preventing childhood obesity: tools for childcare providers, legislators and regulators

1-800-598-KIDS (5437)http://nrckids.org

©2012 National Resource Center for Health andSafety in Child Care and Early EducationUniversity of Colorado College of Nursing

Preventing Childhood Obesity: Tools for Childcare Providers,

Legislators and RegulatorsAmerican Public Health Association (APHA)

October 29, 2012, San Francisco, CA

1

Marilyn J. Krajicek, EdD, RN, FAANDirector of the National Resource Center for Health and Safety

in Child Care and Early Education (NRC)



National Resource Center for Health and Safety in Child Care and Early Education (NRC)

NRC Mission:

To improve the quality of out-of-home child care and early education programs and support the health and safety of the children they serve.

2




The Consortium:• American Academy of Pediatrics (AAP)• American Public Health Association (APHA)• National Resource Center (NRC) for Health and Safety in

Child Care and Early Education (at University of Colorado)• National Training Institute (NTI) (at University of North

Carolina Chapel Hill)

Funded through the Maternal and Child Health Bureau Cooperative Agreement (MCHB)

3




The NRC supports the efforts of:• Child care providers• Early educators• Families/parents and guardians• Health professionals• Early childhood comprehensive systems• State child care regulatory agencies• State and local health departments • Policy makers

4



Caring for Our Children (CFOC) 3rd Ed.

National Health and Safety Performance Standards for Early Care and Education Programs; Guidelines for Early Care and Education

• 3rd edition Revision completed and

published in June 2011

• 4-year revision process

• 10 Technical Panels - 85 panel members - Content Experts from AAP, APHA, and subject specialists

5



Caring for Our Children (CFOC) 3rd Ed.

• Definitive source on best practice in health and safety in early care and education settings

• Evidence-based standards

• Expert consensus

• Model for health & safety practices

6



7

Obesity

• 1 in 3 low income children are obese or overweight by 5 years



Health Consequences8

•Seriously reduced quality of life•Increased risk of chronic disease:

•Diabetes•Hypertension and Cardiovascular disease•GE reflux disease•Obstructive sleep apnea, which can contribute to learning problems and behavior problems•Asthma

•Increased cost of health and medical care



CFOC Standards9

Preventing Childhood Obesity, 2nd Edition

•NUTRITION •variety of healthy foods•promote positive mealtime environment

•PHYSICAL ACTIVITY •daily indoor & outdoor activities

•SCREEN TIME•limited



How the Standards Address the Problem

10

• promote eating a variety of healthy foods • advocate breastfeeding of infants• emphasize and promote daily physical activity• limit access to screen time• partner with families to promote healthy eating

practices and lifestyles • encourage collaboration among families, caregivers,

and community health partners



Using the Standards11

•National and State Campaigns can use to build integrated nutrition and physical activity components in their systems.

•Caregivers/teachers can use to develop and implement practices and policies and use in staff training.

•Families can support and join with caregivers/teachers in the implementation of healthy practices. They can also reinforce at home.




• Regulators can use to develop and/or improve state regulations that support the prevention of obesity and promote healthy habits.

• Legislators can use to understand and support research-based child care regulations that address the prevention of obesity.

• Academic faculty can use standards as a resource to prepare students for entering the early childhood workplace




• Health care professionals including the Child Care Health Consultant can assist families and providers with sound evidence-based rationale for implementing and following healthy lifestyles.

What can a CCHC do?

1. Partner with a center to self-assess.2. Help the center identify a plan of action.3. Provide training on nutrition and physical activity for

children, staff and parents/guardians. 4. Develop and distribute materials or incentives. 5. Provide technical assistance.

The National Training Institute for Child Care Health Consultants 14



National ResourcesNAP SACC:The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) program • Research-tested intervention designed to enhance policies, practices, and environments in child care by improving the:

• nutritional quality of food served• amount and quality of physical activity• staff-child interactions• facility nutrition and physical activity policies and

practices and related environmental characteristics• Primarily addresses the inter-personal and organizational levels of the socioecologic model.

