The goal of this project is to develop and test the acceptability and feasibility of a quality improvement toolkit for measurement of obesity risk in HeadStart (HS) and to describe best practices on how to best communicate this information with families. The specific study aims are to: 1) Bring together key HS stakeholders to discuss More

Schools play a vital role in promoting children’s health and well-being. In the United States, schools contribute significantly to children’s overall diet quality and can provide up to half of their daily calories, especially among children from low-income families. Providing healthy school meals for all is a policy opportunity to help all children eat healthier. More

This research extends follow up on Native American children enrolled in the Prevention of Early Childhood Obesity 1 (PECO1) study 2017-2019 to determine whether positive impacts of the Family Spirit Nurture intervention on infant sugar sweetened beverage intake and infant growth are sustained through 5 years of age. It also examines point of use water More

To inform programs and policies that promote health equity, it is essential to monitor the distribution of nutritional problems among young individuals. Common nutritional problems include overall low diet quality, the underconsumption and overconsumption of certain dietary components, unhealthy meal and snack patterns, problematic feeding practices and disordered eating. The objective of the present narrative More

Previous research reported modest associations between food environments near schools and adiposity among children overall. The associations within sociodemographic subgroups have not been synthesized. This review assessed the evidence on the associations between food environments near schools and childhood obesity within different demographic and socio-economic subgroups. PubMed and Scopus databases were searched to identify studies More

Improvements in the healthfulness of packaged foods and beverages through reformulation could help reduce the prevalence of obesity among children and adolescents through improved diet quality. This study assessed changes in calories and four nutrients (saturated fat, total sugars, sodium, and dietary fiber) from 2012 through 2014 for packaged products frequently consumed by children and More

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 bottle-feeding, use of unhealthy feeding More

In 2010, the Healthy Hunger-Free Kids Act (HHFKA) initiated a number of major changes in child nutrition programs, including the establishment of the Community Eligibility Provision (CEP) for the National School Lunch and School Breakfast Programs. Implemented nationwide in SY 2014/15 to increase school meal participation and improve food security among at-risk children, the CEP 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 interventions was limited by a More

Electronic health record (EHR) screening for sugar-sweetened beverage (SSB) intake may be a novel intervention for reducing SSB intake in children, and would result in longitudinal databases of individual-level consumption that could enhance the ability the evaluate local or regional SSB policies. This study aims to: 1) implement and evaluate the uptake of a single More