ArticleAppetite2018
The family child care home environment and children's diet quality.
Article in Appetite, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Healthy eating interventions delivered in early childhood education and care settings for improving the diet of children aged six months to six years.The Cochrane database of systematic reviews · 2023Pooled it
- A systematic review of interventions to improve the dietary intake, physical activity and weight status of children attending family day care services.Public health nutrition · 2020Pooled it
- Three- and Twelve-Month Changes in Child and Adult Care Food Program Best Practices and Preschool Children's Dietary Intake in Family Child Care Homes after the Happy Healthy Homes Randomized Controlled Trial.Childhood obesity (Print) · 2025Trial
- Effect of Applying Best Practices for Physical Activity and Screen Time to Family Childcare Homes.Preventing chronic disease · 2023Trial
- Cluster-randomised trial of the impact of an obesity prevention intervention on childcare centre nutrition and physical activity environment over 2 years.Public health nutrition · 2022Trial
- Physical Activity and Screen Time Practices of Family Child Care Providers: Do They Meet Best Practice Guidelines?Childhood obesity (Print) · 2022Trial
- A multi-component tailored intervention in family childcare homes improves diet quality and sedentary behavior of preschool children compared to an attention control: results from the Healthy Start-Comienzos Sanos cluster randomized trial.The international journal of behavioral nutrition and physical activity · 2022Trial
- Family child care home providers' perceived difficulty in serving vegetables to children: findings from a multi-method study.Journal of nutritional science · 2025Article
- ABC Grow Healthy Practices and Obesity-Related Health Behaviours in Family Child Care Homes in South Carolina.Child: care, health and development · 2025Article
- Article
- Mediation of the association between social environmental characteristics of family childcare home and weight status in children by diet quality.BMC public health · 2023Article
- Young Children's Dietary Quality in Family Child Care and in Their Own Home.Journal of the Academy of Nutrition and Dietetics · 2023Article
- Nutrition Practices of Family Child Care Home Providers and Children's Diet Quality.Journal of nutrition education and behavior · 2023Article
- Healthy eating interventions delivered in early childhood education and care settings for improving the diet of children aged six months to six years.The Cochrane database of systematic reviews · 2023Review
- The Relationship between Childcare-Giving Arrangements and Children's Malnutrition Status in South Africa.International journal of environmental research and public health · 2023Article
- Correlates of children's dietary intake, physical activity and sedentary behavior in home-based childcare: A systematic review.Preventive medicine reports · 2022Review
- Relationships between proximity to grocery stores and Oklahoma Early Care and Education classroom nutrition practices.Preventive medicine reports · 2022Article
- Feeding and Activity Environments for Infants and Toddlers in Childcare Centers and Family Childcare Homes in Southeastern New England.International journal of environmental research and public health · 2022Article
- Family child care home providers' self-reported nutrition and physical activity practices, self-efficacy, barriers and knowledge: baseline findings from happy healthy homes.Public health nutrition · 2022Article
- Quality of Nutrition Environments, Menus and Foods Served, and Food Program Achievement in Oklahoma Family Child Care Homes.Nutrients · 2021Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundDeveloping healthy eating behaviors and food preferences in early childhood may help establish future healthy diets. Large numbers of children spend time in child care, but little research has assessed the nutritional quality of meals and snacks in family child care homes. Therefore, it is important to assess foods and beverages provided, policies related to nutrition and feeding children, and interactions between providers and children during mealtimes. We examined associations between the nutrition environments of family child care homes and children's diet quality.
methodsWe assessed the nutrition environments of 166 family child care homes using the Environment and Policy Assessment and Observation (EPAO) (scores range: 0-21). We also recorded foods and beverages consumed by 496 children in care and calculated healthy eating index (HEI) (scores range: 0-100). We used a mixed effects linear regression model to examine the association between the EPAO nutrition environment (and EPAO sub-scales) and child HEI, controlling for potential confounders.
resultsFamily child care homes had a mean (standard deviation, SD) of 7.2 (3.6) children in care, 74.1% of providers were black or African American, and children had a mean (SD) age of 35.7 (11.4) months. In adjusted multivariable models, higher EPAO nutrition score was associated with increased child HEI score (1.16; 95% CI: 0.34, 1.98; p = 0.006). Higher scores on EPAO sub-scales for foods provided (8.98; 95% CI: 3.94, 14.01; p = 0.0006), nutrition education (5.37; 95% CI: 0.80, 9.94; p = 0.02), and nutrition policy (2.36; 95% CI: 0.23, 4.49; p = 0.03) were all associated with greater child HEI score.
conclusionsFoods and beverages served, in addition to nutrition education and nutrition policies in family child care homes, may be promising intervention targets for improving child diet quality.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.