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 and Adult Care Food Program participation, Head Start/non-Head Start programs), and strength of state regulations. The investigators will conduct a cross-sectional study of 342 centers (82 in Mississippi, 150 in Georgia, 110 in Kentucky). Data on the general nutrition and physical activity practices and policies of participating centers will be collected through surveys completed by the director and two preschool teachers for each center, and an independent review of center policy documents to assess the presence/absence of written policies about these practices. In addition, investigators will complete a quantitative analysis to determine whether current state regulations provide sufficient guidance on nutrition and physical activity practices in child-care centers. Findings from the project will help stakeholders better understand how child-care center practices and policies influence children’s diets and physical activity behaviors, particularly in limited-resource centers and those that serve significant numbers of children in the racial/ethnic and lower-income populations at greatest risk for obesity.
Assessing Nutrition and Physical Activity Practices and Policies of Child-Care Centers in States with the Highest Obesity Rates
This study examined the relationship between parental sugar-sweetened beverage (SSB) attitudes and SSB consumption during the first 1,000 days – gestation to age 2 years. The study population consisted of 394 WIC-enrolled, Hispanic/Latino families living in northern Manhattan. Parental SSB attitudes were determined through a four question survey that used … More
Childhood Obesity published a special theme journal issue on early care and education programs (ECE) policy and practice. It unites a group of outstanding researchers focusing on the role of policies and practices within ECE programs to support healthy practices. Each article addresses one or more important influences, including public … More
A Systematic Review of Strategies to Reduce Sugar‐Sweetened Beverage Consumption Among 0‐Year to 5‐Year Olds
Sugar-sweetened beverage (SSB) consumption begins early and increases with age in the U.S., and there is robust evidence linking SSB consumption with negative health consequences. This systematic review synthesizes evidence from 27 studies on strategies aimed to reduce SSB consumption among 0- to 5-year-olds. Interventions took place primarily in healthcare … More