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.
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