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Staff Food-Related Behaviors and Children’s Tastes of Food Groups during Lunch at Child Care in Oklahoma

Published:October 05, 2017DOI:https://doi.org/10.1016/j.jand.2017.07.023

      Abstract

      Background

      Young children should consume a variety of nutrient-dense foods to support growth, while limiting added fat and sugar. A majority of children between the ages of 3 and 5 years attend child care in the United States, which makes this environment and the child-care staff influential at meals.

      Objective

      The aim was to determine the association between best-practice food-related behaviors and young children’s tastes of fruit, vegetable, low-fat dairy, and high-fat/high-sugar foods at child care.

      Design

      This was a cross-sectional study.

      Participants

      A community-based study with 201 children ages 3 to 5 years from 25 early care and education centers, including 11 tribally affiliated centers and two Head Start programs across Oklahoma. Data collection occurred from fall 2011 to spring 2014.

      Main outcome measures

      Classroom observations used the Environmental Policy Assessment Observation tool to measure the staff behaviors and environment. Staff behavior was compared at three different levels: the composite score of staff nutrition behavior, each constituent staff behavior, and staff behaviors grouped into broader feeding behaviors. Tasted food was measured through the Dietary Observation in Child Care method. The children’s meals were categorized into the following food groups: fruit, vegetable, low-fat dairy, fried vegetable, fried meat, high-fat meat, and high-fat/high-sugar food.

      Statistical analysis performed

      Descriptive statistics were calculated for relevant variables. Relationships between the constituent staff behaviors and food groups that children tasted were compared using multilevel mixed-model analysis.

      Results

      The mean number of tasted fruit or vegetable items was higher and the mean number of tasted high-fat/high-sugar food items was lower when staff: 1) determined fullness before plate removal when less than half of food was eaten, 2) ate with the children, 3) and talked about healthy food.

      Conclusions

      The utilization of the three staff behaviors and their association with higher mean tastes of nutrient-dense items and lower mean tastes of high-fat/high-sugar food items among exposed children demonstrated support for the use of the best practices in early care and education centers.

      Keywords

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      References

      1. US Department of Agriculture. 2015 Dietary Guidelines for Americans. https://health.gov/dietaryguidelines/2015/resources/2015-2020_Dietary_Guidelines.pdf. Accesssed January 10, 2017.

        • Butte N.F.
        • Fox M.K.
        • Briefel R.R.
        • et al.
        Nutrient intakes of US infants, toddlers, and preschoolers meet or exceed dietary reference intakes.
        J Acad Nutr Diet. 2010; 110: S27-S37
        • Fox M.K.
        • Condon E.
        • Briefel R.R.
        • Reidy K.C.
        • Deming D.M.
        Food consumption patterns of young preschoolers: Are they starting off on the right path?.
        J Acad Nutr Diet. 2010; 110: S52-S59
        • Kim S.A.
        • Moore L.V.
        • Galuska D.
        • et al.
        Vital signs: Fruit and vegetable intake among children—United States, 2003-2010.
        MMWR Morb Mortal Wkly Rep. 2014; 63: 671-676
      2. US Department of Education, National Center for Education Statistics. Early Childhood Program Participation Survey of the National Household Education Surveys Program 2012. https://nces.ed.gov/programs/digest/d14/tables/dt14_202.30.asp. Accessed February 20, 2016.

        • Story M.
        • Kaphingst K.M.
        • French S.
        The role of child care settings in obesity prevention.
        Future Child. 2006; 16: 143-168
        • Hendy H.M.
        Comparison of five teacher actions to encourage children's new food acceptance.
        Ann Behav Med. 1999; 21: 20-26
        • Addessi E.
        • Galloway A.T.
        • Visalberghi E.
        • Birch L.L.
        Specific social influences on the acceptance of novel foods in 2-5-year-old children.
        Appetite. 2005; 45: 264-271
        • Birch L.L.
        Development of food preferences.
        Annu Rev Nutr. 1999; 19: 41-62
        • Birch L.L.
        • Fisher J.O.
        Development of eating behaviors among children and adolescents.
        Pediatrics. 1998; 101: 539-549
        • Benjamin Neelon S.E.
        • Briley M.E.
        • American Dietetic A.
        Position of the American Dietetic Association: Benchmarks for nutrition in child care.
        J Acad Nutr Diet. 2011; 111: 607-615
        • Battista R.A.
        • Oakley H.
        • Weddell M.S.
        • Mudd L.M.
        • Greene J.B.
        • West S.T.
        Improving the physical activity and nutrition environment through self-assessment (NAP SACC) in rural area child care centers in North Carolina.
        Prev Med. 2014; 67: S10-S16
        • Ammerman A.S.
        • Ward D.S.
        • Benjamin S.E.
        • et al.
        An intervention to promote healthy weight: Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) theory and design.
        Prev Chronic Dis. 2007; 4: A67
      3. American Academy of Pediatrics, American Public Health Association, National Resource Center for Health and Safety in Child Care and Early Education. Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs. 3rd ed. Elk Grove Village, IL: American Academy of Pediatrics; Washington, DC: American Public Health Association; 2011.

