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
This study will evaluate nutrition and physical activity practices and policies of licensed child-care centers that enroll 3- to 5-year-old children in the three Southern states with the highest childhood obesity rates—Mississippi, Georgia, and Kentucky—and assess differences in practices and policies by geographic region (e.g., rural/urban), center characteristics (e.g., Child and Adult Care Food Program/non-Child More
Early care and education (ECE) programs are important settings for obesity prevention, but limited research provides insufficient evidence upon which to base policy decisions, practice guidelines, or mobilized efforts to improve healthy eating and physical activity in these settings. In September 2011, a multidisciplinary group of experts met to identify and prioritize research directions for More
This paper examined the availability and accessibility of water in child-care centers and evaluated whether the centers were in compliance with current federal, state, and accreditation rules regarding water availability and promotion. Researchers found that while water was available in most classrooms (84%), it was only accessible by an adult in over half of those More
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