Unit 1.1: Support hеalthy lifestyles for children through the provision of food and nutrition

1.1. Explain what is meant by healthy eating.

Healthy eating is a balancеd approach to consuming food that provides necessary nutrients for optimal health and well-being. At the centre of this concept lies variety—eating a wide array of foods that deliver essential vitamins, minerals, fibre, prоtein, and good fats.

Nutritional Adequacy: Fundamentally, healthy eating ensures nutritional adequacy: an intake matching individual needs based on age, physical activity level, and life stage (Department of Health & Social Care, 2016). For example, children in their early years require apt energy to support rapid growth and cognitive development.

Balance and Proportion: Recognising the right balance between different food groups is vital. The NHS’s ‘Eatwell Guide’ dictates our diets should predominantly consist of fruits, vegetables, whole grains while incorporating lean proteins and dairy (or alternatives) in moderation (NHS Choices, n.d.). Crucially forsaking excessive sugar or saturated fat intake lowers risks associated with chronic diseases such as obesity or type 2 diabetes.

Hydration: Moreover, maintaining good hydration by drinking plenty of fluids—ideally water—is integral as part of a healthy diet (Carson et al., 2016). Fluids aid in physiological processes like digestion and temperature regulation.

Mindful Eating Practices: Equally important are mindful eating practices which involve savouring meals slowly rather than rushed consumption (Robinson et al., 2013). This encourages better digestion and recognition when fullness has been reached; thus aiding portion control.

Healthy eating transcends mere sustenance—it becomes active engagement towards preserving health long-term. Early years educators emphasise building these habits from a young age since patterns solidified early on pave the way for future preferences and behaviours concerning nutrition (Public Health England & NHS England National Childhood Obesity Programme Board, 2019).

1.2. Evaluate national and local initiatives which promote healthy eating.

National Initiatives

One significant initiative is the UK Gоvernment’s School Fruit and Vegetable Scheme (SFVS) which provides children aged four to six with a free piece of fruit or vegetable each school day. This initiative not only introduces healthy foods into the daily routine but also integrates nutritional education as part оf the curriculum (Department of Health & Social Care, 2018).

The Change4Life campaign, which operates under Public Health England, runs with vigour and passion to encourage families to ‘eat well, move more, live lоnger’ by providing practical advice and resources for healthier food choices (Public Health England, 2019). This includes easy-to-understand labels on supermarket products, helping parents navigate towards better nutrition for their offspring.

Local Initiatives

On a local level, numerous councils have taken initiatives one step further. Locally, efforts may vary considerably; yet a remarkable example is London’s Healthy Schools London program (Mayor of London, 2021). By awarding schools for their health promotion endeavours, it fosters environments where healthy food choices become commonplace. An impressive aspect is its adaptability; each school integrates unique strategies that reflect their community’s demographic makeup.

County-specific programs such as Manchester’s Food Futures, aim at establishing strong networks between public sector bodies and local food suppliers to boost accessibility to nutritious foods (Manchester City Council, 2019).

Multidisciplinary approaches are encompassed through programs like Manchester City Council’s ‘Buzz Health and Wellbeing Service‘, which combines promotion of physical activity along with healthier food options at community events (Manchester City Council, n.d.)

Beyond public entities come charitable actions such as those from The Soil Association’s Food for Life Program, where they collaborate with communities to make fresh, sustainable meals an everyday reality in schools across the nation (Soil Association,(n.d.), Food For Life).

For individuals like us responsible for shaping young minds during crucial developmental years, these endeavours provide essential support. We teach by what we exhibit before our students; thus having robust national guidelines complemented by flexible local projects contributes immensely toward fostering environments where making healthy choices becomes second nature for all.

1.3. Describe food and drink requirements in relation to current frameworks.

In the early years education field, understanding and adhering to current frameworks concerning food and drink requirements is paramount. These guidelines have been constructed with a dual purpose in mind: safeguarding children’s health and ensuring their optimal development. As educators, it becomes our responsibility to adopt these standards into our daily practice.

The Early Years Foundation Stage (EYFS) Framework sets the baseline for our discussion. It emphasises not only the nutritional value of the meals provided but also integrates learning opportunities about healthy eating habits from an early age (Department for Education, 2021). This urges us to create environments where choices are discussed and respected, fostering a foundation for lifelong healthy eating patterns.

