Barriers to Equity in Nutritional Health for U.S. Children and Adolescents: A Review of the Literature

This review summarizes growing evidence of disparities in the social and physical environments of U.S. children and adolescents that likely contribute to increased risk for obesity and poor nutrition. The review examines literature on disparities in nutrition and healthy food access in school, child-care, and residential neighborhood environments, food production and marketing practices, and cultural More

Policy Improves What Beverages are Served to Young Children in Child Care

In 2011, the U.S. Department of Agriculture began requiring that child-care sites participating in the Child and Adult Care Food Program (CACFP) make drinking water available throughout the day and serve only low-fat or non-fat milk to children ages 2 years and older. In 2012, the California Healthy Beverages in Child Care law additionally required More

Looking Beyond the Marketing Claims of New Beverages: Health Risks of Consuming Sports Drinks, Energy Drinks, Fortified Waters and Other Flavored Beverages

Consumption of several new categories of ‘fortified’ sugary beverages has increased significantly in recent years. Energy drinks, sports drinks, fruit drinks, flavored waters, and sweetened teas and coffees are heavily marketed and have become popular with children and adolescents as well as adults. This report describes the results of the first comprehensive, scientific study of More

Food Marketing: Using Toys to Market Children’s Meals

Nearly $2 billion is spent yearly by U.S. food and beverage companies to market products to children, with the majority of expenditures promoting less healthful foods and drinks. For restaurants, including toys with children’s meals is the leading form of food marketing directed at children. The practice of child-directed marketing by pairing toys with children’s More

Impact of San Francisco’s Toy Ordinance on Restaurants and Children’s Food Purchases, 2011-2012

In December 2011, San Francisco enacted the first citywide ordinance–the Healthy Food Incentives Ordinance– prohibiting restaurants in the city from giving away free toys or other incentives with children’s meals or with foods and beverages not meeting minimal nutritional criteria. This paper examines the impact of the ordinance on restaurant response (e.g., toy-distribution practices, changes More

Impact of a Rewards-Based Incentive Program on Promoting Fruit and Vegetable Purchases

This paper examines the impact of a rewards-based incentive program on fruits and vegetable purchases in a supermarket located in a predominately minority community in Philadelphia, Pa. Researchers conducted a four-phase prospective cohort study with randomized intervention and wait-listed control groups. Households in the intervention were provided a 50 percent rebate on fresh or frozen More

Evaluating the Impact of a Web-Based Intervention Designed for Child-Care Providers to Improve Their Food and Physical Activity Environments

The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) was developed in 2002 to help child-care providers improve their food and physical activity environments. Evaluations of NAP SACC have shown it to be effective, but the program’s reliance on trained technical assistance professionals and on in-person delivery limit its potential for large-scale dissemination. More