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首页> 美国卫生研究院文献>Nutrients >Healthy Eating Policy Improves Children’s Diet Quality in Early Care and Education in South Carolina
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Healthy Eating Policy Improves Children’s Diet Quality in Early Care and Education in South Carolina

机译：健康饮食政策提高了南卡罗来纳州儿童的早期饮食和教育中的饮食质量

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摘要

Policies to promote healthy foods in early care and education (ECE) in the United States exist, but few have been prospectively evaluated. In South Carolina, a statewide program serving low-income children in ECE enacted new policies promoting healthy foods. We conducted an evaluation to measure changes in dietary intake among children in ECE exposed and not exposed to the new policy. Using direct observation, we assessed dietary intake in 112 children from 34 ECE centers in South Carolina and 90 children from 30 ECE centers in North Carolina (a state with no policy). We calculated Healthy Eating Index-2015 (HEI) scores to measure diet quality consumed before and after the policy was enacted. We fit mixed-effects linear models to estimate differences in HEI scores by state from baseline to post-policy, adjusting for child race, number of children enrolled, director education, center years in operation, participation in the Child and Adult Care Food Program (CACFP), and center profit status. The policy increased HEI scores for whole fruits, total fruits, and lean proteins, but decreased scores for dairy. Thus, the policy was associated with some enhancements in dietary intake, but additional support may help improve other components of diet.
机译：美国已有在早期护理和教育（ECE）中推广健康食品的政策，但前瞻性评估很少。在南卡罗来纳州，一项在欧洲经委会中为低收入儿童提供服务的州级计划制定了促进健康食品的新政策。我们进行了一项评估，以评估暴露于和未暴露于新政策的欧洲经委会儿童的饮食摄入变化。通过直接观察，我们评估了南卡罗莱纳州34个ECE中心的112名儿童和北卡罗莱纳州30个ECE中心的90名儿童的饮食摄入量（该州无政策）。我们计算了2015年健康饮食指数（HEI）评分，以衡量该政策制定前后的饮食质量。我们采用混合效应线性模型来估计各州从基线到政策制定后的HEI得分的差异，针对儿童种族，入学儿童数，主任教育，中心工作年限，参加儿童和成人护理食品计划进行调整（ CACFP）和中心获利状态。该策略增加了完整水果，全部水果和瘦肉蛋白质的HEI分数，但降低了乳制品的分数。因此，该政策与饮食摄入量的增加有关，但是额外的支持可能有助于改善饮食的其他组成部分。

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