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Preventing Chronic Disease Collection

ICF International experts were recently published in the Centers for Disease Control and Prevention's (CDC) Preventing Chronic Disease Journal. The Journal's special collection of articles describe the evaluation design, implementation, and findings related to a 2007 evaluation of New York City group child care regulations.

More than 23.5 million children in the United States are considered overweight or obese; therefore, much emphasis has been placed on identifying settings and strategies that are most effective in preventing and addressing childhood obesity. Recent literature suggests that child care centers are a key setting to address childhood obesity. Using this knowledge, the New York City Department of Health and Mental Hygiene (NYC DOHMH) modified the health code to promote obesity prevention in early childhood settings. Specifically, the regulations implemented in 2007 created requirements for beverages served, strengthened requirements for physical activity offered, and limited screen time provided to children.

To assess child care center compliance and specific child-level outcomes in relation to the implementation of these policies, the Robert Wood Johnson Foundation, the CDC, CDC Foundation, NYC DOHMH, and ICF worked collaboratively to conduct an evaluation of the regulatory effort.

Overall, the evaluation found participating centers were highly compliant with the regulations, and specific factors were found to be associated with child-level outcomes such as children’s physical activity intensity and the type of beverages children consumed. Findings from the evaluation also provided insights into factors other jurisdictions may want to consider prior to implementation of similar policies.

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Title  Citation  ICF Experts 
Evaluation Design of New York City's Regulations on Nutrition, Physical Activity, and Screen Time in Early Child Care Centers Breck A, Goodman K, Dunn L, Stephens RL, Dawkins N, Dixon B, et al. Evaluation Design of New York City's Regulations on Nutrition, Physical Activity, and Screen Time in Early Child Care Centers. Prev Chronic Dis 2014;11:130431
 

Ken Goodman
Robert Stephens
Nicola Dawkins-Lyn
Jakub Kakietek
Catherine Lesesne
Sarah O'Dell
Thearis Osuji

Measurement of Compliance With New York City's Regulations on Beverages, Physical Activity, and Screen Time in Early Child Care Centers  Lessard L, Lesesne C, Kakietek J, Breck A, Jernigan J, Dunn L, et al. Measurement of Compliance With New York City's Regulations on Beverages, Physical Activity, and Screen Time in Early Child Care Centers. Prev Chronic Dis 2014;11:130433

Catherine Lesesne
Jakub Kakietek
Sarah O'Dell
Robert Stephens
Ye Xu

Rationale for New York City's Regulations on Nutrition, Physical Activity, and Screen Time in Early Child Care Centers Nonas C, Silver LD, Kettel Khan L, Leviton L. Rationale for New York City's Regulations on Nutrition, Physical Activity, and Screen Time in Early Child Care Centers. Prev Chronic Dis 2014;11:130435 N/A
Neighborhood Disparities in Prevalence of Childhood Obesity Among Low-Income Children Before and After Implementation of New York City Child Care Regulations Sekhobo JP, Edmunds LS, Dalenius K, Jernigan J, Davis CF, Giddings M, et al. Neighborhood Disparities in Prevalence of Childhood Obesity Among Low-Income Children Before and After Implementation of New York City Child Care Regulations. Prev Chronic Dis 2014;11:140152 Catherine Lesesne
Compliance With New York City's Beverage Regulations and Beverage Consumption Among Children in Early Child Care Centers  Kakietek J, Osuji TA, O'Dell SA, Breck A, Kettel Khan L. Compliance With New York City's Beverage Regulations and Beverage Consumption Among Children in Early Child Care Centers. Prev Chronic Dis 2014;11:130430

Jakub Kakietek
Thearis Osuji
Sarah O'Dell

 

Relationship Between Child Care Centers' Compliance With Physical Activity Regulations and Children’s Physical Activity, New York City, 2010 Stephens RL, Xu Y, Lesesne CA, Dunn L, Kakietek J, Jernigan J, et al. Relationship Between Child Care Centers' Compliance With Physical Activity Regulations and Children’s Physical Activity, New York City, 2010. Prev Chronic Dis 2014;11:130432

Robert Stephens
Ye Xu
Catherine Lesesne
Jakub Kakietek

Insights and Implications for Health Departments From the Evaluation of New York City's Regulations on Nutrition, Physical Activity, and Screen Time in Child Care Centers 

Nonas C, Silver LD, Kettel Khan L. Insights and Implications for Health Departments From the Evaluation of New York City's Regulations on Nutrition, Physical Activity, and Screen Time in Child Care Centers. Prev Chronic Dis 2014;11:130429 N/A

Training and Technical Assistance for Compliance With Beverage and Physical Activity Components of New York City's Regulations for Early Child Care Centers 

Kakietek J, Dunn L, O'Dell SA, Jernigan J, Kettel Khan L. Training and Technical Assistance for Compliance With Beverage and Physical Activity Components of New York City’s Regulations for Early Child Care Centers. Prev Chronic Dis 2014;11:130434

Jakub Kakietek
Sarah O'Dell

About the Authors

Nicola Dawkins Lyn

Dr. Nicola Dawkins-Lyn

Vice President

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Cathy Lesesne

Dr. Cathy Lesesne

Technical Director

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Robert Stephens

Dr. Robert Stephens

Technical Director

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