In April 2012, South Carolina enacted 13 nutrition standards for child-care centers serving lower-income children throughout the state. This study evaluated consistency with the standards before and after the policy took effect using North Carolina, a state not making policy changes, as the comparison. Researchers recorded foods and beverages served to children and documented the food environments of centers in both states at baseline and follow-up. Compared with North Carolina, centers in South Carolina were more likely to be consistent with the standard prohibiting the use of food as a reward or punishment. Two centers in South Carolina met all 13 standards at follow-up compared with none in North Carolina. The new standards modestly improved nutrition practices in South Carolina child-care centers, but additional support is needed to bring all centers into compliance with the current policies.
Comparative Evaluation of a South Carolina Policy to Improve Nutrition in Child Care
The preschool period is a critical time for growth and development, and healthy eating at this age can help prevent later obesity. Despite the large number of children attending center-based child care, current state policies to combat obesity in child care are inadequate. South Carolina is on the verge of … More
Parental and Provider Perceptions of Sugar-Sweetened Beverage Interventions in the First 1,000 Days: A Qualitative Study
Novel approaches to reduce sugar-sweetened beverage (SSB) consumption during the first 1,000 days – pregnancy through age 2 years – are urgently needed. This study examined perceptions of SSB consumption and acceptability of potential intervention strategies to promote SSB avoidance in low income families in the first 1,000 days. Themes … More
The Cost-Effectiveness of Interventions for Reducing Obesity among Young Children through Healthy Eating, Physical Activity, and Screen Time
Early childhood is an important period for interventions to prevent obesity, before poor diet and physical activity behaviors become entrenched and related chronic diseases develop. To date there are still few programs that have been evaluated using experimental study designs that demonstrate impacts on young children’s weight. As a result, … More