1. Lindsey M. Bouza, MPH, CHES Indiana Association For the Education of Young Children – pre conference April 11, 2013 And Child Care Settings

2. Source: 2011 Youth Risk Behavior Survey Weight Status by Total Population

3. For Children… 60+ minutes of physical activity daily

4. Physical Activity Level of Indiana High School Students * Recommended Level of Physical Activity Source: 2011 Youth Risk Behavior Survey

7. Healthy Child Care Facilities As of 2009, 606 licensed child-care centers 3,057 licensed child-care homes 716 unlicensed child-care ministries According to Indiana FSSA, Bureau of Child Care

8. State Plan Objective 1 By 2014, provide training and technical assistance to parents, early care and education providers, and others that focus on nutrition, physical activity, and lactation support in child-care settings

9. State Plan Objective 2 By 2014, add nutrition, physical activity, and television viewing recommendations for early childhood settings into the formal and non-formal Child Development Associate (CDA) training

10. State Plan Objective 3 By 2020, encourage the addition of nutrition, physical activity, and television viewing to the licensing requirements for child-care providers

11. State Plan Objective 4 By 2016, include basic nutrition and physical activity requirements for unlicensed child-care providers in the Child Care and Development Fund (CCDF) voucher program provider eligibility standards

12. State Plan Objective 5 By 2014, include standard nutrition, physical activity, and television viewing requirements in the Paths to QUALITY (PTQ) rating system standards

13. State Plan Objective 6 From 2010 to 2016, increase participation in the Child and Adult Care Food Program (CACFP) among licensed child-care centers and homes and unlicensed registered ministries by 2% each year

14. Physical Activity and Child Care 30-60 minutes of daily structured and unstructured play depending on age, type of center, etc. 10-minute MVPA breaks can be powerful Role modeling is very important

15. PA and Child Care Children learn habits early in life Movement stimulates all areas of the brain All CC facilities are different Take it Outside

16. Preschool children spent less time in sedentary activity, and more time in MVPA in preschools that had: Higher quality scores Less fixed playground equipment More portable playground equipment Lower use of electronic media And larger playground

17. Lindsey M. Bouza Physical Activity Specialist Division of Nutrition & Physical Activity Indiana State Department of Health 317.234.3580 lbouza@isdh.in.gov www.inhealthyweight.org