Moving forward, The Children’s Food Trust has laid out recommendations that further detail portion sizes appropriate for different age groups alongside emphasising the importance of hydration; suggesting water should be made available throughout the day (Children’s Food Trust, n.d.). Such specificity helps us tailor meal plans that cater uniquely to each developmental stage.

Moreover, dietary requirements due to health issues or cultural beliefs necessitate adaptability on our part. The School Food Plan provides an excellent example by outlining alternatives ensuring inclusivity in meal offerings without compromising nutritional integrity (School Food Plan, 2014).

Inclusion calls for a reflective practice approach as described by Nutbrown & Paige-Smith (2008), allowing educators to remain sensitive towards individual needs while promoting a sense of belonging amongst all children through shared meal times that embrace diversity.

Lastly, Public Health England’s guidelines throw light on sugar intake reduction and healthier snack initiatives highlighting an increasingly significant challenge within contemporary dietary habits affecting children (“Health matters: obesity and the food environment,” 2017).

Navigating food and drink requirements in line with current frameworks demands an attentive balance of knowledge adhering strictly to provided guidelines while integrating flexibility and accommodating everyone’s unique needs. Our role transcends mere compliance; it involves educating and inspiring future generations towards healthier lifestyle choices.

2.1. Explain the impact on health and development of food choices during:

• • pre-pregnancy

• • pregnancy

• • breastfeeding.

Food chоices during pre-pregnancy, pregnancy, and breastfeeding holds critical significance due to their profound effects on maternal and child health аnd development. Understanding these impacts empowers individuals to make informed decisions that benefit both the mother аnd the offspring.

Pre-Pregnancy

Optimal nutritiouѕ intake before cоnception is essential for setting a robust foundation for pregnancy. A balanced diet enriched with folic acid, iron, calcium, and vitamins has been shown to reduce the risk оf birth defects аnd establishes reserves that the mother-tо-be will uѕe throughout her pregnancy (World Health Organization, 2021). Research indicates that women who maintain a healthy weight аnd consume a nutrient-rich diet prior to conception are leѕs likely to experience complications such as gestational diabetes or hypertensive disorders (Picсoli et al., 2018).

Pregnancy

During pregnancy, food choices directly іnfluence fetal growth and development. Pregnant women need increased macronutrients like choline, omega-3 fatty acids, iodine, аnd DHA to support neurоdevelopmental processes (Koletzko et al., 2019). Insufficient diets can lead to many problems ranging from low birth weight tο cognitive impairments in children. The National Institute for Health and Care Excellence (NICE) recommends that pregnant women ensure adequate dietary variety tо cater to these heightened nutritional demands.

Breastfeeding

Postnatally, an optimal diet continues tо be crucial as it affects breast milk composition аnd volume. For instance, exclusive breastfeeding is associated with reduced rates of infections аnd allergies in infants owing tо antibodies аnd other bioactive components found in human milk (Victora et al., 2016). Mothers are encouraged by healthcare professionals tо continue focusing on nutrient-dense foods while breastfeeding and may require additional calories depending оn their lactation intensity (Institute of Medicine [IOM], 2007).

In conclusion, the trajectory оf health and developmental outcomes is greatly shaped by maternal food choicеs before conception through lactation. Embracing dietary patterns rich in essential nutriеnts promotes optimal conditions for fetal development while safeguarding maternal well-being.

3.1. Explain the nutritional value of the main food groups.

The body requires a variety of foods to maintain optimal health and function. These can be organised into main food groups, each with distinct nutritional contributions essential for energy, growth, and repair.

Proteins: Primarily knоwn as the building bӏocks of our bodies, proteins are crucial for muscle repair, the immune system’s responses, and hormone production (McArdle et al., 2015). Foods rich in protein include meats, fish, eggs, dairy products, legumes and some grains like quinoa. Beyоnd simply being a sоurce of amino acids—necessary molecules obtained from our diet—proteins also play significant roles in satiety levels and metabolic rates (Westerterp-Plantenga et al., 2009).

Carbohydrates: As the primary energy-providers for our bodies to conduct daily activities efficiently, carbohydrates range broadly—from simple sugars to complex fibers. Sources include fruits, vegetables, grains and sugary snacks. The key is choosing complex carbohydrates from whole foods over refined sugars that lead to rapid blood sugar spikes (Jebb & Moore, 1999).

