Childcare Policy for a Healthy Start

Childcare Policy for a Healthy Start

Jamie Jeffrey, MDProject Director, KEYS 4

HealthyKids

Medical Director, CMC & HealthyKids

Pediatric Weight Management Program

Healthy Kids, Healthy Communities

KEYS 4 HealthyKids

One of 41 sites selected by Robert Wood Johnson Foundation (RWJF) for the Healthy Kids, Healthy Communities Grant

Partnership of over 22 organizations in Kanawha County

Facilitating policy and environmental change

Overall Goal is to provide access to healthy, affordable food and increased physical activity

K-E-Y-S

Knowledge 5-2-1-0

Eating Healthy Community Gardens

Youth Being Active PA Opportunity Maps Parks & Greenspaces

Safety & Empowerment Joint Use Agreements

NHANES DATA

Age of Onset of Pediatric Overweight in CMC

Age of Onset of Pediatric BMI Shifting

-5

0

5

10

15

20

25

2 3 4 5 6 7 8 9 10 11 12 13 14

Age

Normal to Overweight

Overweight to Obese

Normal to Obese

Bogalusa Heart Study

Cohort Based 1973-19962,610 Children 2-17 years followed

to ages 18-37 yearsMean follow-up 17.6 yearsBMI-for-age & Skinfold (SF)

thickness in childhood compared to adult mean SF (subscapular & triceps SF)

Bogalusa: Proportion of Children Who Become Obese

Adults

0

10

20

30

40

50

60

70

80

90

100

2-5years

6-8years

9-11years

12-14years

15-17years

< 50% BMI

>95% BMI

“Where” are these younger kids?

DaycareAfter-school programsPre-schoolsHeadstartsFamily Home Child Care

Centers

Child Care plays a role

~60% of 3-6 year olds are in some type of non-parental care

Child Care setting is ideal for promoting early development of health behaviors

What is…

Nutrition And Physical ActivitySelfAssessment for Child Care

NAP SACC Program Identified as one of three model programs to address obesity prevention in child care.

The other programs noted were Nemours Childhood Obesity Model, supported by the Nemours Health and Prevention Services and I am Moving, I am Learning, a health promotion and obesity prevention enhancement developed for Head Start.

NAP SACC Steps

1. Self-Assessment

2. Action Planning/Goal Setting

3. Workshop Delivery

4. Targeted Technical Assistance

5. Evaluate, revise and repeat

Step 1: Self-Assessment

• Facility director completes self-assessment instrument with help from key staff, such as the cook or program planner.

Self-Assessment

Nutrition Key AreasFruits and Vegetables

Meats, Fats, and Grains

Beverages

Menus and Variety

Feeding Practices

Foods Outside of Meals/Snacks

Supporting Healthy Eating

Nutrition Education

Nutrition Policies

Physical Activity Key Areas

Active Play vs. Inactive Time

Play Environment

Supporting PA

PA Education

PA Policies

KEYS 4 HK Childcare Workshop

Self Assessment Completed by 1-1-11

Workshop Mid 1-11F/U Workshops every 4-6 weeksTA by phone/email from KEYS

Childcare Consultant

Thru Policy & Environmental Change

www.Keys4HealthyKids.org

304-388-7145

Survey Process

NAP SAAC ToolkitEntered into Survey MonkeyKEYS Team Members called

Childcare Center and Head Start Directors

Incentive of $100 gift certificate

Policy Assessment

Nutrition

Only 17% of policy questions were able to be answered

Policies too vague or non-existent

Physical Activity

47% of policy questions were able to be answered

Policies better to find but still inadequate in number

Center Survey Results

Sugary Drinks

Center Survey Results

Sweet/Salty Foods

Center Survey Results

Fruit

Center Survey ResultsVeggies

Center Survey Results

Active Play

Center Survey Results

Outdoor Active Play

Center Survey Results

Outdoor Play Space Includes…