From ToyBox Study to eToyBox: Advancing Childhood Obesity Reduction in Malaysian Kindergartens.

Prevention and treatment of childhood obesity is a global concern, and in Malaysia, it is considered a national public health priority. Determinants of childhood obesity are multifactorial and include factors that directly and indirectly influence energy balance-related behaviours, including energy intake and energy expenditure. Interventions to address childhood obesity that have multiple components at different levels have been shown to be the most influential. The ToyBox-study is a childhood obesity intervention aimed at preschool-aged children and their families that had been shown to be effective in several European countries and so was chosen for adaption for the Malaysian setting. Materials were translated and adjusted for the Malaysian context and audience and implemented in kindergartens in Peninsular Malaysia and Sarawak. However, during the COVID-19 pandemic and lockdown, teaching transitioned to being online. This brought an opportunity to reach a wider audience and consider the long-term sustainability of the intervention, and thus eToybox was born. eToybox aims to bring support for healthy energy balance behaviours directly to the teachers, into kindergartens and homes, to encourage families to be active and eat healthily, and prevent or reduce obesity. Through online innovation, the Toybox Study Malaysia programme has been expanded to enhance its potential to impact the promotion of healthy lifestyles among preschoolers and their families, highlighting the importance of a holistic approach to preventing and treating childhood obesity in Malaysia.

Dietary Intake, Body Composition, and Nutrition Knowledge of Irish Dancers.

Irish dance requires lengthy, intensive training to perform at a high level in competitions and professionally. Irish dancers have been known to have high injury rates. Appropriate nutrient and fluid intakes have been shown to minimize the risk of fatigue and injury during training and performance in sport, but there is a lack of evidence as to whether and how this might apply in Irish dance. Forty adult Irish dancers, 35 females (age 21 ± 3 years) and five males (aged 27 ± 8 years), professionals or in full time training, were recruited for this study to investigate nutrition knowledge, dietary intake, and body composition. Participants were asked to complete "The Sport Nutrition Questionnaire," a sport- and dance-specific nutrition knowledge questionnaire, 4 day estimated food diaries, and under-take a dual x-ray absorptiometry (DXA) scan to assess body composition. Food diaries were analyzed using Dietplan 7. Reported energy, fiber, iron (females), magnesium (females), selenium, iodine (females), and folate (females) intakes were below United Kingdom dietary reference values. Fruit and vegetable intakes were low: 2.7 ± 1.4 portions per day. Sixteen percent of days reported contained no fruits or vegetables. Mean body mass index (BMI) for 35 female participants was 23.2 ± 3.3 kg/m², mean BMI for five male participants was 22.2 ± 1.6 kg/m². Mean body fat measured by DXA in 18 female participants was 33.4% ± 6.9%, which was higher than seen in other dance populations. Mean lean mass was 40.8 ± 5.6 kg. Mean score for the nutrition knowledge questionnaire in which the maximum score is 65, was 30.5 ± 7.6 (47% ± 11.7%), range: 9 to 44 (14% to 68%). The ability of the Irish dancers to correctly identify foods as being high or low in carbohydrate, protein, and fat varied widely. Body composition did not correlate with intake of any nutrient but did correlate with nutrition knowledge questionnaire score (r = -.663, p < 0.001). Given the dietary intakes and nutrition knowledge exhibited by the dancers in this study, further work is needed to inform and improve diets and support the demands of Irish dance.

Nutrition labeling and portion size information on children's menus in fast-food and table-service chain restaurants in London, UK.

OBJECTIVE: To investigate meals, price, nutritional content, and nutrition and portion size information available on children's menus in fast-food and table-service chain restaurants in London, since the United Kingdom does not currently require such information but may be initiating a voluntary guideline. METHODS: Children's menus were assessed in 22 chain restaurants for portion size information, nutrition information, and price. The most healthful available meal was purchased and analyzed for nutritional content and portion size. RESULTS: Nutrition and portion size information was not provided in 67% of the restaurants. Fast-food restaurants were significantly cheaper, had smaller portion sizes than table-service restaurants, and provided fewer portions of fruit, vegetables, iron, and vitamin C. CONCLUSIONS AND IMPLICATIONS: Not all restaurants provided nutrition or portion size information. Differences in portion size and nutritional content between fast-food and table-service restaurants were established, and both were below recommendations. In the future, nutrition labeling in restaurants in the United Kingdom may provide consumers with the nutrition and portion size information necessary to help make appropriate choices.