Early Childhood Obesity Prevention: Challenges and Barriers of Implementing Child and Adult Care Food.

Publisher: University of Wisconsin School of Medicine and Public Health Country of Publication: United States NLM ID: 9716054 Publication Model: Print Cited Medium: Internet ISSN: 2379-3961 (Electronic) Linking ISSN: 10981861 NLM ISO Abbreviation: WMJ Subsets: MEDLINE

Publication: 2019- : Madison, WI : Milwaukee, WI : University of Wisconsin School of Medicine and Public Health ; Medical College of Wisconsin
Original Publication: Madison, WI : State Medical Society of Wisconsin, c1997-

Diet, Healthy* ; Exercise*; Child Day Care Centers/*organization & administration ; Food Assistance/*economics ; Health Promotion/*methods ; Pediatric Obesity/*prevention & control; Child Day Care Centers/economics ; Child, Preschool ; Female ; Focus Groups ; Humans ; Male ; Nutrition Policy ; Nutritional Requirements ; Wisconsin

Introduction: The Child and Adult Care Food Program requirements promote healthy eating behaviors and increased physical activity in the daycare setting to help prevent childhood obesity. Some of these standards can be difficult to meet for early childhood education centers. This study examines the challenges and barriers daycare centers face when implementing these guidelines.
Methods: Focus groups consisting of participants from early childhood education centers within our community were conducted in April and May of 2018.
Results: Three focus groups were conducted, with a total of 7 childcare center directors. Eight themes that affect nutrition and physical activity curriculums at early childhood education centers arose: teacher philosophy and involvement, training/expertise of staff, parental involvement, financial constraints, children's interests, food availability, physical environment, and regulations/guidelines. Overall, participants expressed their sense that child care facilities are undervalued. They agreed that healthy, fresh food choices are expensive, difficult to obtain due to the volume needed, and require additional training to prepare. Emphasis on gross motor development has a varied level of support from families and teachers. Challenges and barriers to providing adequate gross motor activities include limited financial support, lack of physical space, lack of teacher willingness to engage in outdoor activity, and parental resistance.
Conclusions: Financial constraints and the "undervaluing" of childcare contribute greatly to many of the challenges and barriers early childhood education centers face in meeting nutrition and physical activity standards. Findings from this study shed light on the significant role early childcare centers play in nurturing child development and the efforts these centers undertake in the interest of children.
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Date Created: 20200714 Date Completed: 20210712 Latest Revision: 20210712

20221213

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