. Author manuscript; available in PMC: 2016 Oct 1.

Published in final edited form as: Pediatr Clin North Am. 2015 Jul 16;62(5):1241–1261. doi: 10.1016/j.pcl.2015.05.013

Table 2.

Policy examples: Ranging in Scope

Scope	Examples of policies or environmental strategies

Site-specific	• Banks, stores, professionals give incentives for children that do not contribute to unhealthful habits or energy imbalance (example: stickers instead of candy; balloons instead of cookies)^c
	• Corner stores and quick marts offer low fat/sugar snacks, fruits and vegetables^b
	• Entertainment venues offer healthful options, water; allow outside (home-packed) foods^c
	• Point of decision prompts- (elevator vs. stairs initiatives; menu, cafeteria or buffet signage and prompts^a

Local	• Establish shared use agreements for physical activity space and equipment^b
	• Promote ways to allow active transport to and from school (bike lanes and racks, crossing guards, group walks to school)^b
	• Emphasize maintaining or re-establishing time for recess, physical activity, physical education^b
	• Support school and community gardens, partnerships with local farmers^c
	• Access to safe, free drinking water in recreation environments^b

State	• Subsidies for schools/childcare sites for provision of healthy foods^a
	• Incentives for grocers in rural or urban areas^c
	• Mechanism for small vendors (farmers markets) to take SNAP (“food stamps”) cards^c
	• Medicaid coverage for dietician services and preventive counseling^c
	• Support for increasing sites and access for recreation^a

National	• Healthy and Hunger Free Kids Act (HHFKA), including standards for meals in school (e.g the National School Lunch Program)^a
	• Changes to Women, Infant and Children (WIC) food package and Supplemental Nutrition Assistance Program (SNAP) policies^a
	• Changes to SNAP-Ed guidance for educational programs^a
	• Menu labeling for restaurants^b
	• Laws addressing advertising to children^c
	• Food and beverage industry incentives^c

International	• Published guidelines for member states for population level strategies for obesity prevention across settings¹⁰⁵

Evidence or existing systematic review to support⁹⁸.

Emerging strategy but more data needed⁹⁸.

Sample policy change needing pilot data and further study