Nutrition policies and practices of New York City daycare centers

Assessment of nutrition policies and practices of daycare centers is essential for the development of early-age obesity prevention programs. In this cross-sectional study, we administered questionnaires to directors of 30 daycare centers in underserved communities in the South Bronx, East/Central Harlem, and Central Brooklyn, and 10 daycare centers in Manhattan. We also observed dietary intakes of 6 children ages 3-4 years in a classroom at each center (n = 240 children). Most centers received federal funds to provide meals. The cook and director planned the menu at 70% to 85% of the centers. All centers had written menus, and all except one center displayed their menu. Over 70% of centers offered low-fat milk, 100% fruit juice, and whole wheat bread to children. Almost all centers offered a mix of fresh and canned fruits. The majority of centers also offered a mix of fresh, frozen, and canned vegetables. None offered soda to children. Water was not offered at meals or snacks at many centers. Less than 50% of children consumed at least half of the recommended amounts of milk, fruit, vegetable, grain, and meat/beans, respectively. Only 2% of children consumed at least half of the recommendation for all 5 food groups. Directors stressed the need for nutrition education of both staff and parents to improve dietary intakes of young children while at daycare centers and also at home.