A multilevel intervention to increase physical activity and improve healthy eating and physical literacy among young children (ages 3-5) attending early childcare centres: the Healthy Start-Départ Santé cluster randomised controlled trial study protocol

Abstract: Background: Childhood obesity is a growing concern for public health. Given a majority of children in many countries spend approximately 30 h per week in early childcare centers, this environment represents a promising setting for implementing strategies to foster healthy behaviours for preventing and controlling childhood obesity. Healthy Start-Départ Santé was designed to promote physical activity, physical literacy, and healthy eating among preschoolers. The objectives of this study are to assess the effectiveness of the Healthy Start-Départ Santé intervention in improving physical activity levels, physical literacy, and healthy eating among preschoolers attending early childcare centers. Methods/Design: This study follows a cluster randomized controlled trial design in which the childcare centers are randomly assigned to receive the intervention or serve as usual care controls. The Healthy Start-Départ Santé intervention is comprised of interlinked components aiming to enable families and educators to integrate physical activity and healthy eating in the daily lives of young children by influencing factors at the intrapersonal, interpersonal, organizational, community, physical environment and policy levels. The intervention period, spanning 6-8 months, is preceded and followed by data collections. Participants are recruited from 61 childcare centers in two Canadian provinces, New Brunswick and Saskatchewan. Centers eligible for this study have to prepare and provide meals for lunch and have at least 20 children between the ages of 3 and 5. Centers are excluded if they have previously received a physical activity or nutrition promoting intervention. Eligible centers are stratified by province, geographical location (urban or rural) and language (English or French), then recruited and randomized using a one to one protocol for each stratum. Data collection is ongoing. The primary study outcomes are assessed using accelerometers (physical activity levels), the Test of Gross Motor Development-II (physical literacy), and digital photography-assisted weighted plate waste (food intake). Discussion: The multifaceted approach of Healthy Start-Départ Santé positions it well to improve the physical literacy and both dietary and physical activity behaviors of children attending early childcare centers. The results of this study will be of relevance given the overwhelming prevalence of overweight and obesity in children worldwide. Trial registration: NCT02375490 (ClinicalTrials.gov registry)

Relationship between the orientation of maximum permeability and intermediate principal stress in fractured rocks

Flow and transport properties of fractured rock masses are a function of geometrical structures across many scales. These structures result from physical processes and states and are highly anisotropic in nature. Fracture surfaces often tend to be shifted with respect to each other, which is generally a result of stress‐induced displacements. This shift controls the fracture's transmissivity through the pore space that forms from the created mismatch between the surfaces. This transmissivity is anisotropic and greater in the direction perpendicular to the displacement. A contact mechanics‐based, first‐principle numerical approach is developed to investigate the effects that this shear‐induced transmissivity anisotropy has on the overall permeability of a fractured rock mass. Deformation of the rock and contact between fracture surfaces is computed in three dimensions at two scales. At the rock mass scale, fractures are treated as planar discontinuities along which displacements and tractions are resolved. Contact between the individual rough fracture surfaces is solved for each fracture at the small scale to find the stiffness and transmissivity that result from shear‐induced dilation and elastic compression. Results show that, given isotropic fracture networks, the direction of maximum permeability of a fractured rock mass tends to be aligned with the direction of the intermediate principal stress. This reflects the fact that fractures have the most pronounced slip in the plane of the maximum and minimum principal stresses, and for individual fractures transmissivity is most pronounced in the direction perpendicular to this slip