Searle Bonnie, Houen Sandy, Staton Sally, Thorpe Karen
Queensland Brain Institute, The University of Queensland, 79 Upland Road, St Lucia, QLD4067, Australia.
Australian Centre of Excellence for Children and Families across the Life Course, The University of Queensland, 80 Meier's Rd, Long Pocket, QLD4068, Australia.
Public Health Nutr. 2025 Jan 7;28(1):e50. doi: 10.1017/S1368980025000011.
Early education and care (ECEC) is part of the everyday life of most children in developed economies, presenting exceptional opportunity to support nutrition and ongoing food preferences. Yet, the degree to which such opportunity is captured in policy-driven assessment and quality ratings of ECEC services is unknown.
Abductive thematic analysis was conducted, guided by key domains of knowledge in nutrition literature and examining identified themes within these domains.
ECEC services ( 38) in Queensland, Australia.
Data were a random sample of field notes pertaining to mealtimes and food provision ( 182) collected as evidence to inform quality ratings during assessment visits to ECEC services.
The field notes mapped to three theory-driven domains: . Reflecting policy specification, health, hygiene and safety were a key focus, but food quality and quantity were not. Assessors noted the promotion of child autonomy at mealtimes, yet little evidence pertaining to characteristics of educator-child interactions.
Despite evidence that childhood nutrition is crucial for optimal development and learning, the quality and quantity of food are not directly assessed. Relationships and interactions at mealtimes provide an environment ideal for promoting learning and development, yet the policy guiding inspection and assessment of ECEC services directs focus to a more limited lens of safety, hygiene and promotion of 'healthy foods'. Our findings identify a narrow conceptualisation of mealtimes focused on 'health' as limiting the potential to leverage mealtimes as places to support children's nutrition and attendant development and learning.
早期教育与照料(ECEC)是发达经济体中大多数儿童日常生活的一部分,为支持营养和持续的食物偏好提供了特殊机会。然而,政策驱动的ECEC服务评估和质量评级中利用这一机会的程度尚不清楚。
采用归纳主题分析法,以营养文献中的关键知识领域为指导,并审视这些领域内确定的主题。
澳大利亚昆士兰州的ECEC服务机构(38个)。
数据是在对ECEC服务进行评估访问期间收集的与用餐时间和食物供应相关的现场记录(182份)的随机样本,作为为质量评级提供信息的证据。
现场记录映射到三个理论驱动的领域:反映政策规范,健康、卫生和安全是关键重点,但食物质量和数量并非如此。评估人员注意到在用餐时间促进儿童自主性,但几乎没有关于教育工作者与儿童互动特征的证据。
尽管有证据表明儿童营养对最佳发育和学习至关重要,但食物的质量和数量并未得到直接评估。用餐时间的关系和互动为促进学习和发展提供了理想环境,但指导ECEC服务检查和评估的政策将重点放在了更有限的安全、卫生和推广“健康食品”方面。我们的研究结果表明,将用餐时间狭义地概念化为关注“健康”,限制了将用餐时间作为支持儿童营养及相关发展和学习场所的潜力。