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Childcare and overweight or obesity over 10 years of follow-up 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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Research methods to assess dietary intake and program participation in child care day care: Application to the Child and Adult Care Food Program: Workshop summary A summary of a workshop to examine methodological considerations for the design of a nationally representative study of children's diet, nutrition, and participation in child care programs |
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Trends in child care center licensing regulations and policies for 2011 An analysis of state child care center licensing requirements and policies, including those related to staffing, child-adult ratios, health and nutrition, inspections, monitoring, and enforcement, based on a survey of state child care licensing agencies and a compilation of state licensing requirements |
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Trends in family child care home licensing requirements and policies for 2011 An analysis of state family child care home licensing requirements and policies, including those related to staffing, group size, health and nutrition, inspections, monitoring, and enforcement, based on a survey of state child care licensing agencies and a compilation of state licensing requirements |
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Trends in group child care home licensing regulations and policies for 2011 An analysis of state group child care home licensing requirements and policies, including those related to staffing, group size, health and nutrition, inspections, monitoring, and enforcement, based on a survey of state child care licensing agencies and a compilation of state licensing requirements |
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21st Century Community Learning Centers: A descriptive evaluation for 2011-2012 An evaluation of West Virginia 21st Century Community Learning Centers that examines student participation, volunteers and partnerships, professional development and technical assistance, parent and community involvement, substance abuse prevention, and improvement and accountability processes, based on teacher surveys for 3,131 students, director surveys for 28 programs, and state educational administrative data |
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