What Role Can Child-Care Settings Play in Obesity Prevention? A Review of the Evidence and Call for Research Efforts

Larson, Nicole; Ward, Dianne S.; Neelon, Sara Benjamin; Story, Mary

doi:10.1016/j.jada.2011.06.007

Cited by 379 publications

(392 citation statements)

References 65 publications

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“…The child care setting holds great potential as a venue for interventions focusing on physical activity and gross motor development (Larson, Ward, Neelon, & Story, 2011). In the United States, an estimated 57% of young children attend center-based child care (National Center for Education Statistics, 2006).…”

mentioning

confidence: 99%

Effectiveness of a Physical Activity Intervention for Head Start Preschoolers: A Randomized Intervention Study

Bellows

Davies

Anderson

et al. 2013

The American Journal of Occupational Therapy

142

200

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OBJECTIVES. The level of children’s motor skill proficiency may be an important determinant of their physical activity behaviors. This study assessed the efficacy of an intervention on gross motor skill performance, physical activity, and weight status of preschoolers. METHOD. The Food Friends: Get Movin’ With Mighty Moves® program was conducted in four Head Start centers. Measurements included the Peabody Developmental Motor Scales, pedometer counts, and body mass index (BMI) z scores. RESULTS. The intervention led to significant changes in gross motor skills in the treatment group (n = 98) compared with the control group (n = 103) and was a strong predictor of overall gross motor performance (gross motor quotient), locomotor, stability, and object manipulation skills. No intervention effect was found for physical activity levels or weight status. CONCLUSION. The intervention dose was adequate for enhancing gross motor skill performance but not for increasing physical activity levels or reducing BMI.

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mentioning

confidence: 99%

Effectiveness of a Physical Activity Intervention for Head Start Preschoolers: A Randomized Intervention Study

Bellows

Davies

Anderson

et al. 2013

The American Journal of Occupational Therapy

142

200

View full text Add to dashboard Cite

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“…Because nearly 13 million young children in the United States spend time in out-of-home child care, 30,31 this setting has emerged as an important target for obesity prevention. 32,33 In 2011, the Institute of Medicine (IOM) releasedpolicy-basedrecommendationsto help prevent obesity in young children, including specific recommendations related to sleep duration and sleep hygiene. 34 The IOM report included recommendations for state licensing and administrative agencies to regulate healthy sleep practices in child care.…”

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confidence: 99%

Regulations to Promote Healthy Sleep Practices in Child Care

2014

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WHAT'S KNOWN ON THIS SUBJECT: Previous studies have examined state regulations for child care facilities and found substantial variation among states. None of these studies examined regulations related to healthy sleep practices, which is an important and often overlooked intervention target for obesity prevention. WHAT THIS STUDY ADDS:We reviewed state regulations related to healthy sleep in child care and compared them to recent national recommendations put forth by the Institute of Medicine. We found that many states lacked regulations, highlighting an important and timely opportunity for improvement.abstract OBJECTIVES: The purpose of this study was to assess state licensing and administrative regulations promoting healthy sleep practices in child care and to compare these regulations to national recommendations. METHODS:We reviewed regulations related to healthy sleep practices for all states and territories for both child care centers (centers) and family child care homes (homes). We compared regulations with Institute of Medicine recommendations to promote sleep in child care, including (1) create environments that ensure restful sleep; (2) encourage sleeppromoting behaviors and practices; (3) encourage practices that promote child self-regulation of sleep; and (4) seek consultation yearly from a sleep expert. We used Cochran-Mantel-Haenszel trend tests to assess associations between geographic region and number of regulations consistent with the recommendations. RESULTS:The mean number of regulations for states was 0.9 for centers and 0.8 for homes out of a possible 4.0. For centers, no state had regulations for all 4 recommendations; 11 states had regulations for 2 of the 4 recommendations. For homes, 9 states had regulations for 2 of the recommendations. States in the Northeast had the greatest mean number of regulations for centers (1.2) and homes (1.1), and states in the South had the fewest (0.7 and 0.7, respectively); these geographic differences were significant for centers (P = .03) but not homes (P = .14).CONCLUSIONS: More states in the Northeast had regulations consistent with the Institute of Medicine sleep recommendations, but overall few states had regulations consistent with the recommendations.

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“…1 Faculty of Health, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia skill activities, while 25-28 % allowed children to participate in sedentary screen time daily (such as television viewing) [17]. A review of comparable international literature also suggests that there is considerable scope to improve the nutritional quality of food provided to children and the time children spend in physical activity while in care [16].…”

Section: Researchmentioning

confidence: 99%

“…Population-based surveys, however, suggest that current healthy eating and physical activity policies and practices in ECEC services are not consistent with such guidelines [15][16][17]. For example, a recent survey found that only 48-50 % of Australian center-based ECEC services had a written physical activity policy and 46-60 % programed time each day for fundamental movement Implications Practice: Securing the support of early childhood education and care (ECEC) service managers, management committees, and parents is important in assisting services to implement obesity prevention policies and practices.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with early childhood education and care service implementation of healthy eating and physical activity policies and practices in Australia: a cross-sectional study

Wolfenden

Finch

Nathan

et al. 2015

Behav. Med. Pract. Policy Res.

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Many early childhood education and care (ECEC) services fail to implement recommended policies and practices supportive of healthy eating and physical activity. The purpose of this study was to assess whether certain theoretically-based factors are associated with implementation of healthy eating and physical activity policies and practices in a sample of ECEC services. A crosssectional survey was conducted with Service Managers of ECEC services. The survey assessed the operational characteristics, policy, and practice implementation, and 13 factors were suggested by Damschroder's Consolidated Framework for Implementation Research to impede or promote implementation. Logistic regression analyses found a significant association between implementation factor score and full implementation (OR 1.38; 95% CI 1.18-1.61; p=<0.01), indicating that for every one point increase in implementation score, ECEC services were 38 % more likely to be fully implementing the policies and practices. The findings highlight the opportunities for improving implementation of obesity prevention interventions in this setting by developing interventions that address such factors.

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What Role Can Child-Care Settings Play in Obesity Prevention? A Review of the Evidence and Call for Research Efforts

Cited by 379 publications

References 65 publications

Effectiveness of a Physical Activity Intervention for Head Start Preschoolers: A Randomized Intervention Study

Effectiveness of a Physical Activity Intervention for Head Start Preschoolers: A Randomized Intervention Study

Regulations to Promote Healthy Sleep Practices in Child Care

Factors associated with early childhood education and care service implementation of healthy eating and physical activity policies and practices in Australia: a cross-sectional study

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