title: Rationale for New York City's regulations on nutrition, physical activity, and screen time in early child care centers.
abstract: Childhood obesity is associated with health risks in childhood, and it increases the risk of adult obesity, which is associated with many chronic diseases. Therefore, implementing policies that may prevent obesity at young ages is important. In 2007, the New York City Department of Health and Mental Hygiene implemented new regulations for early childhood centers to increase physical activity, limit screen time, and provide healthful beverage offerings (ie, restrict sugar-sweetened beverages for all children, restrict whole milk for those older than 2 years, restrict juice to beverages that are 100% juice and limit serving of juice to only 6 ounces per day, and make water available and accessible at all times). This article explains why these amendments to the Health Code were created, how information about these changes was disseminated, and what training programs were used to help ensure implementation, particularly in high-need neighborhoods.
authors.affiliation: New York City Department of Health and Mental Hygiene, 42-09 28th St, CN-46, Queens, NY 11101-4132. E-mail: cnonas@health.nyc.gov.
authors.forename: Cathy
authors.initials: C
authors.lastname: Nonas
authors.affiliation: Public Health Institute, Oakland, California.
authors.forename: Lynn D
authors.initials: LD
authors.lastname: Silver
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia.
authors.forename: Laura
authors.initials: L
authors.lastname: Kettel Khan
authors.affiliation: Robert Wood Johnson Foundation, Princeton, New Jersey.
authors.forename: Laura
authors.initials: L
authors.lastname: Leviton
mesh_terms: D001628:Beverages; D002656:Child Day Care Centers / Q000331:legislation & jurisprudence* / Q000592:standards*; D002664:Child Nutritional Physiological Phenomena; D002675:Child, Preschool; D005522:Food Services / Q000592:standards; D006801:Humans; D009043:Motor Activity; D009519:New York City; D018673:Nutrition Policy; D063766:Pediatric Obesity / Q000517:prevention & control; D015995:Prevalence; D012111:Residence Characteristics