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2020 annual report: Achieving a state of healthy weight


The National Resource Center for Health and Safety in Child Care and Early Education (NRC) conducted a 2010 baseline child care licensing study, Achieving a State of Healthy Weight: A National Assessment of Obesity Prevention Terminology in Child Care Regulations 2010 (ASHW 2010). The study measured the extent to which all 50 states and the District of Columbia included 47 science-based standards for obesity prevention in ECE settings in licensing regulations. The 47 High-Impact Obesity Prevention Standards (HIOPS) were derived from the CFOC health and safety standards presented in Preventing Childhood Obesity in Early Care and Education Programs: Selected Standards from Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd edition (PCO).  The HIOPS address nutrition, infant feeding, physical activity and screen time practices. Experts in children’s health and care from the American Academy of Pediatrics, American Public Health Association, CDC Division of Nutrition, Physical Activity and Obesity, USDA Center for Nutrition Policy and Promotion, other federal agencies, national organizations and leading universities, as well as child care and licensing stakeholders assisted NRC in defining the HIOPS. The baseline study revealed limited support of the HIOPS nationally. Subsequent annual ASHW reports examined new and revised state licensing regulations (see Table 1, below). The Achieving a State of Healthy Weight: 2020 report is the 10th update of the 2010 study. Each update documented gradual inclusion of the HIOPS in licensing regulations since 2010 (see Appendix A: Key Findings in ASHW Assessments: 2010-2019). By 2020, however, there remained considerable work ahead to create a comprehensive regulatory framework that embeds obesity prevention strategies within ECE regulations to benefit our youngest children. NRC screened more than 63 new or revised 2020 regulatory documents. Those of seven states, Arizona, Arkansas, Delaware, Georgia, Mississippi, North Dakota, and Pennsylvania, affected HIOPS in one or more child care types regulated by the states. The current report describes the comprehensiveness of those changes and their impact on the standing of the states and HIOPS nationally. (author abstract)

Resource Type:
Reports & Papers
United States
Arizona; Arkansas; Delaware; Georgia; Mississippi; North Dakota; Pennsylvania

Related resources include summaries, versions, measures (instruments), or other resources in which the current document plays a part. Research products funded by the Office of Planning, Research, and Evaluation are related to their project records.

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