Hinkle Arnell J, Yoshida Sallie
CANFIT (Communities, Adolescents, Nutrition, and Fitness).
New Dir Youth Dev. 2014 Fall;2014(143):45-55. doi: 10.1002/yd.20103.
Afterschool programs in California have the potential to play a major role in obesity prevention given that they serve close to a million low-income children. A five-year initiative called the Healthy Eating Active Communities (HEAC) was funded in 2005 by the California Endowment to demonstrate that disparities related to childhood obesity and diabetes could be reduced in communities that offered families accessible and affordable opportunities for healthy eating and physical activity. The afterschool program setting constituted one of five key settings targeted in the initiative. This chapter describes the HEAC afterschool program initiative, reviews findings from the HEAC afterschool program nutrition and physical activity evaluation, and shares strategies that were used to implement the five-year training and technical assistance intervention.
鉴于加利福尼亚州的课外项目服务对象接近100万低收入儿童，这些项目在预防肥胖方面有潜力发挥重要作用。2005年，一项名为“健康饮食与积极社区”（HEAC）的五年计划由加利福尼亚捐赠基金资助，旨在证明在那些为家庭提供健康饮食和体育活动的便捷且经济实惠机会的社区中，与儿童肥胖和糖尿病相关的差距是可以缩小的。课外项目环境是该计划所针对的五个关键环境之一。本章描述了HEAC课外项目计划，回顾了HEAC课外项目营养与体育活动评估的结果，并分享了用于实施为期五年的培训和技术援助干预措施的策略。
