The Adoption of the Healthy Eating Standards in Local Afterschool Programs Does Not Improve Quality of Snacks

Meagan Helmick, Abigail C. Esmond, Valisa Hedrick, Jamie Zoellner, Wen You, Jennie L Hill

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: In 2011, the National Afterschool Association adopted the Healthy Eating and Physical Activity (HEPA) standards to address snack quality and physical activity in afterschool programs. Although research has indicated promise in the adoption of these policies by national organizations, less is known about local adoption, implementation, and effectiveness. In this study, we aimed to compare the quality of snacks served at program sites pre- and post-adoption and to determine the quality of non-program snacks compared to program snacks. METHODS: An interrupted time series design was used to measure snack quality and consumption at 3 policy adopting sites and 2 non-policy adopting sites that served as a comparison control. Trained research staff collected snack type, brand, and amount consumed using a modified quarter-waste method. Analysis on nutrient content of snacks was completed using Nutrition Data System for Research software. RESULTS: Adoption of the HEPA standards among policy adopting sites did not result in significantly better snack quality. Across all sites, program snacks were healthier than non-program snacks. CONCLUSION: Pursuing additional components of the HEPA standards related to implementation may be necessary to significantly improve snack quality. Environmental supports such as limiting the amount of non-program snacks available onsite may improve snack quality.

Original languageEnglish (US)
Pages (from-to)809-817
Number of pages9
JournalJournal of School Health
Volume89
Issue number10
DOIs
StatePublished - Oct 1 2019

Fingerprint

Snacks
eating behavior
Healthy Diet
nutrition
time series
Research
staff
Physical Activity
Information Systems

Keywords

  • afterschool programs
  • child and adolescent health
  • health policy
  • nutrition and diet
  • school snacks

ASJC Scopus subject areas

  • Education
  • Philosophy
  • Public Health, Environmental and Occupational Health

Cite this

The Adoption of the Healthy Eating Standards in Local Afterschool Programs Does Not Improve Quality of Snacks. / Helmick, Meagan; Esmond, Abigail C.; Hedrick, Valisa; Zoellner, Jamie; You, Wen; Hill, Jennie L.

In: Journal of School Health, Vol. 89, No. 10, 01.10.2019, p. 809-817.

Research output: Contribution to journalArticle

Helmick, Meagan ; Esmond, Abigail C. ; Hedrick, Valisa ; Zoellner, Jamie ; You, Wen ; Hill, Jennie L. / The Adoption of the Healthy Eating Standards in Local Afterschool Programs Does Not Improve Quality of Snacks. In: Journal of School Health. 2019 ; Vol. 89, No. 10. pp. 809-817.
@article{684bbe852b2c4e16b3a77ccf385c1e63,
title = "The Adoption of the Healthy Eating Standards in Local Afterschool Programs Does Not Improve Quality of Snacks",
abstract = "OBJECTIVES: In 2011, the National Afterschool Association adopted the Healthy Eating and Physical Activity (HEPA) standards to address snack quality and physical activity in afterschool programs. Although research has indicated promise in the adoption of these policies by national organizations, less is known about local adoption, implementation, and effectiveness. In this study, we aimed to compare the quality of snacks served at program sites pre- and post-adoption and to determine the quality of non-program snacks compared to program snacks. METHODS: An interrupted time series design was used to measure snack quality and consumption at 3 policy adopting sites and 2 non-policy adopting sites that served as a comparison control. Trained research staff collected snack type, brand, and amount consumed using a modified quarter-waste method. Analysis on nutrient content of snacks was completed using Nutrition Data System for Research software. RESULTS: Adoption of the HEPA standards among policy adopting sites did not result in significantly better snack quality. Across all sites, program snacks were healthier than non-program snacks. CONCLUSION: Pursuing additional components of the HEPA standards related to implementation may be necessary to significantly improve snack quality. Environmental supports such as limiting the amount of non-program snacks available onsite may improve snack quality.",
keywords = "afterschool programs, child and adolescent health, health policy, nutrition and diet, school snacks",
author = "Meagan Helmick and Esmond, {Abigail C.} and Valisa Hedrick and Jamie Zoellner and Wen You and Hill, {Jennie L}",
year = "2019",
month = "10",
day = "1",
doi = "10.1111/josh.12822",
language = "English (US)",
volume = "89",
pages = "809--817",
journal = "Journal of School Health",
issn = "0022-4391",
publisher = "Wiley-Blackwell",
number = "10",

}

TY - JOUR

T1 - The Adoption of the Healthy Eating Standards in Local Afterschool Programs Does Not Improve Quality of Snacks

AU - Helmick, Meagan

AU - Esmond, Abigail C.

AU - Hedrick, Valisa

AU - Zoellner, Jamie

AU - You, Wen

AU - Hill, Jennie L

PY - 2019/10/1

Y1 - 2019/10/1

N2 - OBJECTIVES: In 2011, the National Afterschool Association adopted the Healthy Eating and Physical Activity (HEPA) standards to address snack quality and physical activity in afterschool programs. Although research has indicated promise in the adoption of these policies by national organizations, less is known about local adoption, implementation, and effectiveness. In this study, we aimed to compare the quality of snacks served at program sites pre- and post-adoption and to determine the quality of non-program snacks compared to program snacks. METHODS: An interrupted time series design was used to measure snack quality and consumption at 3 policy adopting sites and 2 non-policy adopting sites that served as a comparison control. Trained research staff collected snack type, brand, and amount consumed using a modified quarter-waste method. Analysis on nutrient content of snacks was completed using Nutrition Data System for Research software. RESULTS: Adoption of the HEPA standards among policy adopting sites did not result in significantly better snack quality. Across all sites, program snacks were healthier than non-program snacks. CONCLUSION: Pursuing additional components of the HEPA standards related to implementation may be necessary to significantly improve snack quality. Environmental supports such as limiting the amount of non-program snacks available onsite may improve snack quality.

AB - OBJECTIVES: In 2011, the National Afterschool Association adopted the Healthy Eating and Physical Activity (HEPA) standards to address snack quality and physical activity in afterschool programs. Although research has indicated promise in the adoption of these policies by national organizations, less is known about local adoption, implementation, and effectiveness. In this study, we aimed to compare the quality of snacks served at program sites pre- and post-adoption and to determine the quality of non-program snacks compared to program snacks. METHODS: An interrupted time series design was used to measure snack quality and consumption at 3 policy adopting sites and 2 non-policy adopting sites that served as a comparison control. Trained research staff collected snack type, brand, and amount consumed using a modified quarter-waste method. Analysis on nutrient content of snacks was completed using Nutrition Data System for Research software. RESULTS: Adoption of the HEPA standards among policy adopting sites did not result in significantly better snack quality. Across all sites, program snacks were healthier than non-program snacks. CONCLUSION: Pursuing additional components of the HEPA standards related to implementation may be necessary to significantly improve snack quality. Environmental supports such as limiting the amount of non-program snacks available onsite may improve snack quality.

KW - afterschool programs

KW - child and adolescent health

KW - health policy

KW - nutrition and diet

KW - school snacks

UR - http://www.scopus.com/inward/record.url?scp=85070301729&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85070301729&partnerID=8YFLogxK

U2 - 10.1111/josh.12822

DO - 10.1111/josh.12822

M3 - Article

VL - 89

SP - 809

EP - 817

JO - Journal of School Health

JF - Journal of School Health

SN - 0022-4391

IS - 10

ER -