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Updated: Mar 18, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
NAP SACC: Implementation of an Obesity Prevention Intervention in an American Indian Head Start Program
Julie A Mattingly1, Pamela A Andresen2
1a School of Nursing, Indiana University Southeast , New Albany , Indiana.
Insights
Low-income American Indian preschoolers face high obesity risks. The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) program was implemented in Head Start sites to promote healthy weight development.
Area of Science:
- Public Health
- Pediatric Nutrition
- Childhood Obesity Prevention
Background:
- Low-income American Indian preschoolers (2-5 years) exhibit the highest risk for overweight and obesity.
- Childhood obesity is a significant public health concern within this demographic.
- Community needs assessments identified obesity as a priority issue on an American Indian reservation.
Purpose of the Study:
- To implement the evidence-based Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) program.
- To promote healthy weight development among American Indian preschoolers.
- To establish environmental policies and practices supporting nutrition and physical activity in child care settings.
Main Methods:
- Implementation of the NAP SACC program.
- Focus on continuous quality improvement for child care staff.
- Application across 15 Head Start sites on an American Indian reservation.
Main Results:
- NAP SACC implementation initiated to address identified obesity concerns.
- Focus on environmental and policy changes within Head Start programs.
- Targeted intervention for a high-risk preschool population.
Conclusions:
- The NAP SACC program offers a structured approach to improving nutrition and physical activity in child care.
- Intervention tailored to the specific needs of American Indian preschoolers on reservations.
- Potential for NAP SACC to mitigate overweight and obesity risks in vulnerable populations.
Abstract:
Low-income American Indian preschoolers are at greatest risk for overweight and obesity among children aged 2-5 years. The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) program is an evidence-based intervention that promotes healthy weight development for children enrolled in child care centers. The goal of this continuous quality improvement program is for the child care staff to establish environmental policies and practices that positively influence nutrition and physical activity-related behaviors. A community needs assessment of a Head Start program on an American Indian reservation identified obesity as a priority issue. This project implemented NAP SACC at 15 Head Start sites on the reservation.
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