Focus Area: Early Childhood

Examining Home-Visiting Strategies to Prevent Obesity Among American Indians, Focusing on Early Childhood Outcomes and Water Insecurity

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Reservation-based American Indian (AI) children suffer the highest rates of childhood obesity in the United States. This project will provide evidence to support the integration of childhood obesity prevention modules into government-funded home-visiting programs. It will also identify the role of water insecurity in sugar-sweetened beverage (SSB) intake. The specific aims of the study are More

Using State Laws & Regulations to Promote Healthy Eating and Physical Activity in Afterschool Programs

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Out-of-School time (OST) programs are a promising setting for reducing child obesity risk by promoting healthy eating and providing opportunities for physical activity. The Healthy Out-of-School Time Coalition developed the National AfterSchool Association Healthy Eating and Physical Activity standards in 2011 to provide comprehensive guidance on how to promote healthy eating and physical activity. To More

State Quality Rating and Improvement Systems: Strategies to Support Healthy Eating and Physical Activity Practices in Early Care and Education Settings

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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

Enhancing the Use of the Environment and Policy Assessment and Observation (EPAO) Tool in Early Care and Education Settings

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The Environment and Policy Assessment and Observation (EPAO) is a tool designed to evaluate practices, environmental attributes, and policies of early care and education (ECE) settings that influence children’s nutrition and physical activity. The purpose of this project is to provide easy-to-use and readily available resources to facilitate the EPAO tool’s use by researchers and More

The Impact of the First 1,000 Days on Childhood Obesity

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The first 1,000 days, or the period from conception through age 2, is increasingly recognized as a critical period for the development of childhood obesity and its adverse consequences. This issue brief is based on two review papers that examined evidence on risk factors for developing childhood obesity and interventions that could prevent childhood obesity More

Interventions for Childhood Obesity in the First 1,000 Days: A Systematic Review

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The first 1,000 days – conception through age 2 – represents an important period for the development and prevention of childhood obesity. This study reviews existing evidence from interventions occurring in the first 1,000 days that included prevention of childhood overweight or obesity as an outcome, identifies gaps in current research, and discusses conceptual frameworks More

Evaluating State Regulation of Early Care and Education Settings to Strengthen Licensing Laws Related to Healthy Feeding and Active Play

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The aim of this study is to describe state child-care licensing laws relating to healthy eating and active play targeting children ages 0 to 2 in early care and education settings for all U.S. states and territories. Investigators will use legal research methods to search state websites, the commercial legal databases LexisNexis® and WestlawNext®, and More

Impact of Policies on Physical Activity and Screen Time Practices in 50 Child-Care Centers in North Carolina

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This study assessed whether physical activity and screen-time policies in child-care centers were associated with physical activity and screen-time practices and preschool children’s physical activity. Data were collected from a sample of 50 child-care centers in North Carolina. Center directors completed a survey to assess center-level policies around physical activity and screen time. Research assistants More