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Examining the Obesogenic Attributes of the Family Child Care Home Environment: A Literature Review

机译：检查家庭育儿家庭环境的致肥胖属性：文献综述。

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Childhood obesity is a major public health concern in the US. More than a third of young children 2–5 years old are placed in nonrelative child care for the majority of the day, making the child care setting an important venue to spearhead obesity prevention. Much of the obesity research in child care has focused on center-based facilities, with emerging research on Family Child Care Homes (FCCHs)—child care operated in a home setting outside the child’s home. The purpose of this review was to assess the obesogenic attributes of the FCCH environment. A search of the PubMed, Embase, CINHAL, and PsycINFO electronic databases identified 3,281 citations; 35 eligible for full-text review, and 18 articles from 17 studies in the analysis. This review found a lack of comprehensive written nutrition and physical activity policies within FCCHs, lack of FCCH providers trained in nutrition and physical activity best practices, lack of adequate equipment and space for indoor and outdoor playtime activities in FCCHs, inaccurate nutrition-related beliefs and perceptions among FCCH providers, poor nutrition-related communication with families, and poor feeding practices. Future research focusing on interventions aimed at addressing these problem areas can contribute to obesity prevention.
机译：儿童肥胖症是美国主要的公共卫生问题。在一天的大部分时间内，有超过三分之一的2至5岁的幼儿被安排在非亲属的托儿服务中，这使托儿服务成为预防肥胖症的重要场所。儿童肥胖症的许多研究都集中在基于中心的设施上，有关家庭儿童养老院（FCCH）的新兴研究也正在开展，FCCH是在儿童家外的家庭环境中运营的儿童保健。这次审查的目的是评估FCCH环境的致肥胖性。对PubMed，Embase，CINHAL和PsycINFO电子数据库的搜索确定了3,281篇引文。有35篇文章进行了全文审查，其中17篇研究的18篇文章进行了分析。这项审查发现，FCCH缺乏全面的书面营养和身体活动书面政策，FCCH提供者没有接受过营养和身体活动最佳实践方面的培训，FCCH缺乏足够的设备和空间进行室内和室外娱乐时间活动，与营养有关的信念和认识不正确。 FCCH提供者的观念，与家庭的营养相关沟通不良以及喂养方法不良。着眼于旨在解决这些问题领域的干预措施的未来研究可有助于预防肥胖。

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