title: Barriers to obesity prevention in Head Start.
abstract: Head Start provides early childhood education to nearly one million low-income children, through federal grants to more than 2,000 local programs. About one-third of children who enter Head Start are overweight or obese. But program directors face difficulty in implementing policies and practices to address obesity-and in our national survey, they identified the key barriers as lack of time, money, and knowledge. Also, parents and staff sometimes shared cultural beliefs that were inconsistent with preventing obesity, such as the belief that heavier children are healthier. Minimizing those barriers will require federal resources to increase staff training and technical assistance, develop staff wellness programs, and provide healthy meals and snacks.
authors.affiliation: Department of Public Health, Temple University, Philadelphia, Pennsylvania, USA.
authors.forename: Cayce C
authors.initials: CC
authors.lastname: Hughes
authors.forename: Rachel A
authors.initials: RA
authors.lastname: Gooze
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Finkelstein
authors.forename: Robert C
authors.initials: RC
authors.lastname: Whitaker
mesh_terms: D000288:Administrative Personnel / Q000523:psychology; D002648:Child; D002656:Child Day Care Centers / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D018479:Early Intervention, Educational; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D054624:Health Status Disparities; D006306:Health Surveys; D006801:Humans; D008297:Male; D009043:Motor Activity / Q000502:physiology; D009765:Obesity / Q000517:prevention & control*; D050177:Overweight / Q000453:epidemiology; D011203:Poverty; D015397:Program Evaluation / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014481:United States