1. Obesity Prevention Strategies in the Early Care and Education Setting 1305 Partner Training Division of Nutrition, Physical Activity and Obesity National Center for Chronic Disease Prevention & Health Promotion Centers for Disease Control & Prevention Atlanta, Georgia USA

2. Immediate Needs/Questions for your State  On the card provided please share:  The most pressing ECE technical assistance needs/questions in your state for 1305 with which CDC can help?

3. FOA Requirements (Domain 2)  Basic: Strategy 1 - Promote adoption of food service guidelines/nutrition standards, which include sodium (ECEs, worksites or community settings)*  Basic: Strategy 3 - Promote adoption of physical activity in ECE setting  Enhanced: 1 Strategy 2 - Implement food service guidelines/nutrition standards where foods and beverages are available, include sodium (ECEs, worksites or community settings) 2  Enhanced: Strategy 5 - Implement physical activity in early care and education  1 Includes Basic Plus Funding  2 Many states included ECE setting in their work plans

4. What is the evidence base for nutrition and physical activity standards in ECE?  Caring for Our Children: National Health and Safety Performance Standards (CFOC), 3 rd ed.  Institute of Medicine (IOM) Reports  Early Childhood Obesity Prevention Policies  Child and Adult Food Program: Aligning Dietary Guidance for All  Accelerating Progress in Obesity Prevention

5. www.cdc.gov/obesity/downloads/spectrum-of-opportunities-for-obesity-prevention-in-early-care-and-education- setting_tabriefing.pdf Spectrum of Opportunities for Obesity Prevention in the Early Care and Education Setting

6. How well do your state’s licensing regulations encompass obesity prevention standards?

7.  Caring for Our Children: National Health and Safety Performance Standards  47 ‘high impact’ CFOC obesity prevention standard components  Annual assessment of the extent to which each state’s licensing regulations align with the CFOC obesity prevention standard components  Regulations for centers, small and large homes assessed separately  2010 baseline cfoc.nrckids.org www.nrckids.org

8. How well do your state’s ECE certification/degree programs and continuing education opportunities include obesity prevention content?

9.  Programs or series of trainings required for ECE providers in state governed ECE facility either prior to beginning work or for maintaining qualifications  Pre-Service Certification (Vocational Schools, Community Colleges, Universities)  Professional Development CEU Offerings (Coop. Ext; CCRR; Private) www.healthykidshealthyfuture.org

10. How well does your state promote interventions that take place directly within ECE facilities? (e.g. curricula, self-assessment, multi-component intervention)

11. www.fns.usda.gov/tn/grow-it-try-it-it www.gonapsacc.org  Assessments & Action Planning  Child Health Initiative for Lifelong Eating and Exercise (CHILE)  Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC)  Let’s Move! Child Care (LMCC)  Curricula  Color Me Healthy  Early Sprouts  Healthy Habits for Life  Multi-component Interventions  Eat Well, Play Hard in Child Care

12. What does a state need to do to be successful within the ECE setting?  Work in partnership with state offices, key stakeholders  Focus on reach and vulnerable populations  Address standards as comprehensively as possible  Consider and assess feasibility for full range possible strategies

13. Resources  Opportunities and planning  Assessment and action planning tools  Understanding ECE policies in your state  Resources for states and ECE providers

14. Contact Information CDC Division of Nutrition, Physical Activity and Obesity CAPT Meredith Reynolds, Ph.D. mtr6@cdc.gov For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA 30333 Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348 Visit: www.cdc.gov | Contact CDC at: 1-800-CDC-INFO or www.cdc.gov/info The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

15. Group Discussion