Fats: Fats are formidable sources of prolonged energy storage. They are involved in cell membrane integrity alongside fat-soluble vitamin absorption (vitamins A,D,E,K), hormonal balance production while also providing insulation (Institute of Medicine [IOM], 2005). Avocados,oily fish,nuts,and olive oil all offer healthy unsaturated fats contrasted with other types providing saturated fats better consumed less frequently.

Vitamins & Minerals: Varied consumption across food groups ensures adequate intake since these nutrients facilitate multiple body functions including bone health, sight, and blood coagulation (Tucker et al., 2010).

Dairy: Renowned primarily for its calcium content, dairy assists in bone strength and tooth upkeep yet it possesses protein, vitamin D, and potassium too.

Fruits & Vegetables: Their antioxidant properties from vitamins C & E shield cells against damage linked to degenerative diseases while dietary fibre supports digestive tract functioning (Ness & Powles 1997).

Keeping a balanced diet varied within these groups promotes well-rounded nutrient uptake. Unprocessed or minimally processed options should be favoured where possible, maximising benefits substantially.

3.2. Use current government guidance to identify the nutritional needs of babies until they are fully weaned.

The nutritional phase from birth to full weaning is critical and demands close attention to nurture the health of infants. Public Health England (PHE) provides comprehensive guidance on this developmental stage, emphasising that breast milk or infant formula should be the sole source of nutrition for the initial six months of a baby’s life (NHS, 2019). This period allows for the establishment of a robust immune system, developmentally appropriate growth, and nutritional balance.

On reaching around six months, while continuing with breast milk or formula, introductory foods become imperative to complement the diet and introduce essential nutrients not as prevalent in milk such as iron and vitamin D. According to the Department of Health & Social Care, it’s advisable during this time to progressively incorporate a variety of flavours and textures including pureed fruits and vegetables, soft cooked meats, cereals rich in iron without added sugars or salt (Start4Life Information Service for Parents [S4L], 2021).

Through thoughtful introduction of solid foods alongside regular milk feeds (both breastmilk and first infant formula), caregivers can cater to an evolving palette while meeting increased energy requirements. The government-endorsed resource ‘Eatwell Guide‘ becomes a valuable tool here providing insight into balanced diet compositions adapted for weaning babies—suggesting portions size guidance (First Steps Nutrition Trust, 2018).

Furthermore, Public Health England underscores that exclusively breastfeeding until approximately six months enriches infants with necessary antibodies; however alternative options like hypoallergenic formulas are suggested when breastfeeding isn’t possible or preferred by the parent. In addition to these resources, highlights include allergen introduction guidelines and recommended vitamin supplements – notably vitamins A, C and D – both naturally allergenic foods should be introduced one at a time so any reaction can be pinpointed effectively.

Remembering these key points ensures that we provide well-informed care catered specifically toward newborns navigating through their pre-weaning journey towards a healthy diet.

3.3. Explain how to plan a weaning programme.

When trying to introduce solids to an infant’s diet, more colloquially known as weaning, it is imperative to adopt a systematic approach. This ensures the transition is smooth and tailored to the child’s developmental needs. The general consensus supports starting weaning around six months of age (World Health Organization, 2021). However, readiness cues from the child are equally vital; for instance, can they sit up unassisted or show curiosity about foods?

Firstly, deliberate on setting achievable objectives, which may include exposing the child to various textures and tastes or enhancing their motor skills through self-feeding efforts. Planning involves choosing appropriate initial foods—typically pureed fruits and vegetables—and gradually progressing towards more complex combinations and textures.

Secondly, it’s important to establish a routine. Consistency aids in acclimatising the infant’s digestive system and body clock to this significant dietary shift (NHS Choices, 2019). Introducing one meal a day at a time when the baby is alert and not too hungry or full can be beneficial.

Incorporate safety measures, such as understanding potential allergens and learning how to manage choking hazards (American Academy of Pediatrics, 2019). Keep emergency protocols in place while also empowering caregivers with this critical knowledge.

Also, consult with healthcare professionals periodically throughout this process. Their expertise can help one navigate any difficulties arising from individual health conditions; for example, babies displaying early signs of allergies may require specific strategies during weaning (Brown & Isaacs, 2017).

Finally, maintain detailed documentation about progressions in food types offered—their acceptance levels—and reactions observed which helps fine-tune ongoing plans accordingly.

Documentation might seem tedious but its relevance cannot be overstated; it forms an evidence base enabling personalisation within weaning programmes.

