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

BMC Public Health

Table 2 US state nutrition and physical activity regulations related to obesity for family child care homes, 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
AK	2006				X			X	X
AZ	2004	X	X*	X	X
AR	2006	X			X
CA	2006/7
CO	2005	X			X			X†
CT	2005	X
DC	1987
DE	2002							X	X
FL	2004	X
GA	1991/4	X	X‡	X‡	X			X§
HI	2002	X			X	X
ID	2006
IL	2003	X			X
IN	2001	X
IA	2004
KS	1990
KY	2001/3	X
LA	2000	X
ME	2006	X			X
MD	2006				X
MA	2003	X			X				X
MI	2006	X			X
MN	1985	X
MS	2006				X	X	X	X
MO	2002	X		X\|\|	X
MT	2006	X						X
NE	1999
NV	2004	X	X‡	X‡	X	X
NH	2006				X
NJ	2004	X			X
NM	2006		X
NY	2005	X			X		X
NC	2006	X	X‡	X‡	X
ND	1999				X
OH	2007	X					X
OK	2006	X			X
OR	2006	X	X¶	X‡				X
PA	2005	X			X
RI	1988/90	X						X
SC	2005	X			X			X§
SD	2004				X
TN	2005		X**	X**	X			X§
TX	2006	X			X	X		X
UT	2002	X			X
VT	2001	X		X††	X			X§
VA	1993	X			X
WA	2006	X						X§
WV	2007	X		X‡‡	X			X
WI	2005	X			X			X§
WY	2001				X	X

* Not served in place of juice
† No television without parental permission
‡ Served on special occasions only (GA, NC) and in addition to required meals and snacks (GA, NV)
§Alternate activity must be provided (GA, TN, VT, WA, WI) or children are not required to watch (SC, WI)
|| 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
** Carbonated drinks, fruit-flavored drinks, imitation milk drinks, and candy shall not be served as snack foods
†† Emphasis placed on foods unprocessed, and low in salt and sugar
‡‡ Limit snack foods high in salt and sugar

ISSN: 1471-2458