Evidence map›Paper›PMID 30199291›Full record

ArticleChildhood obesity (Print)

Examining Nutrition and Physical Activity Policies and Practices in Maryland's Child Care Centers.

Kristin Bussell, Lucine Francis, Bridget Armstrong, Sarah Kilby, Maureen M Black, Erin R Hager

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Childhood obesity (Print). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 22% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Food Desert Status of Family Child Care Homes: Relationship to Young Children's Food Quality.International journal of environmental research and public health · 2022
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Kristin Bussell1 Department of Family and Community Health, University of Maryland School of Nursing , Baltimore, MD.
Lucine Francis2 Johns Hopkins School of Nursing , Baltimore, MD.
Bridget Armstrong3 Department of Pediatrics, University of Maryland School of Medicine , Baltimore, MD.
Sarah Kilby4 Maryland State Department of Education, Baltimore, MD.
Maureen M Black3 Department of Pediatrics, University of Maryland School of Medicine , Baltimore, MD.
Erin R Hager3 Department of Pediatrics, University of Maryland School of Medicine , Baltimore, MD.
University of Maryland, Baltimore · USJohns Hopkins University · USMaryland State Department of Education · US

Funding

Interdisciplinary Training in Cardiovascular Health ResearchT32NR012704 · NINR · JOHNS HOPKINS UNIVERSITY · PI ALLEN, JERILYN K · 2011 to 2020
$1.8M
Examining Food Environments of Family Child Care HomesF31NR015399 · NINR · JOHNS HOPKINS UNIVERSITY · PI PETIT FRANCIS, MARIE L · 2014 to 2016
$129k
NINR NIH HHS F31 NR015399NINR NIH HHS T32 NR012704
6 · The paper itself

Abstract

backgroundChild care settings provide opportunities for obesity prevention by implementing nutrition/physical activity best practices. This study examines how center policies, provider training, family education, and center demographics relate to best practices for nutrition/physical activity in Maryland's child care centers.

methodsA survey, including minor modifications to The Nutrition and Physical Activity Self-Assessment for Child Care (Go NAP SACC), was sent by e-mail to center directors statewide. Best practice sum scores (dependent variable) were calculated, including physical activity (17 items), feeding environment (18 items), and food served (19 items). Adjusted regression models analyzed the number of nutrition/physical activity policies, provider training topics, and family education opportunities related to best practice scores.

resultsResponse rate was 40% (n = 610/1506) with 69% independent centers (vs. organization sponsored), 19% with Child and Adult Care Food Program (CACFP enrolled), and 50.2% centers with majority (≥70%) Caucasian children and 16.8% centers with majority African American children. Centers reported 40.8% of physical activity best practices, 52.0% of feeding environment best practices, and 51.6% of food served best practices. Centers reported (mean) 7.9 of 16 nutrition/physical activity-relevant policies, 6.9 of 13 provider training topics, and 4.4 of 8 family education opportunities. Regression models yielded associations with best practices: policies and provider training with feeding environment (B = 0.26, p < 0.001; B = 0.26, p = 0.001, respectively); policies with foods served (B = 0.22, p = 0.002); and policies, provider training, and feeding environment with physical activity (B = 0.19, p = 0.001; B = 0.24, p = 0.010; B = 0.38, p < 0.001).

conclusionsNutrition/physical activity best practices in child care are supported by specific policies, provider training, and family education activities.

Indexed as

Child Day Care CentersNutrition PolicyChild CareChild Nutritional Physiological PhenomenaChild, PreschoolDiet SurveysExerciseFemaleFood ServicesGuideline AdherenceHealth Knowledge, Attitudes, PracticeHumansMaleMarylandPediatric ObesitySocioeconomic Factorschild careearly care and educationfeedingnutritionphysical activitypolicy

Identifiers

PMID30199291
PMCPMC6150935
OpenAlexW2890532620

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.