Childhood Obesity Prevention in Childcare Settings: the Potential of Policy and Environmental Change Interventions
Childhood Obesity Prevention in Childcare Settings: the Potential of Policy and Environmental Change Interventions
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DOI：
10.1007/s13679-015-0154-y
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发表时间：
2015-06-01
影响因子：
8.8
通讯作者：
Breck, Andrew
中科院分区：
文献类型：
--
作者：
Lessard, Laura;Breck, Andrew
目前幼儿肥胖率是一个严重的公共卫生问题；在托儿环境中制定和实施肥胖预防干预措施是解决这一问题的一个有希望的途径。近年来，针对这一背景的环境和政策变化干预日益受到关注。在这一背景下，改善户外游戏空间的获取和质量以及实施儿童营养和体力活动自我评估(NAP SACC)是两个很有希望的环境变化战略。地方、州和联邦各级的法律也已经实施；纽约市和特拉华州是通过政策并提供初步证据表明政策干预可能改变儿童结果的两个司法管辖区。在最大限度地发挥托儿环境的潜力以促进儿童健康体重方面，方案、环境和政策变化战略的组合可能是最有效的。
Current obesity rates in young children are a serious public health concern; developing and implementing obesity prevention interventions in childcare settings is a promising avenue to address this issue. In recent years, there has been increasing focus on environmental and policy change interventions for this setting. Improving access to and quality of outdoor play spaces and implementing the Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) are two promising environmental change strategies in this setting. Laws at the local, state, and federal level have also been implemented; New York City and Delaware are two jurisdictions that have passed policies and provided preliminary evidence of the potential of policy interventions to change child outcomes. A combination of programmatic, environmental, and policy change strategies will likely be most effective in maximizing the potential of childcare settings to promote healthy weight in children.