Driving Action and Progress on Obesity Prevention and Treatment Proceedings of a Workshop (2017) / Chapter Skim
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3 Early Care and Education
3 Early Care and Education
Pages 19-28
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From page 19... ...
• Child care centers face barriers to improving the quality of the nutrition and physical activity services they provide, includ ing a lack of resources needed to implement positive changes. (Anna Mercer-McLean)
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OPPORTUNITIES IN EARLY CARE AND EDUCATION At the beginning of the 21st century, very little work was being done on obesity prevention in child care settings, Chang noted, but a series of developments over the past decade and a half have established early care and education as a key locus for childhood obesity prevention efforts. She suggested that the identification of best practices directed attention to what works and allowed those practices to be expanded, while policy changes at the state level, such as child care licensing changes, fostered healthy eating and active play.
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From page 21... ...
The Partnership for a Healthier America, for example, has garnered commitments from five national private child care companies to encourage healthier eating and physical activity within their centers (Partnership for a Healthier America, 2015)
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Equity Policy • Ensure that policies do not adversely impact the ability to provide quality care, especially in at-risk communities and among vulnerable populations. • Ensure that guidelines for federal programs -- such as the Child and Adult Care Food Program -- are flexible enough to allow for culturally appropri ate foods that still meet basic minimum nutrition standards.
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From page 23... ...
Research • Identify the most pressing needs for and barriers to meeting healthy eating and physical activity guidelines in underserved, minority, rural, or economically suppressed communities. Family Engagement Policy • Embed measures of family engagement into state QRIS.
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The group has created toolkits to help child care providers incorporate physical activity and healthy eating into their centers.
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To assist centers in adopting this new practice, the Wisconsin Early Childhood Obesity Prevention Initiative created a menu of family engagement activities from which centers could choose that would count toward the quality standards, Wolfe explained. In designing this menu, the initiative combined health and wellness activities with family engagement activities, such as by supporting a breastfeeding-friendly environment, which gives child care providers credit for both health and wellness and family engagement.
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From page 26... ...
Child care providers can also see increased regulation as burdensome, Wolfe pointed out, which has caused some to drop out of such programs as the Child and Adult Care Food Program, which recently updated its meal standards. "We want every child care provider to participate," he said.
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From page 27... ...
The Community School participated in Shape NC,3 a program sponsored by Blue Cross and Blue Shield of North Carolina that helps child care centers and their communities develop policies and build environments that support healthy children. The center's involvement in Shape NC has encouraged it to implement several changes, Mercer-McLean reported.
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