Obesity Prevention in the Early Care and Education Setting: Successful Initiatives across a Spectrum of Opportunities

Obesity Prevention in the Early Care and Education Setting: Successful Initiatives across a Spectrum of Opportunities
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DOI:
10.1111/jlme.12104
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发表时间:
2013-12-01
影响因子:
2.1
通讯作者:
Chang, Debbie
Chang, Debbie
中科院分区:
医学4区
文献类型:
--
作者:
Reynolds, Meredith A.;Cotwright, Caree Jackson;Chang, Debbie

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据估计,2-5岁儿童中有12.1%已经肥胖,预防工作必须针对我们最年幼的儿童。早期护理和教育环境是开展此类工作接触幼儿的最佳场所之一。超过1100万的美国儿童平均每周在幼儿教育设施中度过30个小时。在国家,州和社区一级对早期肥胖预防工作的ECE设置的关注增加,引发了一系列创新的努力。为了协助这些努力,疾病预防控制中心制定了一个技术援助和培训框架-欧洲经委会背景下预防肥胖的各种机会-该框架也是欧洲经委会国家权重轨道的组织框架。与会者强调了他们在国家、州和地方各级为寻求频谱上的机会所做的努力,他们努力的重点是标准和最佳做法,以及制定、实施和评估举措的共同步骤。据报告,广泛的利益攸关方之间的强有力领导和协作;对需求、机会和资源的系统评估;供资来源;培训和专业发展,是成功实施标准和最佳做法以及可持续性的必要条件。
With an estimated 12.1% of children aged 2-5 years already obese, prevention efforts must target our youngest children. One of the best places to reach young children for such efforts is the early care and education setting (ECE). More than 11 million U.S. children spend an average of 30 hours per week in ECE facilities. Increased attention at the national, state, and community level on the ECE setting for early obesity prevention efforts has sparked a range of innovative efforts. To assist these efforts, CDC developed a technical assistance and training framework - the Spectrum of Opportunities for Obesity Prevention in the ECE setting - which also served as the organizing framework for the Weight of the Nation ECE track. Participants highlighted their efforts at national, state, and local levels pursuing opportunities on the Spectrum, the standards and best practices that had been the emphasis of their efforts, and common steps for developing, implementing, and evaluating initiatives. Strong leadership and collaboration among a broad group of stakeholders; systematic assessment of needs, opportunities and resources; funding sources; and training and professional development were reported to be integral for successful implementation of standards and best practices, and sustainability.