ObjectiveGiven the high prevalence of suboptimal nutrition and low activity levels in children, we systematically reviewed the literature on the relationship between physical activity and dietary patterns and cognitive development in early childhood (six months to five years).MethodsIn February 2016, we conducted two different searches of MEDLINE, PsycINFO, and ERIC. Each search included either physical activity (including gross motor skills) or diet terms, and neurocognitive development outcome terms. Included studies were in English, published since 2005, and of any study design in which the physical activity or diet measure occurred prior to age five.ResultsFor physical activity, twelve studies (5 cross-sectional, 3 longitudinal and 4 experimental) were included. Eleven studies reported evidence suggesting that physical activity or gross motor skills are related to cognition or learning. Both acute bouts and longer term exposures showed benefit. For diet, eight studies were included consisting of secondary analyses from longitudinal cohort studies. A healthier dietary pattern was associated with better cognitive outcomes in all studies, although some of the reported associations were weak and the measures used varied across the studies.ConclusionsPhysical activity and healthy diets in early childhood are associated with better cognitive outcomes in young children. The paucity of literature and the variability in the type and quality of measures used highlight the need for more rigorous research. Given that the early childhood years are critical for both obesity prevention and neurocognitive development, evidence that the same healthy behaviors could promote both should inform future interventions.

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Present study findings offer insights regarding providers' perspectives on implementing NE in child care. Drawing from these perspectives, registered dietitian nutritionists can train providers about the importance of NE for encouraging healthy eating in children, integrating NE with mealtime conversations, and practicing low-cost, hands-on NE activities that meet the food safety standards for state licensing. Such strategies may improve providers' ability to deliver NE in child-care settings.

This qualitative study explored the employment, vocational rehabilitation (VR), and Ticket to Work (TTW) experiences of Latinos with disabilities. Seven focus groups were conducted with 45 working-age Latinos with disabilities, who were either employed or seeking employment. Top barriers to employment included lack of adequate transportation, difficulties with speaking the English language, inadequate levels of formal education, and negative employet attitudes toward workers with disabilities. In addition, participants expressed concerns with the VR system and VR counselors' lack of responsiveness and collaboration. To a lesser degree, participants reported prejudiced attitudes on the basis of ethnic minority status among employers and VR counselors. Although over one-third of the sample reported general awareness of the TTW program, accurate knowledge was sorely limited. Further, two participants attempted to use the Ticket, with no success. Implications of this study include emphasis on addressing the employment needs of Latinos with disabilities in comprehensive and culturally-competent ways.

One contributor to increased caloric consumption and obesity rates is food consumed away from home. Families are increasingly consuming food away from home (FAFH), contributing to increased daily energy consumption and the obesity epidemic. The interplay between feeding styles and co-decision making between parent and child dyads when eating FAFH is not understood. The present study describes in-depth qualitative information about influential factors related to family feeding practices among low-income English and Spanish speaking families with school-aged children when eating FAFH. 20 parentchild dyads (10 English-speaking, 10 Spanish-speaking) completed key-informant interviews about factors related to family feeding practices when eating food away. Interviews were independently coded for meaning units by two coders. Themes that emerged from the interviews included: decision making when dining out, parental practices and feeding style, use of and opinions about kid's menus, and overall influences on food choices. Many parents had recommendations for healthier kid's menu options and overall, Spanish-speaking families tended to eat out fewer times a week and cooked more family meals. This research elucidated rules and policies set by parents around food away from and inside the home as well as the factors that influenced ordering at restaurants. Further studies should explore the cultural value of food in Latino cultures, and the resultant dietary behaviors. Decision-making between parent and child dyads about menu ordering at restaurants is complex. The results of this study can be considered for future research in understanding the decision-making process for English-and Spanish-speaking parent-child dyads when ordering from a restaurant menu.

Within a year of implementing the LW@SFI, school districts increased the proportion of fresh, scratch cooked foods they offered and this was associated with some decreases in calories, fat, saturated fat, and sodium, contributing to healthier school food environments.

The DELTA PREP Project aims to reduce risk for intimate partner violence (IPV). It engaged leadership and staff from 19 statewide domestic violence coalitions in building capacity to prevent IPV before it occurs (rather than solely responding to IPV). This article describes the process and outcomes associated with action planning to create coalition organizational change related to preventing IPV. Coalition staff and leadership planned for organizational changes in six goal areas: leadership, structures and processes, staffing, resource development, partnership development, and member agency development. Action planning was conducted during 2-day, in-person sessions that involved (a) review and refinement of coalition vision and mission statements, (b) interpretation of coalition assessments (for prevention capacity), (c) identification of specific organizational changes to be sought, and (d) specification of action steps for each proposed organizational change to be sought. The results show overall increases in the amounts, and variations in the kinds, of organizational changes that were facilitated by coalitions. Challenges related to action planning and future directions for capacity building among statewide IPV prevention coalitions are discussed.

With minor adaptations, the COACH program can be pilot tested in rural settings to address key health concerns and behaviors that affect risk for cardiovascular health.