Create an environment that establishes and promotes healthy eating and active lifestyles as the norm rather than the exception.

Ensure that all children and youth participate in at least 60 minutes of physical activity every day.

Provide appropriate portion sizes of foods and beverages.

Limit consumption of sugar sweetened beverages

Establish state policies to ensure adequate time in the school day for physical activity including physical education, recess, and after-school programs.

Set state standards for all food and beverages available in schools, after-school programs, and child care.

Provide more community-based opportunities for leisure-timed/recreational physical activity for all children and youth.

Ensure equitable access to prevention and treatment services for children who are overweight or at-risk for overweight in order to reduce health disparities.

Engage trade groups from the food and fitness industry in identifying ways they can be involved in increasing physical activity and healthy eating.

Implement an educational campaign on portion size awareness that includes consistent message and educational materials for use with a variety of target audiences.

Develop guidance for community leaders on fostering partnerships to increase opportunities for healthy eating and physical activity.

Provide tax incentives for businesses that increase access to affordable healthy eating and physical activity options in low-income areas.

Provide funding to pilot community projects that support increased physical activity (such as volunteer mentoring program in physical activity).

Define obesity as a disease and ensure third-party coverage for prevention and treatment services for children and youth who are overweight or at-risk for overweight.

Expand Medicaid, Health Choice, and Children's Special Health Services coverage in North Carolina to include comprehensive prevention and treatment services for children and youth who at overweight or at-risk for overweight.

RESOURCES AND LINKS

The NC Healthy Weight Task Force, in Moving Our Children Toward A Healthy Weight – Finding the Will and the Way, identified 12 key recommendations that address the need for change across all aspects of society. Individual level change is addressed in the Families section of this Web site. This Tools section lists the Key Recommendations for making Policy and Environmental Change in institutions such as schools, childcare, health care and communities.

School and Child Care

Key Recommendation #1

Establish state policies to ensure adequate time in the school day for physical activity, including physical education, recess and after-school

North Carolina Resources

NC PE4Me
Information about physical education, health education, athletics and sports medicine in North Carolina and the Nation.

NC Walks to School
A module for communities and schools who wish to make walking to school achievable in your North Carolina community.

Other Resources

American Alliance for Health, Physical Education, Recreation and Dance (AAHPERD)
The largest organization of professionals supporting and assisting those involved in physical education, leisure, fitness, dance, health promotion, and education and all specialties related to achieving a healthy lifestyle.

Bright Futures: Physical Activity
from Georgetown University.

CDC’s Healthy Schools, Healthy Youth
Youth Risk Behavior Surveillance System (YRBSS), the School Health Index (SHI) and Coordinated School Health (CSH) data, information, tools and resources.

“Children Need Greater Amounts of Physical Activity in 2004”
National Association for Sport and Physical Education recommendations

Kids Walk to School (Centers for Disease Control and Prevention)
This is a community-based program that encourages children to walk to and from school in groups accompanied by adults.

PE Central
Latest information on appropriate physical education programs for children and youth.

PE4Life Blueprint for Change
“Our Nation’s Broken Physical Education System: Why It Needs to be Fixed, and How We Can Do It Together.”

Physical Education Program (PEP) Grant Information
PEP grants are for school districts to improve their physical education programs.

VERB – It’s What You Do!
A number of campaign materials for Teachers and Group Leaders, including Physical Activity in the Classroom materials and a Student Planner.

Key Recommendation #2

Set state standards for all food and beverages available in schools, after school programs and child care

North Carolina Resources

Eat Smart: North Carolina's Recommended Standards for All Foods Available in School address foods and beverages found in traditional cafeteria meals as well as a la carte items, vending machines drinks and snacks, and foods and beverages served in after school programs and at school functions. Three state agencies--the North Carolina Division of Public Health, the North Carolina Department of Public Instruction and the North Carolina Cooperative Extension Service--collaborated to create this document. Local education agencies are encouraged to use the Eat Smart School Standards to craft food policies that will contribute to students’ nutritional well-being and health.

Nutrition Services Branch
The NC Division of Public Health’s source for nutrition information and resources for schools.

