Intervention description: CATCH intervention was delivered at school level to: reduce the total fat content of food served to 30% and reduce the total sodium content to 600 mg 1000 mg per serving. Studies targeting the time spent on PE typically saw significant improvements following multistrategy implementation support [38, 54, 57]. The Characteristics of Ongoing Studies section of the original review was also searched for potentially eligible studies that were unpublished at the time of the first review [25]. Risk of contamination was assessed as low for the majority of clustered studies (n = 11), with only two studies assessed as high [42, 55] and the remaining two studies unclear [26, 37]. Nutrition guidelines - Healthy lifestyle programs for primary schools The updated search (August 31, 2016 to April 10, 2019) identified 3,815 unique records of which 62 full-text records and one unpublished study (identified via the trial registry search, findings have since been published [37]) were assessed for eligibility (see Fig. This task may be sub-divided between members of the working group, looking at food and drink provision, the formal curriculum, extra-curricular activities and consumption of food and drink at school. Results: Mean minutes of teachers scheduled PA: Follow-up: intervention 135.95 (59.46), control 99.04 (51.83), Baseline: Intervention: 1 (schools); Control: 1 (schools), Follow-up: Intervention: 1 (schools); Control: 1 (schools). Six studies reported the percentage of an intervention program or program content that had been implemented, the effects of which were mixed [47, 55, 56, 58, 60, 61]. Potential risk of recruitment (to cluster) was assessed as low for seven studies as randomization occurred either postrecruitment or postbaseline data collection [47, 5456, 58, 60, 64]. This will help to focus the respondent's mind and provide data which may be analysed to help determine school priorities and needs. Additionally, we would like to acknowledge the coauthors of the original review, Rebecca Wyse, Tessa Delaney, Alison Fielding, Flora Tzelepis, Tara Clinton-McHarg, Benjamin Parmenter, Peter Butler, John Wiggers, Adrian Bauman, Andrew Milat, and Christopher Williams. reported a significant increase of 14% relative to control, in the proportion of quality activities observed, relative to control in PE lessons following implementation support [56]. Results: % schools meeting various nutrition goals: 15.5% (0% to 88%), Baseline: Intervention: 407 (schools); Control: 316 (schools), Follow-up: Intervention: 388 (schools); Control: 258 (schools), Intervention description: Structured multi-strategy intervention was developed based on theoretical frameworks of practice change and recommendations from reviews and implementation studies conducted in schools and other settings. GSA has adjusted all POV mileage reimbursement rates effective January 1, 2023. This review aimed to examine the impact of strategies to improve the implementation of policies, practices, and programs to promote healthy eating, physical activity, or prevent obesity within school-based settings. Updated 7 February 2023 Applies to England Eating in school should be a pleasurable experience. All included studies were conducted within high-income countries. The researchers found that policies aimed at improving the school food environment did indeed improve children's diets. Support for healthy eating at schools according to the comprehensive Schools play a critical role in supporting children and adolescents in eating healthy and getting regular physical activity. but also positive influences from caregivers and peers, skill development and motivation. Have you thought through all the consequences? Alliance for a Healthier Generation, Competitive Beverage Guidelines. In childhood and adolescents, a healthy diet [2, 3], physical activity [46], and healthy weight [7] have also been found to be independently associated with immediate positive health outcomes, including improved mental health and academic performance. Do teaching and non-teaching staff generally feel that this is something they can share? Nutrition Friendly Schools Initiative: Part I, NFSI Framework. available, purchased and/or consumed (for example school meals, tuck shops, kiosks,
This is where
'To ensure that all aspects of food and drink in school promote the health and wellbeing of pupils, staff and visitors to our school'. FAO works with international and national partners to provide guidance on the
classroom, planning menus that promote procurement of nutritious and low input crops, to creating jobs
