Obesity: Meal and Fruit and Vegetable Snack Interventions to Increase Healthier Foods and Beverages Provided by Schools

Source: Obesity: Meal and Fruit and Vegetable Snack Interventions to Increase Healthier Foods and Beverages Provided by Schools

Summary of Task Force Finding

The Community Preventive Services Task Force recommends meal interventions and fruit and vegetable snack interventions to increase the availability of healthier foods and beverages provided by schools. This finding is based on evidence that they increase fruit and vegetable consumption and reduce or maintain the rate of obesity or overweight.

The Task Force has related findings for interventions to increase healthier foods and beverages in schools:

Intervention

Meal interventions and fruit and vegetable snack interventions aim to provide healthier foods and beverages that are appealing to students, limit access to less healthy foods and beverages, or both.

Interventions must include one of the following components:

  • School meal policies that ensure school breakfasts or lunches meet specific nutrition requirements (e.g., School Breakfast Program, National School Lunch Program)
  • Fresh fruit and vegetable programs that provide fresh fruits and vegetables to students during lunch or snack
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Strong at the Broken Places

Decades of research have shown that children living in poverty are significantly more likely to develop internalizing and externalizing problems than are their peers who are not poor, with the magnitude of the differential increasing with longer exposure to impoverished conditions. Many of these children are labeled as “at risk” – of academic difficulties, school failure, suspension, expulsion, dropping out, and involvement with the juvenile justice system.

Source: NCCP | Strong at the Broken Places

Authors: Renée Wilson-Simmons, Yang Jiang, and Yumiko Aratani  (Publication Date: April 2017)

Social-emotional competence in children – the ability to manage emotions, express needs and feelings, deal with conflict, and get along with others – plays a critical role in their cognitive skill building, mental health, and overall well-being. In addition, social-emotional competence has proven to be an important protective factor, buffering children from stressors and aiding in the prevention of serious emotional and behavioral difficulties, such as internalizing and externalizing behaviors.

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Promoting Worksite Health | The Community Guide

Worksite policies and programs may help employees reduce health risks and improve their quality of life.

Source: Promoting Worksite Health | The Community Guide

Worksite interventions can be delivered: At the worksite (e.g., signs to encourage stair use, health education classes) At other locations (e.g., gym membership discounts, weight management counseling) Through the employee health benefits plan (e.g., flu shots, cancer screenings)

6 Steps to Creating a Culture of Person and Family Engagement in Health Care

Source: 6 Steps to Creating a Culture of Person and Family Engagement in Health Care

This Planetree PFE Culture Change Toolkit is designed for health care practices participating in the Transforming Clinical Practice Initiative, but will be of value to any practice seeking strategies to improve person and family engagement. It provides guidance on creating a practice culture that emphasizes and incorporates the patient and family perspective in every aspect of care, to ultimately improve quality of care.

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National Physical Fitness & Sports Month – May 2017

It’s National Physical Fitness & Sports Month! The President’s Council on Fitness, Sports & Nutrition is excited to keep the journey from #0to60 going by encouraging everyone to #MoveInMay. This May, stay motivated with the President’s Council’s Presidential Champions and Presidential Active Lifestyle Award (PALA+) programs! Each program allows you to track your daily physical activity and earn awards. There are countless ways to get moving and we are asking our partners to help us inspire all Americans t

Source: National Physical Fitness & Sports Month – May 2017 | HHS.gov

It’s National Physical Fitness & Sports Month! The President’s Council on Fitness, Sports & Nutrition is excited to keep the journey from #0to60 going by encouraging everyone to #MoveInMay.

This May, stay motivated with the President’s Council’s Presidential Champions and Presidential Active Lifestyle Award (PALA+) programs! Each program allows you to track your daily physical activity and earn awards.

There are countless ways to get moving and we are asking our partners to help us inspire all Americans to be active. We’ve created this #MoveInMay Playbook where you can find themes, tips and motivational messages that you can promote throughout the month. You can also get ideas to #MoveInMay and every day at 0to60fitness.org !

