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Beverage Policy Implementation by Child and Adult Care Food Program Participation and Program Type: A Statewide
Caree J Cotwright1, Haley Bradley1, Nathalie Celestin1
11 Department of Foods and Nutrition, College of Family and Consumer Sciences, University of Georgia , Athens, GA.
Insights
Child care programs in Georgia participating in the Child and Adult Care Food Program (CACFP) are less likely to serve sugar-sweetened beverages and more likely to offer healthy milk options. However, water policies need improvement across all program types to prevent childhood obesity.
Area of Science:
- Child Nutrition
- Obesity Prevention
- Public Health Policy
Background:
- Child care settings are crucial for establishing healthy habits and preventing childhood obesity.
- High intake of sugar-sweetened beverages (SSBs) is a significant contributor to weight gain in young children.
- Promoting access to water and healthy beverages is a key strategy for obesity prevention.
Purpose of the Study:
- To investigate the implementation of beverage policies in Georgia child care programs.
- To examine the influence of Child and Adult Care Food Program (CACFP) participation on beverage policy implementation.
- To assess differences in beverage policy implementation based on child care program type.
Main Methods:
- Cross-sectional study design utilizing a statewide survey.
- The Georgia Child Care Wellness Survey was administered to a random sample of 3054 child care programs.
- Programs were stratified by six state regions to ensure a representative sample.
Main Results:
- Of 974 returned surveys, 67% of respondents participated in CACFP.
- CACFP-participating programs (96%) were less likely to serve SSBs compared to non-CACFP programs (90%).
- CACFP programs were more likely to serve low-fat/fat-free milk to 2-5-year-olds (87% vs. 35%). Family child care homes showed higher compliance with whole milk policies for 1-year-olds (66%).
- All program types demonstrated low compliance with implementing water policies.
Conclusions:
- Findings offer critical insights into beverage policy implementation in Georgia child care settings.
- Results can inform targeted training to improve beverage policies.
- The ultimate goal is to reduce obesity risk and promote healthier diets among preschool children.
Background:
The child care setting is a promising venue to establish healthy habits and promote obesity prevention. One major contributor to weight gain among young children is high intake of sugar-sweetened beverages (SSBs). Increasing access to water and other healthy beverages is a viable strategy to reduce childhood obesity. The goal of our study was to investigate implementation of the beverage policies in child care programs in Georgia (GA) by Child and Adult Care Food Program (CACFP) participation and program type.
Methods:
The study employed a cross-sectional design. A statewide survey was conducted using the GA Child Care Wellness Survey. A random sample of 3054 child care programs was obtained. Programs were stratified by six state regions to acquire a representative sample.
Results:
A total of 974 surveys were returned. Sixty-seven percent of the respondents were enrolled in CACFP. Programs participating in CACFP (96%) were less likely to serve SSBs (x2(2) = 15.309, p < 0.001), than non-CACFP programs (90%). CACFP programs were more likely to serve low-fat or fat-free milk to 2-5-year olds than non-CACFP programs (87% vs. 35%, p < 0.001). Family child care homes were significantly more likely to comply with serving only whole milk to 1 year olds (66%; p < 0.001) than other program types. All program types had low compliance with implementing water policies.
Conclusions:
Study outcomes provide vital information on the implementation of beverage policies that can inform beverage policy training, with the ultimate goal of reducing obesity risk and promoting healthier diets among preschool children in GA.
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