259588 Effect of intervention on the nutrition and physical activity practices in child care centers in an ethnically diverse urban area of Los Angeles County (LAC). Preliminary findings

Wednesday, October 31, 2012 : 8:30 AM - 8:50 AM

Eleanor Long, MSPH , Maternal, Child, and Adolescent Health Programs, Los Angeles County Department of Public Health, Los Angeles, CA
Janet Scully, MPH , Maternal, Child, and Adolescent Health Programs, Los Angeles County Department of Public Health, Los Angeles, CA
Magda Shaheen, MD, PhD, MPH , Ophthalmology, Charles R Drew University of Medicine & Science, Los Angeles, CA
Nicola Edwards, MS, RD , California Food Policy Advocates, Los Angeles, CA
Robert Gilchick, MD, MPH , Maternal, Child, and Adolescent Health Programs, Los Angeles County Department of Public Health, Los Angeles, CA
Background: In Los Angeles County (LAC) 40% of children ages 0-5 spend most of their day in child care. The highest rate of childhood obesity is in the south central area of Los Angeles. Objective: To assess the effect of intervention on the nutrition and physical activity policies and practices in child care centers (CCC) in south central Los Angeles. Methods: We assessed the nutrition and physical activity environment using the Environment and Policy Assessment and Observation (EPAO) instrument. Data was collected by trained research staff. CCCs were randomized to three study groups: no intervention limited (material distribution) and complete intervention (material as well as an in-person education session). Nutrition and physical activity practices were measured pre and 6- month post intervention. Results: In 57 CCC, a mean of 14 children (Range: 5-75) were present during the observation day. The children were 2-6 years old. There were no significant differences between the study groups in the nutritional and physical activity scores measured at baseline (p>0.05). Significant differences between the three groups were found in the total nutrition score post-intervention (p=0.005) and remained significant in the multivariate analysis after adjusting for the baseline nutrition score (p=0.005). No significant differences between study groups were found in physical activity scores after intervention (p=0.07) and after adjusting for the baseline physical activity score in the multivariate model (p=0.13). Conclusion: The findings indicate that the intervention had a positive impact on the nutrition practices in the child care centers but not on physical activity practices.

Learning Areas:
Assessment of individual and community needs for health education
Public health or related education
Public health or related public policy
Public health or related research

Learning Objectives:
Describe the types of interventions applicable to be used in child care centers with special emphasis on the one been used in the study Describe the Environment and policy assessment and observation (EPAO) instrument and its major components. Describe the nutrition and physical activity practices in the child care centers in an ethnically diverse urban area in Los Angeles County before and after the implementation of the nutrition and physical activity intervention. Describe the impact of the nutrition and physical activity intervention on the nutrition and physical activity practices in child care centers in an ethnically diverse urban area in Los Angeles.

Keywords: Child Care, Nutrition

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I worked in designing the study, supervision of data collection, data management and abstract development. I am a Health Education Coordinator of Maternal, Child & Adolescent Health Programs at the Los Angeles County Dept. Public Health
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.