Main Article Content
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.
2. Unicef. Thailand Multiple indicator cluster survey 2015-2016. [serial online] 2016 [cited 2017 Nov 29]; [350 screens]. Available from URL: https://www.unicef.org/thailand/Thailand_MICS_Full_Report_EN.pdf.
3. Department of Health, Ministry of Public Health.Growth charts for 2 to 7 years old Thais. [serial online] 2017 [cited 2017 Nov 29]; [2 screens]. Available from URL: https://nutrition.anamai.moph.go.th/ ewt_news.php?nid=96.
4. Ratanachuek S, Taweekul P, Iamopas O, Suthutvoravut U. Guideline for prevention and management in children with obesity 2015. [serial online] 2015 [cited 2017 Nov 1]; [34 screens]. Available from URL:https://www.thaipediatrics.org/Media/media- 20161208151655.pdf.
5. Thongtaeng P Seesawang J. Overweight in Thai children. Rama Nurs J. 2012;18(3):287-93.
6. Yuenyong S Moopayak K Suwonnaroop N. A Comparative study of factors related to the nutritional status of preschool children in Muang District, Suphanburi Province, Thailand. Journal of Nursing Science 2012; 30(2):90-100.
7. Chaisri K, Klungtummeim K, Buajarean H. Clinical nursing practice guideline for management of obesity in children: The synthesis of Thesis. Journal of the Royal Thai Army Nurses 2014;15(2):360-7.
8. Kolb DA. Experimental learning: Experience as the source of learning and development. Eaglewood Cliffs, NJ: Prentice Hall; 1984.
9. Bureau of Nutrition, Department of Health, Ministry of Public Health. Handout for nutritional promotion
in well child clinic for health care personal. Bangkok:Samchareanpanich; 2015.
10. Sanguanrungsirikul S. Suggestion for exercise in children (2-12 years old). Nontaburi: Division of Physical Activity & Health, Department of Health,Ministry of Public Health; 2014.
11. Bunnag A, Samgperm P, Jungsomjatepaisal W,Ponsarananthakul Y, Leelahakul V. The effects of behavioral modifcation for eating and exercising behavior in overweight adolescents. J Nurs Sci 2012;30(4):37-47.
12. Duangchan P. Causal factors of obesity prevention behaviors and body mass index in fourth grade school children at demonstration schools, Bangkok. Dissertation for the Doctor of Philosophy in Applied Behavioral Science Research at Srinakharinwirot University; 2007.
13. Konda SG, Giri PA, Otiv AS. Prevention of overweight and obesity in preschool children: an updated review. Int J Res Med Sci 2014;2(3):798-804.
14. Heerman WJ, Jaka MM, Berge JM, Trapl ES, Sommer E, Samuels LR, et al. the dose of behavioral
interventions to prevent and treat childhood obesity: A systematic review and meta-regression. Int J Behav Nutr Phys Act [Internet]. 2017 [cited 2018 Feb 7];14:157. Available from URL: https://doi.org/10. 1186/s12966-017-0615-7
15. Davison KK, Jurkowski JM, Li K, Kranz S, Lawson HA. A childhood obesity intervention developed by families for families: Results from a pilot study. Int J Behav Nutr Phys Act [Internet]. 2013 [cited 2018 Feb 7];10:3. Available from URL: https://www.ijbnpa.org/content/10/1/3133
16. Alberdi G, McNamara AE, Lindsay LK, Scully HA,Horan MH, Gibney ER, et al. The association between childcare and risk of childhood overweight and obesity in children aged 5 years and under: A systematic review. Eur J Pediatr 2016;175:1277–94.
17. Raipin A, Pongjaturawit Y, Teerarungsikul N. Opinions and Practices of Mothers Having Overweight Pre-School
Children. Princesss of Naradhiwas University J 2012; 4(2):1-15.
18. Khalsa AS, Kharofa R, Ollberding NJ, Bishop L,Copeland KA. Attainment of ‘5-2-1-0’ obesity recommendations in preschool-aged children.Preventive Med Reports [Internet] 2017[cited 2017 Dec 15];79-87. Available from URL: https://doi.org/10.1016/j.pmedr.2017.08.003