Buscemi Joanna, Kanwischer Katelyn, Becker Adam B, Ward Dianne S, Fitzgibbon Marian L
University of Illinois at Chicago, Chicago, IL USA.
Consortium to Lower Obesity in Chicago Children, Chicago, IL USA.
Transl Behav Med. 2015 Mar;5(1):122-5. doi: 10.1007/s13142-014-0297-5.
The Society of Behavioral Medicine (SBM) urges policymakers to help prevent childhood obesity by improving state regulations for early care and education (ECE) settings related to child nutrition, physical activity, and screen time. More than three quarters of preschool-aged children in the USA attend ECE settings, and many spend up to 40 h per week under ECE care. ECE settings provide meals and snacks, as well as opportunities for increasing daily physical activity and reducing sedentary screen time. However, many states' current policies do not adequately address these important elements of obesity prevention. A growing number of cities and states, child health organizations, medical and early childhood associations, and academic researchers are beginning to identify specific elements of policy and regulations that could transform ECE settings into environments that contribute to obesity prevention. Let's Move! Child Care recommends a set of straightforward regulations addressing nutrition, physical activity, and screen time in ECE settings. These emerging models provide local and state leaders with concrete steps to implement obesity prevention initiatives. We provide a set of recommendations based upon these models that will help state and local policymakers to improve current policies in ECE settings.
行为医学协会（SBM）敦促政策制定者通过完善与儿童营养、体育活动和屏幕使用时间相关的早期护理和教育（ECE）机构的州级法规，来帮助预防儿童肥胖。美国超过四分之三的学龄前儿童进入ECE机构，许多儿童每周在ECE护理下花费长达40小时。ECE机构提供膳食和零食，以及增加日常体育活动和减少久坐屏幕使用时间的机会。然而，许多州目前的政策并未充分解决这些预防肥胖的重要因素。越来越多的城市和州、儿童健康组织、医学和幼儿协会以及学术研究人员开始确定政策和法规的具体要素，这些要素可将ECE机构转变为有助于预防肥胖的环境。“让我们行动起来！儿童保育”建议制定一套直接针对ECE机构中营养、体育活动和屏幕使用时间的法规。这些新兴模式为地方和州领导人提供了实施肥胖预防举措的具体步骤。我们基于这些模式提出了一套建议，这将有助于州和地方政策制定者改进ECE机构的现行政策。