3.4. Discuss the nutritional requirements of children aged:

• • 1-2 years

• • 2-3 years

• • 3-5 years

• • 5-7 years.

Nutrition plays a crucial role in the development of children.

For those aged 1-2 years, this is a period of rapid growth and cognitive development. The introduction of varied solid foods to complement milk should supply adequate sources of iron, to support brain development, and vitamin D for bone health (Department of Health & Social Care, 2016). Balanced meals with fruits, vegetables, grains, dairy or alternatives and protein are critical.

As children advance into the 2-3 years bracket, their energy requirements increase due to heightened activity levels. According to the British Nutrition Foundation (2020), these youngsters need an energy-dense diet from complex carbohydrates like wholegrain pasta and breads; still keeping sugars limited. Ensuring a diversity of nutrients through a range of food groups remains key—children should be encouraged to try new flavours and textures.

Moving along to those aged between 3-5 years, strategic nutrition can bolster preschool readiness by improving concentration and energy sustenance throughout the day. Protein sources such as fish, lean meats, beans and eggs are vital (NHS Choices, 2018). Meals should proportionally consist more heavily on fruits and vegetables alongside an emphasis on healthy fats present in avocados or nuts.

Lastly, primary school starters aged 5-7 years transition into structured learning requiring consistent cognitive function support. Adequate omega-3 fatty acids found in oily fish are valuable for brain health while calcium-rich foods become more essential for continued skeletal progression at this stage (First Steps Nutrition Trust, 2019).

Parents and educators alike must affirm these dietary patterns by offering water instead of sugary drinks; promoting an appreciative culture towards diverse whole foods. These formative years lay a foundation for future health outcomes influenced greatly by nutritional choices made daily within our homes—and schools.

3.5. Explain strategies to encourage healthy eating.

Encouraging healthy eating among young children can be achieved through a blend of strategic approaches.

Role Modeling

First and foremost, caregivers must exhibit healthy eating behaviours themselves. Children are astute observers, often emulating the actions of adults around them. When caregivers consistently choose nutritious options and display enthusiasm for a variety of foods, this behaviour has the potential to influence children positively (Birch & Ventura, 2009).

Interactive Learning Experiences

Another effective strategy is integrating interactive learning experiences related to food into the curriculum. This may include activities such as cooking simple recipes together or growing vegetables in a garden area to allow children hands-on exposure to where food comes from and how it gets onto their plates (Herbold & Walsh, 2009).

Positive Reinforcement

Employing positive reinforcement when children make healthy choices can also foster an affinity for nutritious foods. Applauding good decisions and avoiding negative discourse about less healthful options encourages children without creating feelings of guilt around food (Caruso & Cullen, 2015).

Nutrition Education

It’s imperative to incorporate nutrition education that aligns with their level of understanding. Interactive storybooks about different types of foods or conversational activities on why certain foods help us grow strong can connect with their natural curiosity (Contento, Randell & Basch, 2002).

In summary, by acting as role models, providing engaging learning opportunities related to food preparation and growth, positively reinforcing healthy choices and delivering age-appropriate nutritional knowledge we navigate pupils towards making better dietary decisions.

4.1. Explain the impacts of poor diet on children’s health and development in the:

• • short term

• • long term.

Short-Term Impacts of Poor Diet

In the immediate sense, a poor diet can notably affect children’s health and development. Short-term effects include diminished concentration (Taras, 2005) and lethargy, which impinge upon a child’s ability to engage in both academic learning and play. Furthermore, susceptibility to infections may increase due to impaired immune function (Grimble, 1997), resulting in higher absenteeism from school. Nutritional deficiencies can prompt signs of malnourishment like weight loss or gain, as well as specific issues like anaemia from insufficient iron intake (Beard & Tobin, 2000).

Long-Term Impacts of Poor Diet

When considering the long term, the consequences become increasingly grave. A continued poor diet sets a trajectory towards chronic conditions such as obesity (Lobstein et al., 2004), diabetes, and cardiovascular diseases that manifest into adulthood. Additionally, psychological complications might surface; these include reduced self-esteem and potential eating disorders that interconnect with mental health concerns (Puhl & Latner, 2007). It is crucial to recognise that developmental deficits incurred early on—such as cognitive impairments—can alter life outcomes by stymieing educational achievement and vocational prospects.

There is no understating how impactful nutrition is during formative years—it intertwines significantly into the structure of childhood wellness. The complex role it plays presents an unequivocal call for conscientious dietary provision for our younger generation.