French SA, Story M, Fulkerson JA, Hannan P. An environmental intervention to promote lower-fat food choices in secondary schools: Outcomes of the TACOS study. Results: Median (range) nutrient content of school meals % of calories from fat breakfast/ lunch: 3% (3.3% to 2.7%), Baseline: Basic: 10 (schools); Basic Plus: 10 (schools); Basic Plus SM: 10 (schools), Follow-up: 10 (schools); Basic Plus: 10 (schools); Basic Plus SM: 10 (schools). Bethesda, MD 20894, Web Policies Specifically, the intervention assisted schools to remove red and banned menu items from regular sale and increase the availability of green items to more than 50% of menu items. This collaboration of international researchers has the mission of improving the health of the U.S. population through improved diets, with a focus on population-level nutrition strategies and their relation to cardiovascular and cancer health outcomes, says Dariush Mozaffarian, MD, DrPH, dean of Tufts Friedman School of Nutrition Science and Policy and editor-in-chief of Tufts Health & Nutrition Letter. Before A series of displays could be produced around the school, highlighting different aspects of the policy, e.g. Content analysis of school websites: policies and programs to support Results: School level policy and practice related to physical activity from the school administrators perspective, Baseline: Intervention: 2 (schools); Control: 2 (schools), Follow-up: Intervention: 2 (schools); Control: 2 (schools). Many of these children are carrying over their nutritional problems into school age which affects their
Analyse the feedback and modify the policy in light of suggestions and comments made. All other stakeholders need to be involved at a later stage during consultation. Detection bias varied across studies depending on whether implementation was assessed via self-report (high risk) or objective measures (low risk). The https:// ensures that you are connecting to the 2012 Jun 27;9:80. doi: 10.1186/1479-5868-9-80. Measure: School PA survey adapted from widely used school PA survey tools. Lets look at the pathways towards improving nutrition and promoting more sustainable food practices for
((primary or elementary or middle or junior or high or secondary) adj (school* or student*)).mp. Intervention description: Focused on changing personal, social, and environmental factors related to physical activity and involved changes to the school environment and instructional programs. Effect sizes were calculated by subtracting the change from baseline on the primary implementation outcome for the control (or comparison) group from the change from baseline in the experimental or intervention group. To mitigate the effects on schoolchildren, FAO, WFP and UNICEF have provided government decision makers,
Ten studies were assessed as low risk of selective reporting as a trial registration or a published protocol paper was identified and all a priori determined outcomes were reported [26, 44, 51, 53, 54, 60, 6264, 67]. Measure: Data collected by trained staff not involved in the intervention. Feeding Behavior/ or feeding behavio?r*.mp. This article does not contain any studies with animals performed by any of the authors. Forming long-term healthy eating habits not only requires regular access and exposure to nutritious foods,
convenient those foods are to the school community. Following baseline evaluations of their play space, each intervention school was provided with a list of tailored suggestions for improvements. Sixteen studies tested strategies to implement healthy eating policies, practices, or programs, 11 tested strategies targeting physical activity policies or practices, and 3 tested strategies targeting both healthy eating and physical activity. Nutrition data were extracted from food service management source documents maintained by school food service personnel. 1,2 Research shows that students who participate in the school meal programs consume more whole grains, milk, fruits, and vegetables during meal times and have better overall diet quality, than nonparticipants. Where there were two or more primary implementation outcome measures, standardized measures of effect size were calculated for each outcome, measures were ranked based on their size of effect, and the median measure was used (and range reported) [35, 36]. The median effect size of the primary implementation outcomes reported in this review (16.5%, range 0.2% to 66.6%) are comparable with implementation efforts in other community settings. Head teacher on how food education impacts childrens lives. California Education Code Section 38086 states that if a school district cannot provide access to free, fresh drinking water during meal times in the food service areas, the governing board of a school district must adopt a resolution stating that it is unable to comply and demonstrating the reasons why, whether due to fiscal constraints, health, or safety concerns. The policy should be widely disseminated in different formats, e.g. Of the 30 included studies, 19 reported significant improvements in at least one implementation outcome (including the one unpublished study) [44, 4650, 5258, 6062, 64, 68]; 3 studies did not report any significant improvements in implementation [26, 43, 63] and 8 did not report any significance tests on such