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Child Care Sites Participating in the Federal Child and Adult Care Food Program Provide More Nutritious Foods and
Klara Gurzo1, Danielle Louhrine Lee2, Kyle Ritchie2
1Department of Public Health Sciences, Stockholm University, Stockholm, Sweden.
Objective:
To compare food/beverage provisions between child care sites participating and not participating in the Child and Adult Care Food Program (CACFP).
Design:
Cross-sectional survey administered in 2016.
Setting:
Licensed child care centers and homes.
Participants:
Child care providers (n = 2,400) randomly selected from California databases (30% responded). Respondents (n = 680) were primarily site directors (89%) at child care centers (83%) participating in CACFP (70%).
Main Outcome Measures:
Meals/snacks served, and food/beverage provisions provided to children of age 1-5 years on the day before the survey.
Analysis:
Odds ratios unadjusted and adjusted for the number of meals/snacks using logistic regression.
Results:
Compared with CACFP sites, non-CACFP sites provided fewer meals/snacks; had lower odds of providing vegetables, meats/poultry/fish, eggs, whole grains, and milk; and had higher odds of providing candy, salty snacks, and sugary drinks. After adjusting for the number of meals/snacks, differences were attenuated but remained significant for meats/poultry/fish, milk, candy, salty snacks (centers only), and sugary drinks. Differences emerged in favor of CACFP for flavored/sugar-added yogurt, sweet cereals, frozen treats, and white grains.
Conclusions And Implications:
Child care sites participating in CACFP are more likely to provide nutritious foods/beverages compared with non-CACFP sites. Child care sites are encouraged to participate in or follow CACFP program guidelines.
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