Improving nutrition and physical activity policies in afterschool programs: Results from a group-randomized controlled trial

Kenney, Erica L.; Giles, Catherine M.; deBlois, Madeleine E.; Gortmaker, Steven L.; Chinfatt, Sherene; Cradock, Angie L.

doi:10.1016/j.ypmed.2014.06.011

Cited by 14 publications

(22 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The camps’ directors were originally recruited by the Boston Public Health Commission (BPHC) to participate in a modified version of the Out of School Nutrition and Physical Activity (OSNAP) initiative. 5, 19, 20 Camps were eligible if they were located in Boston, served snacks and meals, were open Monday to Friday for July and August, provided full-day general programming, and served children from Boston in kindergarten through 5 th grade. BPHC identified seven initial potential camps for participation in the OSNAP initiative that were located in low-income neighborhoods throughout Boston.…”

Section: Methodsmentioning

confidence: 99%

What Do Children Eat in the Summer? A Direct Observation of Summer Day Camps That Serve Meals

Kenney¹,

Lee²,

Brooks³

et al. 2017

Journal of the Academy of Nutrition and Dietetics

Self Cite

View full text Add to dashboard Cite

What do children eat in the summer? A direct observation of summer day camps that serve meals Background Over 14 million children in the United States attend summer camp annually, yet little is known about the food environment in day camps. Objectives Describe the nutritional quality of meals served to, brought by, and consumed by children attending summer day camps serving meals and snacks; describe camp water access. Design Cross-sectional study. Participants/settings One hundred forty-nine children attending five summer camps in Boston, Massachusetts in 2013. Main outcome measures Foods and beverages served were observed for five consecutive days. For two days, children’s dietary intake was directly observed using a validated protocol. Outcome measures included total energy (kcals) and servings of different types of foods and beverages served and consumed during breakfast, lunch, and snack. Statistical analyses performed Mean total energy, trans fats, sodium, sugar, and fiber served per meal were calculated across the camps, as were average weekly frequencies of serving fruits, vegetables, meat/meat alternates, grains, milk, 100% juice, sugar-sweetened beverages, whole grains, red/highly processed meats, grain-based desserts, and salty snacks. Mean consumption was calculated per camper per day. Results On average, camps served 647.7 (SD: 134.3) kcals for lunch, 401.8 kcals (149.6) for breakfast, and 266.4 (SD: 150.8) kcals for snack. Most camps served red/highly processed meats, salty snacks, and grain-based desserts frequently, and rarely served vegetables or water. Children consumed little (for example, at lunch, 36.5% of fruit portions, 35.0% of meat/meat alternative portions, and 37.6% of milk portions served), except for salty snacks (66.9% of portions) and grain-based desserts (64.1% of portions). Sugar-sweetened beverages and salty snacks were frequently brought to camp. A quarter of campers drank nothing throughout the entire camp day. Conclusions The nutritional quality of foods and beverages served at summer day camps could be improved. Future studies should assess barriers to consumption of healthy foods and beverages in these settings.

show abstract

Section: Methodsmentioning

confidence: 99%

What Do Children Eat in the Summer? A Direct Observation of Summer Day Camps That Serve Meals

Kenney¹,

Lee²,

Brooks³

et al. 2017

Journal of the Academy of Nutrition and Dietetics

Self Cite

View full text Add to dashboard Cite

show abstract

“…The Out of School Nutrition and Physical Activity (OSNAP) Initiative 15,16 works with after-school programs to improve nutrition and physical activity-related practices, environments, and policies using a socioecological model 17 and a communitybased participatory research approach. 18 The OSNAP Initiative resources and links to research evidence are available online (http://www.osnap.org).…”

