Obesity Prevention Practices and Policies in Child Care Settings Enrolled and Not Enrolled in the Child and Adult Care Food Program
Obesity Prevention Practices and Policies in Child Care Settings Enrolled and Not Enrolled in the Child and Adult Care Food Program
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DOI：
10.1007/s10995-016-2007-z
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发表时间：
2016-09-01
影响因子：
2.3
通讯作者：
Pirie, Phyllis L.
中科院分区：
文献类型：
--
作者：
Liu, Sherry T.;Graffagino, Cheryl L.;Pirie, Phyllis L.
美国农业部的儿童和成人护理食品计划（CACFP）为儿童保育中的低收入儿童提供膳食和零食。本研究比较了CACFP和非CACFP儿童保育环境中的营养和体育活动实践和政策以及整体营养和体育活动环境。方法在中西部一个大城市及其郊区随机分层抽样350个儿童保育机构，邮寄一份关于肥胖预防实践和政策的调查，涉及菜单提供、喂养实践、营养和身体活动教育、活动水平、培训和屏幕时间。从309个符合条件的儿童保育机构中的229个获得了完成的调查（74.1%的回复率）。卡方检验被用来比较CACFP和非CACFP网站的做法和政策。泊松和负二项回归被用来检查CACFP和实践和政策的总数之间的关联。结果69%的儿童保育机构报告参与了CACFP。一个显著较高比例的CACFP网站报告说，每天提供全谷物食品，供应商总是吃同样的食物，提供给儿童。CACFP站点的支持性营养做法是非CACFP站点的1.1倍。CACFP参与与书面政策或身体活动实践无关。实践结论在营养和身体活动实践和政策方面都有改进的余地。除了食品报销外，参与CACFP可能有助于促进支持健康营养的儿童保育环境;然而，可能需要额外的培训和教育推广活动。
Objectives The United States Department of Agriculture's Child and Adult Care Food Program (CACFP) provides meals and snacks to low-income children in child care. This study compared nutrition and physical activity practices and policies as well as the overall nutrition and physical activity environments in a sample of CACFP and non-CACFP child care settings. Methods A random stratified sample of 350 child care settings in a large Midwestern city and its suburbs, was mailed a survey on obesity prevention practices and policies concerning menu offerings, feeding practices, nutrition and physical activity education, activity levels, training, and screen time. Completed surveys were obtained from 229 of 309 eligible child care settings (74.1 % response rate). Chi square tests were used to compare practices and policies in CACFP and non-CACFP sites. Poisson and negative binomial regression were used to examine associations between CACFP and total number of practices and policies. Results Sixty-nine percent of child care settings reported CACFP participation. A significantly higher proportion of CACFP sites reported offering whole grain foods daily and that providers always eat the same foods that are offered to the children. CACFP sites had 1.1 times as many supportive nutrition practices as non-CACFP sites. CACFP participation was not associated with written policies or physical activity practices. Conclusions for Practice There is room for improvement across nutrition and physical activity practices and policies. In addition to food reimbursement, CACFP participation may help promote child care environments that support healthy nutrition; however, additional training and education outreach activities may be needed.