The study uses a systems science approach to identify upstream strategies that can support sustained changes in the consumption of sugar-sweetened beverages and water in a low-income, predominantly Hispanic community. This research is designed to generate information crucial for the development of robust multilevel systems recommendations that are contextually and culturally appropriate. Specific aims include: More

Fathers are critical stakeholders in childhood obesity prevention but are difficult to engage. This review presents a new approach to engaging fathers in obesity prevention during the first 1,000 days. The review focuses on five existing health and social service programs, including prenatal care, pediatric care, the Special Supplemental Nutrition Program for Women, Infants, and More

Childhood Obesity published a special theme journal issue on early care and education programs (ECE) policy and practice. It unites a group of outstanding researchers focusing on the role of policies and practices within ECE programs to support healthy practices. Each article addresses one or more important influences, including public policies, such as the federally More

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 the most up-to-date information on More

Increasing access to water and other healthy beverages and reducing consumption of sugar-sweetened beverages are viable strategies to prevent childhood obesity. In 2014, Georgia (GA) added beverage provisions to child-care licensing regulation. This study will examine the extent to which beverage policies are implemented. The specific aims of this project are to: 1) assess the More

In the early 2000s, states began developing Quality Rating and Improvement Systems (QRIS) as a structural approach to improve the quality of Early Care and Education (ECE) programs. QRIS are voluntary or required systems designed to reach large numbers of ECE providers, particularly those serving lower-income children receiving child-care subsidies. The topics covered by QRIS More

The U.S. Department of Agriculture (USDA) recently proposed updated nutrition standards for foods and beverages served in Child and Adult Care Food Program (CACFP) participating child-care centers and homes. This study will contribute to the tracking of successes and challenges following implementation of the new nutrition standards, and will build off of two prior HER-funded More

National data show that preschool-age children in the U.S. do not eat the recommended amount of whole fruit and vegetables (FV). Child-care settings are an important place to influence children’s diets, since over 80 percent of preschool-age children receive care outside the home, and many children eat most of their meals while in child care. More

Drinking water is promoted to improve beverage nutrition and reduce the prevalence of obesity. The aims of this study were to identify how water was provided to children in child-care settings and to determine the extent to which water access changed after a federal and state child-care care beverage policy was implemented in 2011 and More

In the 1990s, states began developing Quality Rating and Improvement Systems (QRIS) as a structural approach to improve the quality of early care and education (ECE) programs. Nemours’ experience implementing obesity prevention efforts in nine states has demonstrated that QRIS systems may be leveraged to promote childhood obesity prevention in addition to school readiness and More