Portion Sizes and School Age Children
Tools for addressing the trends, effects and solutions of portion size control in a Super Size world.

Soft Drinks and School Age Children
Tools for addressing the trends, effects and solutions of soft drinks in schools.

Other Resources

Attack of the Junk Food Giant
The National PTA’s Web site on soda and junk food in schools.

Bright Futures: Nutrition
from Georgetown University.

Center for Health and Health Care in Schools: Keeping Kids Healthy: Obesity, Nutrition and Exercise.
A comprehensive review of the issues. Click on “Resources” under Childhood Obesity

Changing the Scene
Improving the School Nutrition Environment: A guide to Local Action.

Childhood Obesity: A Food and Nutrition Resource List for Educators and Researchers

Childhood Obesity: What the Research Tells Us
Center for Health and Health Care in Schools. A comprehensive overview of the issues surrounding childhood overweight and its impact on schools.

Fit, Healthy; and Ready to Learn
A School Health Policy Guide from the National Association of State Boards of Education.

Food Research and Action Center After School Guide
Guidelines for After-School Snack Programs.

Healthy Schools for Healthy Kids
(Robert Wood Johnson Foundation Survey – 2004). A 57 page overview of the obesity epidemic and its impact on child health and well being.

Healthy School Meals
Team Nutrition information for persons working in USDA's Child Nutrition Programs.

Kidnetics Leader’s Guide
Filled with resources, tools and activities to promote healthy eating and physical activity to kids ages 9-12. The Leader’s Guide content is based on material from Kidnetic.com, a healthy eating and active living Web site for kids ages 9-12 and their parents. The content is designed to be used in community settings and does not require Internet access.

Kids Health Kids Poll
This poll, sponsored by the National Association of Health Education Centers, summarizes the opinions, attitudes and feelings of 1,100 kids ages 9 to 13 on weight-related issues.

Liquid Candy
The Center for Science in the Public Interest’s classic paper on soft drinks and the nutritional impact of its increasing consumption.

National Education Association Health Information Network
Provides information on how to improve physical activity and nutrition for school children.

Parents Speak Out on Health and Health Care in Schools
Results of a parent survey on the role of health and health care in schools.

School Health Index (CDC)
An invaluable resource for assessing the school nutrition and physical activity environment.

School Nurses position statement on childhood overweight

School Nutrition Association
The professional association for those employed in the specialized field of school nutrition.

The Power of Choice: Helping Youth Make Healthy Eating and Fitness Decisions (A Leader’s Guide)
This guide is for after-school program leaders who are working with pre-teens.

Think Your Drink
Which drink would you choose? This black-line master handout compares different beverages for educating children and adults.

Communities

Key Recommendation #1

Ensure that all children and youth participate in at least 60 minutes of physical activity every day

North Carolina Resources

Active Community Environments

NC Division of Parks and Recreation

Other Resources

National Center for Bicycling and Walking

National Recreation and Park Association

Recreational Resource Services
provides links to every North Carolina county and city parks and recreation department.

Kids in Action
Some simple ideas for physical activities that you can do with children to create the foundation for lifelong healthy behaviors. Infants (birth to 18 months), Toddlers (18 months to 36 months)and Preschoolers (3 to 5 years)

Key Recommendation #2

Limit consumption of sugar-sweetened beverages

North Carolina Resources

Soft Drinks and School Age Children
Tools for addressing the trends, effects and solutions of soft drinks in schools.

Other Resources

Liquid Candy
The Center for Science in the Public Interest’s classic paper on soft drinks and the nutritional impact of its increasing consumption.

Think Your Drink
Which drink would you choose? This blackline master handout compares different beverages for educating children and adults.

Key Recommendation #3

Provide appropriate portion sizes of foods and beverages

North Carolina Resources

Portion Sizes and School Age Children
Tools for addressing the trends, effects and solutions of portion size control in a Super Size world.

