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GENERAL ARTICLE

CHILE: An Evidence-Based Preschool
Intervention for Obesity Prevention in Head
Start
SALLY M. DAVIS, PhDa SARAH G. SANDERS, RN, MSb COURTNEY A. FITZGERALD, MSSW, LMSWc PATRICIA C. KEANE, MS, RD, LDd GLENDA F. CANACA,
MDe RENEE VOLKER-RECTOR, BAf

ABSTRACT
BACKGROUND: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
Keywords: child and adolescent health; chronic diseases; nutrition and diet; physical fitness and sport; preschool.
Citation: Davis SM, Sanders SG, FitzGerald CA, Keane PC, Canaca GF, Volker-Rector R. CHILE: an evidence-based preschool intervention for obesity prevention in Head Start. J Sch Health. 2013; 83: 223-229.
Received on May 4, 2012
Accepted on September 1, 2012

O

besity is a serious public health concern for individuals of all ages, including


References: 2. World Health Organization. Obesity and overweight, 2011. Health. 2005;21(2):140-148. Indian children. Prev Med. 2003;37(6 pt 2):S62-S69. activity in American Indian schoolchildren. Prev Med. 2003;37(6 pt 2):S24-S34. recommended foods. Health Educ . 1988;19(1):26-30. interventions. Am J Clin Nutr. 2011;93(5):1179S-1183S. ArtsTech, A Center for Youth Enterprise, 1522 Holmes Street, Kansas City, Missouri; http://www.artstech-kc.org/ Cerner Corportation, 2800 Rockcreek Parkway, Kansas City, Missouri 64117; www.cerner.com; www.firsthandfoundation.org MarshMedia, 8025 Ward Parkway Plaza, Kansas City, Missouri 64114; www.marshmedia.com Missouri Coordinated School Health Coalition, PO Box 309, Columbia, Missouri 65205 http://www.healthykidsmo.org/ Department of Applied Health Science, Indiana University, 1025 E. 7th Street, HPER 116, Bloomington, Indiana 47405; http://www.indiana.edu/~aphealth/ Century Partners ASCD, 1703 N HealthTeacher, 5200 Maryland Way, Ste. 200, Brentwood, Tennessee 37027 www.healthteacher.com Kansas School Nurse Organization, 13174 X Road, Meriden, Kansas 66512; www.ksno.org Missouri Association for Health, Physical Education, Recreation, and Dance, 1220 W. Crestview Drive, Marysville, Missouri 64468; http://www.moahperd.org/ National Association of State School Nurse Consultants, 4705 Circle Drive, Columbia, South Carolina 29206; www.nassnc.org Journal of School Health
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