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Preventing Chronic Disease | Compliance With New York City’s Beverage Regulations and Beverage Consumption Among Children in Early Child Care Centers - CDC

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Preventing Chronic Disease | Compliance With New York City’s Beverage Regulations and Beverage Consumption Among Children in Early Child Care Centers - CDC



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Compliance With New York City’s Beverage Regulations and Beverage Consumption Among Children in Early Child Care Centers

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Jakub Kakietek, PhD; Thearis A. Osuji, MPH; Sarah Abood O’Dell, MPH; Andrew Breck, MPA; Laura Kettel Khan, PhD

Suggested citation for this article: Kakietek J, Osuji TA, O’Dell SA, Breck A, Kettel Khan L. Compliance With New York City’s Beverage Regulations and Beverage Consumption Among Children in Early Child Care Centers. Prev Chronic Dis 2014;11:130430. DOI:http://dx.doi.org/10.5888/pcd11.130430External Web Site Icon.
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Abstract

Introduction
This article examines the association between the New York City regulations on beverages served in child care centers and beverage consumption among enrolled children. The regulations include requirements related to beverages served to children throughout the day.
Methods
Beverage consumption data were collected on 636 children enrolled in 106 group child care centers in New York City. Data on compliance with the regulations were collected through direct observation, interviews with center staff, and a site inventory. Logistic regression for rare events was used to test associations between compliance with the regulations and beverage consumption.
Results
Compliance with the regulations was associated with lower odds of children consuming milk with more than 1% fat content and sugar-sweetened beverages during meals and snacks. There was not a significant relationship between compliance with the regulations and children’s consumption of water.


Conclusion
The findings suggest a strong, direct relationship between what a center serves and what a child consumes, particularly regarding consumption of higher-fat milk and sugar-sweetened beverages. Therefore, policies governing the types of beverages served in child care centers may increase children’s consumption of more healthful beverages and reduce the consumption of less healthful ones.

Acknowledgments

The project was funded by grant no. 65425 from the Robert Wood Johnson Foundation to the CDC Foundation. Technical assistance was provided by the CDC National Center for Chronic Disease Prevention and Health Promotion Division of Nutrition, Physical Activity, and Obesity. ICF International served as the lead contractor for the study in conjunction with the New York City Department of Health and Mental Hygiene. Beth Dixon served as a consultant on the project.
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Author Information

Corresponding Author: Jakub Kakietek, PhD, ICF International, Three Corporate Square, Suite 370, Atlanta, GA 30329. Telephone: 404-321-3211. E-mail:jKakietek@icfi.com.
Author Affiliations: Thearis A. Osuji, Sarah Abood O’Dell, ICF International, Atlanta, Georgia; Andrew Breck, CDC Foundation, Atlanta, Georgia; Laura Kettel Khan, Centers for Disease Control and Prevention, Atlanta, Georgia.
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