Residential summer camp: a new venue for nutrition education and physical activity promotion
Tóm tắt
Millions of children attend residential summer camps each year. However, few studies have examined the potential of camps for obesity prevention efforts. Research in the domain of positive youth development has shown that camp programs as short as one week have both short- and long-term positive effects on self-esteem, self-efficacy and other youth outcomes. The objective of the present study was to highlight the potential of resident camps as promising venues for the promotion of healthy eating and physical activity behaviors in the children who attend. Data for this study came from the American Camp Association 2007 Emerging Issues Survey. This survey assessed camp professionals’ perspectives on a diverse array of issues, including the healthy eating and physical activity of children. Data analysis focused on responses from 247 camp professionals whose camps offered resident camp programs. Descriptive and Chi-square statistics were calculated. Ninety-two percent of camp professionals reported that the healthy eating and physical activity of campers was an “important” or “very important” issue for camps. The majority of camps reported offering vegetarian options, healthy snacks and salad bars, and allergen-free options. Additionally, 86% of camp professionals indicated that they had implemented one or more strategies to address concerns related to the unhealthy eating behaviors of children, with top strategies including increasing the availability of fruits and vegetables, increasing the availability of healthy drink options, and improving the nutritional quality of menus. Fewer camp professionals (50%) indicated they had implemented strategies to increase children’s physical activity levels, but many professionals indicated that their camp programs were inherently active and additional strategies to promote physical activity were not necessary. Associations were found between camp affiliation and food options available to campers. The majority of camp professionals believe the healthy eating and physical activity of children are important issues for camps and have implemented strategies to address these issues. An important question for future research is to examine whether these strategies are effective in promoting healthy eating and physical activity behaviors in children, as well as ways that camp programs could be improved.
Tài liệu tham khảo
Fox MK, Condon E, Briefel RR, Reidy KC, Deming DM: Food consumption patterns of young preschoolers: are they starting off on the right path?. J Am Diet Assoc. 2010, 110: S52-S59.
Krebs-Smith SM, Guenther PM, Subar AF, Kirkpatrick SI, Dodd KW: Americans do not meet federal dietary recommendations. J Nutr. 2010, 140: 1832-1838. 10.3945/jn.110.124826.
Rideout VJ, Foehr UG, Roberts DF: Generation M2: Media in the Lives of 8- to 18-Year-Olds. 2010, Kaiser Family Foundation, 1-85. http://kaiserfamilyfoundation.files.wordpress.com/2013/04/8010.pdf.
Child Trends: Vigorous Physical Activity by Youth. 2012, http://www.childtrendsdatabank.org/?q=node/134.
Ogden CL, Carroll MD, Kit BK, Flegal KM: Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. JAMA. 2012, 307: 483-490. 10.1001/jama.2012.40.
Knowlden AP, Sharma M: Systematic review of family and home-based interventions targeting pediatric overweight and obesity. Obes Rev. 2012, 13: 499-508. 10.1111/j.1467-789X.2011.00976.x.
Safron M, Cislak A, Gaspar T, Luszczynska A: Effects of school-based interventions targeting obesity-related behaviors and body weight change: a systematic umbrella review. Behav Med. 2011, 37: 15-25. 10.1080/08964289.2010.543194.
Branscum P, Sharma M: After-school based obesity prevention interventions: a comprehensive review of the literature. Int J Environ Res Public Health. 2012, 9: 1438-1457. 10.3390/ijerph9041438.
Van Slyck AA: A Manufactured Wilderness: Summer Camps and the Shaping of American Youth (1890–1960). 2006, Minneapolis, MN: University of Minnesota Press
Camp Trends Fact Sheet: Camp Trends Fact Sheet. http://www.acacamps.org/media-center/camp-trends/fact]. Accessed on: 2012 Oct 21
American Camp Association: Accreditation Process Guide. 2012. 2012, Martinsville, IN: American Camp Association
Garst BA, Browne LP, Bialeschki M: Youth development and the camp experience. New Dir Youth Dev. 2011, 130: 73-87.
