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Two-Year Healthy Eating Outcomes: An RCT in Afterschool Programs
Michael W Beets1, R Glenn Weaver1, Gabrielle Turner-McGrievy1
1Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.
American Journal of Preventive Medicine
|May 24, 2017
Summary
Afterschool programs improved healthy food and beverage offerings, increasing fruits, vegetables, and water. However, structural barriers like food procurement and storage hindered full achievement of nutrition standards.
Area of Science:
- Nutrition Science
- Public Health
- Childhood Obesity Prevention
Background:
- Afterschool programs (ASPs) aim to meet national nutrition standards.
- Standards require daily fruits/vegetables and water, eliminating sugar-sweetened beverages.
Purpose of the Study:
- Evaluate 2-year changes in food/beverage offerings in ASPs.
- Assess intervention effectiveness in meeting Healthy Eating Standards.
Main Methods:
- Randomized delayed treatment trial in 20 ASPs serving 1,700 children.
- Intervention: Strategies To Enhance Practice for Healthy Eating.
- Direct observation of snacks served.
Main Results:
- Increased daily servings of fruits/vegetables and water in both groups.
- Sugar-sweetened beverages nearly eliminated; desserts decreased.
- Delayed group faced procurement/storage barriers.
Conclusions:
- ASPs can improve nutrition, but face structural challenges.
- Support needed for ASPs to fully meet Healthy Eating Standards.
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