National AfterSchool Association Healthy Eating and Physical Activity Standards History and Description Jean Wiecha, PhD RTI International Dialogue4Health January 29, 2015 RTI International is a trade name of Research Triangle Institute. www.rti.org
We are ALL gatekeepers for children s healthy development 2
Here s our vision A commitment to healthy eating and physical activity everywhere. Children with daily opportunities for vigorous, heart- happy play. Children eating delicious, healthy foods every day. OST programs helping to make this turnaround come true. 3
OST programs can address one of our greatest public health challenges Prevalence of Childhood Obesity and Overweight in the United States, 2011-2012 (www.cdc.gov) About 1/3 of kids overweight or obese: Obesity: about 17% (12.7 million) of kids aged 2 19 years We re stuck at high rates for schoolage kids Declining Obesity among children aged 2 to 5 years, but not for schoolage kids. 8.4% of 2- to 5-year-olds / 17.7% of 6- to 11-year-olds / 20.5% of 12- to 19-year-olds. Hispanic (22.4%) and non-hispanic black youth (20.2%) have highest rates. 4
OST programs have what it takes to help US kids make healthy choices REACH CAPACITY MISSION DRIVE Over 10 million children in afterschool in 2014*! Most serve meals and snacks and many offer physical activity healthy youth development focus on quality and professional development Specific focus on HEPA * Afterschool Alliance, 2014. http://www.afterschoolalliance.org/aa3pm/ 5
Why we crafted consensus standards for OST: Varied HEPA messaging Varied HEPA commitment Varied HEPA practices NEED FOR UNITED ACTION!!! 6
Crafting the NAA Healthy Eating and Physical Activity (HEPA) Standards January 2009: Convene Healthy Out of School Time (HOST) coalition. January 2010: RWJF grant for needs assessment and develop standards January 2011: HOST submits standards to National Afterschool Association April 2011: NAA adopts standards 7
WHO ARE YOUR H.O.S.T.s???? HOST Coalition founded by folks from: National Institute on Out of School Time (Gannett and Hall) U Mass Boston (Wiecha) YMCA of the USA (Adamson and Roth) Now we are: Leadership team: Alliance for a Healthier Generation; National AfterSchool Association; National Institute on Out of School Time; RTI; Y-USA Coordinated by Y-USA with generous support from RWJF 8
OST can help with HEALTHY EATING Most U.S. youth DON T eat healthy diets Most DO NOT eat 2½ cups to 6½ cups of fruits and vegetables each day Most DO NOT eat 2-3 oz whole grains each day YUCK! Empty calories from added sugars and solid fats contribute 40% of daily calories for kids 2 18 About half of these empty calories come from SIX sources: soda, fruit drinks, dairy desserts, grain desserts, pizza, and whole milk. Source: www.cdc.gov 9
2010 National Needs Assessment Findings: Healthy Eating 57% of programs served > 1 food or beverage of low nutritional value on the previous program day: 19 % served chips, Doritos, or puffs; 15% served a dessert type item; 24% served sugar-sweetened or artificially sweetened beverages; 26% of programs served flavored milk. NIOT, UMass Boston, 2010, Unpublished Findings 10
OST can help with PHYSICAL ACTIVITY Kids think they re more active than they really are and many are not very active. About 75% of middle kids 9 13 reported participating in free-time physical activity during the previous 7 days. But using better measurement, only 42% of children and 8 percent of adolescents met recommendations That is: engaged in moderate to vigorous PA on 5 of past 7 days for at least 60 minutes each day. CDC. Youth Risk Behavior Surveillance United States, 2013. MMWR 2014;63(SS-4). CDC. The Association Between School-Based Physical Activity, Including Physical Education, and Academic Performance. Atlanta, GA: U.S. Department of Health and Human Services; 2010. Troiano RP Berrigan D Dodd KW et al. Physical activity in the US measured by accelerometer. Med Sci Sports Exerc. 2008;40(1):181-8 11
2010 National Needs Assessment Findings: Physical Activity Only 24% of programs met all five of our best practice criteria. 80% had staff that organized activities during PA time 79% reported most or all youth participated in the PA they offered 77% offered physical activity for all youth (as opposed to some) 68% reported they were working from PA guidelines 60% offered 30 60 minutes of PA; 29% offered an hour or more NIOST, UMass Boston, 2010, Unpublished Findings 12 12
NAA HEPA Standards and Best Practices Healthy Eating Content and Quality Staff Training Nutrition Education Social Support Organizational Support Environmental Support Physical Activity Content and Quality Staff Training Social Support Organizational Support Environmental Support 13
Healthy Eating: Content & Quality Standard: Programs serve foods and beverages in amounts and types that promote lifelong health and help prevent chronic disease. These include: Whole grains and heart-healthy fats or oils Without added sugar or trans fats Fruits and vegetables Beverages made without added sugars 14
Physical Activity: Content & Quality Standard: The program s physical activity offerings support the USDHHS 2008 guidelines. These guidelines recommend: 60 minutes of physical activity per day. Mixture of moderate and vigorous intensity activity as well as bone and muscle strengthening activities. 15
Healthy Eating Standards Staff Training Nutrition Education and Curriculum Social Support Program Support Environmental Support 16
Physical Activity Standards Staff Training Social Support Program Support Environmental Support 17
A National Movement 18
Some HOST resources Moving the research and implementation agenda forward Wiecha JL, Beets M., Colabianchi N., et al. Promoting physical activity in out-ofschool-time programs: We built the bridge Can we walk over it? (Commentary). Preventive Medicine (2014). http://activelivingresearch.org/promoting-physical-activity-out-school-timeprograms-we-built-bridge-can-we-walk-over-it Practice based research on HEPA in OST: Wiecha JL, Hall G (editors). Healthy Eating and Physical Activity in Out-of-School Time Settings. New Directions for Youth Development, Issue 143 (2014). http://onlinelibrary.wiley.com/doi/10.1002/yd.2014.2014.issue-143/issuetoc Impact on the field: Wiecha JL, Hall G, Barnes M. Uptake of National AfterSchool Association physical activity standards among US after-school sites, Preventive Medicine, Available online 17 July 2014, ISSN 0091-7435, http://dx.doi.org/10.1016/j.ypmed.2014.07.010 The official history of HEPA: Wiecha JL, Hall G, Gannett E, Roth B. Development of Healthy Eating and Physical Activity Quality Standards for Out-of-School Time Programs. Childhood Obesity. 2012; 8 (6): 472-476. 19
And where to find the standards! NAA s website: http://naaweb.org/resources/item/56-healthy-eating NIOST website: http://niost.org/host-program/ 20