Participation in the Child and Adult Care Food Program Is Associated with More Nutritious Foods and Beverages in Child Care

Ritchie, Lorrene D.; Boyle, Maria; Chandran, K.P Vipin; Spector, Phil; Whaley, Shannon E.; James, Paula D.; Samuels, Sarah E.; Hecht, Ken; Crawford, Patricia B.

doi:10.1089/chi.2011.0061

Cited by 102 publications

(91 citation statements)

References 13 publications

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“…Existing obesity prevention educational curricula (e.g., the Preschool Obesity Prevention Series) (Miller et al, 2012) seek to enhance children's behavioral regulation skills, but educational materials focused on enhancing children's regulatory skills specific to the childcare context are lacking. CACFP participation has been associated with improved nutritional quality of foods and beverages served in childcare centers (Ritchie et al, 2012) and among low-income children, has been shown to moderately increase consumption of milk and vegetables (Korenman, Abner, Kaestner, & Gordon, 2012). The CACFP recommendations could be further leveraged to help prevent childhood obesity by placing a greater emphasis on the development of training materials for improving childcare providers' use of responsive feeding practices that support children's self-regulation of their energy intake.…”

Section: Discussionmentioning

confidence: 99%

Providers perspectives on self-regulation impact their use of responsive feeding practices in child care

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Providers perspectives on self-regulation impact their use of responsive feeding practices in child care

et al. 2017

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“…The methods used in 2012 were the same as those used in the 2008 study. 13 The study was deemed exempt by the Committee for the Protection of Human Subjects at the University of California, Berkeley.…”

Section: Methodsmentioning

confidence: 99%

“…12 During 2008, we evaluated the beverages served in a statewide sample of child-care sites in California and identified need for improvement concerning the provision of water, serving lower-fat milk, and limiting juice. 13 Child-care sites can elect to participate in the federal Child and Adult Care Food Program (CACFP), which provides reimbursement for meals and snacks served daily to more than 3 million children. 14,15 More than one in nine children in CACFP reside in California.…”

mentioning

confidence: 99%

Policy Improves What Beverages Are Served to Young Children in Child Care

Ritchie¹,

Sharma²,

Gildengorin³

et al. 2015

Journal of the Academy of Nutrition and Dietetics

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“…We found that directors are aware of food costs and compare prices among healthy foods with up to 20 % opting for a less healthy food choice because it is more affordable. In a recent study, directors reported that nutritional content, cost, availability, and convenience were all factors that affected what foods were served to children [28].…”

Section: Director Attitudes Regarding Nutritionmentioning

confidence: 99%

The food and activity environments of childcare centers in Rhode Island: a directors’ survey

et al. 2016

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Background: The food and activity environments of childcare have been identified as promising areas in which to improve nutrition and activity for children. Methods: Of the 292 centers caring for children 18-60 months of age, 107 randomly selected directors completed a survey. The survey queried nutrition and physical activity practices, attitudes of providers and staff, and demographics of the enrolled children and the center, including participation in the federal Child and Adult Care Food Program (CACFP). Responses were compared for CACFP compared with non-CACFP participating centers. Results: CACFP center directors reported serving more fruit, fried potatoes, beans, 100 % fruit juice, non-fat milk and water compared with non-CACFP directors. Sixty-four percent of CACFP centers and 87 % of non-CACFP centers served no vegetables the previous day (p = .0973). There were no differences in the amount of physical activity time reported by CACFP status. Also, 81 % of directors reported never or rarely allowing screen time in the previous week. Directors of Non-CACFP centers were more likely (93 %) to strongly agree that they were able to identify healthy foods and (87 %) that healthy foods are available where they shop than CACFP center directors (65 %, p = 0.0088, 54 %, p = 0. 0354, respectively). Discussion: More nutritious foods (fruit, beans, 100 % fruit juice, non-fat milk and water) were provided in CACFP centers, compared with non-CACFP centers, but no differences in physical activity were identified. However, non-CACFP directors were better able to access and identify healthy foods. CACFP guidelines regarding food served were likely responsible for the more nutritious foods, though CACFP providers may be challenged by fewer skills and lower educational background. Conclusions: Stronger guidelines supporting both food and activity would bolster policies for childcare centers and improve the nutrition and physical activity environments in this setting.

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Participation in the Child and Adult Care Food Program Is Associated with More Nutritious Foods and Beverages in Child Care

Cited by 102 publications

References 13 publications

Providers perspectives on self-regulation impact their use of responsive feeding practices in child care

Providers perspectives on self-regulation impact their use of responsive feeding practices in child care

Policy Improves What Beverages Are Served to Young Children in Child Care

The food and activity environments of childcare centers in Rhode Island: a directors’ survey

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