outcomes [27, 38, 39, 42, 51, 59, 66, 67]. There have been a number of promising school food environment policies enacted in the last decade. Introduce the policy as an agenda item for governors and staff. Fox S, Meinen A, Pesik M, Landis M, Remington PL. St. Leger L. Protocols and guidelines for health promoting schools. and long-term training programmes for processors, cooks, evaluators, and so on. Read the policy. Date: 20/11/19 Review Date: 19/11/22 Minute Number: SI11/19.16.3 Healthy Eating Policy Headteacher: Clare Peat Castle View Primary School. This policy brief was developed as part of the STOP project and has received funding from the European Unions Horizon 2020 research and innovation programme under grant agreement No 774548. Available at, Society of Health and Physical Educators. A policy-based school intervention to prevent overweight and obesity. The .gov means its official. Healthy School Food Policies: A Checklist A Working Paper of the Center for Food and Justice, Urban and Environmental Policy Institute . Intervention description: Three key opportunities were targeted to improve physical activity. Is there something wrong with the page? influencers, app ads, short videos, among others. Appoint a lead person to oversee this area of work. Healthy eating for preschools | | safefood education Whatley Blum JE, Davee AM, Devore RL, et al.. Rationale, i.e. Intervention description: Intervention strategies were (a) pointofpurchase promotion of fruit and vegetable using characters and messages, (b) increasing the appeal of fruit and vegetable, (c) increasing the variety and choice of fruit and vegetable served, and (d) offering an additional fruit choice on days when baked or frozen desserts were served. While four studies were assessed as low risk of bias for random sequence generation, the method of allocation concealment was unclear [53, 60, 62, 63]. For studies using a cluster-RCT design (n = 15), additional risk of bias domains were assessed. The Virtual Healthy School (VHS) shows the WSCC model in action. Measure: principals completed an 18-item questionnaire assessing physical activity policies within their school. C.B. Sustainable and Nutritional Recommendations for the Development of Menus by School Food Services in Spain. Summary of intervention, measures, and absolute intervention effect size in included studies. Among studies reporting other continuous implementation outcomes (e.g., quantity of physical activity lessons), findings were mixed [43, 44, 46, 48, 49, 59, 64, 66]. It outlines to everyone involved in child care service as to the practice that takes place in the setting. Results: A limited number of evaluations have examined the impact of school nutrition standards and have shown a positive impact on food availability and student nutrient intake. School nutrition policies offer a promising avenue by which to promote healthy eating and reduce the risk of chronic disease. Teachers were supported to integrate short bouts of activity into class routines, such as energizers or active lessons. Inclusion in an NLM database does not imply endorsement of, or agreement with, Disclaimer. Accessibility At present, more than 150 million children are still
Practice: Findings of the review provide guidance for health promotion practitioners and jurisdictions working within school-based settings to implement World Health Organization obesity-prevention recommendations Policy: The review identified that the implementation of several policies have facilitated improvements in the availability of healthy foods in schools, of magnitudes that could lead . Results: Macronutrient content of school meals. professionals. PDF Healthy eating in maintained schools - GOV.WALES or exp physical activity/, 46 or 47 or 48 or 49 or 50 or 51 or 52 or 53 or 54 or 55 or 56 or 57 or 58 or 59 or 60 or 61, fruit*.mp. meals. Chriqui JF, Resnick EA, Schneider L, Schermbeck R.. School District Wellness Policies: Evaluating Progress and Potential for Improving Childrens Health Five Years After the Federal Mandate. Singh A, Uijtdewilligen L, Twisk JW, van Mechelen W, Chinapaw MJ. Taylor SL, Noonan RJ, Knowles ZR, et al.. teachers, pupils, governors, health professionals, Healthy Schools co-ordinator, community dietitian, school nurse and catering staff. On dispose de peu ou pas de donnes probantes quant aux autres sous-composantes potentielles des politiques de nutrition, notamment la restriction du marketing alimentaire dans les coles, la coordination de tous les services alimentaires et loffre de services de sant en matire de nutrition. Second, to provide a high-level summary of findings, we described the effect size of the primary policy, practice, or program implementation outcome measure for each study and summarized this across studies for each broad category of implementation outcomes (e.g., score-based measures, proportion of time implementing a practice, or frequency of implementation) [25, 35]. Twenty-six