The Child and Adult Care Food Program (CACFP) supports food service in child-care centers that serve lower-income families and regulated the quality and quantity of food served in participating centers. The aim of this study was to assess the nutritional quality of lunches served in 38 CACFP-participating preschools in Connecticut and examine how current practices More
In January 2015, the United States Department of Agriculture (USDA) released a proposed rule detailing potential changes to the Child and Adult Care Food Program (CACFP) regulations, which are expected to improve the nutritional quality of foods served in CACFP-participating child-care centers. This study will collect baseline data for Connecticut CACFP-participating child-care centers to document More
Physical activity (PA) at a young age is an important health behavior to prevent childhood obesity and establish healthy PA habits. Because the majority of preschool-age children attend child-care centers, child-care environment can play an important role in promoting PA among this population. This study examined environmental factors associated with children’s moderate-to-vigorous intensity physical activity More
This study will address the research gap in understanding the strengths and weaknesses of child-care regulation across jurisdictions regarding nutrition, active play, and screen time. Specific aims of the project are to: 1) create and implement a standardized child-care regulatory policy content coding system for key obesity-related indicators; 2) develop an understanding of the 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
In Mississippi, about one-third of children under six years old are cared for in Family Child Care Homes (FCCHs). The purposes of this study are to: 1) assess the nutrition and physical activity practices and policies of FCCHs in Mississippi; 2) explore whether these policies differ by geographic region (rural vs. urban) and participation in More
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
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
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
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