Temitope Erinosho1, Amber Vaughn2, Derek Hales3, Stephanie Mazzucca4, Ziya Gizlice2, Dianne Ward3. 1. Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC. Electronic address: erinosho@email.unc.edu. 2. Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC. 3. Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC. 4. Prevention Research Center, Washington University in St. Louis, St. Louis, MO.
Abstract
OBJECTIVE: Describe foods and beverages offered, nutrition practices, and nutrition policies of family child care homes in Mississippi and differences by participation in the Child and Adult Care Food Program (CACFP). DESIGN: Cross-sectional study conducted between fall, 2015 and spring, 2016. SETTING: Mississippi. PARTICIPANTS: Random, stratified sample of 134 family child care homes that enroll 3- to 5-year-olds. Providers completed a modified version of the Environment and Policy Assessment and Observation-self-report tool. VARIABLES MEASURED: Foods and beverages offered at lunch, provider practices regarding nutrition, and presence or absence of written nutrition policies. ANALYSIS: Descriptive statistics, likelihood ratio chi-square, and t tests. RESULTS: Most homes (>75%) provided components from the fruit, vegetable, grain/bread, meat/meat alternative, and milk food groups at lunch. At some homes, the food and beverage selections offered were high in fat, sugar, and refined grains. Providers at CACFP-participating homes (P < .05) reported healthier beverage selections, more healthful nutrition practices, and more written nutrition policies compared with providers at non-CACFP homes. CONCLUSION AND IMPLICATIONS: Interventions and regulatory standards are needed, particularly in non-CACFP homes, to ensure that food and beverage offerings, provider practices, and policies regarding nutrition support the development of healthful dietary behaviors in early childhood.
OBJECTIVE: Describe foods and beverages offered, nutrition practices, and nutrition policies of family child care homes in Mississippi and differences by participation in the Child and Adult Care Food Program (CACFP). DESIGN: Cross-sectional study conducted between fall, 2015 and spring, 2016. SETTING: Mississippi. PARTICIPANTS: Random, stratified sample of 134 family child care homes that enroll 3- to 5-year-olds. Providers completed a modified version of the Environment and Policy Assessment and Observation-self-report tool. VARIABLES MEASURED: Foods and beverages offered at lunch, provider practices regarding nutrition, and presence or absence of written nutrition policies. ANALYSIS: Descriptive statistics, likelihood ratio chi-square, and t tests. RESULTS: Most homes (>75%) provided components from the fruit, vegetable, grain/bread, meat/meat alternative, and milk food groups at lunch. At some homes, the food and beverage selections offered were high in fat, sugar, and refined grains. Providers at CACFP-participating homes (P < .05) reported healthier beverage selections, more healthful nutrition practices, and more written nutrition policies compared with providers at non-CACFP homes. CONCLUSION AND IMPLICATIONS: Interventions and regulatory standards are needed, particularly in non-CACFP homes, to ensure that food and beverage offerings, provider practices, and policies regarding nutrition support the development of healthful dietary behaviors in early childhood.
Authors: Lucine Francis; Nancy Perrin; Frank C Curriero; Maureen M Black; Jerilyn K Allen Journal: Int J Environ Res Public Health Date: 2022-05-24 Impact factor: 4.614
Authors: Susan B Sisson; Kaysha Sleet; Rachel Rickman; Charlotte Love; Alexandria Bledsoe; Mary Williams; Valarie Blue Bird Jernigan Journal: Curr Dev Nutr Date: 2019-08-29
Authors: Daniel A Zaltz; Amelie A Hecht; Russell R Pate; Brian Neelon; Jennifer R O'Neill; Sara E Benjamin-Neelon Journal: BMC Public Health Date: 2020-06-05 Impact factor: 3.295
Authors: Bethany D Williams; Susan B Sisson; Dipti A Dev; Bryce Lowery; Diane Horm; Janis Campbell; Denise Finneran; Jennifer Graef-Downard; Linda Whaley Journal: Int J Environ Res Public Health Date: 2021-06-17 Impact factor: 3.390
Authors: Esther Cuadrado-Soto; Patricia Markham Risica; Kim M Gans; Carly Ellis; Carolina D Araujo; Ingrid E Lofgren; Kristen Cooksey Stowers; Alison Tovar Journal: Nutrients Date: 2019-09-06 Impact factor: 5.717