Nutrition and physical activity policies and practices in family child care homes

Trost, S.G., Messner, L., Fitzgerald, K., & Roths, B. (2009) Nutrition and physical activity policies and practices in family child care homes. American Journal of Preventive Medicine, 37(6), pp. 537-540.

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Family child care homes (FCCHs) are the second-largest provider of nonrelative care in the U.S. However, despite providing care for nearly 1.9 million children aged <5 years, little is known about the nutrition and physical activity practices of FCCHs.


To address this gap, this study aims to describe policies and practices related to nutrition and physical activity in a representative sample of FCCHs.


A stratified random sample of registered FCCHs operating in Kansas (N=297) completed the Nutrition and Physical Activity Self Assessment for Child Care (NAPSACC) instrument. Prevalence estimates and 95% CIs for meeting or exceeding accepted child care standards were calculated using SAS PROC SURVEYFREQ.


Most providers either met or exceeded child care standards related to serving fruit and vegetables and provision of daily physical activity. Very few providers reported serving fried meats or vegetables or unhealthy snack foods on a regular basis. Areas of concern included infrequent servings of low-fat milk, frequent use of unhealthy foods for celebrations, widespread use of TV and video games throughout the day, restricting physical activity for children who misbehave, and lack of appropriate indoor spaces for physical activity. Only a small percentage of providers reported receiving regular training in nutrition or physical activity. Relatively few providers had written guidelines on nutrition or physical activity.


Some strengths were exhibited by FCCHs, but substantial weaknesses were shown with respect to meeting established child care standards for nutrition and physical activity. Interventions to promote healthy eating and regular physical activity in FCCHs are thus warranted.

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ID Code: 71796
Item Type: Journal Article
Refereed: Yes
Additional Information: ISI Document Delivery No.: 532SJ
Times Cited: 8
Cited Reference Count: 9
Trost, Stewart G. Messner, Lana Fitzgerald, Karen Roths, Barbara
United Methodist Health Ministry Fund, Hutchinson KS
This project was supported by a grant from the United Methodist Health Ministry Fund, Hutchinson KS. The authors thank the staff of Kansas Association of Child Care Resource and Referral Agencies and providers who participated in the study.
Elsevier science inc--
New york--
<Go to ISI>://WOS:000272769700011
DOI: 10.1016/j.amepre.2009.09.020
ISSN: 0749-3797
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Deposited On: 20 May 2014 01:08
Last Modified: 30 May 2014 06:19

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