Engaging Fathers in Early Obesity Prevention During the First 1,000 Days: Policy, Systems, and Environmental Change Strategies

Fathers are critical stakeholders in childhood obesity prevention but are difficult to engage. This review presents a new approach to engaging fathers in obesity prevention during the first 1,000 days. The review focuses on five existing health and social service programs, including prenatal care, pediatric care, the Special Supplemental Nutrition Program for Women, Infants, and More

Examining differences in the implementation of school water-quality practices and water-access policies by school demographic characteristics

Ensuring safe, accessible drinking water in schools is a national health priority. The objective of this study was to identify whether there are differences in water quality, availability, and education- related practices in schools by demographic characteristics. In 2017–2018, we analyzed data from the 2014 School Health Policies and Practices Study (SHPPS), a nationally representative, More

The Role of Chain Pharmacies to Promote Healthy Food Retail: Current Trends, Legal Limits, and Policy Opportunities

Chain drug stores have increased their health care role through expanded pharmacy services and retail health clinics. They also are major food retailers. This creates a tension between health promotion and sales of unhealthy foods and beverages to pharmacy customers. This article explores opportunities to improve the nutritional quality of foods sold at chain drug 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 related to SSB consumption included More

How Much Can Product Reformulation Improve Diet Quality in Households with Children and Adolescents?

Improvements in the healthfulness of packaged foods and beverages through reformulation could help reduce the prevalence of obesity among children and adolescents through improved diet quality. This study assessed changes in calories and four nutrients (saturated fat, total sugars, sodium, and dietary fiber) from 2012 through 2014 for packaged products frequently consumed by children and More

Sugar-Sweetened Beverage Attitudes and Consumption During the First 1000 Days of Life

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 a Likert scale for responses, More

Best Practices and Innovative Solutions to Overcome Barriers to Delivering Policy, Systems and Environmental Changes in Rural Communities

This study investigated the barriers to implementing policy, systems, and environmental (PSE) change initiatives within Supplemental Nutrition Assistance Program-Education (SNAP-Ed) programming in U.S. rural communities, as well as strategies to overcome these barriers. SNAP-Ed staff members across 15 states were surveyed and/or interviewed regarding the types nutrition-related PSE programming currently being implemented, barriers to implementation, 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 settings, as well as preschool/daycare, More

Implementing a novel electronic health record approach to track child sugar-sweetened beverage consumption

Sugar-sweetened beverage (SSB) consumption is a risk factor for childhood obesity. Including this measure in electronic health records (EHR) could enhance clinical care and facilitate research on this topic. We implemented a single-item, EHR screening question for SSB and 100% fruit juice at 8 pediatric practices affiliated with a North Carolina academic medical center. From More