258798 NAP SACC Intervention in Child Care Centers Improves Nutrition and Physical Activity

Wednesday, October 31, 2012 : 8:50 AM - 9:10 AM

Abbey Alkon, PhD , School of Nursing, UCSF, San Francisco, CA
Angela A. Crowley, PhD, APRN, PNP , School of Nursing, Yale University, New Haven, CT
Sara Neelon, PhD , Department of Community and Family Medicine, Duke University Medical Center, Durham, NC
Sherika Hill, MHA, PhD student , Department of Maternal and Child Health, UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC
Viet Nguyen, MD, MPH , Department of Maternal and Child Health, UNC-Chapel Hill, Chapel Hill, NC
Roberta Rose, RN , School of Nursing, University of California, San Francisco, San Francisco, CA
Pan Yi, MS , FPG Child Development Institute, UNC-Chapel Hill, Chapel Hill, NC
Eric Savage, MA , FPG Child Development Institute, UNC-Chapel Hill, Chapel Hill, NC
Jonathan B. Kotch, MD, MPH , Dept. of Maternal and Child Health, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC
Background. Since preschool-age children are becoming overweight at an alarming rate, interventions are needed in child care programs where the majority of these children spend time. Methods. A two-year randomized-control trial of the Nutrition And Physical Activity Self Assessment for Child Care (NAP SACC) was conducted in 18 child care centers with 581 three to five year old children in California, Connecticut, and North Carolina. Nurse child care health consultants conducted workshops for child care providers on healthy eating and physical activity for young children, personal health and wellness, and working with families, and provided at least monthly on-site visits, along with one parent workshop. Results. Hierarchical linear models were conducted comparing intervention versus control centers' outcomes controlling for state, teacher education, family income, and household crowding. There was a significant increase in knowledge of nutrition and physical activity after four of five provider workshops and one parent workshop. Intervention centers' nutrition and physical activity policies significantly improved in meeting National Health and Safety standards. Children's time spent in sedentary behaviors, based a objective observations, was lower for children in intervention centers. Diet Observations indicated a significant decrease in servings of whole and flavored milk, increase in 1% and fat-free milk, and increase in healthy snacks in the intervention centers. There was a decrease in the percent of obese children in intervention compared to control centers. Conclusions. Child care health consultants can provide nutrition and physical activity interventions in child care programs to help reduce the prevalence of childhood obesity.

Learning Areas:
Implementation of health education strategies, interventions and programs
Public health or related education
Public health or related nursing
Public health or related organizational policy, standards, or other guidelines
Public health or related research

Learning Objectives:
To identify positive changes in nutrition and physical activity in child care centers who participated in the NAP SACC intervention program.

Keywords: Child Care, Obesity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Had subcontract on this MCHB funded project. Dr. Jonathan Kotch (UNC Chapel Hill) was the PI on this 3-state study. I was California PI. My program of research has focused on understanding the interaction between children's experiences early in life and their individual psychobiology in explaining their physical and mental health. My studies are community-based, including children in child care programs and children of Mexican-American farmworkers. Since 2001, direct the California Childcare Health Program
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.