Improving the physical activity and nutrition environment through self-assessment (NAP SACC)

ASU Author/Contributor (non-ASU co-authors, if there are any, appear on document)
Rebecca Battista Ph.D, Associate Professor (Creator)
Appalachian State University (ASU )
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Abstract: Objective. To determine if child care centers in rural, Western North Carolina met recommendations for nutrition and physical activity, if focusing on nutrition and physical activity practices and policies was effective in improving the center environment, and if differences existed between centers af?liated or unaf?liated with schools.Methods. Of 33 child care centers in three counties, 29 submitted mini-grant requests and participated in a pre-post evaluation using Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC). NAP SACC assesses compliance for nutrition and physical activity recommendations and standards. Between October 2011 and April 2012, centers participated in workshops and goal setting speci?c to nutrition and physical activity.Results. At baseline, over 95% of the centers met all recommendations. However, post-intervention, Wilcoxon Signed Ranks Test (p b 0.05) indicated signi?cant improvement across center types in ?ve out of 37 nutrition and seven out of 17 physical activity standards following the intervention. Centers unaf?liated with schools made signi?cant changes in ten nutrition standards, while those af?liated with schools improved in only two standards and decreased on one standard. Conclusion. Overall, rural child care centers inWestern North Carolina were meeting standards, they were still able to strengthen policies and practices by following NAP SACC. This was especially true for centers unaf?liated with schools. Continued ?nancial support may assist centers in sustaining increased physical activity in children.

Additional Information

Rebecca A. Battista, Hillary Oakley, Melissa S. Weddell, Lanay M. Mudd, J.B. Greene, Stephanie T. West (2014) "Improving the physical activity and nutrition environment through self-assessment (NAP SACC) in rural area child care centers in North Carolina" Preventive Medicine #67 Version of Record Available @ (
Language: English
Date: 2014
child care, physical activity, nutrition, rural health, obesity

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