“Promoting Nutrition and Physical Activity in Family Child Care.”

– 促进家庭儿童保育中的营养和身体活动。 –

• 批准号: 9429258
• 负责人: Sara Elizabeth Benjamin-Neelon
• 金额: $ 64.14万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-08-01 至 2021-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9429258
• 关键词: 5 year old; Accelerometer; Adoption; Affect; Age; American; Body mass index; Caring; Child; Child Care; Child health care; Collaborations; Country; Data; Diet; Dietary intake; Environment; Family; Fatty acid glycerol esters; Fiber; Health; Healthy Eating; Height; Home environment; Hour; Intervention; Link; Measures; Milk; Minority Groups; Nursery Schools; Obesity; Parents; Physical activity; Policies; Population Group; Prevalence; Provider; Race; Research; Research Personnel; Resources; Sampling; Schools; Social Work; South Carolina; Time; Training; Weight; Work; age group; base; design; ethnic minority population; food quality; fruits and vegetables; improved; informal care; lower income families; minority children; nutrition; obesity in children; obesity prevention; patient home care; prevent; programs; prospective; racial minority; sedentary lifestyle; sex; socioeconomics

Since the 1970s, the prevalence of obesity in children ages 2 to 5 has approximately tripled. Millions of American children in that age group spend substantial time each week in child care, and factors related to obesity are not optimal in those settings. Therefore, it is important to understand how policies and practices in child care settings influence factors that may be related to obesity. In South Carolina (SC), a state with high rates of obesity among all population groups, the Department of Social Services plans to implement new healthy eating and physical activity regulatory standards that govern family child care homes that participate in the state's ABC Child Care program. The program includes 368 family child care homes serving approximately 3,000 children from low-income families; 65% of children are from minority racial or ethnic backgrounds. The standards target meals and snacks served to children and the amount and level of physical activity provided to children in care. The new regulatory standards will be announced to family child care homes shortly. This proposed study will evaluate the implementation and effects of South Carolina's new regulatory standards, which are designed to improve the quality of their diets and increase children's physical activity levels while they are in care. Data will be collected on a sample of 360 children attending 120 family child care homes in South Carolina before and at two time points after the standards take effect. The ABC Child Care program will announce the new standards shortly, and they will become mandatory in October of 2017. The launch of new standards in South Carolina provides a narrow time window and a unique opportunity to study the effects of a key policy change—markedly enhanced state regulatory standards for physical activity and quality of food* served—on physical activity levels and diet of children attending family child care homes. Results from this study will provide new information on state policy change and its influence on healthy eating and physical activity levels of children in family child care homes. Policy-based obesity prevention efforts have the potential to impact and improve the health of large numbers of children attending family-based child care in South Carolina and across the country.

自 20 世纪 70 年代以来，2 至 5 岁儿童的肥胖患病率大约增加了两倍。数百万 该年龄段的美国儿童每周花费大量时间在托儿服务上，以及与以下因素相关的因素： 肥胖在这些环境中并不是最佳的。因此，了解政策和实践如何 儿童保育环境会影响可能与肥胖相关的因素。南卡罗来纳州 (SC) 是一个人口密度较高的州 根据所有人口群体的肥胖率，社会服务部计划实施新的 管理参与的家庭托儿所的健康饮食和身体活动监管标准 该州的 ABC 儿童保育计划。该计划包括 368 个家庭托儿所，服务大约 3000名低收入家庭儿童； 65% 的儿童来自少数种族或民族背景。这 标准针对的是为儿童提供的膳食和零食以及为儿童提供的体力活动的数量和水平。 受照顾的儿童。新的监管标准将于近期向家庭托儿所公布。这 拟议的研究将评估南卡罗来纳州新监管标准的实施和效果， 旨在改善儿童的饮食质量并增加儿童的身体活动水平，同时 他们受到照顾。将对 120 个家庭托儿所的 360 名儿童进行样本收集数据。 南卡罗来纳州在标准生效之前和之后的两个时间点。 ABC 儿童保育计划将 不久将宣布新标准，并将于 2017 年 10 月成为强制性标准。新标准的推出 南卡罗来纳州的标准提供了一个狭窄的时间窗口和一个独特的机会来研究 关键政策变化——显着提高国家对身体活动和食品质量的监管标准* 服务——针对参加家庭托儿所的儿童的身体活动水平和饮食。结果由此 研究将提供有关国家政策变化及其对健康饮食和身体的影响的新信息 家庭托儿所中儿童的活动水平。基于政策的肥胖预防工作具有潜力 影响和改善南方大量参加家庭托儿服务的儿童的健康 卡罗来纳州和全国各地。