of the 30 included studies compared an implementation strategy to a control group or usual practice, whilst the remaining four studies directly compared different implementation strategies [39, 40, 46, 49]. Participants will learn basic food safety practices for the preparation of food and can print a food handlers card. Studies with any objectively or subjectively (selfreported) assessed measure of school policy, practice, or program implementationincluding uptake, partial/complete uptake (e.g., consistent with protocol/design), or routine usewere included. Braun HA, Kay CM, Cheung P, Weiss PS, Gazmararian JA. Finally, we present a narrative synthesis of all studies, followed by a narrative synthesis of individual studies by the risk factor (physical activity or diet) targeted by the intervention. See the Global Monitoring of School Meals During
(preventive measure* or preventative measure*).tw. the contents by NLM or the National Institutes of Health. The review identified 27 studies, 15 of which aimed to improve the implementation of healthy eating practices, and 6 studies targeted physical activity (the remaining studies pertained to alcohol and tobacco prevention) [25]. food security and nutrition during the COVID-19 pandemic. Policy options to support healthy eating in schools - PubMed Nutrient content: School menu information were collected from schools. What do parents and pupils think about the policy? ((feeding or food or nutrition*) adj program*).tw. Overall, the impact of strategies on the implementation of physical activity and healthy eating policies, practices, and programs was unclear, and the certainty of the evidence was low [25]. Conceptually, comprehensive school nutrition policies comprising all five policy components offer an integrated and holistic approach to school nutrition. strategy references to healthy eating in the school development plan and self . Creating an enabling political, legal, financial and institutional
Disease Control and Prevention's (CDC) Guidelines for School Health Programs to Promote Lifelong Healthy Eating (CDC, 1996); 2) discover ways in which existing nutrition policies could be improved; and 3) explore barriers to designing and implementing policies in the schools without such a coordinated nutrition policy. Measure: Principal reported computerassisted telephone interviewing (CATI). FAO promotes a whole school approach to food education, where all people that interact
use a digital camera to record what is being done. allow a specialist food teacher to ensure food and nutrition content is up-to-date. When autocomplete results are available use up and down arrows to review and enter to select. Measure: Menu audits by trained dietitians, Results: % implementing a variety of policies and practices: 21.6% (15.6% to 27.5%), Baseline: Intervention: 18 (schools); Control: 18 (schools), Follow-up: Intervention: 18 (schools); Control: 18 (schools). childrens daily diets and nutrient requirements. Food and beverage promotions in Minnesota secondary schools: secular changes, correlates, and associations with adolescents' dietary behaviors. is funded by an Australian Research Council Discovery Early Career Researcher Award (DECRA) (DE170100382); R.S. Epub 2020 Jun 11. The ultimate goal was to have 50% of products be lower fat. Glasgow RE, Vinson C, Chambers D, Khoury MJ, Kaplan RM, Hunter C. National Institutes of Health approaches to dissemination and implementation science: Current and future directions, Dissemination and Implementation Research in Health: Translating Science to Practice. overweight. Collectively, from the newly included studies and the 22 studies included in the original review by Wolfenden et al. Designed to influence the quantity and quality of elementary PE lessons and the amount of PE through: # Lessons per week and minutes of PE per week. Results from the School Health Policies and Programs Study 2006. 8600 Rockville Pike Show the school how the policy is being implemented - celebrate your successes. in the school setting, including children, their families, teachers, school staff, local
Procurement records were used to determine how many different types of fruits and vegetables were offered, Follow-up: Intervention: 12 (schools); Control: 10 (schools). (qua?iexperimental or qua?i experimental or pseudo experimental).tw. The site is secure. The Provision of School Food in 18 Countries. In the trial by Wolfenden et al., assessing the most intensive implementation strategycomprised of nine implementation strategiesmore than 70% of schools that received multicomponent implementation support (vs. 3% in the control) did not regularly sell foods that were restricted or banned from sale by healthy canteen guidelines, and more than 80% (versus 27% in the control) had more than half of all foods for sale as healthy (green) products [62]. environment. Outcome: Students seen any posters in school about cafeteria food choices; Students heard any