The United States Department of Agriculture (USDA) is in the process of writing new regulations for the Child and Adult Care Food Program (CACFP) in response to the passage of the Healthy, Hunger-Free Kids Act of 2010. Regulations are expected to draw heavily upon recommendations made in the Institute of Medicine’s (IOM) 2010 report on the CACFP, which names obesity as a key reason for CACFP revision. This study will test the impact of these recommendations, providing critical data to the USDA as it develops its proposed and final rule on the CACFP. The specific aims of this study are to: 1) test the effect on preschoolers’ dietary intake of changes recommended by the 2010 IOM report on the CACFP; 2) test the effect on preschoolers’ intake of enhancing, through environmental and behavioral interventions, the IOM’s recommended changes; and 3) assess these effects during target meals within a controlled laboratory paradigm, and in the child-care setting with meals and over a 24-hour period. Four hundred 3-to 5-year-old children enrolled in CACFP-participating preschools in Connecticut will participate. Emphasis will be placed on reaching African American and Hispanic children and children who are eligible for free or reduced-price meals under CACFP. Preliminary data will be provided in advance of the June 2012 publishing of the USDA’s proposed rule, and final results will be provided at least seven months prior to the USDA’s publishing of the final rule in fall 2013. Information also will be shared with state departments responsible for training CACFP participants in compliance.
Informing the U.S. Department of Agriculture’s Forthcoming Regulations on Dietary Guidelines for Preschoolers
The Child and Adult Care Food Program (CACFP) supports food service in child-care centers that serve lower-income families and regulated the quality and quantity of food served in participating centers. The aim of this study was to assess the nutritional quality of lunches served in 38 CACFP-participating preschools in Connecticut … More
Studying the Impact of Ecological Momentary Interventions on Sugary-Beverage Consumption by Children Through Age 2 in Low-Income Families
The first 1,000 days describes the period from pre-pregnancy through age 2 years, and is increasingly recognized as a critical period for development of childhood obesity. The overall goal of this study is to test mobile technology-based ecologic momentary interventions (EMIs) to deliver policy-relevant health messages among families living in … More
Promoting Responsive Bottle-Feeding Practices Among Women, Infants, and Children (WIC) Mothers to Reduce Infants’ Rapid Weight Gain and Obesity
Bottle-fed infants are at significantly greater risk for overfeeding and rapid weight gain (RWG), yet few studies focus on promoting healthy feeding practices for bottle-feeding caregivers. Bottle-feeding caregivers receive little support related to learning appropriate bottle-feeding practices, and this problem is pronounced in low-income, minority populations at higher risk for … More