ABC Grow Healthy Practices and Obesity-Related Health Behaviours in Family Child Care Homes in South Carolina

IF 1.8 4区 医学 Q2 PEDIATRICS Child Care Health and Development Pub Date : 2024-12-04 DOI:10.1111/cch.70004
Agnes G. Bucko, Kerry L. McIver, Daniel A. Zaltz, Tiange Liu, Brian Neelon, Sara E. Benjamin-Neelon, Russell R. Pate
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Abstract

Background

Many states throughout the United States have introduced Quality Rating and Improvement Systems (QRIS) to address childhood obesity in preschool-age children, but few have examined the impact of these standards in Family Child Care Homes (FCCHs). In South Carolina, the ABC Grow Healthy Practices are specific QRIS items that include diet, physical activity and sleep practices.

Methods

The purposes of this cross-sectional study are to (1) describe physical activity levels, sleep duration and diet quality of children attending FCCHs in South Carolina and (2) compare physical activity levels, sleep duration and diet quality between children attending FCCHs that were enrolled versus not enrolled in the ABC programme. Means and percentages were used to summarize child- and parent-level descriptive characteristics, physical activity levels, diet quality and sleep behaviours overall and by sex, race/ethnicity and ABC participation. t tests and chi-square analyses were used to compare child- and parent-level demographic characteristics as well as child-level behaviours by ABC status.

Results

Results revealed low physical activity levels (11.2 ± 4.1 min/h of total physical activity and 5.5 ± 2.6 min/h of moderate and vigorous physical activity) and poor diet quality (Healthy Eating Index 56.0 ± 10.3) in all children. There were statistically significant differences in fat and protein consumption between ABC and non-ABC FCCHs, as well as differences in demographic characteristics.

Conclusion

Future research is recommended to assess whether strengthening guidelines and improving implementation of obesity prevention standards will improve physical activity levels and diets of children attending FCCHs.

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南卡罗来纳家庭托儿所中ABC成长健康实践和肥胖相关健康行为
美国的许多州都引入了质量评级和改进系统(QRIS)来解决学龄前儿童的儿童肥胖问题,但很少有人研究这些标准对家庭儿童护理院(FCCHs)的影响。在南卡罗来纳,ABC健康成长实践是QRIS的具体项目,包括饮食、体育活动和睡眠实践。方法本横断面研究的目的是:(1)描述南卡罗来纳州参加儿童康复中心的儿童的身体活动水平、睡眠时间和饮食质量;(2)比较参加和未参加儿童康复中心ABC计划的儿童的身体活动水平、睡眠时间和饮食质量。使用均值和百分比来总结儿童和父母层面的描述性特征、身体活动水平、饮食质量和睡眠行为,以及性别、种族/民族和ABC参与情况。采用t检验和卡方分析比较儿童和父母水平的人口统计学特征以及儿童水平的ABC状态行为。结果所有儿童的体力活动水平低(总体力活动11.2±4.1 min/h,中高强度体力活动5.5±2.6 min/h),饮食质量差(健康饮食指数56.0±10.3)。ABC和非ABC FCCHs在脂肪和蛋白质消耗方面存在统计学上的显著差异,人口统计学特征也存在差异。结论建议开展进一步的研究,以评估加强指南和改进肥胖预防标准的实施是否会改善住院儿童的身体活动水平和饮食。
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Policies, Practices, and Environmental Characteristics Among Family Child Care Homes in South Carolina.
IF 1.5 4区 医学Childhood ObesityPub Date : 2024-09-01 DOI: 10.1089/chi.2023.0135
Russell R Pate, Daniel A Zaltz, Brian Neelon, Tiange Liu, Agnes Bucko, Sara E Benjamin-Neelon
来源期刊
CiteScore
3.40
自引率
5.30%
发文量
136
审稿时长
4-8 weeks
期刊介绍: Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.
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