This study will evaluate the efficacy of a six-month-long intervention in improving the nutrition and physical activity environments of child care centers serving racially and ethnically diverse children from birth to two years of age and the family home. The focus of the intervention will be on center policies, provider and parent practices, and children's home environments that influence dietary intake and physical activity. Outcomes for this study include child dietary intake, physical activity, and two adiposity measures: weight-for-length and skinfold thicknesses. Child care centers and children's home environments will also be measured to evaluate how well they support healthy behaviors.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
960
Johns Hopkins University
Baltimore, Maryland, United States
University of North Carolina Chapel Hill
Chapel Hill, North Carolina, United States
Duke University Medical Center, Department of Community and Family Medicine
Durham, North Carolina, United States
change in weight-for-length z-score
Time frame: pre to post-intervention (from baseline to post-intervention; approximately 8 months later)
change in skinfold thickness
Time frame: pre to post-intervention (from baseline to post-intervention; approximately 8 months later)
change in child physical activity via accelerometer
Time frame: pre to post-intervention (from baseline to post-intervention; approximately 8 months later)
change in child dietary intake
Time frame: pre to post-intervention (from baseline to post-intervention; approximately 8 months later)
change in child care policies and practices
Time frame: pre to post-intervention (from baseline to post-intervention; approximately 8 months later)
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