Stronger Support Needed for Healthy Beverage Practices in Child Care

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Stronger Support Needed for Healthy Beverage Practices in Child Care

New study highlights policy adherence and promotional efforts of water intake in child care settings
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Thursday, March 7, 2013 - 8:30am

CONTENT: Press Release

PHILADELPHIA, Pa., March 7, 2013 /3BL Media/ - Support is needed in child care centers to help meet existing water policies and new water requirements included in the 2010 Child Nutrition Reauthorization Act, according to a study published by the Yale Rudd Center for Food Policy & Obesity. The study, published in the March/April 2013 issue of the Journal of Nutrition Education and Behavior, is the first to document availability and accessibility of water in compliance with state and federal policy and accreditation standards in child care centers.

According to the United States Department of Education, nearly 60% of 3- to 5-year-olds attend licensed child care centers. Previous research published in the journal Future Child and the Journal of Nutrition Education and Behavior shows that the availability of water, culture of the child care center, and how the staff promotes and models water consumption can have a significant impact on development of health habits and future health.  

With more than one-third of U.S. children considered overweight or obese, the 2010 Child Nutrition Reauthorization Act aims to improve nutrition and focuses on reducing childhood obesity. The act expands access to drinking water in schools, particularly during meal times, among other initiatives.

Researchers reviewed national, state, and child care center water regulations and observed water availability and teacher behaviors during lunch and physical activity in 40 child care centers in Connecticut. They found that many centers were in violation of water-promoting policies. While water was available in most classrooms (84%), it had to be requested from an adult in over half of those classrooms. The researchers also found that water was available during only one-third of physical activity periods observed and verbal prompts from staff for children to drink water were few.

“The lack of water availability during a meal diminishes its importance as a viable beverage choice for young children and highlights a missed opportunity for centers to normalize consumption of noncaloric beverage,” says Kathryn E. Henderson, PhD, Director of School and Community Initiatives at the Rudd Center. “With child care settings’ strong influence on mealtime behaviors, policy guidelines should continue to explicitly mention that water may be served with meals. This is a cost-neutral policy suggestion that reinforces low-calorie hydration to children as they form their dietary habits, but it does not encroach on milk consumption.”

The researchers assert that policy change is one approach for improving healthy beverage practices in child care and that support is needed to help centers meet existing water policies and new water requirements included in the 2010 Child Nutrition Reauthorization Act.

This project was funded by the Robert Wood Johnson Foundation's Healthy Eating Research Program.

Notes for Editors

“From Policy to Practice: Implementation of Water Policies in Child Care Centers in Connecticut,” by Ann E. Middleton, MPH; Kathryn E. Henderson, PhD; and Marlene B. Schwartz, PhD, appears in the Journal of Nutrition Education and Behavior, Volume 45, Issue 2 (March/April 2013) published by Elsevier.

Full text of the article is available to credentialed journalists upon request; contact Eileen Leahy at +1 732 238 3628 or to obtain copies. To schedule an interview with the authors, please contact Meg Orciari at or +1 203 432 8520.

An audio podcast featuring an interview with Kathryn E. Henderson, PhD, and information specifically for journalists are located at Excerpts from the podcast may be reproduced by the media; contact Eileen Leahy to obtain permission.

About The Journal of Nutrition Education and Behavior (
The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior (SNEB), is a refereed, scientific periodical that serves as a resource for all professionals with an interest in nutrition education and dietary/physical activity behaviors. The purpose of JNEB is to document and disseminate original research, emerging issues, and practices relevant to nutrition education and behavior worldwide and to promote healthy, sustainable food choices. It supports the society’s efforts to disseminate innovative nutrition education strategies, and communicate information on food, nutrition, and health issues to students, professionals, policy makers, targeted audiences, and the public.

The Journal of Nutrition Education and Behavior features articles that provide new insights and useful findings related to nutrition education research, practice, and policy. The content areas of JNEB reflect the diverse interests of health, nutrition, education, Cooperative Extension, and other professionals working in areas related to nutrition education and behavior. As the Society's official journal, JNEB also includes occasional policy statements, issue perspectives, and member communications.

About Elsevier 
Elsevier is a world-leading provider of scientific, technical and medical information products and services. The company works in partnership with the global science and health communities to publish more than 2,000 journals, including The Lancet and Cell, and close to 20,000 book titles, including major reference works from Mosby and Saunders. Elsevier’s online solutions include ScienceDirect, Scopus, Reaxys, ClinicalKey and Mosby’s Nursing Suite, which enhance the productivity of science and health professionals, and the SciVal suite and MEDai’s Pinpoint Review, which help research and health care institutions deliver better outcomes more cost-effectively.

A global business headquartered in Amsterdam, Elsevier employs 7,000 people worldwide. The company is part of Reed Elsevier Group PLC, a world-leading provider of professional information solutions in the Science, Medical, Legal and Risk and Business sectors, which is jointly owned by Reed Elsevier PLC and Reed Elsevier NV. The ticker symbols are REN (Euronext Amsterdam), REL (London Stock Exchange), RUK and ENL (New York Stock Exchange).


Eileen Leahy
+1-732238ext. 3628
Keywords: Research & Policy | Child care | Education | Hydration | mealtime behaviors | nutrition | obesity | overweight | water policies

CONTENT: Press Release