Tribally Affiliated Child-Care Center Environment and Obesogenic Behaviors in Young Children
Insights
Child-care centers serving American Indian children show obesogenic environments. Improvements in nutrition and physical activity (PA) strategies are needed to prevent obesity in this high-risk group.
Area of Science:
- Child Health
- Obesity Prevention
- Environmental Health
Background:
- Child-care centers are crucial for families with young children.
- American Indian children face elevated health risks, including obesity.
- Tribally affiliated child-care centers serve a significant population of American Indian children.
Purpose of the Study:
- To assess the child-care environment for physical activity (PA) and nutrition.
- To evaluate dietary intake and PA levels in young children attending tribally affiliated child care.
- To identify obesogenic factors within the child-care setting.
Main Methods:
- Cross-sectional study of 82 children aged 3-5 years in 11 Oklahoma child-care centers.
- Classroom observations using the Environmental and Policy Assessment Observation tool.
- Objective measurement of children's PA using accelerometers and assessment of lunchtime plate waste.
Main Results:
- Overall child-care environment scores indicated room for improvement (23.9/43).
- Children accumulated 4.3 min/h of moderate to vigorous PA; 38% were overweight or obese.
- While fruit and vegetable intake was noted, consumption of whole grains and lean proteins was low.
Conclusions:
- The study highlights obesogenic characteristics in child-care settings for American Indian children.
- Opportunities exist to enhance PA and nutrition to mitigate obesity risks.
- Future interventions should focus on provider counseling for improved nutrition and PA strategies.
Background:
Child-care centers are an integral part of life for many families with young children. American Indian children are at elevated health risk because of higher levels of obesity and associated health behaviors.
Objective:
Our aim was to assess the child-care environment and children's physical activity (PA) and dietary intake in young children attending tribally affiliated child care.
Design:
We conducted a cross-sectional study.
Participants/Setting:
Participants were from 11 tribally affiliated child-care centers across Oklahoma and included 82 children aged 3 to 5 years old.
Main Outcome Measures:
Classroom observations were conducted using the Environmental and Policy Assessment Observation to measure PA and nutrition environments. Children wore an ActiGraph GT3X accelerometer and lunchtime plate waste was observed.
Statistical Analyses:
Descriptive statistics, including mean±standard deviation and frequencies, were calculated for the children's behaviors and environment.
Results:
The total environment score was 23.9±5.2 (maximum=43). The nutrition score was 12.5±3.1 (maximum=21). The PA score was 11.7±2.2 (maximum=22). The participants were 3.8±0.1 years old, 55% were male, 67% were American Indian, and 38% were overweight or obese. Accelerometers were worn for 5.9±1.7 hours, excluding naptime. Children accumulated 4.3±2.2 min/h of moderate to vigorous PA, 4,294±1,883 steps/day, and 12.1±3.7 steps/min. At lunch, children were served 510±241 kcal, and consumed 387±239 kcal. Lunches consisted of 47% carbohydrate, 20% protein, and 33% fat. Total number of F/V served was 2.9±1.9 and consumed was 2.3±1.8, while whole grains served and consumed were 0.3±0.4 and 0.2±0.4, respectively, and lean proteins served and consumed were 0.3±0.4 and 0.2±0.4, respectively.
Conclusions:
This study describes obesogenic aspects of the child-care environment and identifies areas for improvement. Children did not accumulate adequate PA or consume calories or fat excessively. Children consumed multiple F/V; however, more whole grains and lean proteins could be provided. Future research might investigate how the healthfulness of the child-care environment can be improved by counseling providers on nutrition and PA strategies to prevent obesity.
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