Improving the physical activity and nutrition environment through self-assessment (NAP SACC) in rural area child care centers in North Carolina
Improving the physical activity and nutrition environment through self-assessment (NAP SACC) in rural area child care centers in North Carolina
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DOI：
10.1016/j.ypmed.2014.01.022
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发表时间：
2014-10-01
影响因子：
5.1
通讯作者：
West, Stephanie T.
中科院分区：
文献类型：
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作者：
Battista, Rebecca A.;Oakley, Hillary;West, Stephanie T.
目标。为了确定北卡罗来纳州西部农村地区的托儿中心是否符合营养和体力活动的建议，重点关注营养和体力活动的做法和政策是否有效改善中心环境，以及附属于学校的中心和不附属于学校的中心之间是否存在差异。在三个县的33个托儿中心中，29个提交了微型赠款申请，并参加了使用营养和体力活动托儿自我评估(NAP SACC)进行的事后评估。NAP SACC评估营养和体力活动建议和标准的遵守情况。在2011年10月至2012年4月期间，各中心参加了专门针对营养和体力活动的研讨会和目标设定。在基线上，超过95%的中心符合所有建议。然而，干预后，Wilcoxon签署的RANES测试(p<；0.05)表明，干预后37项营养标准中的5项和17项体力活动标准中的7项在各个中心类型中都有显著改善。不属于学校的营养中心在10项营养标准上有显著变化，而附属学校的营养中心只有2项标准提高，1项标准下降。总体而言，北卡罗来纳州西部的农村托儿中心达到了标准，但它们仍然能够通过遵循国家行动方案SACC来加强政策和做法。对于与学校无关的中心来说，情况尤其如此。持续的财政支持可能会帮助中心维持儿童更多的体力活动。(C)2014年提交人。由爱思唯尔公司出版。
Objective. To determine if child care centers in rural, Western North Carolina met recommendations for nutrition and physical activity, if focusing on nutrition and physical activity practices and policies was effective in improving the center environment, and if differences existed between centers affiliated or unaffiliated with schools.Methods. Of 33 child care centers in three counties, 29 submitted mini-grant requests and participated in a pre-post evaluation using Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC). NAP SACC assesses compliance for nutrition and physical activity recommendations and standards. Between October 2011 and April 2012, centers participated in workshops and goal setting specific to nutrition and physical activity.Results. At baseline, over 95% of the centers met all recommendations. However, post-intervention, Wilcoxon Signed Ranks Test (p < 0.05) indicated significant improvement across center types in five out of 37 nutrition and seven out of 17 physical activity standards following the intervention. Centers unaffiliated with schools made significant changes in ten nutrition standards, while those affiliated with schools improved in only two standards and decreased on one standard.Conclusion. Overall, rural child care centers in Western North Carolina were meeting standards, they were still able to strengthen policies and practices by following NAP SACC. This was especially true for centers unaffiliated with schools. Continued financial support may assist centers in sustaining increased physical activity in children. (C) 2014 The Authors. Published by Elsevier Inc.