Strength of Obesity Prevention Interventions in Early Care and Education Settings: A Systematic Review
Given the high levels of obesity in young children, number of children in out-of-home care, and data suggesting a link between early care and education (ECE) participation and overweight/obesity, obesity prevention in ECE settings is critical. This systematic review covered obesity prevention interventions in center-based ECE settings published between 2010 and 2015. The goal was to identify promising intervention characteristics associated with successful behavioral and anthropometric outcomes. The review used a quality assessment tool for the studies identified, and a coding strategy was developed to assess intervention strength based on the hypothesis that more intensive interventions should yield better outcomes. The review found that 72 percent of the studies with a dietary intake measure demonstrated at least one significant impact. For studies that measured change in physical activity, fitness, or motor skills, 77 percent demonstrated at least one significant impact. Ten of the 24 studies with an anthropometric measure demonstrated at least one successful intervention effect. Relationships between intervention strength and behavioral outcomes demonstrated negative relationships for all behavioral outcomes. The review provides tentative evidence that multi-component, multi-level ECE interventions with parental engagement are most likely to be effective with anthropometric outcomes.
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
This study updates a previous review, conducted in 2012, assessing the extent to which state child care regulations support a woman’s ability to continue to breastfeed her infant in child care. For this study, child care regulations were reviewed related to breastfeeding for centers and homes in all 50 states … More
The Environment and Policy Assessment and Observation (EPAO) is a tool designed to evaluate practices, environmental attributes, and policies of early care and education settings that influence children’s nutrition, physical activity, and sedentary environments. The tool has been updated to assess all current best practices in Go NAP SACC. The … More