15

http://www.center-trt.org/index.cfm



http://healthykidshealthyfuture.org

16

Let’s Move! Child CareNational Resources



National Resources

Healthy Child Care Americawww.healthychildcare.org

Resources include:Caregiver NewsletterCFOC Standard of the Month

http://www.healthychildcare.org/ENewsCaregiver.html#listserv

17

http://www.healthychildcare.org/



Policy Changes & National Initiatives

Child and Adult Care Food Program (CACFP)

Existing Meal Patterns:Inconsistent with new Dietary Guidelines for Americans and MyPlate

Available at: http://www.fns.usda.gov/cnd/care/ProgramBasics/Meals/Meal_Patterns.htm

18

2011 Meal Pattern Recommendations:

• Consistent with new Dietary Guidelines for Americans and MyPlate

• Pending adoption/publication

http://www.usda.gov/



Policy Changes & National InitiativesCDC & HHS Grant: CPPWCommunities Putting Prevention to Work • Funding: Intense – Proven – Sustainable - Community

approaches to chronic disease prevention by:• Increasing physical activity• Improving nutrition• Decreasing overweight/obesity• Tobacco cessation

• Initiatives involve partnership of leaders from public health, schools, cities, counties, local businesses, and citizens.• 60 communities in 33 states and 3 tribes are involved in this grant currently, 49 addressing obesity

19

http://www.cdc.gov/CommunitiesPuttingPreventiontoWork/about/index.htm



NRC Resources

20National Resource Center for Health and Safety in Child Care and Early Education (NRC)



Achieving A State of Healthy Weight

NRC assessed child care regulations of all States and D.C. to determine language in conformity with standards in Preventing Childhood Obesity (PCO).

21



Collections of CFOC, 3rd Edition Standards

Preventing Childhood Obesity (PCO)

22



Licensing Toolkits:Action sheets especially for:• Licensors• Child care providers • LegislatorsCurrent Topics Cover:• Avoid or Limit Foods High

in Sugar• Use of Water and 100% Juice• Limiting Screen Time

Licensing Toolkits: Using CFOC Standards at Every Level



Tip Sheets

Tip Sheet for Serving of Water and 100% Juice

• Research & reasons• Dos & Don’ts• Practical ideas• Talking to

parents/guardians

24



Family Checklists

English &

Spanish

25



VideosMotion Moments

• Approx. 7 minutes/video.• Demonstrates ideas for

incorporating physical activity into child care programs for infants, toddlers, and preschoolers.

26

English &

Spanish



Screen Free Moments: Promoting

Healthy HabitsShows providers simple

ways to limit or even eliminate screen time

in their family child care home.

27

Video



28

• Contains ALL CFOC3 Standards & more!

• Searchable by Keyword, Chapter, Major Chapter Subdivisions, Chapter Subdivision, & Standard.

• User Friendly & Section 508 Compliant.

New CFOC3 Databasehttp://CFOC.NRCKids.org

http://cfoc.nrckids.org/



29

• Includes: CFOC3 Collections, FAQs

• Downloadable & Printable Content Includes:

• Standard Content• Inside Cover (PDF)• Introduction (PDF)• Acknowledgments (PDF)• Guiding Principles (PDF)

• Advice to the User• Major Changes• New and Significant

Changes (PDF)• Acronyms/Abbreviations• Glossary

New CFOC3 Databasehttp://CFOC.NRCKids.org

http://cfoc.nrckids.org/



National Resource Center for Health and Safety in Child Care and Early Education

Website- http://nrckids.orgTelephone - 1-800-598-5437

E-mail - [email protected]

13120 E. 19th Ave., F541Aurora, CO 80045

http://nrckids.org/

http://nrckids.org/

mailto:[email protected]

preventing childhood obesity: tools for childcare providers, legislators and regulators

Documents

early care

national health

health andsafety

home child care

health safety practices61

early education programs

early education nrcthe

early education nrcnrc