Health Equity Considerations
The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) program targets child care policy, practice and environmental influences on nutrition and physical activity behaviors in young children. NAP SACC was tested in a randomized control trial in childcare centers located in both urban and rural areas of North Carolina. Children attending centers in the study were ages 3, 4, and 5. Childcare centers in the study served a diversity of children (35-40% were nonwhite), the majority of whom were low-income. Seventy-seven percent (77%) of the children participated in the USDA's Child and Adult Care Food Program, which provides nutritious meals and snacks to children from low-income families as a regular part of their childcare.