Behavioral, Policy, and Environmental Approaches to Obesity Prevention in Preschool-Aged Children
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| Language: | English |
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The Ohio State University / OhioLINK
2014
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| Online Access: | http://rave.ohiolink.edu/etdc/view?acc_num=osu1395108013 |
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ndltd-OhioLink-oai-etd.ohiolink.edu-osu1395108013 |
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oai_dc |
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NDLTD |
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English |
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NDLTD |
| topic |
Public Health obesity prevention preschool-aged children Head Start child care settings nutrition and physical activity behaviors policy social-ecological framework Child and Adult Care Food Program |
| spellingShingle |
Public Health obesity prevention preschool-aged children Head Start child care settings nutrition and physical activity behaviors policy social-ecological framework Child and Adult Care Food Program Liu, Sherry T. Behavioral, Policy, and Environmental Approaches to Obesity Prevention in Preschool-Aged Children |
| author |
Liu, Sherry T. |
| author_facet |
Liu, Sherry T. |
| author_sort |
Liu, Sherry T. |
| title |
Behavioral, Policy, and Environmental Approaches to Obesity Prevention in Preschool-Aged Children |
| title_short |
Behavioral, Policy, and Environmental Approaches to Obesity Prevention in Preschool-Aged Children |
| title_full |
Behavioral, Policy, and Environmental Approaches to Obesity Prevention in Preschool-Aged Children |
| title_fullStr |
Behavioral, Policy, and Environmental Approaches to Obesity Prevention in Preschool-Aged Children |
| title_full_unstemmed |
Behavioral, Policy, and Environmental Approaches to Obesity Prevention in Preschool-Aged Children |
| title_sort |
behavioral, policy, and environmental approaches to obesity prevention in preschool-aged children |
| publisher |
The Ohio State University / OhioLINK |
| publishDate |
2014 |
| url |
http://rave.ohiolink.edu/etdc/view?acc_num=osu1395108013 |
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AT liusherryt behavioralpolicyandenvironmentalapproachestoobesitypreventioninpreschoolagedchildren |
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1719435911831224320 |
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ndltd-OhioLink-oai-etd.ohiolink.edu-osu13951080132021-08-03T06:22:50Z Behavioral, Policy, and Environmental Approaches to Obesity Prevention in Preschool-Aged Children Liu, Sherry T. Public Health obesity prevention preschool-aged children Head Start child care settings nutrition and physical activity behaviors policy social-ecological framework Child and Adult Care Food Program Childhood obesity is a major public health problem in the U.S., even among preschool-aged children. Although reports indicate that the prevalence of childhood obesity has plateaued or even declined in some subgroups, overall prevalence remains high and disparities persist. Child care settings, which have multiple opportunities to support healthy eating and active play, may protect against obesity.We present a series of studies that assess behavioral, policy, and environmental approaches to obesity prevention in preschool-aged children using an ecological framework. Data from the Head Start Family and Child Experiences Survey (FACES) 2006, a national longitudinal study designed to examine characteristics and experiences of children in Head Start, and the Healthy Eating and Physical Activity (HEPA) Child Care Survey, a descriptive cross-sectional survey of nutrition and physical activity practices and policies in child care settings in Columbus, Ohio, were used.Our analyses revealed that Head Start children who had visited a playground, park or gone on a picnic with a family member in the past month had smaller increases in body mass index (BMI) z-score. In contrast to other studies, we found that watching videos/DVDs on a typical weekday was associated with smaller increases in BMI z-score. Intake of sugar-sweetened beverages, fast food consumption, nighttime sleep, television-viewing, playing video or computer games, computer use, overall screen time, having a television in the bedroom, amount of indoor or outdoor play, family meals, parental participation in active play, access to play spaces, and perceived safety were not associated with change in BMI z-score, overweight, or obesity in Head Start children. Less than half (42.9%) of Head Start classrooms had limited 100% fruit juice consumption (3 times per week or less), 55.6% had high daily outdoor playtime (more than 30 minutes), and 42.4% had low weekly screen time (more than 3 hours). Limited 100% fruit juice consumption and low screen time in classrooms were not associated with a lower prevalence of obesity or change in BMI z-score. High classroom outdoor playtime was associated with a 50% reduced odds of obesity but only in children with 2 hours or less of daily outdoor playtime at home. Participation in the Child and Adult Care Food Program (CACFP), a federal nutrition assistance program, was associated with menus consistent with best-practice guidelines and supportive written nutrition policies. CACFP sites were more likely to have a policy that providers cannot give food or drinks as a reward or incentive and that nutrition topics are to be covered in the classroom. CACFP participation was negatively associated with meeting daily physical activity recommendations and supportive physical activity practices. Collectively, these studies suggest that certain behavioral, policy, and environmental factors may protect against weight gain in young children. Activities such as parents bringing their child to a playground or park and high classroom outdoor playtime may prevent weight gain or reduce risk of obesity in preschool-aged children. There is still room for improvement across nutrition and physical activity practices and policies in child care settings. CACFP participation may help promote child care environments that support healthy nutrition behaviors and practices. 2014-09-18 English text The Ohio State University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=osu1395108013 http://rave.ohiolink.edu/etdc/view?acc_num=osu1395108013 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |