Table 2.

Examples of Potential Integration across Nutrition and Physical Activity Policy and Systems Changes

Issue	Nutrition	Physical Activity	Same Policy Levers to Address
Integration of Healthy Food and Physical Activity Prescription into Health Care Delivery	Medically tailored meals Medically prescribed groceries Fruit and vegetable vouchers	Physical activity assessment, prescription and referral to a qualified exercise professional or evidence-based program	Standardized assessment tools and measures that can be integrated into electronic health records and clinical workflow Quality and performance measures that incentivize health systems, payers, clinicians to integrate these strategies into their patient care plans Resources to health systems to integrate into workflow and train clinicians Reimbursement/coverage for healthy food and physical activity assessment, prescription, and referral, including to qualified professionals and community-based organizations that deliver the prescriptions to clients
School-Based Interventions	Nutrition standards in school meals and for foods and beverages sold outside of school meal programs Robust nutrition education Availability of safe, free drinking water	Comprehensive school physical activity programs (CSPAP), including robust physical education	Funding and technical assistance to schools to implement The Whole School, Whole Community, Whole Child (WSCC) model that includes physical activity, physical education, and nutrition and CSPAPs Incentivize states/districts to have plans, committees and partnerships with a dedicated funding stream to support implementation of WSCC models and CSPAPs Professional education/training to support nutrition education and physical activity across the school day
Community Infrastructure	Healthy food retailers	Active transportation infrastructure and parks and recreational spaces	Healthy food procurement in parks and recreational spaces that also offer the opportunity for physical activity Bike/pedestrian infrastructure funding and complete streets policies that connect to key community destinations, including healthy food retailers Tax incentives or grant programs for healthy food retailers and physical activity infrastructure to locate in historically under-resourced communities
Healthy Workforce	Food service guidelines in workplaces	Healthy physical activity promotion and opportunities to reduce occupational sitting time	Tax incentives to employers to offer robust worksite health promotion, healthy worksite environments including physical activity offerings and healthy foods and beverages. Comprehensive integration of evidence-based preventive services into employer-sponsored health insurance with no co-pay