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Physical Activity: Family-Based Interventions

Source: Physical Activity: Family-Based Interventions

Summary of Task Force Finding

The Community Preventive Services Task Force recommends family-based interventions to increase physical activity among children.

Intervention

Family-based interventions combine activities to build family support with health education to increase physical activity among children. Interventions include one or more of the following:

  • Goal-setting tools and skills to monitor progress, such as a website to enter information
  • Reinforcement of positive health behaviors, such as reward charts or role modeling of physical activity by parents or instructors
  • Organized physical activity sessions, such as instructor-led opportunities for active games

Interventions also may provide information about other lifestyle behaviors such as choosing healthier foods or reducing screen time.

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Task Force Finding and Rationale Statement

Read the full Task Force Finding and Rationale Statement pdf icon [PDF – 633 kB] for details including implementation issues, possible added benefits, potential harms, and evidence gaps.

Obesity: Meals and Snacks Provided by Schools | The Community Guide

Source: Obesity: Meals and Snacks Provided by Schools | The Community Guide

Summary of Task Force Finding

The Community Preventive Services Task Force recommends meal interventions and fruit and vegetable snack interventions to increase the availability of healthier foods and beverages provided by schools. This finding is based on evidence that they increase fruit and vegetable consumption and reduce or maintain the rate of obesity or overweight.

The Task Force has related findings for interventions to increase healthier foods and beverages in schools:

Read more

Intervention

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Health Equity, Social Determinants | The Community Guide

Source: Health Equity, Social Determinants | The Community Guide

Health equity exists when individuals have equal opportunities to be healthy. The ability to be healthy is often associated with factors such as social position, race, ethnicity, gender, religion, sexual identity, or disability. When these factors limit a person’s ability to be healthy it can lead to health inequity.

Health inequities are caused by the uneven distribution of social determinants of health. Social determinants include education, housing, and the neighborhood environment (e.g., sidewalks, parks), access to transportation, employment opportunities, the law and the justice systems, and health care and public health systems. Social determinants of health affect a person’s ability to earn a good living, live and work in a safe and healthy environment, and effectively use available resources including health care resources. Sometimes populations that represent a specific demographic feature (e.g., a particular racial or ethnic group) do not have equal access to quality education, housing, and other resources which can lead to greater sickness, and increased injuries and deaths.

Current Community Guide reviews are focused on interventions to reduce health inequities among racial and ethnic minorities and low-income populations.

Fitness facilities still lack accessibility for people with disabilities

Fitness facilities have potential to serve as places of ‘health enhancement’ for many underserved populations, particularly among people with physical/mobility disabilities where walking outdoors to meet recommendations for regular physical activity is not an option due to mobility or safety issues.

Source: Fitness facilities still lack accessibility for people with disabilities – Disability and Health Journal

Abstract

Background

Fitness facilities have potential to serve as places of ‘health enhancement’ for many underserved populations, particularly among people with physical/mobility disabilities where walking outdoors to meet recommendations for regular physical activity is not an option due to mobility or safety issues.

Objective

To examine the accessibility and usability of fitness facilities across the U.S. from a broader framework of physical and program access.

Methods

A convenience sample of 227 fitness facilities in 10 states were assessed by trained evaluators using the Accessibility Instrument Measuring Fitness and Recreation Environments (AIMFREE) tool. Non-parametric tests were performed to determine whether AIMFREE section scores were different by geographic region (urban, suburban), business type (nonprofit, for-profit), facility affiliation (fitness center/health club, park district/community center, hospital/rehabilitation facility, university/college), and facility construction date (pre/post passage of the Americans with Disabilities Act, ADA). Raw scores were converted to scaled scores with higher scores indicating better accessibility based on a criterion-referenced approach.

Results

Section scale scores (11/13) were low (<70) with differences found across facility affiliation. While facilities built after passage of the ADA had higher accessibility scores compared to pre-ADA facilities, only programs and water fountains had scaled scores ≥70 regardless of facility construction date.

Conclusions

There exists a strong and urgent need to encourage owners and operators of fitness facilities to reach a higher level of accessibility. Until then, many people with physical/mobility disabilities will continue to have limited access to programs, equipment, and services offered at these facilities.