Policy and implementation prevent Obesity; Lesson from USA.

Kitiporn Tupsart

Context

American children Most of them not consume diets as the

Dietary Guidelines Inadequate of daily physical activities Number of obese children are

increasing

Efforts

School food environments and policies

School physical activities environments and policies

School BMI measurement School wellness policies

Finding

Competitive foods are widely sell in schools Physical activities can be added to school

curriculum without academic consequences Some studies have examined the

effectiveness or impact of school-based BMI measurement programs

The strongest policies found in larger school districts and districts with numbers of students are allowed to have free or reduced-price lunch

Although school alone could not success policies prevent obesity, it is one of the key factors for public health strategies to decrease or eliminate problem of overweight and obesity

Competitive Foods

The increasing in number of food options selling in schools has accompanied with the increasing rate of obesity Center for Disease Prevention and Control

(CDC) found that 33% of elementary schools had a vending machine, 89% of high schools had a vending machines or school store, canteen, or snack bar for selling food and drinks to students

High schools and Middle schools were more likely to sell competitive foods than in elementary schools

Competitive Foods

Unhealthy food were much more pervasive in rural schools than urban and suburban schools but there were on significant differences between low-income and higher-income schools

Competitive Foods

Before year 2000, US. Schools started to

improve quality of school food environment Rising percentage of schools with no

vending machine or school store Decrease percentage of school selling

high fat bakery in vending machines