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Knowledge and use of voluntary food and drink guidelines in English nurseries? Results from a nationally representative cross-sectional study

Bibliographic Data

ID11929344
AuthorsEmily Warren (0000-0002-9117-844X, London School of Hygiene & Tropical Medicine, corresponding author), Paul Boadu (0000-0001-9712-4760, London School of Hygiene & Tropical Medicine), Josephine Exley (0000-0002-6501-0854, London School of Hygiene & Tropical Medicine), Lorraine Williams (0000-0003-4188-3949, London School of Hygiene & Tropical Medicine), Bob Erens (0000-0002-4430-954X, London School of Hygiene & Tropical Medicine), Cécile Knai (0000-0001-6663-7379, London School of Hygiene & Tropical Medicine)
Year2023
Volume122
Pages102573-102573
Publication date2023-12-11
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFood Policy (JOURNAL)
Journal identifiersISSN: 0306-9192 • E-ISSN: 1873-5657
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.foodpol.2023.102573
OpenAlexW4389550340
LanguageEN
Citations received2
References cited22

Good nutrition in early life is vital for healthy development, and sets the stage for good health throughout the life-course. Most children aged 0–4 years old in the UK spend at least some time each week in an early years’ setting (EYS), such as a nursery or childminder. Unlike schools which serve older children, there are no statutory standards for the food and drinks served to the youngest children in EYS, despite the potential for greater public health gains due to early intervention. Two comprehensive, age-appropriate voluntary guidelines were developed, one called the Example Menus for Early Years Settings in England by the government and another, called Eat Better, Start Better by a charity. Both are seen as standard across the sector. To assess nurseries’ awareness and use of voluntary guidelines, including how they are used and how they can be improved upon, and examine how these vary by socioeconomic deprivation and setting types (private nurseries and voluntary, community and charity nurseries), we conducted the first nationally representative cross-sectional survey of nurseries in England via an online survey. Using frequency distributions and binomial multivariate logistic regression models, considerable discrepancies between awareness (82.6 %) and use (48.8 %) of available EYS dietary guidelines were found. A key reason for not using guidelines was ‘I know what is healthy without them.’ The question about whether following food and drink guidelines should be voluntary or statutory generated mixed findings. More research is required to understand the factors influencing nurseries’ views on whether guidelines should be voluntary or statutory

Cross-sectional study · Environmental health · Government (linguistics · Intervention (counseling · Logistic regression · Political science · Population · Public health · Socioeconomic status · Statutory law · Turnover · Child and Adolescent Health · Health Policy Implementation Science · Medicine · Nursing · School Health and Nursing Education

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    Open Access•Nicole Larson, Dianne S Ward et al.•Journal of the American Dietetic…•2011

  • The Role of Nutrition in Brain Development

    Open Access•Sarah E Cusick, Michael K Georgieff•The Journal of Pediatrics•2016

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    Open Access•Jennifer S Savage, Jennifer O Fisher et al.•Journal of Law, Medicine & Ethics•2007

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    Open Access•Kate Hoskins, Alice Bradbury et al.•Journal of Early Childhood Research•2021

  • Association between distance to nearest supermarket and provision of fruits and vegetables in English nurseries

    Open Access•T Burgoine, John A Gallis et al.•Health & Place•2017

  • Food industry influence in collaborative governance

    Open Access•Herman Lelieveldt•Food Policy•2022

  • Nutrition practices of nurseries in England. Comparison with national guidelines

    Open Access•Sara E Benjamin Neelon, T Burgoine et al.•Appetite•2015

Unique citing works2
Citations per year2
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 2
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