Prior research evaluating children’s diets and physical activity report the need for improvements to ensure their daily nutrition and activity needs are met while in child-care settings. Limited research has examined nutrition and physical activity policies of child-care programs. This study will evaluate the quality of these policies in relation to observed practices, staff awareness of policies, and strategies for implementing and enforcing policies at child-care centers. The specific aims of this study are to: 1) evaluate the presence/absence of nutrition, physical activity, and screen time policies related to childhood obesity prevention in child-care centers, and the extent to which formal policy statements address these practices; 2) evaluate nutrition, physical activity and screen time practices in relation to center-level policies; and 3) assess staff’s awareness of policies and center-level strategies for implementing and enforcing policies. Crosssectional data will be collected from 50 licensed child-care centers in North Carolina that enroll preschool-aged children, including Head Start and other centers serving predominantly ethnic minorities and lower-income children. Investigators will conduct interviews with center directors, administer surveys to preschool classroom teachers, review center policy documents and conduct direct observations of center practices. Findings will help researchers better understand the role of policy in child-care practice, and guide the development and implementation of new policies to prevent childhood obesity.
Evaluating the Quality of Child-Care Nutrition, Physical Activity and Screen-Time Practices to Inform Policies to Prevent Childhood Obesity
Early Care and Education Policies and Programs to Support Healthy Eating and Physical Activity: Best Practices and Changes Over Time. Research Review: 2010-2016
Over the last six years, efforts to strengthen policies, systems, and environments to promote health and prevent obesity have become more robust and widespread. These efforts include updates to federal policies and programs, state regulations, local policies, and evidence-based guidance. The goal of the current research review is to provide … More
This cross-sectional study reviewed infant feeding regulations for all U.S. states for child care centers and family child care homes, then compared the regulations with ten national standards and also assessed the number of new regulations consistent with these standards since a previous review conducted in 2008. The 2008 review … More
In this systematic review, investigators expand on previous reviews of obesity prevention interventions by including recent studies from all parts of the world. School-based interventions with combined diet and physical activity components and a home element had greatest effectiveness; evidence in support of the effect of preschool-based, community-based, and home-based … More