Research Article

Ethnic Differences in Family Childcare Providers’ Nutrition- and Activity-Related Attitudes and Barriers

Table 2

Relevant best practices from nutrition and physical activity self-assessment for child care (NAPSACC) [4547].

DomainBest practices

Water(i) Make drinking water available for children at all times
(ii) Prompt children to drink water during each indoor and outdoor playtime

Juice(i) Limit 100% fruit juice to no more than two 4–6 oz servings per week
(ii) Only serve 100% fruit juice that has no sugar added

Milk(i) Children of ages 2 and older should only be served skim or 1% milk
(ii) Never serve flavored milk (milk with chocolate or strawberry syrup or with added sugar)

Vegetables(i) Offer children vegetables two or more times a day
Fruit(i) Offer children fruit two or more times a day
Whole grains(i) Offer children high-fiber, whole grain foods two or more times a day
Snack foods(i) Limit offering children sugary, salty, or fatty foods to less than 1 time per week or never
Mealtime environment(i) Always sit at the table and eat with the children
(ii) Teach children how to serve themselves or, in the case of older children, allow them to serve themselves

Self-regulation(i) Always ask children if they are full before removing an unfinished meal or snack plate
(ii) Always ask children if they are hungry before serving more food
(iii) Never pressure children to eat more food than they want
(iv) Do not use food or sweets as a reward or reward children for finishing their plate

Role modeling(i) Enthusiastically role model eating and drinking healthy foods
Encouragement(i) Always prompt and praise children for trying new or less preferred foods
Nutrition education(i) Talk with children informally about nutrition and healthy eating as often as possible
Physical activity(i) Provide children with ≥90 minutes of PA each day
Outdoor play(i) Provide children with ≥60 minutes of outdoor play each day
Adult-led physical activity(i) Provide children with ≥45 minutes of adult-led PA each day
Physical activity education(i) Lead ≥1 planned PA lesson each week
Screen time(i) Limit screen time to < 30 minutes or none per week
Participate in indoor PA with kids(i) Always participate in indoor PA with children
Participate in outdoor PA with kids(i) Always participate in outdoor PA with children
Parent communication PA(i) Provide families with information on children’s physical activity

1 Ammerman AS, Ward DS, Benjamin SE, 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 (3):A67. doi:A67 [pii], 2 Benjamin SE, Ammerman A, Sommers J, Dodds J, Neelon B, Ward DS. Nutrition and Physical Activity Self-assessment for Child Care (NAP SACC): Results from a Pilot Intervention {A figure is presented}. J Nutr Educ Behav. 2007; 39 (3): 142–149. doi:10.1016/j.jneb.2006.08.027, 3 Benjamin SE, Neelon B, Ball SC, Bangdiwala SI, Ammerman AS, Ward DS. Reliability and Benjamin SE, Neelon B, Ball SC, Bangdiwala SI, Ammerman AS, Ward DS. Reliability and validity of a nutrition and physical activity environmental self-assessment for child care. Int J Behav Nutr Phys Act. 2007;4(1):29. doi: 10.1186/1479-5868-4-29 m.