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Growing Fit: Georgia's model for engaging early care environments in preventing childhood obesity
Kelsey McDavid1, Catalina Piedrahita2, Patricia Hashima1
1Georgia Department of Public Health, Atlanta, GA.
Insights
The Growing Fit initiative trained 103 early childcare educators in Georgia to promote healthy nutrition and physical activity. Future efforts will focus on better assessing policy and environmental changes in childcare settings.
Area of Science:
- Public Health
- Childhood Obesity Prevention
- Early Childhood Education
Background:
- Childhood obesity is a significant public health issue in the U.S. and Georgia, with 35% of Georgia's children overweight or obese by age five.
- Early childhood is a critical period for addressing weight status, as childhood obesity often persists into adulthood.
- Early care and education environments reach a large number of children, offering a key opportunity for obesity prevention interventions.
Purpose of the Study:
- To describe the Growing Fit training and toolkit designed to help early childhood educators implement policy, systems, and environmental changes supporting nutrition and physical activity.
- To report on the dissemination of the Growing Fit training and toolkit between January and December 2015.
Main Methods:
- The Growing Fit initiative involved training 103 early childcare educators from 39 centers across 19 Georgia counties.
- The training focused on creating policy, systems, and environmental changes to support good nutrition and physical activity.
- Fifteen participating childcare systems completed pre- and post-test assessments.
Main Results:
- Slight improvements were observed in the 15 childcare systems that completed assessments.
- The training reached 103 educators from 39 early childcare education centers, representing 22 individual childcare systems.
- Plans were in place to train an additional 125 early childcare education centers in 2016.
Conclusions:
- The first year of the Growing Fit training highlighted the necessity for improved assessment methods.
- More robust evaluation is needed to track the adoption and implementation of policy, systems, and environmental changes in trained centers.
Background:
In the United States, one in three children is overweight or obese by their fifth birthday. In Georgia, 35 percent of children are overweight or obese. Contrary to popular belief, children who are overweight or obese are likely to be the same weight status as adults, making early childhood an essential time to address weight status. An estimated 380,000 Georgia children attend early care and education environments, such as licensed child care centers, Head Start, and pre-kindergarten programs, which provide an opportunity to reach large numbers of children, including those at risk for obesity and overweight.
Methods:
To address this opportunity, the Georgia Department of Public Health, Georgia Shape - the Governor's Initiative to prevent childhood obesity, and HealthMPowers, Inc., created the Growing Fit training and toolkit to assist early childhood educators in creating policy, systems, and environmental changes that support good nutrition and physical activity. This report, the first related to this project, describes the training and its dissemination between January and December 2015.
Results:
A total of 103 early childcare educators from 39 early childcare education centers (22 individual childcare systems) from 19 counties in Georgia were trained. Fifteen systems completed a pre and post-test assessment of their system, demonstrating slight improvements. Training for an additional 125 early childcare education centers is planned for 2016.
Conclusions:
Lessons learned from the first year of the training include the need for more robust assessment of adoption and implementation of policy, systems, and environmental changes in trained centers.
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