The Childhood Obesity Declines Project: A Review of Enacted Policies

Dooyema, Carrie A.; Jernigan, Jan; Warnock, Amy Lowry; Dawkins-Lyn, Nicola; Harris, Colin; Kauh, Tina J.; Khan, Laura Kettel; Ottley, Phyllis; Young-Hyman, Deborah Lee

doi:10.1089/chi.2018.0021

Cited by 10 publications

(10 citation statements)

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“…These include state and local policies that were not identified during the site visit but are summarized in this supplement. 11 Temporal and/or efforts that targeted a single or specific organizational group were not included on the site's figure.…”

Section: Resultsmentioning

confidence: 99%

“…Other articles in this special issue documented those policies implemented at the state level that may influence obesity rates, 11 programs in each community that were thought to have influenced childhood obesity rates, and factors that may have been important contributors to success in four communities studied with childhood obesity declines (COBD). 12 This article maps those policies and programs across the levels of the SEM to address childhood obesity and examines interactions both across and within levels of the model to better understand how they might influence implementation success.…”

Section: Introductionmentioning

confidence: 99%

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Childhood Obesity Declines Project: Highlights of Community Strategies and Policies

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Childhood Obesity Declines Project: Highlights of Community Strategies and Policies

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“…Other studies have described associations between ECE policies and child outcomes using retrospective methods, but these too are unable to assess changes over time. For example, in 2018, researchers evaluated correlations between local-and state-level childhood healthy eating and physical activity policies and obesity rates [74] and found that the 4 pre-selected study locations with declining childhood obesity rates had contemporaneously enacted relevant policies [75]. This scoping retrospective described general relationships between the policy environment and childhood obesity, but could not, as the authors noted, elucidate causal pathways [75].…”

Section: Discussionmentioning

confidence: 99%

Healthy Eating Policy Improves Children’s Diet Quality in Early Care and Education in South Carolina

et al. 2020

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Policies to promote healthy foods in early care and education (ECE) in the United States exist, but few have been prospectively evaluated. In South Carolina, a statewide program serving low-income children in ECE enacted new policies promoting healthy foods. We conducted an evaluation to measure changes in dietary intake among children in ECE exposed and not exposed to the new policy. Using direct observation, we assessed dietary intake in 112 children from 34 ECE centers in South Carolina and 90 children from 30 ECE centers in North Carolina (a state with no policy). We calculated Healthy Eating Index-2015 (HEI) scores to measure diet quality consumed before and after the policy was enacted. We fit mixed-effects linear models to estimate differences in HEI scores by state from baseline to post-policy, adjusting for child race, number of children enrolled, director education, center years in operation, participation in the Child and Adult Care Food Program (CACFP), and center profit status. The policy increased HEI scores for whole fruits, total fruits, and lean proteins, but decreased scores for dairy. Thus, the policy was associated with some enhancements in dietary intake, but additional support may help improve other components of diet.

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“…[14][15][16] The implications for research and evaluation are also described. 17 Exploration of the natural experiments that occurred in Anchorage, Granville County, New York City, and Philadelphia allows us to further understand what communities are doing and what may have contributed to declines in the prevalence of obesity.…”

Section: Discussionmentioning

confidence: 99%

Childhood Obesity Declines Project: A Different Methodology

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Background: The evidence for and our understanding of community-level strategies such as policies, system, and environmental changes that support healthy eating and active living is growing. However, researchers and evaluation scientists alike are still not confident in what to recommend for preventing or sustaining declines in the prevalence of obesity.Methods: The Systematic Screening and Assessment (SSA) methodology was adapted as a retrospective process to confirm obesity declines and to better understand what and how policies and programs or interventions may contribute as drivers. The Childhood Obesity Declines (COBD) project's adaptation of the SSA methodology consisted of the following components: (1) establishing and convening an external expert advisory panel; (2) identification and selection of sites reporting obesity declines; (3) confirmation and review of what strategies occurred and contextual factors were present during the period of the obesity decline; and (4) reporting the findings to sites and the field.Results/Discussion: The primary result of the COBD project is an in-depth examination of the question, ''What happened and how did it happen in communities where the prevalence of obesity declined?'' The primary aim of this article is to describe the project's methodology and present its limitations and strengths.Conclusions: Exploration of the natural experiments such that occurred in Anchorage, Granville County, New York City, and Philadelphia is the beginning of our understanding of the drivers and contextual factors that may affect childhood obesity. This retrospective examination allows us to: (1) describe targeted interventions; (2) examine the timeline and summarize intervention implementation; (3) document national, state, local, and institutional policies; and (4) examine the influence of the reach and potential multisector layering of interventions.

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The Childhood Obesity Declines Project: A Review of Enacted Policies

Cited by 10 publications

References 12 publications

Childhood Obesity Declines Project: Highlights of Community Strategies and Policies

Childhood Obesity Declines Project: Highlights of Community Strategies and Policies

Healthy Eating Policy Improves Children’s Diet Quality in Early Care and Education in South Carolina

Childhood Obesity Declines Project: A Different Methodology

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