State Quality Rating and Improvement Systems: Analysis of Strategies to Support Achievement of Healthy Eating and Physical Activity Best Practices in Early Care and Education Settings

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

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

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

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

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

Obesity Prevention and National Food Security: A Food Systems Approach

Although food insecurity and obesity have historically been viewed as separate public health issues, there is growing interest in the seemingly contradictory association between these two issues. In this paper, authors discuss the findings from research examining associations between food insecurity and obesity in the U.S. and the need for greater synergy between food insecurity More

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

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

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

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

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

Evaluating the Impact of a California Statute Regulating Beverages Served in Licensed Child-Care Settings

Because lifelong diet habits are shaped in early childhood, California Food Policy Advocates worked with the California Legislature to successfully pass legislation creating healthy beverage standards for all licensed child-care settings. California is among the first states to establish such standards for licensed child care. This project seeks to evaluate the impact of these standards. More