Sekine A: The effect of camp experience upon the locus of control and general self-efficacy of school children. Bull Inst Health Sport Sci. 1994, 17: 177-183.
American Camp Association: Directions: Youth Development Outcomes of the Camp Experience. 2005, Martinsville, IN: American Camp Association, 1-24.
Bialeschki M, Lyons KT, Thompson AK: Four Years at Morry's Camp: a Longitudinal Study of Youth Development Outcomes of the Morry's Camp Experience. 2006, Martinsville, IN: American Camp Association
Bialeschki MD, Henderson KA, James PA: Camp experiences and developmental outcomes for youth. Child Adolesc Psychiatr Clin N Am. 2007, 16: 769-788. 10.1016/j.chc.2007.05.011. vi
Kelly KP, Kirschenbaum DS: Immersion treatment of childhood and adolescent obesity: the first review of a promising intervention. Obes Rev. 2010, 12: 37-49.
Huelsing J, Kanafani N, Mao J, White NH: Camp Jump Start: effects of a residential summer weight-loss camp for older children and adolescents. Pediatrics. 2010, 125: e884-e890. 10.1542/peds.2009-1007.
Charmaz K: Grounded theory: Objectivist and constructivist methods. In Handbook of Qualitative Research. Edited by Denzin NK, Lincoln YS. 2000, Thousand Oaks, CA: Sage Publications Inc
Carrel AL, Clark RR, Peterson S, Eickhoff J, Allen DB: School-based fitness changes are lost during the summer vacation. Arch Pediatr Adolesc Med. 2007, 161: 561-564. 10.1001/archpedi.161.6.561.
Tovar A, Lividini K, Economos CD, Folta S, Goldberg J, Must A: School's out: what are urban children doing? The Summer Activity Study of Somerville Youth (SASSY). BMC Pediatr. 2010, 10: 16-10.1186/1471-2431-10-16.
von Hippel PT, Powell B, Downey DB, Rowland NJ: The effect of school on overweight in childhood: gain in body mass index during the school year and during summer vacation. Am J Public Health. 2007, 97: 696-702. 10.2105/AJPH.2005.080754.
Patrick H, Nicklas TA: A review of family and social determinants of children's eating patterns and diet quality. J Am Coll Nutr. 2005, 24: 83-92.
Denney-Wilson E, Crawford D, Dobbins T, Hardy L, Okely AD: Influences on consumption of soft drinks and fast foods in adolescents. Asia Pac J Clin Nutr. 2009, 18: 447-452.
Holsten JE, Deatrick JA, Kumanyika S, Pinto-Martin J, Compher CW: Children's food choice process in the home environment, A qualitative descriptive study. Appetite. 2012, 58: 64-73. 10.1016/j.appet.2011.09.002.
Hausner H, Hartvig DL, Reinbach HC, Wendin K, Bredie WLP: Effects of repeated exposure on acceptance of initially disliked and liked Nordic snack bars in 9–11 year-old children. Clin Nutr. 2012, 31: 137-143. 10.1016/j.clnu.2011.08.003.
Cooke L: The importance of exposure for healthy eating in childhood: a review. J Hum Nutr Diet. 2007, 20: 294-301. 10.1111/j.1365-277X.2007.00804.x.
Anzman-Frasca S, Savage JS, Marini ME, Fisher JO, Birch LL: Repeated exposure and associative conditioning promote preschool children's liking of vegetables. Appetite. 2012, 58: 543-553. 10.1016/j.appet.2011.11.012.
Sallis JF, Alcaraz JE, Mckenzie TL, Howell MF: Predictors of change in children’s physical activity over 20 months: variations by gender and level of adiposity. Am J Prev Med. 1999, 16: 222-229. 10.1016/S0749-3797(98)00154-8.
Davison KK, Cutting TM, Birch LL: Parents' activity-related parenting practices predict girls' physical activity. Med Sci Sports Exerc. 2003, 35: 1589-1595. 10.1249/01.MSS.0000084524.19408.0C.
