Despite the existence of effective interventions and best-practice guideline recommendations for childcare services to implement policies, practices and programmes to promote child healthy eating, physical activity and prevent unhealthy weight gain, many services fail to do so. The primary aim of the review was to examine the effectiveness of strategies aimed at improving the implementation of policies, practices or programmes by childcare services that promote child healthy eating, physical activity and/or obesity prevention. Current research provides weak and inconsistent evidence of the effectiveness of such strategies in improving the implementation of policies and practices, childcare service staff knowledge or attitudes, or child diet, physical activity or weight status. Further research in the field is required.


  1. Alkon ACrowley AABenjamin Neelon SEHill SPan YNguyen V, et al. Nutrition and physical activity randomized control trial in child care centers improves knowledge, policies, and children's body mass indexBMC Public Health2014;14(215):1-13.

  2. Clapp JF IIIDiet, exercise, and feto-placental growthArchives of Gynecology and Obstetrics 1997;260:101-8

  3. Hardy LLKing LKelly BFarrell LHowlett SMunch and Move: evaluation of a preschool healthy eating and movement skill programInternational Journal of Behavioral Nutrition and Physical Activity 2010;7(80):1-11


Child Health  



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