Changes in Nutrition Policies and Dietary Intake in Child Care Homes Participating in Healthy Eating and Active Living Initiative

Woodward-Lopez, Gail; Kao, Janice; Kuo, Elena S.; James, Paula D.; Lenhart, Kitty; Becker, Christina; Boyle, Kathryn; Williamson, D F; Rauzon, Suzanne

doi:10.1016/j.amepre.2018.01.007

Cited by 21 publications

(12 citation statements)

References 31 publications

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“…The two prior ECE plate waste studies presenting milk and beverage data likely also found increased milk waste, though the finding was not directly reported. Both reported no significant changes in consumption despite increased dairy serving [ 18 ] and compliance with milk guidelines [ 17 ]. Over time, as children adjust their taste preferences for low and nonfat milk, it is possible that consumption may increase and waste decrease.…”

Section: Discussionmentioning

confidence: 99%

“…(The study reported consumption, but the measurement involved plate waste.) Woodward-Lopez et al (2018) examined shifts in consumption following family child care participation in a multi-sector community-wide obesity prevention initiative in Northern California [ 17 ]. The providers received training and they individually selected practices to adopt, including changes to feeding, mealtime environment, and parent engagement.…”

Section: Introductionmentioning

confidence: 99%

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Preschool Healthy Food Policy Did Not Increase Percent of Food Wasted: Evidence from the Carolinas

et al. 2020

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This research evaluates the effects of a South Carolina (SC) policy, which changed the nutrition standards for foods served in early care and education (ECE) settings, on wasted food. A two-group pre-test/post-test evaluation was performed in ECE centers serving children age 3–5 from households with lower incomes in SC (n = 102 children from 34 centers, intervention) and North Carolina (NC; n = 99 children from 30 centers, comparison). Direct observation was performed to assess the quantity and kcal of food served and quantity and percent of food discarded, by food group and nutrient, enabling assessment of waste in the absence of intervention. Mixed-effects linear models were fit to estimate, by state, differences in change from baseline to post-implementation at the center level. Covariates were selected a priori, including center enrollment, racial composition, director educational attainment, years in operation, for-profit status, and Child and Adult Care Food Program (CACFP) participation. Waste of food was high across states and time points. The policy was not associated with a change in percent of food discarded in SC compared to NC in adjusted analyses.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Preschool Healthy Food Policy Did Not Increase Percent of Food Wasted: Evidence from the Carolinas

et al. 2020

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“…Although studies may have examined interventions to improve family day care environments, not having a parallel control group resulted in their exclusion. Online Appendix B provides an overview of such types of previous interventions undertaken in this setting (29)(30)(31)(32)(33)(34)(35)(36) .…”

Section: Study Selectionmentioning

confidence: 99%

A systematic review of interventions to improve the dietary intake, physical activity and weight status of children attending family day care services

Yoong

Lum

Jones

et al. 2020

Public Health Nutr.

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Objective:To (i) identify and synthesise findings from interventions to improve the dietary intake, physical activity and weight status of children aged 0–6 years attending family day care services; and (ii) assess the impact of interventions on family day care environments, intervention cost and adverse outcomes.Design:Medline in Process, PsycINFO, ERIC, Embase, CINAHL, CENTRAL and Scopus databases were searched in March 2019. Studies were included if they (i) evaluated an intervention to improve the diet, physical activity and/or weight of children aged 0–6 years; (ii) were delivered in family day care services; (iii) targeted child diet, physical activity and/or weight; and (iv) used a parallel control group design. Screening was undertaken by two reviewers with disagreements resolved by a third reviewer.Setting:Family day care services, also known as family childcare homes.Participants:Children aged 0–6 years attending family day care services.Results:In total, 8977 titles were retrieved, and 199 full-texts reviewed. No studies met the inclusion criteria for the primary outcome; however, two studies reporting on the secondary outcome of family day care environments were included. The 4-year community-wide obesity prevention programme and the 12-month train-the-trainer programme both reported statistically significant improvements in the healthy eating and physical activity environments of family day care, compared to cross-sectional state-average control groups.Conclusions:Findings highlight few existing interventions in family day care services and a need for high-quality controlled trials to identify effective interventions to improve children’s diet, activity and weight in this setting.

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“…In the US, approximately 60% of preschool aged children receive external, non-parental care [16,17]. Of these, 24% are cared for by a non-relative in a family child care home (FCCH) [18].…”

Section: Introductionmentioning

confidence: 99%

Micronutrient Adequacy in Preschool Children Attending Family Child Care Homes

et al. 2019

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Limited data is available on the micronutrient intake and adequacy in preschool children enrolled in family child care homes (FCCH). The goal of this paper is to describe the micronutrient adequacy relative to age-specific recommendations of preschool-aged children (aged 2–5 years) attending FCCH in Rhode Island (RI). Dietary data among younger preschoolers (aged 2–3 years), n = 245) and older preschoolers (aged 4–5 years), n = 121) in 118 RI FCCH (N = 366 children) were analyzed. Nutrient adequacy was assessed as the amount of nutrient per 1000 kcal of the diet that would meet the Institute of Medicine nutrient requirements (critical nutrient density), and it was compared to the observed nutrient densities of the children. The sodium:potassium ratio was also calculated. For most micronutrients, the observed density met or exceeded the recommendation, meaning the children’s intake was adequate. However, a high proportion of children had nutrient densities under the recommendation for vitamins D, E, K, and potassium (86.1%, 89.1%, 70.8%, and 99.2% of children, respectively). The mean vitamin B12, potassium, and zinc densities were statistically higher in younger vs. older preschoolers (p < 0.05 for all). Low densities in calcium and vitamins K and B5 were more frequent in older children vs. younger children (p < 0.05). In addition, older preschoolers had a higher sodium:potassium ratio than younger children (p < 0.05). The micronutrient intake density was adequate for most nutrients. However, intake of some nutrients was of concern. Further attention to training and compliance in FCCH may improve the diet quality of those cared for in these settings.

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Changes in Nutrition Policies and Dietary Intake in Child Care Homes Participating in Healthy Eating and Active Living Initiative

Abstract: This article is part of a supplement entitled Building Thriving Communities Through Comprehensive Community Health Initiatives, which is sponsored by Kaiser Permanente, Community Health.

Cited by 21 publications

References 31 publications

Preschool Healthy Food Policy Did Not Increase Percent of Food Wasted: Evidence from the Carolinas

Preschool Healthy Food Policy Did Not Increase Percent of Food Wasted: Evidence from the Carolinas

A systematic review of interventions to improve the dietary intake, physical activity and weight status of children attending family day care services

Micronutrient Adequacy in Preschool Children Attending Family Child Care Homes

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