Background: Long-term evaluation studies reveal that high-quality early care and education (ECE) programs that include a lifestyle component predict later adult health outcomes. The purpose of this article is to characterize the nutrition and physical activity (PA) practices, including implementation difficulty and barriers, of licensed center-…

The authors' recent research has revealed that most afterschool programs in Milwaukee County have received relatively low ratings, and that their biggest hurdle to improving their scores often involved the educational qualifications of program staff. In light of the potential consequences of that finding--which include the possibility that the…