Opportunities in the Extended Day: Approaches for Promoting Physical Activity and Healthy Eating During Out-of-School Time

Details

• Alternative Title:
  J Sch Health
• Personal Author:
  SLIWA, SARAH A. ; CHANG CHUSAN, YUILYN A. ; DAHLSTROM, CHRISTINA
• Description:
  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.
  
  
• Subjects:
  Administrative Personnel Adolescent Diet, Healthy Exercise Health Education Humans Schools
• Keywords:
  Afterschool Diet Exercise Health Behavior Health Policy Students
• Source:
  J Sch Health. 93(9):813-827
• Pubmed ID:
  37670603
• Pubmed Central ID:
  PMC11181343
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  93
• Issue:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:6f1cead46e0c5685e76f0bdff594b6b2df55c7f8543b0eacbff23fa6592a5c16
• Download URL:
  https://stacks.cdc.gov/view/cdc/157988/cdc_157988_DS1.pdf
• File Type:
  [PDF - 359.54 KB ]