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

自20世纪70年代以来，2至5岁儿童的肥胖率大约增加了两倍。数以百万计 该年龄段的美国儿童每周花大量时间在儿童保育上，与以下因素有关 肥胖在这些环境中并不是最理想的。因此，重要的是要了解 托儿环境会影响可能与肥胖相关的因素。在南卡罗来纳州(SC)，一个州 在所有人口群体中的肥胖率，社会服务部计划实施新的 管理家庭托儿所的健康饮食和体力活动监管标准 该州的ABC儿童保育计划。该方案包括368个家庭托儿所，为大约 3 000名来自低收入家庭的儿童；65%的儿童来自少数族裔、种族或族裔背景。这个 标准的目标是提供给儿童的膳食和零食以及提供给儿童的体力活动的数量和水平 托儿所里的孩子。新的监管标准将于短期内向家庭托儿所公布。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， 旨在改善他们的饮食质量，增加儿童的体力活动水平，同时 他们在看护中。将收集来自120个家庭托儿所的360名儿童的数据 南卡罗来纳州在标准生效前和之后的两个时间点。ABC儿童保育计划将 很快就会宣布新标准，它们将在2017年10月成为强制性的。推出新的 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-显著提高国家对体力活动和食品质量的监管标准* 家庭托儿所儿童的体力活动水平和饮食。由此产生的结果 研究将为国家政策变化及其对健康饮食和身体的影响提供新的信息 家庭托儿所儿童的活动水平。以政策为基础的肥胖预防努力具有潜力 影响和改善南方家庭托儿所的大量儿童的健康 卡罗莱纳州和全国各地。

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.