Section: Interventionmentioning

confidence: 99%

Promoting Physical Activity With the Out of School Nutrition and Physical Activity (OSNAP) Initiative

et al. 2016

Self Cite

View full text Add to dashboard Cite

IMPORTANCE Millions of children attend after-school programs in the United States. Increasing physical activity levels of program participants could have a broad effect on children's health. OBJECTIVE To test the effectiveness of the Out of School Nutrition and Physical Activity (OSNAP) Initiative in increasing children's physical activity levels in existing after-school programs. DESIGN, SETTING, AND PARTICIPANTS Cluster-randomized controlled trial with matched program pairs. Baseline data were collected September 27 through November 12, 2010, with follow-up data collected April 25 through May 27, 2011. The dates of our analysis were March 11, 2014, through August 18, 2015. The setting was 20 after-school programs in Boston, Massachusetts. All children 5 to 12 years old in participating programs were eligible for study inclusion. INTERVENTIONS Ten programs participated in a series of three 3-hour learning collaborative workshops, with additional optional opportunities for training and technical assistance. MAIN OUTCOMES AND MEASURES Change in number of minutes and bouts of moderate to vigorous physical activity, vigorous physical activity, and sedentary activity and change in total accelerometer counts between baseline and follow-up. RESULTS Participants with complete data were 402 racially/ethnically diverse children, with a mean age of 7.7 years. Change in the duration of physical activity opportunities offered to children during program time did not differ between conditions (−1.2 minutes; 95% CI, −14.2 to 12.4 minutes; P = .87). Change in moderate to vigorous physical activity minutes accumulated by children during program time did not differ significantly by intervention status (−1.0; 95% CI, −3.3 to 1.3; P = .40). Total minutes per day of vigorous physical activity (3.2; 95% CI, 1.8-4.7; P < .001), vigorous physical activity minutes in bouts (4.1; 95% CI, 2.7-5.6; P < .001), and total accelerometer counts per day (16 894; 95% CI, 5101-28 686; P = .01) increased significantly during program time among intervention participants compared with control participants. CONCLUSIONS AND RELEVANCE Although programs participating in the OSNAP Initiative did not allot significantly more time for physical activity, they successfully made existing time more vigorously active for children receiving the intervention. TRIAL REGISTRATION clinicaltrials.gov Identifier: NCT01396473

show abstract

“…American studies on how much PA children accumulate while in ASP show that boys exhibit higher levels of MVPA and a lower proportion of sedentary behavior than girls, while older children exhibit less MVPA than younger children [42][43][44][45]. However, the average MVPA amount in ASP falls well below half of the recommended 60 minutes per day, which is the formulated goal in several evidence-based recommendations for MVPA in American ASPs [46,47]. Quantitative and qualitative studies in Norway report that children's PA during ASP is extensive when time is devoted to child-managed play outdoors [48,49].…”

Section: Introductionmentioning

confidence: 99%

Physical activity of first graders in Norwegian after-school programs: A relevant contribution to the development of motor competencies and learning of movements? Investigated utilizing a mixed methods approach

et al. 2020

View full text Add to dashboard Cite

Background Development of motor competencies and learning of movements in children is dependent on varied physical activity (PA). After-school programs (ASP) might provide opportunities for young schoolchildren to participate in PA. The aim of the current study was to investigate the PA of first graders in ASP and to consider its contribution to the development of motor competencies and the learning of movements. Methods The study was performed utilizing a mixed methods design. A total of 42 first graders were sampled from 14 ASPs in Norway. Direct observations of the children's activities were conducted for the duration of one entire ASP day. PA intensity was measured using ActiGraph accelerometers. Qualitative data were analyzed using qualitative content analysis, while the Mann-Whitney U test and the Wilcoxon signed-rank test were used to analyze the quantitative data. Results The median PA time among the observed children was 61.5 minutes. The median stationary time was 75.9 minutes. There was considerable variation within the sample. Girls were significantly more engaged in stationary behavior than boys. Frequent changes in activity type and intensity were typical features of the children's ASP day. PA duration and intensity were significantly higher outdoors than indoors. Adult-managed time had longer periods of stationary behavior than child-managed time. The PA at all intensity levels contained barrierbreaking movements-especially at light intensity levels.

show abstract

Improving nutrition and physical activity policies in afterschool programs: Results from a group-randomized controlled trial

Cited by 14 publications

References 24 publications

What Do Children Eat in the Summer? A Direct Observation of Summer Day Camps That Serve Meals

What Do Children Eat in the Summer? A Direct Observation of Summer Day Camps That Serve Meals

Promoting Physical Activity With the Out of School Nutrition and Physical Activity (OSNAP) Initiative

Physical activity of first graders in Norwegian after-school programs: A relevant contribution to the development of motor competencies and learning of movements? Investigated utilizing a mixed methods approach

Contact Info

Product

Resources

About