Examining the Obesogenic Attributes of the Family Child Care Home Environment: A Literature Review

Francis, Lucine; Shodeinde, Lara; Black, Maureen M.; Allen, Jerilyn K.

doi:10.1155/2018/3490651

Cited by 32 publications

(54 citation statements)

References 35 publications

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“…Our findings are similar to what others have found in FCCHs, whereby many providers fall short in providing foods that are lower in fat and sugar and rich in whole grains and vegetables. 28,29,43,[62][63][64][65] It is important to note that most of the baseline data collection for this study was done before October 2017 changes to the national CACFP guidelines. The new guidelines have a greater emphasis on providing lean meats, vegetables, and whole grains, while avoiding added sugars, 66 and thus could help address the inadequacies we found in foods served in FCCHs, as >80% of our sample reported accepting CACFP.…”

Section: Discussionmentioning

confidence: 99%

“…7,8,10,[18][19][20][21][22][23][24][25] However, most of these studies have been conducted in child care centers and not family child care homes (FCCHs), which are the second most utilized form of nonrelative child care, caring for >1.6 million US children. 26,27 Children enrolled in FCCHs may be at increased risk of obesity compared with children in center-based care, 28,29 highlighting the need to better understand how family child care providers (FCCPs) influence children's dietary behaviors. Therefore, the purposes of this article are to examine provider-reported nutrition-related practices and to assess whether observed nutrition-related practices of FCCPs meet nutrition guidelines from the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC).…”

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confidence: 99%

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Nutrition-Related Practices of Family Child Care Providers and Differences by Ethnicity

et al. 2019

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Background: Child care settings play an important role in shaping children's eating behaviors; yet few studies have included family child care homes (FCCHs). We examined provider-reported nutrition-related practices in FCCHs and observed adherence to nutrition guidelines from the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC), exploring differences by provider ethnicity. Methods: We assessed baseline data from a cluster-randomized trial, including surveys with FCCH providers and observational data collected at the FCCH. We examined provider-reported nutrition-related practices and if providers met NAP SACC guidelines using observational data. Differences by ethnicity were assessed using chi-square and multivariate log-linear analysis adjusting for education. Results: Providers completed a telephone survey (n = 166, 100% female and 72% Hispanic) and participated in 2 full-day observations (n = 119). Many providers reported engaging in positive nutrition-related practices. Significant differences by ethnicity included the following: Hispanic providers less likely to report feeding practices that were responsive to children's self-regulation, but also less likely to report eating and drinking unhealthy foods/beverages in front of children and having screens on during meals and more likely to report seeking nutrition trainings. Using observational data, only 10 of 26 NAP SACC practices were met by >60% of providers. Few ethnic differences in meeting guidelines were found (7 of 26 practices). Conclusions: While providers engage in some positive nutrition practices, improvement is needed to ensure that all providers actually meet evidence-based guidelines. Ethnic differences in certain practices underscore the need for culturally relevant trainings. Trial registration number: NCT02452645.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Nutrition-Related Practices of Family Child Care Providers and Differences by Ethnicity

et al. 2019

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“…Family day care (FDC) is a unique type of ECEC service, and although not as well-utilised as centre-based services, it is offered globally among high-income countries such as the US, UK, Canada, Australia, and European countries, such as Finland [5,6,7,8,9,10,11]. In Australia, family day care educators operate from their own homes to provide education and care for small groups of children aged 0–12 years, favoured by parents working irregular hours [7], who consider it a more convenient service [9].…”

Section: Introductionmentioning

confidence: 99%

“…For example, qualitative studies of FDC educators have found that food provision was not compliant with dietary guidelines, and that educators were role-modelling negative food behaviours and reported difficulties managing ‘fussy’ eaters [6,8]. Moreover, a lack of nutrition education training, inaccurate nutrition-related beliefs and perceptions, and poor child feeding practices were also present [5]. A common theme reported in the literature was the ineffectiveness of communication between FDC educators and parents about nutrition and food choices for children [5,6,8].…”

Section: Introductionmentioning

confidence: 99%

A Study of the Food Environment at Australian Family Day Care

Wallace

Mills

2019

Nutrients

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Overweight and obesity in childhood is a significant public health issue. Family day care (FDC) offers a setting where good eating habits can be nurtured in young children, yet often the food environment is unhealthy. This study aims to determine FDC educators’ knowledge and confidence about nutrition and the barriers and enablers to supporting healthy food environments. Australian FDC educators were recruited to a mixed methods study using self-administered e-surveys and qualitative in-depth interviews. The survey data (n = 188) revealed good knowledge about sugary foods, but poor knowledge of protein-rich foods. Nutrition knowledge was not associated with confidence to make nutrition recommendations. Interviews (n = 9) revealed parents’ dietary choices and educators’ personal beliefs as barriers to healthy food environments, although importantly, the FDC educator role was identified as being pivotal in supporting the health and wellbeing of children and their families. This study highlights that FDC-specific nutrition education and support is vital to ensure children at FDC and their families are exposed to healthy food environments. Research to investigate specific avenues for nutrition education promotion programs specifically designed to support the unique role played by FDC educators is needed, in order to support the long-term health and welfare of the next generation of Australians.

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“…3 High fat/carbohydrate diet, low physical activity, and time spent at the computer/TV are additional often correlated risk factors associated with child adiposity. 6–8 Many of these recognized adiposity risk factors have been hypothesized to influence the risk of overweight and obesity by directly or indirectly influencing the composition of the intestinal microbiota and the contribution of those microbiota to a pro-obesogenic breakdown and metabolism of foods. 9…”

Section: Introductionmentioning

confidence: 99%

Gut microbiota and overweight in 3-year old children

et al. 2018

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Background: The gut microbiota has been associated with overweight and obesity in adults, but the evidence in children is limited. Our aim was to study whether composition of the gut microbiota at the age of 3 years is associated with overweight/obesity in children cross-sectionally. Methods: Children, who participated in a clinical trial of prenatal vitamin-D supplementation (VDAART), underwent standardized height and weight measurements, and collection of stool samples at three years of age. 16S rRNA sequencing (V4 region) of the stool samples were performed with Illumina MiSeq. Associations between microbiota and overweight/obesity (body mass index z-scores > 85 th percentile) was analyzed using logistic regression. Results: Out of 502 children, 146 (29%) were categorized as overweight/obese. Maternal pre-pregnancy BMI, birth weight and length, formula feeding during the first year, high frequency of fast food consumption, and time watching TV or computer screen at 3 years were the risk factors for overweight/obesity. Of the top 20 most abundant genera, high relative abundance of Parabacteroidetes ( Bacteroidetes;Bacteroidales ) (aOR(95%CI): 0.69(0.53, 0.90, p=0.007 ) per interquartile increase) and unassigned genus within Peptostreptococcae family were inversely associated with overweight/obesity, whereas high relative abundance of Dorea ( Firmicutes;Clostridiales ) (1.23 (1.05,1.43, p=0.009 )) was positively associated. Associations were independent of each other. No associations were found between diversity indices and overweight/obesity. Conclusions: Our data suggest that some of the differences in gut composition of bacteria between obese and non-obese adults can already be observed in 3-year old children. Longitudinal studies will be needed to determine long-term effects.

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Examining the Obesogenic Attributes of the Family Child Care Home Environment: A Literature Review

Cited by 32 publications

References 35 publications

Nutrition-Related Practices of Family Child Care Providers and Differences by Ethnicity

Nutrition-Related Practices of Family Child Care Providers and Differences by Ethnicity

A Study of the Food Environment at Australian Family Day Care

Gut microbiota and overweight in 3-year old children

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