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

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

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

Government and School Progress to Promote a Healthful Diet to American Children and Adolescents: A Comprehensive Review of the Available Evidence

In a 2005 report, “Food Marketing to Children and Youth: Threat or Opportunity?”, an Institute of Medicine (IOM) expert committee concluded that prevailing food and beverage marketing practices did not support a healthful diet and provided recommendations for diverse stakeholders to promote a healthful diet to children and adolescents. This paper reviews the available evidence More

Improving Nutrition in Home Child Care: Are Food Costs a Barrier?

Improving the nutritional quality of foods served in child care may come at a higher cost according to a study of foods served in child-care homes participating in the Child and Adult Care Food Program (CACFP). Researchers found that higher daily food expenditures were associated with higher total food energy and higher nutritional quality of More

Nutrition Policies at Child-Care Centers and Impact on Role Modeling of Healthy Eating Behaviors of Caregivers

This article discusses a cross-sectional study evaluating the associations between child-care center policies about staff eating practices and caregivers’ dietary behaviors during mealtime interactions with children. Researchers observed no substantial associations between caregiver behaviors and center policies. Caregivers were observed modeling healthy dietary behaviors more frequently at centers that had written policies about staff modeling, More

The Wellness Child Care Assessment Tool: A Measure to Assess the Quality of Written Nutrition and Physical Activity Policies

This paper discusses the development and psychometric properties (range, internal consistency, inter-rater reliability, and construct validity) of an instrument–the Wellness Child Care Assessment Tool–to quantitatively evaluate the comprehensiveness and strength of written nutrition and physical activity policies at preschools and child-care centers. To evaluate the instrument, psychometric analyses were conducted on 94 independent policies from More

Preventing Obesity Among Preschool Children: How Can Child-Care Settings Promote Healthy Eating and Physical Activity? A Research Synthesis

The preschool years are a critically important period for developing healthy food preferences and motor skills. Since the majority of U.S. children are placed in some form of non-parental care during their preschool years, these settings provide opportunities to promote healthy eating and physical activity behaviors among preschool children. Given the widespread use of child More

Validity of a Measure to Assess the Child-Care Nutrition and Physical Activity Environment

This paper discusses the development and validity of a self-administered survey to assess the nutrition and physical activity environment of child-care centers. The survey assesses four areas related to nutrition and physical activity: center policies, practices related to the social environment, physical environment and nutrition quality. To evaluate criterion validity of the survey, researchers compared More