Healthy eating and physical activity environments in out-of-school hours care: an observational study protocol

Crowe, Ruth K; Probst, Yasmine; Norman, Jennifer; Furber, Susan; Franco, Lisa; Stanley, Rebecca M; Vuong, Cecilia; Wardle, Karen; Davies, Marc; Ryan, Sarah; Okely, Anthony D.

doi:10.1136/bmjopen-2019-036397

Cited by 5 publications

(2 citation statements)

References 23 publications

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“…The ActiGraph WGT3X-BT sensors, used in this study to quantitatively measure sleep values and physical activity levels at school age, have been widely used in research and have demonstrated reproducibility, validity and feasibility for children and adolescents [13,68,69].…”

Section: Discussionmentioning

confidence: 99%

Physical Activity Levels and Sleep in Schoolchildren (6–17) with and without School Sport

Larrinaga-Undabarrena

Río

Sáez

et al. 2023

IJERPH

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There is strong evidence to support the association between daily physical activity and sleep parameters in children and adolescents. Physical activity and outdoor play are favourably associated with most sleep outcomes in school children. The aim is to find out the levels of physical activity and the quality of sleep in Basque schoolchildren aged between six and seventeen and to analyse the possible differences between those who carry out some kind of physical sports activity and those who do not. The sample consisted of 1082 schoolchildren (50.1% male and 49.9% female). Differences between groups were compared using the Mann–Whitney U test (2 samples) and Kruskal–Wallis one-factor ANOVA (k samples). A total of 723 (66.94%) of the participants said they practiced some physical sports activity. The accelerometers obtained significant differences in all levels of physical activity, as well as in sleep efficiency, with higher levels of physical activity (sedentary p = 0.001; light p = 0.017; moderate p = 0.009; vigorous p = 0.001 and moderate-to-vigorous physical activity p = 0.002) and better sleep efficiency (p = 0.002) in those schoolchildren who perform some type of physical sports activity. A significant difference in time spent in sedentary activities was also observed between primary and secondary school pupils of both sexes and regardless of the degree of physical sports activity completion.

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Section: Discussionmentioning

confidence: 99%

Physical Activity Levels and Sleep in Schoolchildren (6–17) with and without School Sport

Larrinaga-Undabarrena

Río

Sáez

et al. 2023

IJERPH

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“…OSHC service staff and parents were notified of the study via OSHC internal communication avenues and all information relating to this study was displayed at each OSHC service for a minimum of two weeks prior to data collection and during the data collection period. A detailed methodology has been previously published [22].…”

Section: Sample Selection and Recruitmentmentioning

confidence: 99%

Foods and beverages provided in out of school hours care services: an observational study

et al. 2022

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Introduction Out of school hours care (OSHC) is a fast-growing childcare setting in Australia, however the types of foods and beverages offered are relatively unknown. This study describes the food and beverages offered and investigates sector-level and setting-level factors which may impact OSHC in meeting the Australian Dietary Guidelines (ADG). Methods This cross-sectional, observational study was conducted in 89 OSHC services (between 2018 and 2019). Food and beverages offered, kitchen facilities and menus were captured via direct observation. Foods were categorised into five food groups or discretionary foods, based on the ADG, and frequencies determined. Short interviews with OSHC directors ascertained healthy eating policies, staff training, food quality assessment methods and food budgets. Fisher’s exact test explored the influence of sector-level and setting-level factors on food provision behaviours. Results Discretionary foods (1.5 ± 0.68) were offered more frequently than vegetables (0.82 ± 0.80) (p < .001), dairy (0.97 ± 0.81) (p = .013) and lean meats (0.22 ± 0.54) (p < .001). OSHC associated with long day care and reported using valid food quality assessment methods offered more lean meats (p= .002, and p= .004). Larger organisations offered more vegetables (p = .015) and discretionary foods (p= .007). Menus with clearly worded instructions to provide fruits and vegetables daily offered more fruit (p= .009), vegetables (p < .001) and whole grains (p= .003). No other sector or setting-level factors were associated with services aligning with the ADG. Conclusion Future interventions could benefit from trialling menu planning training and tools to assist OSHC services in NSW meet the ADG requirements.

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Awareness and use of the Eat Smart Play Smart resources in Out of School Hours Care services: A staff survey in New South Wales, Australia

Patel,

Hammersley,

Furber

et al. 2024

Health Prom J of Aust

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Issue AddressedOut of School Hours Care (OSHC) is an important setting to promote healthy eating and physical activity. Between 2017 and 2018, The Eat Smart Play Smart (ESPS) resources were disseminated to OSHC services across New South Wales (NSW), Australia. The aim of this study was to evaluate the awareness and usability of ESPS to support OSHC healthy eating and physical activity practices.MethodsAll NSW OSHC services (approximately 1700) were invited to complete an online survey to assess awareness and use of the ESPS resources (manual and online modules). Data were analysed using SPSS (Version 29).ResultsA total of 393 OSHC staff responded to the survey. Most (75%) had used the ESPS resources. Of the 25% who had not used the resources, 63% indicated it was because they did not receive the manual and 52% were not aware of the resources. Of the OSHC services that knew about the resources, 69% indicated that ESPS contributed to their service's ability to meet the Australian National Quality Standards. Respondents identified additional support was required regarding physical activity educational materials and professional learning. Suggestions for improvements included offering content in different formats (e.g., digital).ConclusionThis evaluation identified factors influencing the uptake of the ESPS resources and will inform future interventions for OSHC staff to improve knowledge and practices in healthy eating and physical activity promotion.So What?Our findings will support the optimisation of ESPS resources and inform future development of future healthy eating and physical activity interventions in the OSHC setting.

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Healthy eating and physical activity environments in out-of-school hours care: an observational study protocol

Cited by 5 publications

References 23 publications

Physical Activity Levels and Sleep in Schoolchildren (6–17) with and without School Sport

Physical Activity Levels and Sleep in Schoolchildren (6–17) with and without School Sport

Foods and beverages provided in out of school hours care services: an observational study

Awareness and use of the Eat Smart Play Smart resources in Out of School Hours Care services: A staff survey in New South Wales, Australia

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