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The Child and Adult Care Food Program and the nutrition of preschoolers
Korenman, Sanders, Q2 2013
Early Childhood Research Quarterly, 28(2), 325-336

A comparison of food intake, weight, and food security in children attending child care centers that do and do not participate in the Child and Adult Care Food Program (CACFP), with additional analyses of outcomes among low income and Head Start children, based on data from 4,050 4- year-old children from the Early Childhood Longitudinal Study, Birth Cohort

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Childcare and overweight or obesity over 10 years of follow-up
Geoffroy, Marie-Claude, April, 2013
Journal of Pediatrics, 162(4), 753-758.e1

Objective: To investigate the predictive association between preschool childcare arrangements and overweight/obesity in childhood. Study design: Children were enrolled in a prospective birth cohort in Quebec, Canada (n = 1649). Information about childcare obtained via questionnaires to the mothers at ages 1.5, 2.5, 3.5, and 4 years was used to compute a main childcare arrangement exposure variable (center-based/family-based/care by a relative/nanny). Body mass index was derived from measured weights and heights at ages 4, 6, 7, 8, and 10 years and children were classified as overweight/obese versus normal weight. Generalized estimating equations were used to model the effect of main childcare arrangement (center-based/family-based/relative/nanny) (vs parental care) on overweight/obesity adjusting for several potential confounding factors. Results: Compared with parental care, children who attended a center-based childcare (OR: 1.65, 95% CI: 1.13-2.41) or were cared for by a relative (OR: 1.50; 95% CI: 0.95-2.38, although with greater uncertainty) had higher odds of being overweight/obese in childhood (4-10 years). Analyses of number of hours additionally suggested that each increment of 5 hours spent in either center-based or relative childcare increased the odds of overweight/obesity in the first decade of life by 9%. Associations were not explained by a wide range of confounding factors, including socioeconomic position, breastfeeding, maternal employment, and maternal body mass index. Conclusion: Overweight/obesity was more frequently observed in children who received non-parental care in center-based settings or care by a relative other than the parent. "Obesogeonic" features of these childcare arrangements should be investigated in future studies. (author abstract)

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Child care: Implications for overweight / obesity in Canadian children?
McLaren, Lindsay, December, 2012
Chronic Diseases and Injuries in Canada , 33(1), 1-11

Introduction: Over recent decades, two prominent trends have been observed in Canada and elsewhere: increasing prevalence of childhood overweight and obesity, and increasing participation of women (including mothers) in the paid labour force and resulting demand for child care options. While an association between child care and children's body mass index (BMI) is plausible and would have policy relevance, its existence and nature in Canada is not known. Methods: Using data from the National Longitudinal Survey of Children and Youth, we examined exposure to three types of care at age 2/3 years (care by non-relative, care by relative, care in a daycare centre) in relation to change in BMI percentile (continuous and categorical) between age 2/3 years and age 6/7 years, adjusting for health and sociodemographic correlates. Results: Care by a non-relative was associated with an increase in BMI percentile between age 2/3 years and age 6/7 years for boys, and for girls from households of low income adequacy. Conclusion: Considering the potential benefits of high-quality formal child care for an array of health and social outcomes and the potentially adverse effects of certain informal care options demonstrated in this study and others, our findings support calls for ongoing research on the implications of diverse child care experiences for an array of outcomes including those related to weight. (author abstract)

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Design and methods for evaluating an early childhood obesity prevention program in the childcare center setting
Natale, Ruby, 28 January, 2013
BMC Public Health, 13, 1-10

A description of the design and methodology of a randomized controlled obesity prevention trial, conducted over a three year period, designed to collect data from 28 low income ethnically diverse child care centers with 1,105 children, located throughout Miami-Dade County, Florida

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Development and evaluation of a basic physical and sports activity program for preschool children in nursery schools in Iran: An interventional study
Kordi, Ramin, September, 2012
Iranian Journal of Pediatrics, 22(3), 357-363