5.1. Identify reasons for:

• • special dietary requirements

• • keeping and sharing coherent records with regard to special dietary requirements.

Special Dietary Requirements

Special dietary requirements are driven by a combination of health, ethical, and cultural imperatives. Health reasons range from allergies—where certain food proteins trigger immune responses—to intolerances such as lactose intolerance, necessitating dairy exclusion (Gregory & Denniss, 2011). Medical conditions like celiac disease or diabetes also dictate stringent dietary considerations. From an ethical perspective, vegetarianism or veganism reflects one’s stance on animal welfare and environmental sustainability (Ruby, 2012). Cultural beliefs and religious practices equally influence diet; examples include halal or kosher diets.

Keeping and Sharing Coherent Records

Record-keeping is pivotal in early years education; it ensures that every child’s nutritional needs are met accurately and safely. Detailed records serve as a reference point for educators in meal planning while also providing crucial information during transitions—such as when the child moves to a new setting or progresses into formal schooling.

Sharing up-to-date records with relevant stakeholders—for instance parents, healthcare professionals or catering services—is essential for continuity of care. As noted by Collins (2018), this collaboration is vital not merely for fulfilling immediate dietary requirements but also for monitoring potential changes in a child’s health that might affect their diet.

Safety and responsibility underscore why coherent records must be maintained comprehensively. For example, the presence of accurate allergy documentation can be lifesaving in emergency situations where immediate knowledge of the allergen is crucial to prevent anaphylaxis (Thompson & Gregory, 2009).

Furthermore, underpinning legal frameworks such as the UK’s Early Years Foundation Stage (EYFS) mandate settings to record each child’s individual needs – which encompass special diets – thus validating effective cooperation between caregivers (Department for Education [DfE], 2017).

5.2. Explain the role of the Early Years practitioner in meeting children’s individual dietary requirements and preferences.

An Early Years practitioner is instrumental in navigating the nutritional requirements and preferences for children under their care. Firstly, it’s about safety; food allergies and intolerances aren’t to be taken lightly. For instance, Knowledge of the dietary needs and preferences of each child becomes paramount to avoid any allergic reactions which can pose severe health risks (The Anaphylaxis Campaign, n.d.).

Secondly, there’s a nurturing aspect. Early development is intertwined with nutrition, as pointed out by Public Health England (2016), proper nourishment is associated with cognitive and physical development. Therefore, an educator will need to ensure that meals provided contribute positively to each child’s growth trajectory.

Furthermore, practitioners are tasked with embracing cultural diversity through food choices. The Children’s Food Trust (2014) advises that respecting and incorporating various cultural dietary requirements into meal planning fosters inclusion—a critical element in early years settings.

Lastly, we come across preference accommodation: creating a balance between healthy options and individual likes/dislikes. Alongside parents’ inputs—and within nutritional guidelines—practitioners tailor the menu so each child feels considered personalising their food experience while still promoting healthy eating habits.

These roles converge into a continuous effort supporting optimal growth for every individual we cater to—a veritable evidence of dedication in our profession.

5.3. Describe benefits of working in partnership with parents/carers in relation to special dietary requirements.

Working collaboratively with parents and carers holds numerous benefits when it comes to managing the special dietary needs of children. One primary benefit is the assurance of safety. By sharing critical information about allergies or dietary restrictions, educators can prevent potentially life-threatening reactions (Cummings, 2015). This safeguarding is paramount; thus, direct communication allows for immediate updates on a child’s condition, fostering an environment of vigilance.

Furthermore, such partnerships contribute significantly to the consistency in a child’s diet which is essential for their wellbeing. When both parties are coherent about the requirements, there will be less confusion or error (Murphy & Cameron, 2018). Parents offer insights into their child’s preferences and routines that can be integrated within the setting to maintain normalcy for the child.

Another advantage lies in the educational opportunity it creates. Educators can gain knowledge from parents who have experience catering to these needs and vice versa – a mutual learning experience reinforcing best practices (Holt et al., 2019). Educators also become more adept at recognising signs of discomfort or allergic reactions enhancing response times and care quality.

Finally, this interaction inherently promotes an inclusive atmosphere where all children feel valued regardless of their dietary requirements. It reflects commitment towards individual attention which contributes positively to emotional development as children observe adults working cooperatively for their benefit (Department for Education [DfE], 2017).

