Snacks, beverages, and physical activity during volunteer-led out-of-school-time programs: a cross-sectional analysisReportar como inadecuado

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BMC Public Health

, 17:125

Energy balance-related behaviors


BackgroundTens of millions of children regularly participate in out-of-school-time OST programs, providing an opportunity for child health promotion. Most research on OST has focused on structured, staff-led after-school programs, as opposed to volunteer-led programs such as enrichment programs and youth sports. The aim of this study was to describe snacks, beverages, and physical activity PA practices in volunteer-led OST programs across five organizations in three states.

MethodsAn online survey including the Out-of-School-Time Snacks, Beverages, and Physical Activity Questionnaire was distributed to 1,695 adult leaders of enrichment and youth sports programs serving 5–12 year-old children in Maine, Massachusetts, and New Hampshire, USA. The response rate was 57.8%, with 980 leaders participating and 698 136 youth sports, 562 enrichment remaining after data cleaning procedures. Frequencies were calculated to describe snack, beverage, and PA offerings during typical meetings and whether healthy snack, beverage, and PA criteria were met. Criteria were developed a priori with the intent to capture co-occurring practices that together indicate healthy snack fruits and vegetables or no snack over salty-sweet snacks; beverage water over sugar-sweetened beverages; and PA environments regular opportunities for >15 or 45 min of PA in enrichment and sports programs, respectively.

ResultsAbout half of enrichment leaders reported that snacks and beverages were provided during typical meetings vs. one-fifth of sports leaders. In 28.4% of enrichment programs, PA was offered at every meeting vs. 98.5% of sports programs. Among enrichment programs, 50.4 and 25.8% met healthy snack and beverage criteria, respectively, and 29.4% met PA criteria, with 27.6% meeting criteria in two or more areas, and 5.0% in all three. Among sports programs, 72.8 and 78.7% met healthy snack and beverage criteria, respectively, and 71.3% met PA criteria. Eighty-two percent met criteria in two or more areas, and 46.3% met criteria in all three.

ConclusionsMost programs did not meet criteria for healthier snacks and beverages and opportunities for PA during typical meetings, indicating room for improvement in encouraging widespread adoption of these practices. Efforts to improve the healthfulness of snacks and beverages and increase opportunities for PA during volunteer-led OST programs are warranted.

KeywordsOut-of-school time After-school programs Enrichment Youth sports Children Snacks Beverages Nutrition Physical activity AbbreviationsHEPAHealthy Eating and Physical Activity Standards for out-of-school-time settings

HKOSThe Healthy Kids Out of School initiative


OST-SBPAThe out-of-school-time snacks, beverages, and physical activity questionnaire

PAPhysical activity

SDStandard deviation

Electronic supplementary materialThe online version of this article doi:10.1186-s12889-017-4040-2 contains supplementary material, which is available to authorized users.

Autor: Christina D. Economos - Stephanie Anzman-Frasca - Alyssa H. Koomas - Grace Chan - Sara C. Folta - Julianne Heck - Molly 


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