Tilley Falon, Beets Michael W, Jones Sonya, Turner-McGrievy Gabrielle
1Department of Exercise Science,Arnold School of Public Health,University of South Carolina,921 Assembly Street,Columbia,SC 29208,USA.
2Center for Research in Nutrition and Health Disparities,University of South Carolina,Columbia,SC,USA.
Public Health Nutr. 2015 Jun;18(9):1620-5. doi: 10.1017/S1368980014001190. Epub 2014 Jun 9.
The National Afterschool Association (NAA) standards specify the role of summer day camps (SDC) in promoting healthy nutrition habits of the children attending, identifying foods and beverages to be provided to children and staff roles in promoting good nutrition habits. However, many SDC do not provide meals. Currently, national guidelines specifying what children are allowed to bring to such settings do not exist, nor is there a solid understanding of the current landscape surrounding healthy eating within SDC.
A cross-sectional study design using validated measures with multiple observations was used to determine the types of foods and beverages brought to SDC programmes.
Four large-scale, community-based SDC participated in the study during summer 2011.
The types of foods and beverages brought by children (n 766) and staff (n 87), as well as any instances of staff promoting healthy eating behaviours, were examined via direct observation over 27 d. Additionally, the extent to which current foods and beverages at SDC complied with NAA standards was evaluated.
Less than half of the children brought water, 47% brought non-100% juices, 4% brought soda, 4% brought a vegetable and 20% brought fruit. Staff foods and beverages modelled similar patterns. Promotion of healthy eating by staff was observed <1% of the time.
Findings suggest that foods and beverages brought to SDC by children and staff do not support nutrition standards and staff do not regularly promote healthy eating habits. To assist, professional development, parent education and organizational policies are needed.
全国校外活动协会（NAA）的标准明确了暑期日间营（SDC）在促进参加活动儿童的健康营养习惯方面的作用，确定了提供给儿童的食品和饮料以及工作人员在促进良好营养习惯方面的作用。然而，许多暑期日间营不提供膳食。目前，尚无规定儿童可带入此类场所食品的国家指南，对暑期日间营内健康饮食的现状也缺乏深入了解。
采用经过验证的测量方法并进行多次观察的横断面研究设计，以确定带入暑期日间营项目的食品和饮料类型。
2011年夏季，四个大型社区暑期日间营参与了该研究。
通过27天的直接观察，对儿童（n = 766）和工作人员（n = 87）带入的食品和饮料类型以及工作人员促进健康饮食行为的任何情况进行了检查。此外，还评估了暑期日间营当前的食品和饮料符合NAA标准的程度。
不到一半的儿童带了水，47%带了非100%果汁，4%带了汽水，4%带了蔬菜，20%带了水果。工作人员的食品和饮料呈现类似模式。观察到工作人员促进健康饮食的情况不到1%。
研究结果表明，儿童和工作人员带入暑期日间营的食品和饮料不符合营养标准，工作人员也不经常促进健康饮食习惯。为提供帮助，需要开展专业培训、家长教育和制定组织政策。
