The Relationship between Practices and Child Care Providers’ Beliefs Related to Child Feeding and Obesity Prevention

Lanigan, Jane

doi:10.1016/j.jneb.2011.07.008

Cited by 73 publications

(89 citation statements)

References 23 publications

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“…33 In addition to setting meal patterns, the USDA is required to offer technical assistance to CACFP-participating centers, including staff education regarding nutrition and child feeding. 34 Given that individual child care providers' knowledge and beliefs are associated with corresponding feeding practices, 17,35 greater opportunities for training and education are likely to be influential, and our study suggests that participation may benefit even the youngest children in care.…”

Section: Discussionmentioning

confidence: 88%

“…Qualitative studies of child care providers reveal a desire to encourage healthy choices, 44 concerns that a child does not get enough food to eat at home, 40 or beliefs that young children will not eat enough as key motivations to encourage children to eat more. 17 However, despite these nurturing motivations, caregiver feeding practices such as encouraging disliked foods, negotiating, or rewarding children at mealtime have all been associated with higher weight and poorer diet quality among children and adolescents. [45][46][47][48] When compared to toddler providers, infant care providers reported more recommended feeding practices and fewer discouraged feeding practices.…”

Section: Discussionmentioning

confidence: 99%

“…16 The IOM report called for enhanced training of early child care providers, but given that there are few studies describing feeding practices of providers serving children younger than 2 years, it is difficult to identify specific areas for training support. 17 In qualitative studies, child care providers indicate a desire to support healthy growth in children, but report often feeling ill prepared to carry out recommendations. 18,19 Additionally, the extent to which center-level factors may influence individual overall provider feeding practices remains unknown.…”

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confidence: 99%

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Child Care Provider Adherence to Infant and Toddler Feeding Recommendations: Findings from the Baby Nutrition and Physical Activity Self-Assessment for Child Care (Baby NAP SACC) Study

et al. 2015

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Background: Identifying characteristics associated with the Institute of Medicine's (IOM) recommended feeding practices among infant and toddler care providers in child care centers could help in preventing childhood obesity.Methods: In 2009, at baseline in a pilot intervention study of 29 licensed Massachusetts child care centers with at least 50% of enrolled children identified as racial minorities, 57 infant and 109 toddler providers completed feeding questionnaires. To assess provider adherence to six IOM-recommended behaviors, we used cluster-adjusted multivariable logistic regression models including provider type (infant or toddler), race, education, and center Child and Adult Care Food Program (CACFP) participation.Results: In multivariable analysis, CACFP participation was associated with providers sitting with children at meals (odds ratio [OR], 5.2; 95% confidence interval [CI], 1.2-21.7), offering fruits and vegetables (OR, 3.3; 95% CI 1.7-6.2), and limiting fast food (OR, 3.5; 95% CI, 1.8-6.7). Providers at centers serving meals family style were less likely to allow children to leave food unfinished (OR, 0.27; 95% CI, 0.09-0.77). Infant providers were more likely than toddler providers to sit with children at meals (OR, 6.98; 95% CI, 1.51-32.09), allow children to eat when hungry (OR, 3.50; 95% CI, 1.34-9.16), and avoid serving sugary (OR, 8.74; 95% CI, or fast foods (OR, 11.56; 95% CI,.Conclusions: CACFP participation may encourage IOM-recommended feeding practices among infant and toddler providers. Child care providers may benefit from education about how to feed infants and toddlers responsively, especially when offering foods family style. Future research should explore ways to promote child-centered feeding practices, while addressing barriers to providing children with nutrient-rich foods.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Child Care Provider Adherence to Infant and Toddler Feeding Recommendations: Findings from the Baby Nutrition and Physical Activity Self-Assessment for Child Care (Baby NAP SACC) Study

et al. 2015

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“…However implementation of these activities is governed by the knowledge and attitudes of child care providers on child nutrition. Knowledge on child nutrition influences child care providers' nutritional practices at the child care setting (2,3). These practices make an impact on preschoolers' nutritional status in short and long term (4).…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and practices on child feeding among child care providers of preschools in a nutritionally vulnerable district in Sri Lanka

Jayakody

Attygalle

2016

J Coll Community Phys Sri Lanka

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“…The education of children, in full day care, in the development of healthy eating patterns, is becoming predominantly that of the child-care provider, 'providers' being defined as 'all early learning and care professionals' that are involved with the care of children (2) .…”

mentioning

confidence: 99%

Healthy incentive scheme in the Irish full-day-care pre-school setting

Molloy

Kearney²,

Hayes³

et al. 2013

Proc. Nutr. Soc.

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A pre-school offering a full-day-care service provides for children aged 0-5 years for more than 4 h/d. Researchers have called for studies that will provide an understanding of nutrition and physical activity practices in this setting. Obesity prevention in pre-schools, through the development of healthy associations with food and health-related practices, has been advocated. While guidelines for the promotion of best nutrition and health-related practice in the early years' setting exist in a number of jurisdictions, associated regulations have been noted to be poor, with the environment of the child-care facility mainly evaluated for safety. Much cross-sectional research outlines poor nutrition and physical activity practice in this setting. However, there are few published environmental and policy-level interventions targeting the child-care provider with, to our knowledge, no evidence of such interventions in Ireland. The aim of the present paper is to review international guidelines and recommendations relating to health promotion best practice in the pre-school setting: service and resource provision; food service and food availability; and the role and involvement of parents in pre-schools. Intervention programmes and assessment tools available to measure such practice are outlined; and insight is provided into an intervention scheme, formulated from available best practice, that was introduced into the Irish full-daycare pre-school setting.

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The Relationship between Practices and Child Care Providers’ Beliefs Related to Child Feeding and Obesity Prevention

Cited by 73 publications

References 23 publications

Child Care Provider Adherence to Infant and Toddler Feeding Recommendations: Findings from the Baby Nutrition and Physical Activity Self-Assessment for Child Care (Baby NAP SACC) Study

Child Care Provider Adherence to Infant and Toddler Feeding Recommendations: Findings from the Baby Nutrition and Physical Activity Self-Assessment for Child Care (Baby NAP SACC) Study

Knowledge, attitudes and practices on child feeding among child care providers of preschools in a nutritionally vulnerable district in Sri Lanka

Healthy incentive scheme in the Irish full-day-care pre-school setting

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