PMID- 19080017
OWN - NLM
STAT- MEDLINE
DCOM- 20090203
LR  - 20220128
IS  - 1545-1151 (Electronic)
IS  - 1545-1151 (Linking)
VI  - 6
IP  - 1
DP  - 2009 Jan
TI  - Child care as an untapped setting for obesity prevention: state child care 
      licensing regulations related to nutrition, physical activity, and media use for 
      preschool-aged children in the United States.
PG  - A11
LID - A11
AB  - INTRODUCTION: Child care is a potential setting for obesity prevention; 8.6 
      million preschool-aged children participated in child care in 2001. Each US state 
      creates and enforces its own child care licensing regulations. We analyzed 
      obesity-related child care licensing regulations of US states. METHODS: We 
      downloaded state licensing regulations for children in child care centers (CCCs), 
      small family child care homes (SFHs), and large family or group child care homes 
      (LFGHs) in each state and the District of Columbia (collectively referred to as 
      "states") in 2006 from national and state Web sites. We conducted a quantitative 
      content analysis to identify 13 coding dimensions related to nutrition, physical 
      activity, and media use. RESULTS: We found variability among and within states. 
      CCCs were the most heavily regulated and had the most specific regulations, 
      followed by LFGHs. SFHs had the fewest and most general regulations. Just 2 
      states, Michigan and West Virginia, specified that CCC menus should be consistent 
      with the Dietary Guidelines for Americans. Only 12 states had regulations that 
      limited foods of low nutritional value in CCCs. Thirty-six states required that 
      children have daily outdoor activity time in CCCs; only 9 states set specific 
      minimum lengths of time that children should be outdoors each day. Eight states 
      set quantified time limits on screen time per day or per week in SFHs. 
      CONCLUSION: Opportunities exist for strengthening state licensing regulations to 
      prevent childhood obesity. The increasing prevalence of childhood obesity 
      underscores the urgency for state policy efforts to create child care 
      environments that foster healthful eating and participation in physical activity.
FAU - Kaphingst, Karen M
AU  - Kaphingst KM
AD  - Division of Epidemiology and Community Health, School of Public Health, 
      University of Minnesota, 1300 S 2nd St, Ste 300, Minneapolis, MN 55454, USA. 
      kaph0004@umn.edu
FAU - Story, Mary
AU  - Story M
LA  - eng
PT  - Journal Article
DEP - 20081215
PL  - United States
TA  - Prev Chronic Dis
JT  - Preventing chronic disease
JID - 101205018
SB  - IM
MH  - Child Day Care Centers/*legislation & jurisprudence
MH  - Child Nutritional Physiological Phenomena
MH  - Child, Preschool
MH  - *Exercise
MH  - Government Regulation
MH  - Humans
MH  - *Licensure
MH  - Mandatory Programs/legislation & jurisprudence/standards
MH  - *Mass Media
MH  - Nutrition Policy/legislation & jurisprudence
MH  - Obesity/*prevention & control
MH  - State Government
MH  - United States
PMC - PMC2644584
EDAT- 2008/12/17 09:00
MHDA- 2009/02/04 09:00
PMCR- 2009/01/01
CRDT- 2008/12/17 09:00
PHST- 2008/12/17 09:00 [entrez]
PHST- 2008/12/17 09:00 [pubmed]
PHST- 2009/02/04 09:00 [medline]
PHST- 2009/01/01 00:00 [pmc-release]
AID - A11 [pii]
AID - PCDv61_07_0240 [pii]
PST - ppublish
SO  - Prev Chronic Dis. 2009 Jan;6(1):A11. Epub 2008 Dec 15.