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