Obesity rates among preschool-aged children
have doubled in the past 10 years, and 60 %of these children
spend the majority of their day in childcare facilities. Few
studies have examined the quality of nutrition and physical
activity practices in childcare centers as compared to family
childcare homes. The purpose of this study is to determine if a
pattern of differences exist in these two settings. As part of a
CDC-funded study to reduce the obesity epidemic in young
children, directors of 1,140 childcare facilities (842 out-ofhome
and 298 in-home) in one large county completed a
survey that detailed their practices related to child nutrition
and physical activity. Results showed that comparedwith outof-
home facilities, in-home facilities were more likely to
report excellent indoor physical activity (87.2 vs. 85.5 %,
p = 0.059), less likely to report excellent outdoor physical
activity (92.8 vs. 96.5 %, p = 0.018), more likely to serve
fruit (80.3 vs. 51.2 %), and less likely to serve 1 %milk (45.2
vs. 55 %). This study’s present findings revealed that ample
opportunity exists to significantly improve the health of young
children in both in-home and out-of-home facilities.

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• Nutrition and Physical Activity Practices in Childcare Centers Versus Family Childcare Homes

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