5-2-1-0 Activity and Nutrition Challenge for Elementary Students

Abstract

Obesity prevention in youth is a health priority, and teaching healthy habits toward this end is one of a school nurse’s many responsibilities. A school nurse developed and implemented a school-wide, 2-week-long Activity and Nutrition Challenge (ANC) using the evidence-based 5-2-1-0 initiative to prevent and fight childhood obesity. Despite minimal promotion, nearly half of the students at two elementary schools participated and earned points by following the guidelines in the ANC. The amount of chocolate milk consumed by students dropped significantly during the ANC, showing that the healthy behavior of choosing beverages without added sugar had been positively impacted. Anecdotal evidence suggested positive changes in other healthy behaviors as well. This ANC was a new way for a school nurse to teach healthy habits to a large group of children in a short period of time, with limited extra work, and with promising results.

Keywords

obesity prevention healthy habits school nurse 5-2-1-0

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References

Alliance for a Healthier Generation. Wellness policies. (2016). Retrieved May 22, 2015, from https://www.healthiergeneration.org/take_action/schools/wellness_committees__policies/

American Academy of Pediatrics Committee on Nutrition. (2003). American Academy of Pediatrics policy statement: Prevention of pediatric overweight and obesity. Pediatrics, 11, 422–430.

American Heart Association. (2016). The AHA’s recommendations for physical activity in children. Retrieved March 1, 2016, from http://www.heart.org/HEARTORG/GettingHealthy/Physical-Activity-and-Children_UCM_304053_Article.jsp

Avery

Bostock

McCullough

(2014). A systematic review investigating interventions that can help reduce consumption of sugar-sweetened beverages in children leading to changes in body fatness. Journal of Human Nutrition & Dietetics, 28, 52–64.

Bunting

(2011). Are school nurses effective in the fight against childhood obesity? Doctoral dissertation, ProQuest Texas Medical Center Dissertations (AAI1506923), Houston, TX. Retrieved from http://digitalcommons.library.tmc.edu/dissertations/AAI1506923.

Centers for Disease Control and Prevention. (2010). The association between school-based activity, including physical education and academic performance. Retrieved November 1, 2014, from http://www.cdc.gov/healthyschools/health_and_academics/pdf/pa-pe_paper.pdf

Centers for Disease Control and Prevention. (2015). Childhood obesity facts. Retrieved March 1, 2015, from https://www.cdc.gov/obesity/childhood/defining.html

Childhood Obesity Prevention Program, Let’s Go! Maine. (2015). Retrieved September 3, 2015, from http://www.letsgo.org

Daniels

D. Y.

(2008). Examining attendance, academic performance, and behavior in obese adolescents. The Journal of School Nursing, 24, 379–387.

10.

Davis

Gance-Cleveland

Hassink

Johnson

Paradis

Resnicow

(2007). Recommendations for prevention of childhood obesity. Pediatrics, 120, 229–253.

11.

DeMaio

T. J.

(1985). Social desirability and survey measurement: A review. In Turner

C. F.

Martin

(Eds.), Surveying subjective phenomena (Vol. 2, pp. 257–282). New York, NY: Russell Sage Foundation.

12.

Demetriou

Höner

(2012). Physical activity interventions in the school setting: A systematic review. Psychology of Sport and Exercise, 13, 186–196.

13.

Dickinson

Hardy

L. L.

Gill

Baur

L. A.

(2012). A synthesis of existing systematic reviews and meta-analyses of school-based behavioural interventions for controlling and preventing obesity. Obesity Reviews, 13, 214–233.

14.

FitWizard.org. (n.d.). Retrieved February 5, 2016, from http://fitwizard.org/find/

15.

Halfon

Newacheck

P. W.

(2010). Evolving notions of childhood chronic illness. Journal of the American Medical Association, 303, 665–666.

16.

Harvard School of Public Health Obesity Prevention Source. (n.d.). Retrieved November 10, 2014, from https://www.hsph.harvard.edu/obesity-prevention-source/obesity-prevention/schools/

17.

Hawthorne

Shaibai

Dance-Cleveland

McFall

(2011). Grand Canyon trekkers: School-based lunchtime walking program. The Journal of School Nursing, 27, 43–50.

18.

HealthyKidsDane.org. (n.d.). Retrieved September 3, 2015, from http://healthykidsdane.org/5-2-1-0/

19.

Johnston

(2016). What more can we learn from early learning theory? The contemporary relevance for the behaviour change interventions. British Journal of Health Psychology, 21, 1–10.

20.

Katz

D. L.

(2009). School-based interventions for health promotion and weight control: Not just waiting on the world to change. Annual Review of Public Health, 30, 253–272.

21.

Kennedy

(n.d.). Should chocolate milk be served in schools? Retrieved June 14, 2016, from http://www.rebootwithjoe.com/should-chocolate-milk-be-served-in-schools/

22.

Krebs

N. F.

Himes

J. H.

Jacobson

Nicklas

T. A.

Guilday

Stone

(2007). Assessment of child and adolescent overweight and obesity. Pediatrics, 120, 193–219.

23.

Kubik

M. Y.

Story

Davey

(2007). Obesity prevention in schools: Current role and future practice of school nurses. Preventative Medicine, 44, 504–507.

24.

