Childcare Policy for a Healthy Start Jamie Jeffrey

Childcare Policy for a Healthy Start Jamie Jeffrey, MD Project Director, KEYS 4 Healthy. Kids Medical Director, CMC & Healthy. Kids Pediatric Weight Management Program

Healthy Kids, Healthy Communities

KEYS 4 Healthy. Kids ü One of 41 sites selected by Robert Wood Johnson Foundation (RWJF) for the Healthy Kids, Healthy Communities Grant ü Partnership of over 22 organizations in Kanawha County ü Facilitating policy and environmental change ü Overall Goal is to provide access to healthy, affordable food and increased physical activity

K-E-Y-S üKnowledge § 5 -2 -1 -0 üEating Healthy § Community Gardens üYouth Being Active § PA Opportunity Maps § Parks & Greenspaces üSafety & Empowerment § Joint Use Agreements

NHANES DATA

Age of Onset of Pediatric Overweight in CMC

Bogalusa Heart Study üCohort Based 1973 -1996 ü 2, 610 Children 2 -17 years followed to ages 18 -37 years üMean follow-up 17. 6 years üBMI-for-age & Skinfold (SF) thickness in childhood compared to adult mean SF (subscapular & triceps SF)

Bogalusa: Proportion of Children Who Become Obese Adults

“Where” are these younger kids? üDaycare üAfter-school programs üPre-schools üHeadstarts üFamily Home Child Care Centers

Child Care plays a role ~60% of 3 -6 year olds are in some type of non-parental care Child Care setting is ideal for promoting early development of health behaviors

What is… Nutrition And Physical Activity Self Assessment for Child Care

NAP SACC Program Identified as one of three model programs to address obesity prevention in child care. The other programs noted were Nemours Childhood Obesity Model, supported by the Nemours Health and Prevention Services and I am Moving, I am Learning, a health promotion and obesity prevention enhancement developed for Head Start.

NAP SACC Steps 1. Self-Assessment 2. Action Planning/Goal Setting 3. Workshop Delivery 4. Targeted Technical Assistance 5. Evaluate, revise and repeat

Self-Assessment Step 1: Self. Assessment • Facility director completes selfassessment instrument with help from key staff, such as the cook or program planner.

Nutrition Key Areas üFruits and Vegetables üMeats, Fats, and Grains üBeverages üMenus and Variety üFeeding Practices üFoods Outside of Meals/Snacks üSupporting Healthy Eating üNutrition Education üNutrition Policies

Physical Activity Key Areas üActive Play vs. Inactive Time üPlay Environment üSupporting PA üPA Education üPA Policies

KEYS 4 HK Childcare Workshop üSelf Assessment Completed by 1 -1 -11 üWorkshop Mid 1 -11 üF/U Workshops every 4 -6 weeks üTA by phone/email from KEYS Childcare Consultant

Thru Policy & Environmental Change www. keys 4 healthykids. org 304 -388 -7145

Survey Process üNAP SAAC Toolkit üEntered into Survey Monkey üKEYS Team Members called Childcare Center and Head Start Directors üIncentive of $100 gift certificate

Policy Assessment üNutrition üPhysical Activity üOnly 17% of policy ü 47% of policy questions were able to be answered üPolicies too vague or non-existent questions were able to be answered üPolicies better to find but still inadequate in number

Center Survey Results Sugary Drinks

Center Survey Results Sweet/Salty Foods

Center Survey Results Fruit

Center Survey Results Veggies

Center Survey Results Active Play

Center Survey Results Outdoor Active Play

Center Survey Results Outdoor Play Space Includes…