PMID- 30578226 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1929-0748 (Print) IS - 1929-0748 (Electronic) IS - 1929-0748 (Linking) VI - 7 IP - 12 DP - 2018 Dec 21 TI - A Customized Intervention Program Aiming to Improve Healthy Eating and Physical Activity Among Preschool Children: Protocol for a Randomized Controlled Trial (Iran Healthy Start Study). PG - e11329 LID - 10.2196/11329 [doi] LID - e11329 AB - BACKGROUND: Prevention of childhood obesity is a key approach to the primary prevention of noncommunicable diseases. Several models, based on the population health approach and aligned with ecological models, are used to design childhood obesity prevention programs around the world. OBJECTIVE: This study aims to introduce the design and evaluation plan of "Iran Healthy Start (IHS)/Aghazi Salem, Koodake Irani"-the customized Iranian version of Canadian Healthy Start/Depart Sante health promotion program-which is now being developed in Mashhad University of Medical Sciences (Mashhad, Iran) and focuses on improving physical activity and healthy eating among preschool children. METHODS: We will evaluate the intervention using a pilot randomized controlled design. The components of intervention include customized Decoda Web-based resources for children, an implementation guide for educators and managers, training and monitoring, communication and knowledge exchange, building partnership, and parent engagement. Outcomes include changes in anthropometry, physical activity level, nutritional risk status and dietary intake, and quality of life. RESULTS: The project is funded by Mashhad University of Medical Sciences. The intervention was completed by the end of March 2018, and the analysis is currently under way. The first results of the IHS intervention program are expected to be submitted for publication in December 2018. CONCLUSIONS: The double burden of malnutrition in early years children is a major health concern in developing countries. This justifies the need for health promotion programs that are specifically designed to target both overnutrition and undernutrition prevention. If the efficacy approved, the IHS could potentially be a comprehensive health promotion program for young children whose lifestyle behaviors can be improved toward a healthy future life in a nutrition transition setting. TRIAL REGISTRATION: International Clinical Trials Registry Platform IRCT2016041927475N1; https://en.irct.ir/trial/22497. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/11329. CI - (c)Atieh Mehdizadeh, Mohsen Nematy, Majid Khadem-Rezaiyan, Majid Ghayour-Mobarhan, Mohammad Ali Sardar, Anne Leis, Louise Humbert, Mathieu Belanger, Hassan Vatanparast. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 21.12.2018. FAU - Mehdizadeh, Atieh AU - Mehdizadeh A AUID- ORCID: 0000-0001-5948-1775 AD - School of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran. FAU - Nematy, Mohsen AU - Nematy M AUID- ORCID: 0000-0003-3202-2709 AD - School of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran. FAU - Khadem-Rezaiyan, Majid AU - Khadem-Rezaiyan M AUID- ORCID: 0000-0003-2698-176X AD - School of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran. FAU - Ghayour-Mobarhan, Majid AU - Ghayour-Mobarhan M AUID- ORCID: 0000-0002-1081-6754 AD - School of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran. FAU - Sardar, Mohammad Ali AU - Sardar MA AUID- ORCID: 0000-0001-6338-9998 AD - School of Medicine, Mashhad University of Medical Sciences, Mashhad, Islamic Republic of Iran. FAU - Leis, Anne AU - Leis A AUID- ORCID: 0000-0003-3417-9208 AD - College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada. FAU - Humbert, Louise AU - Humbert L AUID- ORCID: 0000-0002-3522-435X AD - College of Kinesiology, University of Saskatchewan, Saskatoon, SK, Canada. FAU - Belanger, Mathieu AU - Belanger M AUID- ORCID: 0000-0001-9446-6538 AD - Department of Family Medicine, Universite de Sherbrooke, Moncton, NB, Canada. FAU - Vatanparast, Hassan AU - Vatanparast H AUID- ORCID: 0000-0003-2621-8385 AD - College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada. LA - eng PT - Journal Article DEP - 20181221 PL - Canada TA - JMIR Res Protoc JT - JMIR research protocols JID - 101599504 PMC - PMC6324517 OTO - NOTNLM OT - Healthy Start/Depart Sante OT - Iran OT - childhood obesity OT - healthy eating OT - intervention OT - parent OT - physical activity COIS- Conflicts of Interest: None declared. EDAT- 2018/12/24 06:00 MHDA- 2018/12/24 06:01 PMCR- 2018/12/21 CRDT- 2018/12/23 06:00 PHST- 2018/06/18 00:00 [received] PHST- 2018/09/04 00:00 [accepted] PHST- 2018/08/14 00:00 [revised] PHST- 2018/12/23 06:00 [entrez] PHST- 2018/12/24 06:00 [pubmed] PHST- 2018/12/24 06:01 [medline] PHST- 2018/12/21 00:00 [pmc-release] AID - v7i12e11329 [pii] AID - 10.2196/11329 [doi] PST - epublish SO - JMIR Res Protoc. 2018 Dec 21;7(12):e11329. doi: 10.2196/11329.