Child-care settings and the combination of policies and regulations under which they operate may reduce or perpetuate disparities in weight-related health, depending on the environmental supports they provide for healthy eating and physical activity. The objectives of this review are to summarize research on state and local policies relevant to weight-related health equity among young children in the United States and on how federal policies and regulations may provide supports for child-care providers serving families with the most limited resources. In addition, a third objective is to comprehensively review studies on differences in practices and policies within U.S. child-care facilities according to the location or demographics of providers and children. The review found there is growing evidence addressing disparities in the social and physical child-care environments provided for young children, but scientific gaps are present in the current understanding of how resources should best be allocated and policies designed to promote health equity.
What Can Be Learned from Existing Investigations of Weight-Related Practices and Policies with the Potential to Impact Disparities in US Child-Care Settings? A Narrative Review and Call for Surveillance and Evaluation Efforts.
A Systematic Review of Strategies to Reduce Sugar‐Sweetened Beverage Consumption Among 0‐Year to 5‐Year Olds
Sugar-sweetened beverage (SSB) consumption begins early and increases with age in the U.S., and there is robust evidence linking SSB consumption with negative health consequences. This systematic review synthesizes evidence from 27 studies on strategies aimed to reduce SSB consumption among 0- to 5-year-olds. Interventions took place primarily in healthcare … More
Participation in the Child and Adult Care Food Program Is Associated with Healthier Nutrition Environments at Family Child Care Homes in Mississippi
This study describes the foods and beverages offered, nutrition practices, and nutrition policies of family child care homes in Mississippi and differences by participation in the Child and Adult Care Food Program (CACFP). A random sample of family child care homes that enroll 3- to 5-year-olds in Mississippi were examined … More
This study assessed the dietary quality of lunches and feeding practices in Connecticut child care centers and made comparisons by center participation in the federal Child and Adult Care Food Program (CACFP). Specifically, overall energy, macronutrient intake, and intake by CACFP meal component were compared with CACFP requirements and recommendations … More