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Opportunities in the Extended Day: Approaches for Promoting Physical Activity and Healthy Eating During Out-of-School
Sarah A Sliwa1, Yuilyn A Chang Chusan2, Christina Dahlstrom3
1Division of Population Health, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, GA.
The Journal of School Health
|September 6, 2023
Summary
Out-of-school time (OST) programs can improve youth physical activity (PA) and healthy eating through policies and engaging activities. Accessibility for families is key to maximizing the impact of these interventions.
Area of Science:
- Public Health
- Pediatrics
- Behavioral Science
Background:
- Youth physical activity (PA) and healthy eating are critical for long-term health.
- Out-of-school time (OST) presents a unique opportunity to influence these behaviors.
- Existing interventions require systematic review to identify effective strategies.
Approach:
- Systematic review of articles published between 2010-2020.
- Inclusion of both systematic reviews and individual study articles.
- Rigorous data extraction and risk of bias assessment by reviewer pairs.
Key Points:
- Health and nutrition education interventions showed promise but often had high risk of bias.
- PA-focused interventions consistently improved fitness and moderate-to-vigorous PA during OST.
- Interventions combining PA and nutrition, or utilizing organizational policies, showed positive outcomes.
Conclusions:
- Organizational policies and programmatic interventions can enhance environmental supports and youth behaviors in OST settings.
- OST interventions should complement school-day efforts for comprehensive health promotion.
- Reducing participation barriers and increasing accessibility for families is crucial for OST program effectiveness.
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