Focus Area: Early Childhood

Policy Improves What Beverages are Served to Young Children in Child Care

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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

Evaluating the Impact of a Web-Based Intervention Designed for Child-Care Providers to Improve Their Food and Physical Activity Environments

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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

Assessing Nutrition and Physical Activity Practices and Policies of Child-Care Centers in States with the Highest Obesity Rates

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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

Expert and Stakeholder Consensus on Priorities for Obesity Prevention Research in Early Care and Education Settings

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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

Obesity and Food Insecurity at the Same Table: How Head Start Programs Respond

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This paper describes the results of the first national study to describe Head Start program practices in three areas: assessing body mass index (BMI), addressing food insecurity, and determining children’s portion sizes. Researchers found that nearly all programs (99.5%) reported obtaining height and weight data, but not all calculated BMI or discussed height and weight More

Participation in the Child and Adult Care Food Program is Associated with More Nutritious Foods and Beverages in Child Care

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This article discusses the results of a study that compared foods and beverages served to 2- to 5-year-olds by type of child-care site and participation in the federally-funded Child and Adult Care Food Program (CACFP). Results from a statewide survey of California child-care providers suggest that CACFP child-care sites in general, and Head Start centers More

Providing Water With Meals is Not a Concern for Young Children: Summary of the Literature & Best Practice Recommendations

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Promoting water intake has been proposed in order to displace the intake of sugar-sweetened beverages, and new federal and California laws now require water availability in child-care settings. However, some child-care staff have voiced concerns that if young children are provided water with meals, they will fill up on the water and not consume enough More

Results from an Experimental Trial at a Head Start Center to Evaluate Two Meal Service Approaches to Increase Fruit and Vegetable Intake of Preschool Aged Children

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This study evaluated the effects of two meal service strategies on intake of fruits and vegetables of preschool children: 1) serving fruits and vegetables in advance of other menu items as part of traditional family style meal service; and 2) serving meals portioned and plated by providers. Researchers found that fruit consumption and intake of More