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Preventing Childhood Obesity in Early Care and Education Programs, 2nd Edition

By American Academy of Pediatrics, American Public Health Association and National Resource Center for Health and Safety in Child Care and Early Education
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Updated set of national standards describing evidence-based best practices in nutrition, physical activity, and screen time for early care and education programs. The new Preventing Childhood Obesity in Early Care and Education, 2nd ed. is the new set of national standards describing evidence-based best practices in nutrition, physical activity, and screen time for early care and education programs.

The standards are for all types of early care and education settings - centers and family child care homes.

These updated standards will be a part of the new comprehensive Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Early Care and Education Programs, 3rd Edition.

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  1. Page 5
    Table of Contents
  2. Page 7
    Foreword
  3. Page 9
    Executive Summary
  4. Page 11
    Nutrition Standards
    1. Page 11
      Introduction
    2. Page 12
      General Requirements
      1. Page 12
        Written Nutrition Plan
      2. Page 14
        Routine Health Supervision and Growth Monitoring
      3. Page 15
        Assessment and Planning of Nutrition for Individual Children
      4. Page 15
        Feeding Plans and Dietary Modifications
      5. Page 17
        Use of USDA — CACFP Guidelines
      6. Page 18
        Categories of Foods
      7. Page 19
        Meal and Snack Patterns
      8. Page 20
        Availability of Drinking Water
      9. Page 21
        100% Fruit Juice
      10. Page 22
        Written Menus and Introduction of New Foods
      11. Page 23
        Care for Children with Food Allergies
      12. Page 24
        Ingestion of Substances that Do Not Provide Nutrition
      13. Page 25
        Vegetarian/Vegan Diets
    3. Page 26
      Requirements for Infants
      1. Page 26
        General Plan for Feeding Infants
      2. Page 27
        Feeding Infants on Cue by a Consistent Caregiver/Teacher
      3. Page 28
        Preparing, Feeding, and Storing Human Milk
      4. Page 30
        Feeding Human Milk to Another Mother’s Child
      5. Page 31
        Preparing, Feeding, and Storing Infant Formula
      6. Page 33
        Techniques for Bottle Feeding
      7. Page 34
        Warming Bottles and Infant Foods
      8. Page 35
        Cleaning and Sanitizing Equipment Used for Bottle Feeding
      9. Page 35
        Introduction of Age-Appropriate Solid Foods to Infants
      10. Page 36
        Feeding Age-Appropriate Solid Foods to Infants
      11. Page 37
        Use of Soy-Based Formula and Soy Milk
    4. Page 38
      Requirements for Toddlers and Preschoolers
      1. Page 38
        Meal and Snack Patterns for Toddlers and Preschoolers
      2. Page 38
        Serving Size for Toddlers and Preschoolers
      3. Page 39
        Encouraging Self-Feeding by Older Infants and Toddlers
      4. Page 39
        Feeding Cow’s Milk
    5. Page 40
      Requirements for School-Age Children
      1. Page 40
        Meal and Snack Patterns for School-Age Children
    6. Page 41
      Meal Service and Supervision
      1. Page 41
        Socialization During Meals
      2. Page 42
        Numbers of Children Fed Simultaneously by One Adult
      3. Page 42
        Adult Supervision of Children Who are Learning to Feed Themselves
      4. Page 42
        Participation of Older Children and Staff in Mealtime Activities
      5. Page 43
        Experience with Familiar and New Foods
      6. Page 43
        Activities that are Incompatible with Eating
      7. Page 43
        Prohibited Uses of Food
      8. Page 44
        Use of Nutritionist/Registered Dietitian
    7. Page 45
      Food Brought from Home
      1. Page 45
        Nutritional Quality of Food Brought from Home
      2. Page 45
        Selection and Preparation of Food Brought from Home
    8. Page 46
      Nutrition Education
      1. Page 46
        Nutrition Learning Experiences for Children
      2. Page 48
        Health, Nutrition, Physical Activity, and Safety Awareness
      3. Page 48
        Nutrition Education for Parents/Guardians
    9. Page 49
      Policies
      1. Page 49
        Food and Nutrition Service Policies and Plans
      2. Page 49
        Infant Feeding Policy
  5. Page 51
    Physical Activity Standards
    1. Page 51
      Introduction
    2. Page 51
      Active Opportunities for Physical Activity
    3. Page 54
      Playing Outdoors
    4. Page 56
      Protection from Air Pollution While Children Are Outside
    5. Page 57
      Caregivers/Teachers’ Encouragement of Physical Activity
    6. Page 58
      Policies and Practices that Promote Physical Activity
  6. Page 59
    Screen Time Standard
    1. Page 59
      Limiting Screen Time — Media, Computer Time
  7. Page 61
    Appendices
    1. Page 61
      Getting Started with MyPlate
    2. Page 62
      Choose MyPlate
    3. Page 63
      Physical Activity: How Much Is Needed?
    4. Page 64
      Our Child Care Center Supports Breastfeeding
    5. Page 65
      Nutritionist/Registered Dietitian, Consultant, and Food Service Staff Qualifications
  8. Page 67
    Glossary
  9. Page 73
    Acronyms/Abbreviations Used
  10. Page 75
    Index

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