By prioritising easy-to-understand dialogue, we see how vital each meal becomes – not simply fuel but a bridge between home life and education settings that must be carefully constructed through trustful cooperation.

Reference:

1. Carson T.A.S., Siega-Riz A.M., Popkin B.M. et al. (2016). The importance of hydration for good health. Nutrition Reviews, 74(6), pp.355-368.
2. Department of Health & Social Care. (2016). Government Dietary Recommendations. https://www.gov.uk/government/publications/the-eatwell-guide.
3. NHS Choices.(n.d.).The Eatwell Guide.National Health Service.https://www.nhs.uk/live-well/eat-well/the-eatwell-guide/.
4. Public Health England & NHS England National Childhood Obesity Programme Board.(2019).The Interactions Between Diet And Physical Activity.https://www.gov.uk/government/publications/childhood-obesity-a-plan-for-action-chapter-2.
5. Robinson E., Daly M., Ridge K. et al.(2013).Eating attentively: A systematic review and meta-analysis examining the effect of food intake memory and awareness on eating.The American Journal Of Clinical Nutrition,97(4), pp.p707–716.
6. Lang, T., & Barling, D. (2012). Nutrition transition: Food sovereignty and sustainability. Sustainability Science.
7. Manchester City Council. (2019). Food Futures – A strategy for sustainable food.
8. Mayor of London. (2021). Healthy Schools London. Retrieved from https://www.london.gov.uk/what-we-do/health/healthy-schools-london/awards
9. NHS. (2021). School Fruit and Vegetable Scheme.
10. Public Health England & Food Standards Agency [FSA]. (2016). The Eatwell Guide.
11. Public Health England. Change4Life Campaign hub
12. Department for Education. (2021). Statutory framework for the early years foundation stage.
13. Children’s Food Trust. (n.d.). Recommendations on foods served in early years settings.
14. The School Food Plan. (2014).
15. Nutbrown, C., & Paige-Smith, A. (2008). Reflective practice in the early years.
16. Public Health England. (2017). Health matters: obesity and the food environment.
17. Gibney M.J., Lanham-New S.A., Cassidy A., Vorster H.H. (2009). Introduction to Human Nutrition. Oxford: Blackwell Publishing Ltd.
18. Phillips S.M., Van Loon L.J.C. (2011). Dietary protein for athletes: From requirements to optimum adaptation. Journal of Sports Sciences, 29(sup1), S29-S38.
19. Willett W.C., Skerrett P.J. (2002). Eat Drink And Be Healthy: The Harvard Medical School Guide To Healthy Eating. New York: Free Press.
20. Braun L., Cohen M. (2015) Herbs & Natural Supplements An evidence-based guide Vol .2 Sydney: Churchill Livingstone
21. Slavin J.L.(2005) Dietary fiber and body weight. Nutrition, 21(3), pp .411–418
22. NHS. (2021). Your baby’s first solid foods.
23. Start4Life. (n.d.). Introducing Solid Foods.
24. Public Health England. (2020). Commercial Baby Food Products Study: Report Summary
25. NHS Choices – Weaning. Complementary Feeding: Starting your baby on solids
26. World Health Organization. (2021). Infant and young child feeding.
27. NHS Choices. (2019). Your baby’s first solid foods.
28. American Academy of Pediatrics. (2019). Starting Solid Foods.
29. Brown A., Isaacs E.B., Eds.(2017) Nutrition in Neurologic Development.
30. Birch L.L., Ventura A.K., Preventive Medicine. “Preventing childhood obesity: what works?” International Journal of Obesity, vol. 33(1), pp.S74-S81.
31. Herbold N.H., Walsh M.M., Journal of Nutrition Education and Behavior. “The impact of nutrition education with and without a school garden on knowledge, vegetable intake and preferences and quality of school life among primary-school students”, vol. 41(6), pp.406-413.
32. Caruso M.L., Cullen K.W., Health Education Research. “Quality improvement intervention for after-school settings increases fruit consumption but not total fluid milk consumption”, vol.30(2), pp.199–210.
33. Contento I.R., Randell J.S., Basch C.E._ Journal of School Health_ “Review and Analysis of Evaluation Measures Used in Nutrition Education Intervention Research”, vol.72(2), pp.35–57
34. The Anaphylaxis Campaign. (n.d.). Information Schools.
35. Public Health England. (2016). Example menus for early years settings in England.
36. Children’s Food Trust. (2014). Voluntary Food and Drink Guidelines for Early Years Settings.