A study of the relationship between participation in a 10-week physical activity program and the fundamental movement skills levels of 147 4- through 6-year-olds from five nursery schools in five different cities in Iran

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Effectiveness of a physical activity intervention for Head Start Preschoolers: A randomized intervention study
Bellows, Laura, January/February 2013
American Journal of Occupational Therapy, 67(1), 28-36

A study of the effect of the Food Friends: Get Movin' With Mighty Moves program on gross motor skill performance, physical activity, and weight status of young children, based on data from 201 young children in eight Head Start centers

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The impact of a 20-month physical activity intervention in child care centers on motor performance and weight in overweight and healthy-weight preschool children
Krombholz, Heinz, December, 2012
Perceptual and Motor Skills, 115(3), 919-932

A study of the impact of a 20-month physical activity intervention, designed to promote motor performance and reduce weight in overweight children, on children's motor performance and body mass, based on data from 428 young children in 11 child care centers in Munich, Germany

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Is being in school better?: The impact of school on children's BMI when starting age is endogenous
Anderson, Patricia M., September, 2011
Journal of Health Economics, 30(5), 977-986

A study of the relationship between amount of school exposure and both body weight and obesity in children, based on data from early elementary school completers from the Early Childhood Longitudinal Study-Kindergarten Cohort of 1998 (ECLS-K)

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A novel and potentially valuable exposure measure: Escherichia coli in oral cavity and its association with child daycare center attendance
Oliveira, Ageane Monteiro, December, 2012
Journal of Tropical Pediatrics, 58(6)

An investigation of the occurrence of Escherichia coli, an indicator of fecal contamination, in saliva samples from 141 children, aged birth through 36 months, 53 not attending and 88 attending a child care center after exposure to a public daycare center and home environments

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Nutrition policies at child-care centers and impact on role modeling of healthy eating behaviors of caregivers
Erinosho, Temitope, January, 2012
Journal of the Academy of Nutrition and Dietetics, 112(1), 119-124

A study of the associations between the presence or absence of child care center policies about staff eating practices and their eating behaviors during mealtime interactions with children, based on data from 50 child care centers in North Carolina, the center directors, and 112 center staff

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Objectively measured sedentary behavior in preschool children: Comparison between Montessori and traditional preschools
Byun, Wonwoo, 03 January, 2013
International Journal of Behavioral Nutrition and Physical Activity, 10, 1-7

A comparison of the sedentary behavior--sitting, watching television, or playing video games--of children attending Montessori early care and education (ECE) centers to those attending traditional ECE centers, including measures of in-school sedentary behavior, after school sedentary behavior, and total sedentary behavior, based on data from 331 4-year-olds in 17 early care and education centers in metropolitan Columbia, South Carolina

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A pilot study to examine the effect of additional structured outdoor playtime on preschoolers' physical activity levels
Alhassan, Sofiya, January, 2013
Child Care in Practice, 19(1), 23-35

An examination of the impact of an additional 30 minutes of outdoor playtime three days per week for four weeks on physical activities of young children in preschools, based on data from 134 children in eight full-day early care and education classrooms in Springfield, Massachusetts

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Promoting physical activity in preschoolers: A review of the guidelines, barriers, and facilitators for implementation of policies and practices
Tremblay, Line, November, 2012
Canadian Psychology, 53(4), 280-290

An overview of physical activity (PA) guidelines for young children in Canada, research on the relationship between PA and sedentary behaviors and children's development and functioning, and barriers and facilitators of PA and sedentary behaviors in preschoolers, with recommendations to increase opportunities for PA in early care and education settings

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Research Connections is supported by grant #90YE0104 from the Office of Planning, Research and Evaluation, Administration for Children and Families, U.S. Department of Health and Human Services. The contents are solely the responsibility of the National Center for Children in Poverty and the Inter-university Consortium for Political and Social Research and do not necessarily represent the official views of the Office of Planning, Research and Evaluation, the Administration for Children and Families, or the U.S. Department of Health and Human Services.

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