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.
Studying the Impact of Ecological Momentary Interventions on Sugary-Beverage Consumption by Children Through Age 2 in Low-Income Families
The first 1,000 days describes the period from pre-pregnancy through age 2 years, and is increasingly recognized as a critical period for development of childhood obesity. The overall goal of this study is to test mobile technology-based ecologic momentary interventions (EMIs) to deliver policy-relevant health messages among families living in … More
Promoting Responsive Bottle-Feeding Practices Among Women, Infants, and Children (WIC) Mothers to Reduce Infants’ Rapid Weight Gain and Obesity
Bottle-fed infants are at significantly greater risk for overfeeding and rapid weight gain (RWG), yet few studies focus on promoting healthy feeding practices for bottle-feeding caregivers. Bottle-feeding caregivers receive little support related to learning appropriate bottle-feeding practices, and this problem is pronounced in low-income, minority populations at higher risk for … More
Examining State-Level Strategies to Implement Child-Care Licensing Regulations on Healthy Eating, Physical Activity, and Screen Time for Children
State child care licensing regulations, which specify the standards for practice to which child care providers must adhere to be licensed, can be a policy tool for ensuring that child care providers use healthy nutrition, physical activity, and screen time practices. However, what state agencies do to support child care … More