Obesity prevention in child care: A review of U.S. state regulations

BMC Public Health

Table 1 US state nutrition and physical activity regulations related to obesity for child care centers, 2007

State	Year of last update	Water freely available	Sugar sweetened beverages limited	Foods of low nutritional value limited	Children not forced to eat	Food not used as reward	Support provided for breastfeeding and provision of breast milk	Screen time limited	Physical activity required daily- minutes per day specified
AL	2001	X			X	X		X*
AK	2006				X			X	X
AZ	2004	X			X			X†
AR	2006	X
CA	2005	X	X‡	X‡
CO	2005/7	X						X§
CT	2005	X
DC	1987
DE	2005	X			X		X	X§	X
FL	2005	X
GA	1998	X	X\|\|	X\|\|	X			X*
HI	2002	X			X	X
ID	2006
IL	2005	X			X	X		X*
IN	2003	X	X¶			X	X	X*
IA	2006	X				X
KS	1990	X			X
KY	2001	X
LA	2003	X
ME	2006	X			X
MD	2006	X			X
MA	1997	X			X
MI	2006						X	X*
MN	1994	X
MS	2006				X	X	X	X
MO	2002	X		X**	X
MT	2006	X
NE	1998
NV	2004	X	X\|\|	X\|\|	X	X
NH	2006				X
NJ	2005	X			X
NM	2006	X	X					X
NY	2005	X			X		X
NC	2006	X	X\|\|	X\|\|	X
ND	1999	X			X
OH	2007	X					X
OK	2006	X			X
OR	2003	X	X††	X\|\|	X
PA	2005	X			X
RI	1993	X
SC	2005	X			X			X*
SD	2004				X
TN	2006	X		X	X	X‡‡	X	X*
TX	2006	X			X	X		X
UT	2006	X			X
VT	2001	X			X			X*
VA	2005	X			X		X
WA	2006
WV	2007	X			X		X	X*
WI	2005	X			X			X*
WY	2001				X	X

* Alternate activity must be provided (GA, IL, IN, MI, TN, VT, WA, WV, WI) or children are not required to watch (AL, IN, SC, WI)
† Television cannot be on when a child is sleeping
‡ No corn syrup served to infants
§No television without parental permission
|| Served on special occasions only (GA, NC) or occasionally (OR) and in addition to required meals and snacks (GA, NV, OR)
¶No ades, drinks, soft drinks, or powders served or accessible to children
** Snacks of fruit juice, raw fruits and vegetables, milk, crackers, cheese, peanut butter, or similar nutritious foods shall be served
†† For infants less than 12 months of age
‡‡ Desserts and sweets not used as a reward

ISSN: 1471-2458