Nutrition and physical activity in child care centers: the impact of a wellness policy initiative on environment and policy assessment and observation outcomes, 2011.

Nutrition and physical activity in child care centers: the impact of a wellness policy initiative on environment and policy assessment and observation outcomes, 2011.
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DOI:
10.5888/pcd10.120232
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发表时间:
2013-05-23
影响因子:
5.5
通讯作者:
Griffin M
Griffin M
中科院分区:
医学3区
文献类型:
--
作者:
Lyn R;Maalouf J;Evers S;Davis J;Griffin M

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儿童保育环境已成为实施促进儿童健康体重政策的理想环境。本研究的目的是评估健康政策和培训计划对格鲁吉亚24个儿童保育中心的身体活动和营养环境的影响。我们使用环境和政策评估和观察工具来确定食物供应,员工行为和身体活动机会的变化。在1天内进行观察,从早餐开始,并在当天的程序结束时结束。从2010年2月至2011年4月进行了观察,每个中心共进行2次观察。根据观察中记录的与体力活动和营养环境相关的评分变化,评估了中心营养和体力活动的变化。进行配对t检验分析以确定变化的显著性。观察到总营养(P <0.001)和体力活动评分(P <0.001)显著改善。结果表明,中心通过加强主动游戏(P = .02),久坐环境(P = .005),便携式环境(P = .002),工作人员行为(P = .004)以及体育活动培训和教育(P < .001)显着改善了中心的体育活动环境。营养环境(P <0.001)和营养培训和教育(P <0.001)有了显著改善。这项研究的结果表明,实施健康政策和培训照顾者进行体育活动和营养的最佳实践可以促进幼儿在儿童保育环境中的健康体重。
The child care environment has emerged as an ideal setting in which to implement policies that promote healthy body weight of children. The purpose of this study was to assess the effect of a wellness policy and training program on the physical activity and nutrition environment in 24 child care centers in Georgia. We used the Environment and Policy Assessment and Observation instrument to identify changes to foods served, staff behaviors, and physical activity opportunities. Observations were performed over 1 day, beginning with breakfast and concluding when the program ended for the day. Observations were conducted from February 2010 through April 2011 for a total of 2 observations in each center. Changes to nutrition and physical activity in centers were assessed on the basis of changes in scores related to the physical activity and nutrition environment documented in the observations. Paired t test analyses were performed to determine significance of changes. Significant improvements to total nutrition (P < .001) and physical activity scores (P < .001) were observed. Results indicate that centers significantly improved the physical activity environments of centers by enhancing active play (P = .02), the sedentary environment (P = .005), the portable environment (P = .002), staff behavior (P = .004), and physical activity training and education (P < .001). Significant improvements were found for the nutrition environment (P < .001), and nutrition training and education (P < .001). Findings from this study suggest that implementing wellness policies and training caregivers in best practices for physical activity and nutrition can promote healthy weight for young children in child care settings.
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