Baby Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) Intervention Study

Preventing Obesity in Infants and Toddlers in Child Care

This study will evaluate the efficacy of a six-month-long intervention in improving the nutrition and physical activity environments of child care centers serving racially and ethnically diverse children from birth to two years of age and the family home. The focus of the intervention will be on center policies, provider and parent practices, and children's home environments that influence dietary intake and physical activity. Outcomes for this study include child dietary intake, physical activity, and two adiposity measures: weight-for-length and skinfold thicknesses. Child care centers and children's home environments will also be measured to evaluate how well they support healthy behaviors.

Inclusion Criteria:

• licensed child care centers in North Carolina (NC) serving children birth - 2
• within 120 mile radius of Duke University
• children must be from participating center and 3-18 months of age at baseline
• read/speak English
• adult teachers from infant/toddler classrooms within participating centers
• adult parents of infant/toddlers within participating centers

Exclusion Criteria:

• child care centers outside of 120 mile radius of Duke University
• children younger than 3 months or over 18 months of age
• parents with children who intend to leave the participating center in < 12 months