        • Batsell Jr., W.R.
        • Brown A.S.
        • Ansfield M.E.
        • Paschall G.Y.
        “You will eat all of that!”: A retrospective analysis of forced consumption episodes.
        Appetite. 2002; 38: 211-219
        • Bante H.
        • Elliott M.
        • Harrod A.
        • Haire-Joshu D.
        The use of inappropriate feeding practices by rural parents and their effect on preschoolers' fruit and vegetable preferences and intake.
        J Nutr Educ Behav. 2008; 40: 28-33
        • Johnson S.L.
        • Birch L.L.
        Parents' and children's adiposity and eating style.
        Pediatrics. 1994; 94: 653-661
        • Hughes S.O.
        • Patrick H.
        • Power T.G.
        • Fisher J.O.
        • Anderson C.B.
        • Nicklas T.A.
        The impact of child care providers' feeding on children's food consumption.
        J Dev Behav Pediatr. 2007; 28: 100-107
        • Lyn R.
        • Maalouf J.
        • Evers S.
        • Davis J.
        • Griffin M.
        Nutrition and physical activity in child care centers: The impact of a wellness policy initiative on environment and policy assessment and observation outcomes, 2011.
        Prev Chronic Dis. 2013; 10: E83
        • Gubbels J.S.
        • Gerards S.M.
        • Kremers S.P.
        Use of food practices by childcare staff and the association with dietary intake of children at childcare.
        Nutrients. 2015; 7: 2161-2175
        • Kharofa R.Y.
        • Kalkwarf H.J.
        • Khoury J.C.
        • Copeland K.A.
        Are mealtime best practice guidelines for child care centers associated with energy, vegetable, and fruit intake?.
        Child Obes. 2016; 12: 52-58
        • Gubbels J.S.
        • Kremers S.P.
        • Stafleu A.
        • Dagnelie P.C.
        • de Vries N.K.
        • Thijs C.
        Child-care environment and dietary intake of 2- and 3-year-old children.
        J Hum Nutr Diet. 2010; 23: 97-101
        • Ward D.
        • Hales D.
        • Haverly K.
        • et al.
        An instrument to assess the obesogenic environment of child care centers.
        Am J Health Behav. 2008; 32: 380-386
        • Ramsay S.A.
        • Branen L.J.
        • Fletcher J.
        • Price E.
        • Johnson S.L.
        • Sigman-Grant M.
        “Are you done?” Child care providers' verbal communication at mealtimes that reinforce or hinder children's internal cues of hunger and satiation.
        J Nutr Educ Behav. 2010; 42: 265-270
        • Ball S.C.
        • Benjamin S.E.
        • Ward D.S.
        Development and reliability of an observation method to assess food intake of young children in child care.
        J Acad Nutr Diet. 2007; 107: 656-661
      4. SAS [computer program]. Version 9.3. Cary, NC: SAS Institute; 2011.

        • Benjamin Neelon S.E.
        • Vaughn A.
        • Ball S.C.
        • McWilliams C.
        • Ward D.S.
        Nutrition practices and mealtime environments of North Carolina child care centers.
        Child Obes. 2012; 8: 216-223
        • Hendy H.M.
        • Raudenbush B.
        Effectiveness of teacher modeling to encourage food acceptance in preschool children.
        Appetite. 2000; 34: 61-76
        • Brown K.A.
        • Ogden J.
        • Vogele C.
        • Gibson E.L.
        The role of parental control practices in explaining children's diet and BMI.
        Appetite. 2008; 50: 252-259
        • Galloway A.T.
        • Fiorito L.M.
        • Francis L.A.
        • Birch L.L.
        “Finish your soup”: Counterproductive effects of pressuring children to eat on intake and affect.
        Appetite. 2006; 46: 318-323
        • Sigman-Grant M.
        • Christiansen E.
        • Branen L.
        • Fletcher J.
        • Johnson S.L.
        About feeding children: Mealtimes in child-care centers in four western states.
        J Acad Nutr Diet. 2008; 108: 340-346

      Biography

      K. Anundson is a clinical registered dietitian nutritionist, Avera Queen of Peace Hospital, Mitchell, SD; at the time of the study, she was a graduate research assistant, Department of Nutritional Science, University of Oklahoma Health Sciences Center, Oklahama City.

      Biography

      S. B. Sisson is an associate professor, Department of Nutritional Science, University of Oklahoma Health Sciences Center, Oklahoma City.

      Biography

      L. Hoffman is an assistant professor, Department of Nutritional Science, University of Oklahoma Health Sciences Center, Oklahoma City.

      Biography

      M. Anderson is an assistant professor, Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City.

      Biography

      D. Horm is director of the Early Childhood Education Institute, University of Oklahoma, Tulsa.

      Biography

      J. Soto is assistant director for the Center for Early Childhood Development Center, University of Oklahoma, Tulsa.