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Child-care facilities can do more to promote healthy eating and physical activity among preschoolers
Date:8/25/2011

against which future progress may be measured. These included 4 reviews of state regulations, 18 studies of child-care practices and policies that may influence eating or physical activity behaviors, 2 studies of parental perceptions and practices relevant to obesity prevention, and 18 evaluated interventions. Although research focused on the U.S., interventions implemented in international settings were also included. The review of existing evidence was funded by Healthy Eating Research, a national program of the Robert Wood Johnson Foundation.

Child-care facilities in the U.S. are primarily regulated by individual states. Each state establishes its own set of regulations for licensed child-care facilities and sets minimum enforcement standards to assess compliance. However, recent reviews indicated there is a gap between existing state regulations for child-care settings and the standards recommended by public health experts. Most states lacked strong regulations related to healthy eating and physical activity. There was strong variation among states in promoting 8 key nutrition and physical activity measures in child-care settings. For example, while Tennessee covered 6 of the 8 factors, the District of Columbia, Idaho, Nebraska and Washington had none.

Larson added: "These reviews identified a number of opportunities for enhancing state regulations by comparing existing regulations with relevant national standards and recommendations from professional groups, including the American Dietetic Association, the American Academy of Pediatrics, and the American Public Health Association."

Recent assessments of child-care settings identified through this study indicated room for improvement to the nutritional quality of foods provided to children, the amount of time children are engaged in physical activity, caregiver behaviors that may discourage healthy behaviors, and missed opportunities for education. While a limited number of interventi
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Contact: Eileen Leahy
adajmedia@elsevier.com
732-238-3628
Elsevier Health Sciences
Source:Eurekalert

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