messages over public address system, in school; Students heard about any contests or events at school about cafeteria food choices; Students took part in any taste tests, food samplings, or contests in the school cafeteria; Percentage low-fat la carte foods, Measure: Complete la carte inventories in intervention and control schools were conducted by trained research staff at baseline and after the second intervention year, Results: Median (range) % of program implementation: 33% (11% to 41%), Population: West Texas and East New Mexico, USA, Baseline: Intervention: 20 (schools); Control: 4 (schools), Follow-up: Intervention: 20 (schools); Control: 4 (schools). diverse, safe and enjoyable food for improved learning, but also to foster lasting, healthy and more
reinforce appropriate messages relating to food and drink, e.g. Outcome: 12 scores across the following variables: Lower than average fat content; serve two servings of fruit and vegetables; serve all desert and snack foods with <200 kcal; eliminate milk >1% fat; serve at least two servings of high fiber. On dispose de peu ou pas de donnes probantes quant aux autres sous-composantes potentielles des politiques de nutrition, notamment la restriction du marketing alimentaire dans les coles, la coordination de tous les services alimentaires et loffre de services de sant en matire de nutrition. No study tested the effectiveness of just one implementation strategy and only two studies [26, 38] tested the same combination of strategies. 2 and described below. result of wider social norms at large. a whole-school approach to healthy eating which could include a school food policy around food/drink brought into schools, for example, lunchboxes, etc promoting consistent messages about healthy eating throughout the whole school day, and linking healthy eating to the food and drink provision within school. How? School-based health education programs can be maintained over time: Results from the CATCH Institutionalization study. Preventing Childhood Obesity: Health in the Balance. or fruit/ or fruit and vegetable juice/, 63 or 64 or 65 or 66 or 67 or 68 or 69 or 70 or 71 or 72 or 73 or 74 or 75 or 76 or 77 or 78 or 79 or 80 or 81 or 82 or 83 or 84 or 85 or 86 or 87 or 88, 90 or 91 or 92 or 93 or 94 or 95 or 96 or 97 or 98, 100 or 101 or 102 or 103 or 104 or 105 or 106 or 107 or 108 or 109 or 110, 113 or 114 or 115 or 116 or 117 or 118 or 119 or 120 or 121 or 122 or 123 or 124 or 125 or 126 or 127 or 128 or 129 or 130 or 131 or 132 or 133 or 134 or 135 or 136 or 137 or 138, 5 or 6 or 7 or 8 or 9 or 10 or 11 or 12 or 13 or 14 or 15 or 16 or 17 or 18 or 19 or 20 or 21 or 22 or 23 or 24 or 25 or 26 or 27 or 28 or 29, 31 or 32 or 33 or 34 or 35 or 36 or 37 or 38 or 39 or 40 or 41 or 42, 44 or 45 or 46 or 47 or 48 or 49 or 50 or 51 or 52 or 53 or 54 or 55. Try some of these tips to make it happen: Review school menus with your kids and encourage them to try new food items. (overweight or over weight or overeat* or over eat*).tw. Aprs avoir examin leurs fondements scientifiques, il propose des orientations en vue de recherches ultrieures. A set length of time for consultation should also be established, with all comments being returned to a named individual. Do you need to establish a school viewpoint on use and content of vending machines, e.g. Bilandzic A, Fitzpatrick T, Rosella L, Henry D. Risk of bias in systematic reviews of non-randomized studies of adverse cardiovascular effects of thiazolidinediones and cyclooxygenase-2 inhibitors: Application of a new cochrane risk of bias tool, Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services. When used as learning labs, school gardens can form an understanding of the connections between food,
Modify draft policy in light of feedback, The information is provided under the Open Government Licence. Available at. Farm-to-school: trategies for urban health, combating sprawl, and establishing a community food systems approach. A summary of health workers performance over a specified period of time, given to them in a written electronic or verbal format. The schools social media channels could be used. Providing fruits and vegetables directly to students increased intake; limiting vending machine offerings to more healthful choices reduced intake of sugar-sweetened beverages and unhealthy snacks; and school meal standards . Measure: Direct observations using trained observers and standardized protocols and instruments. schools. Can J Public Health. To address this challenge, and to support Member States in implementing policy measures, as recommended by the Framework for Action from the 2014 Second International Conference on Nutrition, the World Health Organization (WHO) is in the process of developing evidence-informed policy guidelines on the food environment, including school food and nutrition interventions and policies with a focus on five interventions and policies that influence the school food environment.