Evaluation of an Afterschool Children’s Healthy Eating and Exercise Program
DOI:
https://doi.org/10.6000/1929-4247.2014.03.04.1Keywords:
Afterschool health education program, low-income children, healthy eating, nutrition education, physical activity.Abstract
Background: The purpose of this study was to examine the feasibility of the Children’s Healthy Eating and Exercise Program (CHEE) in an afterschool program of an elementary school.
Methods: Students in a low-income elementary school were recruited to participate in the program. Thirty-three children were in the intervention group. Twenty-four children in the comparison group were recruited from after school clubs in the same elementary school. The CHEE Program consisted of 18 sessions, featuring nutrition (20 min) and physical activity (40 min) lessons. Nutrition lessons were adapted from the Traffic Light Diet. Other lessons included MyPlate, my refrigerator, my lunchbox, and a healthy foods tasting activity. Multiple physical activities were utilized in the program including soccer, dance, relay races, tag, and other fun games. Data were collected at the beginning and end of the program.
Results: Children in both groups reported eating more vegetables at the post-intervention measurement. Children in the intervention group indicated that they learned about healthy eating and new physical activities due to their participation in the program.
Conclusions: Future studies are needed to discover barriers to behavior change as well as apply a more rigorous design to examine the impact of the CHEE Program.
References
Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA 2014; 311: 806-14. http://dx.doi.org/10.1001/jama.2014.732
World Health Organization. Childhood overweight and obesity. [cited 2014 Oct 20]: Available from: http://www.who. int/dietphysicalactivity/childhood/en/index.html
Zhao LY. Overweight and obese issues among children and teenagers in Taiwan. Zhong Hua Ti Yu 2008; 22: 35-46.
Puhl RM, Latner JD. Stigma, obesity, and the health of the nation's children. Psychol Bull 2007; 133: 557-80. http://dx.doi.org/10.1037/0033-2909.133.4.557
World Health Organization. Population-based approaches to childhood obesity prevention. Geneva: World Health Organization 2012.
Fowler-Brown A, Kahwati LC. Prevention and treatment of overweight in children and adolescents. Am Fam Physician 2004; 69: 2591-8.
Sharma M, Wagner DI, Wilkerson J. Predicting childhood obesity prevention behaviors using social cognitive theory. Int Q Community Health Educ 2006; 24: 190-202.
Sothern MS. Obesity prevention in children: Physical activity and nutrition. Nutrition 2004; 20: 704-8. http://dx.doi.org/10.1016/j.nut.2004.04.007
Edwards MB, Miller JL, Blackburn L. Afterschool programs for health promotion in rural communities: Ashe County Middle School 4-H Afterschool Program. J Public Health Manag Pract 2007; 17: 283-7. http://dx.doi.org/10.1097/PHH.0b013e318207ce3a
Macartney S. Child poverty in the United States 2009 and 2010: Selected race groups and Hispanic origin. American Community Survey Briefs, United States Census Burea 2011.
Centers for Disease Control and Prevention. Trends in the prevalence of extreme obesity among US preschool-aged children living in low-income families, 1998-2010. JAMA 2010; 308: 2563-5.
Pampel FC, Krueger PM, Denney JT. Socioeconomic disparities in health behaviors. Annu Rev Sociol 2011; 36: 349-70. http://dx.doi.org/10.1146/annurev.soc.012809.102529
Department of Health and Human Services. Disparity. [cited 2014 Oct 20]; Available from: http://www.healthypeople.gov/ 2020/about/DisparitiesAbout.aspx
Gonzalez-Suarez C, Worley A, Grimmer-Somers K, Dones V. School-based Interventions on childhood obesity: A meta-analysis. Am J Prev Med 2009; 37: 418-27. http://dx.doi.org/10.1016/j.amepre.2009.07.012
Beets M, Beighle A, Erwin H, Huberty JL. Impact of afterschool programs to increase physical activity and fitness - A meta-analysis. Am J Prev Med 2009; 36: 527-37. http://dx.doi.org/10.1016/j.amepre.2009.01.033
Afterschool Association. Afterschool fosters success in school. [cited 2014 Oct 20]; Available from: http://www.afters-choolalliance.org/issue_31_sch_success.cfm
Perterson KE, Fox MK. Addressing the epidemic of childhood obesity through school-based interventions: What has been done and where do we go from here? J Law Med Ethics 2007; 35: 113-30. http://dx.doi.org/10.1111/j.1748-720X.2007.00116.x
Epstein LH. The Traffic Light childhood weight control program: Traffic Light: Kids program. University of Buffalo: Author 2005.
Epstein LH, Gordy CC, Raynor HA, Beddome M, Kilanowski K, Paluch R. Increasing fruit and vegetable intake and decreasing fat and sugar intake in families at risk for childhood obesity. Obes Res 2012; 9: 171-8. http://dx.doi.org/10.1038/oby.2001.18
Schetzina KE, Dalton WT, Lowe EF, et al. A coordinated school health approach to obesity prevention among Appalachian youth: The Winning with Wellness Pilot Project. Fam Community Health 2009; 32: 271-85. http://dx.doi.org/10.1097/FCH.0b013e3181ab3c57
Nabors L, Burbage M, Pangallo J, et al. Delivery and evaluation of a pilot obesity prevention project for urban Appalachian children. O J Ped 2013; 3: 300-5. http://dx.doi.org/10.4236/ojped.2013.34054
Story M, Sherwood NE, Himes JH, et al. An afterschool obesity prevention program for African-American girls: The Minnesota GEMS pilot study. Ethn Dis 2003; 13: 54-64.
Bandura A. Health promotion by social cognitive means. Health Educ Behav 2004; 31: 143-64. http://dx.doi.org/10.1177/1090198104263660
Summerbell CD, Waters E, Edmunds LD, Kelly S, Brown T, Campbell KJ. Interventions for preventing obesity in children. Cochrane Database Syst Rev 2011; 12: 1-223.
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