Opportunities in the Extended Day
Approaches for Promoting Physical Activity and Healthy Eating During Out‐of‐School Time
Bibliographic Data
| ID | 21354484 |
|---|---|
| Authors | Sarah Sliwa (0000-0002-7746-7181, Centers for Disease Control and Prevention, corresponding author), Yuilyn A Chang Chusan (Tufts University Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy Boston MA), Christina Dahlstrom (0000-0003-3439-0505, National Center for Chronic Disease Prevention and Health Promotion) |
| Year | 2023 |
| Volume | 93 |
| Issue | 9 |
| Pages | 813-827 |
| Publication date | 2023-09-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of School Health (JOURNAL) |
| Journal identifiers | ISSN: 0022-4391 • E-ISSN: 1746-1561 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/josh.13370 |
| PMID | 37670603 |
| OpenAlex | W4386466958 |
| Language | EN |
| Citations received | 3 |
| References cited | 88 |
BACKGROUND: This systematic review aims to identify out-of-school time (OST) interventions (eg, programming, policies) that increased opportunities for physical activity (PA) and healthy eating and/or improved youth PA and dietary behaviors. METHODS: We searched for articles within systematic reviews that met our criteria (2010-2018) and for individual articles (2010-2020). Reviewer pairs screened articles, double-extracted data, assessed risk of bias (RoB), and achieved consensus. We included 71 articles (55 studies, 60 intervention arms). RESULTS: Health (n = 3) and nutrition education (n = 7) interventions showed promising results, but most used weak designs and had high RoB. PA-focused interventions (n = 23) were largely consistent in improving fitness and moderate to vigorous PA during programming. Programmatic interventions that improved both PA and nutrition outcomes engaged family or community members (n = 4/13). Most organizational policy interventions improved the nutrition environment and student PA during OST. CONCLUSIONS: Organization-level policy and programmatic interventions can improve environmental supports and youth behaviors during OST programming, complementing school-day efforts to address student PA and dietary intake. To maximize their potential impact, OST programs need to be accessible to families. Administrators can consider actions to reduce participation barriers.
Environmental health · Health promotion · Healthy eating · Intervention (counseling) · Medical education · MEDLINE · Nutrition Education · Physical activity · Physical fitness · Physical therapy · Political science · Psychological intervention · Public health · Systematic review · Medicine · Nursing · Obesity, Physical Activity, Diet · Outdoor and Experiential Education · Psychology · Youth Development and Social Support · Gerontology
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| Citations per year | 1 |
|---|---|
| Citation span | 2023 - 2023 (1) |
| Highly cited | No |