Lazorick

Fang

Crawford

(2016). The MATCH program: Long-term obesity prevention through a middle school based intervention. Childhood Obesity, 12, 103–112.

25.

Lynch

B. A.

Gentile

Maxson

Quigg

Swenson

Kaufman

(2016). Elementary school-based obesity intervention using an educational curriculum. Journal of Primary Care & Community Health. Advance online publication. doi:10.1177/2150131916644888

26.

Madison Metropolitan School District. (2015–2016). District statistics. Retrieved from https://accountability.madison.k12.wi.us/stats

27.

Madison Metropolitan School District Department of Student Services. (n.d.). School nurse role. Retrieved from https://docs.google.com/file/d/0BzF8uD1ETgS2cFFHamJzNm1BUnc/edit

28.

Malik

V. S.

Schulze

M. B.

F. B.

(2006). Intake of sugar-sweetened beverages and weight gain: A systemic review. The American Journal of Clinical Nutrition, 84, 274–288.

29.

Mauriello

L. M.

Ciavatta

M. M. H.

Piava

A. L.

Sherman

K. J.

Castle

P. H.

Johnson

J. L.

Prochaska

J. M.

(2010). Results of a multi-media multiple behavior obesity prevention program for adolescents. Preventive Medicine, 51, 451–456.

30.

Mauriello

L. M.

Driskell

M. M.

Sherman

K. J.

Johnson

S. S.

Prochaska

J. M.

Prochaska

J. O.

(2015). Acceptability of a school-based intervention for the prevention of adolescent obesity. The Journal of School Nursing, 22, 269–277.

31.

Maximova

Ambler

K. A.

Rudko

J. N.

Chui

Ball

G. D.

(2015). Ready, set, go! Motivation and lifestyle habits in parents of children referred for obesity management. Pediatric Obesity, 10, 353–360.

32.

National Association of School Nurses. (2016, 10). Framework for 21st century school nursing practice. Retrieved from http://www.nasn.org/framework

33.

National Association of School Nurses–Position Statement. (2013, 6). Overweight and obesity in youth in schools—The role of the school nurse. Retrieved October 1, 2014, from http://www.nasn.org/PolicyAdvocacy/PositionPapersandReports/NASNPositionStatementsArticleView/tabid/462/ArticleId/39/Overweight-Children-and-Adolescents-Adopted-2002

34.

Overweight and Obesity Statistics. (2012, 10). Retrieved from https://www.niddk.nih.gov/health-information/health-statistics/Pages/overweight-obesity-statistics.aspx

35.

Papandreou

Andreou

Heraclides

Rousso

(2013). Is beverage intake related to overweight and obesity in school children? Hippokratia, 17, 42–46.

36.

Pbert

Druker

Gapinski

M. A.

Gellar

Magner

Reed

… Osganian

(2013). A school nurse-delivered intervention for overweight and obese adolescents. Journal of School Health, 83, 182–193.

37.

Petraglia

Galavotti

Harford

Pappas-DeLuca

K. A.

Mooki

(2007). Applying behavioral science to behavior change communication: The pathways to change tools. Health Promotion Practice, 8, 384–393.

38.

Rao

(2008). Childhood obesity: Highlights of AMA expert committee recommendations. American Family Physician, 78, 56–68.

39.

Robbins

L. B.

Pfeiffer

K. A.

Maier

K. S.

Y.-J.

Wesolek

S. M.

(2012). Pilot intervention to increase physical activity among sedentary urban middle school girls: A two-group pretest-posttest quasi-experimental design. The Journal of School Nursing, 28, 302–315.

40.

Rogers

V. W.

Hart

P. H.

Motyka

Rines

E. N.

Vine

Deatrick

D. A.

(2013, 8 11). Impact of let’s go! 5-2-1-0: A community-based, multisetting childhood obesity prevention program. Journal of Pediatric Psychology. Retrieved from http://jpepsy.oxfordjournals.org/content/early/2013/08/10/jpepsy.jst057

41.

School Nurses. (2016). The big-impact practice keeping kids healthy and ready to learn. Forward Nursing, University of Wisconsin-Madison School or Nursing, 2, 4–7.

42.

Spear

Barlow

S. E.

Ervin

Ludwig

D. S.

Saelens

B. E.

Schetzina

K. E.

Taveras

E. M.

(2007). Recommendations for treatment of childhood obesity. Pediatrics, 120, 254–277.

43.

Speroni

K. G.

Earley

Atherton

(2007). Evaluating the effectiveness of the Kids Living Fit™ program: A comparative study. The Journal of School Nursing, 23, 329–336.

44.

Taras

Potts-Datema

(2005). Obesity and student performance at school. Journal of School Health, 75, 291–295.

45.

Tucker

Lanningham-Foster

Murphy

Olsen

Orth

Voss

… Lohse

(2011). A school based community partnership for promoting healthy habits for life. Journal of Community Health, 36, 414–422.

46.

Tucker

Lanningham-Foster

L. M.

(2015). Nurse-led school-based community child obesity prevention. The Journal of School Nursing, 31, 450–466.

47.

Zirkel

P. A.

Granthom

M. F.

Lovato

(2012). Section 504 and student health problems: The pivotal position of the school nurse. The Journal of School Nursing, 28, 423–432.