Nutrition Policies at Child-Care Centers and Impact on Role Modeling of Healthy Eating Behaviors of Caregivers
Nutrition Policies at Child-Care Centers and Impact on Role Modeling of Healthy Eating Behaviors of Caregivers
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DOI：
10.1016/j.jada.2011.08.048
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发表时间：
2012-01-01
影响因子：
4.8
通讯作者：
Ward, Dianne Stanton
中科院分区：
文献类型：
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作者：
Erinosho, Temitope O.;Hales, Derek P.;Ward, Dianne Stanton
研究表明，照顾者影响儿童的饮食行为，通过在儿童保育环境中的角色示范。然而，很少有研究探讨角色模型的照顾者和托儿中心的政策。这项横断面研究评估了儿童保育中心的政策之间的关联，工作人员的饮食习惯和照顾者的饮食行为在用餐时间与儿童的互动。数据收集于2008-2009年在50个北卡罗来纳州儿童保育中心。看护者（n=124）报告了对儿童健康饮食行为的建模，训练有素的研究人员观察了看护者（n=112）在教室中的饮食行为，主任报告了中心对员工饮食行为的政策存在/不存在。大约90%的护理人员表示要为儿童树立健康的饮食行为。在80%的中心，观察到照顾者塑造健康的饮食行为（例如，与儿童坐在一起或吃相同的食物），但在少数中心，观察到他们食用不健康的食物（例如，快餐，咸零食：25%;和含糖饮料：50%）。虽然没有观察到实质性的关联之间的照顾者的行为和中心的政策，效果大小估计表明差异可能具有临床意义。例如，观察到护理人员更频繁地在中心建立健康的饮食行为，这些中心已经制定了关于工作人员不鼓励不健康食品的政策，并在用餐时与儿童进行非正式的营养谈话。然而，观察到护理人员在政策促进健康食品的中心更经常消费不健康食品和含糖饮料。未来的研究应该建立在这项研究的基础上，使用更大的样本来了解为什么儿童保育中心的健康食品政策可能不会转化为照顾者的饮食习惯：J Acad Nutr Diet。2012;112：119-124.
Studies suggest that caregivers influence children's dietary behaviors through role modeling in child-care environments. However, few studies have examined role modeling by caregivers and child-care center policies. This cross-sectional study evaluated the associations between child-care center policies about staff eating practices and caregivers' eating behaviors during mealtime interactions with children. Data were collected in 2008-2009 at 50 North Carolina child-care centers. Caregivers (n=124) reported about modeling healthy eating behaviors to children, trained research staff observed caregivers' (n=112) eating behaviors in classrooms, and directors reported about the presence/absence of center policies on staff eating practices. About 90% of caregivers reported modeling healthy eating behaviors to children. At 80% of centers, caregivers were observed modeling healthy dietary behaviors (eg, sitting with or eating same foods as children), but at fewer centers they were observed consuming unhealthy foods (eg, fast foods, salty snacks: 25%; and sugar-sweetened beverages: 50%). Although no substantial associations were observed between caregiver behaviors and center policies, effect size estimates suggest differences that may be of clinical significance. For example, caregivers were observed modeling healthy dietary behaviors more frequently at centers that had written policies about staff discouraging unhealthy foods for meals/snacks and having informal nutrition talks with children at meals. However, caregivers were observed consuming unhealthy foods and sugar-sweetened beverages more often at centers with policies that promoted healthier foods for meals/snacks. Future research should build on this study by using larger samples to understand why healthy food policies in child-care centers may not translate to eating practices among caregivers: J Acad Nutr Diet. 2012;112:119-124.