Focus Area: Early Childhood

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

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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?

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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

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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

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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

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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

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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

What Role Can Child-Care Settings Play in Obesity Prevention? A Review of the Evidence and Call for Research Efforts

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This article summarizes the scientific literature on state regulations, practices and policies, and interventions for promoting healthy eating and physical activity, and for preventing obesity in preschool-aged children attending child care. Findings of the review indicate that most states lack strong healthy eating and physical activity regulations for child-care settings. Assessments of child-care settings suggest More