Trost SG, Kerr LM, Ward DS, Pate RR: Physical activity and determinants of physical activity in obese and non-obese children. Int J Obes Relat Metab Disord. 2001, 25: 822-829.
Vilhjalmsson R, Thorlindsson T: Factors related to physical activity: a study of adolescents. Soc Sci Med. 1998, 47: 665-675. 10.1016/S0277-9536(98)00143-9.
Perry CL, McGuire MT, Neumark-Sztainer D, Story M: Adolescent vegetarians: how well do their dietary patterns meet the healthy people 2010 objectives?. Arch Pediatr Adolesc Med. 2002, 156: 431-437.
Larsson CL, Johansson GK: Young Swedish vegans have different sources of nutrients than young omnivores. J Am Diet Assoc. 2005, 105: 1438-1441. 10.1016/j.jada.2005.06.026.
Larson N, Story M: A review of snacking patterns among children and adolescents: What are the implications of snacking for weight status?. Child Obes. 2013, 9: 104-115.
Smith-Spangler C, Brandeau ML, Hunter GE, Bavinger JC, Pearson M, Eschbach PJ, Sundaram V, Liu H, Schirmer P, Stave C, Olkin I, Bravata DM: Are organic foods safer or healthier than conventional alternatives?: A systematic review. Ann Intern Med. 2012, 157: 348-366. 10.7326/0003-4819-157-5-201209040-00007.
Fisher JO, Liu Y, Birch LL, Rolls BJ: Effects of portion size and energy density on young children's intake at a meal. Am J Clin Nutr. 2007, 86: 174-179.
Savage JS, Fisher JO, Marini M, Birch LL: Serving smaller age-appropriate entree portions to children aged 3–5 y increases fruit and vegetable intake and reduces energy density and energy intake at lunch. Am J Clin Nutr. 2012, 95: 335-341. 10.3945/ajcn.111.017848.
Hickerson BD, Henderson KA: Children's summer camp-based physical activity. Camping Magazine. 2010
U S Department of Health Human Services: 2008 Physical Activity Guidelines for Americans. 2008, Washington, D.C.: U.S. Government Printing Office
American Camp Association: ACA 2008 Business Operations Profile Study. 2008, http://www.acacamps.org/research/improve/budget-finance.
American Camp Association: Camp Compensation and Benefits Report. 2010, http://www.acacamps.org/research/camp-compensation-and-benefits-report-2010.
Council on School Health: Policy Statement - Creating Healthy Camp Experiences. Pediatrics. 2011, 127: 794-799.
US Department of Agriculture - Summer Food Service Program. http://www.acacamps.org/summer-feeding-program]. Accessed on: 2013 Mar 26
2011 Emerging Issues Survey Results. http://www.acacamps.org/sites/default/files/images/research/improve/EI%20all%20results%20%28wozip%2911.pdf]. Accessed on: 2013 Mar 26
Fan W, Yan Z: Factors affecting response rates of the web survey: A systematic review. Computers in Human Behavior. 2010, 26: 132-139. 10.1016/j.chb.2009.10.015.
Manfreda KL, Bosnjak M, Berzelak J, Haas I, Vehovar V: Web surveys versus other survey modes. Int J Market Res. 2008, 50: 79-104.
Jago R, Baranowski T: Non-curricular approaches for increasing physical activity in youth: a review. Prev Med. 2004, 39: 157-163. 10.1016/j.ypmed.2004.01.014.
Ehrenreich-May J, Bilek EL: Universal prevention of anxiety and depression in a recreational camp setting: An initial open trial. Child & Youth Care Forum. 2011, 40: 435-455. 10.1007/s10566-011-9148-4.
Erceg LE, Garst BA, Powell GM: An injury and illness surveillance program for children and staff: Improving the safety of youth settings. J Park Rec Admin. 2011, 27: 121-132.
Fairchild R, McLaughlin B, Costigan BP: How did you spend your summer vacation? What public policies do (and don't do) to support summer learning opportunities for all youth. Afterschool Matters Occasional Paper Series. 2007, 8: 1-31.