre in central Thailand, and to compare their
food consumption habits, physical activities, and percent of weight for height.
Design: Action research.
Methodology: The programme consisted of 2 phases: (1) the development of
nutritional promotion guidelines based on input obtained from focus-group discussions
with 10 people (childcare staff, teachers and cooks), 3 parents/guardians and 1 nurse; and
(2) the implementation of the guidelines with the parents/guardians of 10 overweightaffected children, using Kolb’s experiential learning cycle approach. The qualitative data
were analysed using content analysis. The children’s food consumption habits, physical
activities and percent of weight for height before and after programme implementation
were compared based on Wilcoxon Signed Rank Test.
Results: After the development of the nutritional promotion guidelines for children
with overweight in phase (1), the outcomes of programme implementation in phase
(2) revealed a lack of nutritional knowledge and child-spoiling practices as the main
causes of overweight in children. However, the children’s food consumption habits,
physical activities and percent of weight for height before and after their participation
in the programme were not signifcantly different (p > .05).
Recommendations: All members of an overweight-affected child’s family are
advised to take part in developing their own methods of nutritional promotion and create
a mutual child-care agreement.



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How to Cite
Nookong A, Rungamornrat S, Kraimongkol N, Puttisatean R. Implementation of Nutritional Promotion Guidelines for Preschool Children with Overweight in a Childcare Centre. Thai Journal of Nursing Council [Internet]. 6Mar.2018 [cited 24Jan.2019];32(4):120. Available from:
Research Reports
Author Biography

Apawan - Nookong, Mahidol University

Department of Pediatric Nursing


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