Transcript Obesity Prevention in Child Care

Obesity Prevention in Child Care
A Partnership Approach
Sandra Rhoades, MPH, RD
Director, CACFP Obesity Prevention Unit
NYS Dept. of Health
Diane Craft, PhD
Professor, Physical Activity Department
State University of New York at Cortland
Objectives
Obesity
Prevention
in Child
Care
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Describe Early Childhood Obesity
Prevention workgroup
Present the proposed standards
 Nutrition
 Screen
time
 Breastfeeding
 Physical activity
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Discuss challenges and next steps
Background
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NYS Dept. of Health
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Division of Nutrition
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Division of Disease Prevention
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Bureau of CACFP
Bureau of Chronic Disease Prevention
CDC Division of Nutrition, Physical Activity, and Obesity
Develop an Action Guide
 Provide guidance to States
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To implement model policies and environmental strategies
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Nutrition
Physical activity
Screen time reduction
Statistics
Child Care Data (2010)
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4,000 child care centers
14,000 family day care
homes
650,000 child care
spaces
14,000 participate in
CACFP

350,000 children served
Obesity Data (2010)
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31.5% of 2-4 year
olds
32% of Upstate public
school students
40% of NYC public
school students
Obesity Prevention in Child Care
Partnership – Steering Committee

Dept. of Health

 CACFP
 Obesity
Prevention
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Program
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Office of Children and
Family Services
care licensing
and subsidy
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 Child
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NYS Head Start
Collaboration
Physical Activity
Specialist
NYS Early Care
Advisory Council
members
Early Care and
Learning Council
Partnership Focus
Quality
Rating
System
Regulations
and
Policies
Education
and
Training
Obesity
Prevention
Common Standards
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Increase physical activity
Reduction in screen time
Decrease in sedentary behavior
Supporting breastfeeding mothers
Expansion of required training to include topics
related to obesity prevention, including CACFP’s
Healthy Meal Pattern
Support for CACFP Healthy Meal Pattern
Nutrition and Screen Time
CACFP Obesity Prevention
 Healthy
Child Meal Pattern
 1%
or Less for children over 2 years
 No flavored milk for children under 5 years
 Juice served no more than once per day (breakfast or snack)
 Water served at snack if no other beverage
 Sweet grains limited to twice per week (breakfast or snack)
 EWPH
Child Care Settings
 Child
care centers
 Day care homes
 Breastfeeding
Friendly Centers and Homes
NYS Day Care Licensing - Nutrition

Existing Standards
Adequate food must be available in appropriate portions
for size and age of children
 Center programs must have 4 weeks of menus reviewed by
nutrition professional (or CACFP)
 Medical, religious and personal food preferences must be
accommodated
 Children must be helped to feed themselves
 Safe drinking water must be available at all times
 Every effort must be made to accommodate a breastfed
child

NYS Day Care Licensing - Nutrition
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Proposed Program Standards
 No

new nutrition or breastfeeding standards
Proposed Required Training Topics
 Healthy
menu planning
 Obesity prevention
 Benefits of and how to encourage breastfeeding for
mothers returning to work
NYS Day Care Licensing – Screen Time

Proposed Program Standards
 Screen
Time
 Center:
Infants (under 18 mo) must not be exposed to any
screen time
 Family: TV must be off when not in use for program activities
 Must
be part of planned, developmentally appropriate
program for educational, social, physical or other
learning objective
 Screen time during meals is prohibited
 Screen time should not be used solely to occupy time
Quality Stars NY – Nutrition Standards
Before Partnership
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Points awarded if:
Program compares
revenues and expenses
to budget, OR
 Fiscal records and
budget are reviewed to
ensure no deficit OR
 If eligible, program
participates in CACFP
With Partnership
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Meals and snacks served or
consumed meet the CACFP
meal pattern for ages in
care
Program implements an
obesity prevention program
Staff attends training on
obesity prevention
Program supports
breastfeeding
Quality Stars - Screen Time Standards
Before Partnership

Only to the extent that
credentialing
programs address it
With Partnership
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Program must have a
policy:
 Regarding
use of
TV/Video
 Birth-2 years: None
 2-5 years:30 min/wk
 Educational only
 Commercial-free
NYS Early Care and Education
Core Body of Knowledge Framework

Proposed changes:
 Considers
developmental appropriateness of screen
time
 Provides meals that align with NY CACFP meal patterns
 Limits fruit juice to 4 oz. per day
 Encourages exclusive breastfeeding until 6 months and
accommodates breastfeeding mothers
Beyond the Partnership

NYS Governor’s Race to the Top Early Care and
Learning
 Recognized
CACFP’s impact on early child care and
education
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NYS Department of Health Commissioner
 Agency-wide
Childhood Obesity Council
 Advocating for CACFP as the nutrition standard in
licensing
Physical Activity
NYS Day Care Licensing –
Physical Activity
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Proposed Program Standards
 Daily
schedule must include “tummy time”
 Offer indoor activities, out door activities and variety
of large muscle activities throughout the day
 There must be physical activity every day
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Proposed Required Training Topics
 Promoting
play and physical activtiy
Quality Stars – Center & Home-based
Physical Activity Standards
Infants/Toddlers to 18 month
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Daily opportunities to
move freely under
adult supervision to
Explore indoor and
outdoor environment
Including tummy time
when awake
Children over 18 month
 15
min. PA/hr in care
 Developmentally
appropriate PA
 Include structured and
unstructured PA
 Moderate to vigorous
PA
 Both indoors and
outdoors
NYS Early Care and Education
Core Body of Knowledge Framework
Existing Policies
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Children must effectively
develop small muscle skills
and large muscle coordination
through play
Provide opportunities for
gross motor and outdoor play
for the development of large
motor skills
Recognize and respect
importance of play in
children’s development and
growth
Proposed Policies

Provides children with
at least 120 min. of
gross motor activity
(for children attending
a full day program)
each day through both
structured and
unstructured play
Consider changing term to

Recommend
development of
‘fundamental
movement
skills’
instead of ‘gross
motor activity’
Fundamental Movement Skills
Locomotor
Object
Control
Stability
This is NOT Rocket Science
Let’s try a few fun ways to practice
Fundamental
Movement
Skills
Partnership Challenges/Lessons
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There are no quantitative measures in regulations
Monitoring meals of non-participating programs
Monitoring amount of physical activity
Access to physical activity training
Breastfeeding Friendly recognition for nonparticipating programs
Support from Early Childhood Advisory Council
Influential people are important for policy changes
Next Steps
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Supporting implementation of regulatory changes
and Quality Stars Rating System
Increasing CACFP participation
Revisiting EWPHCCS and DCH models
Increasing Breastfeeding Friendly Child Care
programs
Creating a physical activity training plan
Reviewing progress towards standards
Thank You!