Background: Because healthy habits are established early in life, it is important to teach young children about foods that contribute to a healthy diet. One of the strategies recommended by the 2015-2020 Dietary Guidelines is to implement educational programs in community settings such as child care and preschool settings. Head Start is one such…

Nutrition has vital and long-lasting effects on children's development. Good nutrition helps children learn better and promotes lifelong healthy eating habits. Connecting current scientific research with best practices, "Rethinking Nutrition" provides information to help you meet and understand children's nutritional and developmental…

Partnering early childhood education and care (ECEC) and the home together may be more effective in combating obesogenic risk factors in preschool children. Thus, an evaluation of ECEC obesity prevention interventions with a parental component was conducted, exploring parental engagement and its effect on obesity and healthy lifestyle outcomes. A…

Childhood overweight and obesity are major problems in the United States, with important consequences for our nation's health and economy. Breakfast is considered the most important meal of the day, yet children, adolescents, and adults skip breakfast on a routine basis. This habit of breakfast skipping is related to weight gain, higher body mass…

This month's Focus on Ethics asks readers to consider a situation involving a program director's efforts to provide children with a healthy diet in response to growing concerns about childhood obesity. The situation discussed here arose when a mother who was new to a childhood program, and who had a limited mastery of English, brought in a…

Background: Obesity is a major concern among American Indians and Hispanics. The Child Health Initiative for Lifelong Eating and Exercise (CHILE) is an evidence-based intervention to prevent obesity in children enrolled in 16 Head Start (HS) Centers in rural communities. The design and implementation of CHILE are described. Methods: CHILE uses a…

Child-care settings provide numerous opportunities to promote healthy eating and physical activity behaviors among preschool children. The majority of U.S. children are placed in some form of non-parental care during their preschool years. While approximately 15 percent of preschool children are primarily cared for by their relatives, most…

Given the recent rise in childhood obesity, the School Breakfast Program (SBP) and National School Lunch Program (NSLP) have received renewed attention. Using panel data on more than 13,500 primary school students, we assess the relationship between SBP and NSLP participation and (relatively) long-run measures of child weight. After documenting a…

Objective: To describe Head Start teachers' perceptions of mealtime, feeding, and overweight risk in Head Start students. Design: Qualitative focus group study. Setting: Five Head Starts in a greater metropolitan area in the Northeast. Participants: Thirty-five teachers in 5 focus groups. Intervention: Two experienced focus group facilitators…

Mary Story, Karen Kaphingst, and Simone French argue that researchers and policymakers focused on childhood obesity have paid insufficient attention to child care. Although child care settings can be a major force in shaping children's dietary intake, physical activity, and energy balance--and thus in combating the childhood obesity…

Objective: To evaluate an intervention aimed at increasing family physical activity and parent education about diet and activity for kindergarten students and issues related to their children's BMI. Methods: A randomized, controlled trial design was used to assess intervention impact in parental report of child diet and physical activity, and step…