Table 3.
Examples of Policies and Programs in Settings where Children Spend Substantial Time
| Setting | Example program | Description |
|---|---|---|
|
| ||
| General efforts may target | • Education about energy balance and negative health effects of obesity | |
| • Promotion of more opportunities for and enjoyment of physical activity | ||
| • Offering age-appropriate portion sizes following USDA guidelines | ||
| • Assuring program staff are knowledgeable and appropriately trained | ||
| • Establishing and implementing local wellness polices | ||
| • Improving quality and time in Physical Education (PE); working to designate PE as a core subject | ||
|
| ||
| Childcare | • Nutrition And Physical Activity Self-Assessment for Child Care (NAP SACC; www.goNAPSACC.org)a | • Self-assessment, action planning, and educational tools to help early care and education programs set goals and make improvements to their nutrition and physical activity practices. |
|
| ||
| Elementary school | • Coordinated Approach To Child Health (CATCH, www.CATCHinfo.orR)), based on evidence from the Child and Adolescent Trial for Cardiovascular Healtha | • Multifaceted intervention in elementary schools grades K-5: implemented in the classroom, cafeteria, PE and families to foster healthy behaviors in diet and PA106 |
| • SPARK program to improve physical education (www.SPARKPE.org)a | • Toolkit and training for schools to improve and increase PA time in PE | |
|
| ||
| Middle School | • Motivating Adolescents with Technology to CHOOSE Health™ (MATCH; www.MATCHwellness.org)b | • Combined multidisciplinary educational-behavioral wellness intervention embedded in curriculum in 7th graders taught by classroom teachers over 4–5 months to build skills in healthy choices107 |
|
| ||
| After school | • SPARK afterschoolb (www.SPARKPE.org) | • As above for SPARK, targeting afterschool settings |
| • Move More NC: Recommended Standards for Afterschool Physical Activityb | • Recommended standards for afterschool programs to increase and enhance quality of PA time108 | |
a
Evidence or existing systematic review to support the strategies included in this program.
b
Addresses components with supporting evidence but further studies needed.