Other Resources

How Much Are You Eating? Dietary Guidelines for Americans

How to Start Winner’s Circle Healthy Dining Program in Your Community

Key Recommendation #4

Provide more community based opportunties for leisure time recreational physical activity

North Carolina Resources

Active Community Environments

Active Living by Design
This national program of The Robert Wood Johnson Foundation, is part of the UNC School of Public Health in Chapel Hill. This program establishes and evaluates innovative approaches to increase physical activity through community design, public policies and communications strategies.

NC Division of Parks and Recreation

Other Resources

National Recreation and Park Association

Rails to Trails Conservancy
provides guidance and technical assistance for developing trails and greenways. You can also find a trail for your next walk or bike excursion.

Recreational Resource Services
This site provides links to every North Carolina county and city parks and recreation department.

Key Recommendation #5

Create an environment that establishes and promotes healthy eating and active lifestyles as the norm

North Carolina Resources

North Carolina Blueprint for Changing Policies and Environments in Support of Healthy Eating

North Carolina Blueprint for Changing Policies and Environments in Support of Increased Physical Activity

NC Statewide Health Promotion

How to establish a local physical activity and nutrition coalition in your community

How to Start Winner’s Circle Healthy Dining Program in Your Community

Key Recommendation #6

Ensure equitable access to prevention and treatment services for children who are overweight or at-risk of overweight

North Carolina Resources

NC Academy of Family Physicians

NC Cooperative Extension Family and Consumer Sciences

NC Division of Public Health Children and Youth Branch

NC Health Departments
Find a provider in your North Carolina county or region.

NC Nutrition Network
A listing of programs dedicated to educating communities about good nutrition.

NC Pediatric Society

Out for Lunch Nutrition Education
program for food stamp eligible families.

Other Resources

Expanded Food and Nutrition Education Program (EFNEP)
for families with limited resources.

Special Supplemental Nutrition Program for Women, Infants and Children (WIC)
WIC is a federal program designed to provide food to low-income pregnant, postpartum and breastfeeding women, infants and children until the age of five.

General Healthy Eating, Active Lifestyles and Healthy Weight Resources for Communities

North Carolina Resources

Creating Local Physical Activity and Nutrition Coalitions

Overweight and Obesity in North Carolina: CDC Overview

Other Resources

CDC Nutrition and Physical Activity

CDC Overweight and Obesity

Surgeon General’s Call to Action to Prevent and Decrease Overweight and Obesity: Setting 1: Families and Communities

Surgeon General’s Call to Action to Prevent and Decrease Overweight and Obesity: The Power of People and Ideas

Health Care

Key Recommendation #1

Ensure equitable access to prevention and treatment services for children who are overweight or at-risk of overweight

North Carolina Resources

NC Academy of Family Physicians

NC Cooperative Extension Family and Consumer Sciences

NC Division of Public Health Children and Youth Branch

NC Health Departments
Find a provider in your North Carolina county or region.

NC Nutrition Network
A listing of programs dedicated to educating communities about good nutrition.

NC Pediatric Society

Out for Lunch Nutrition Education
program for food stamp eligible families.

Other Resources

Special Supplemental Nutrition Program for Women, Infants and Children (WIC)
WIC is a federal program designed to provide food to low-income pregnant, postpartum and breastfeeding women, infants and children until the age of five.

Key Recommendation #2

Define obesity as a disease and ensure third-party coverage for prevention and treatment services for children and youth who are overweight or at-risk for overweight

HHS Announces Revised Medicare Obesity Coverage Policy

General Healthy Eating, Active Lifestyles and Healthy Weight Resources for Health Care

American Academy of Pediatrics

CDC Growth Charts, Interactive Training Modules and Educational Materials

CDC Nutrition and Physical Activity

CDC Overweight and Obesity

Clinical Guidelines on the Identification Evaluation, and Treatment of Overweight and Obesity in Adults

Policy and Legislation

Sample policies and links to policy and legislation from across the Nation impacting nutrition, physical activity or physical education in schools.

North Carolina Resources

NC State Board of Education’s Healthy Active Children Policy
recommends 150 minutes of physical activity for elementary school students and 225 minutes for middle and high school students.

NC House Bill 303
An Act to Promote Healthy Active Children in Kindergarten through Eighth Grade. Representative Larry Bell introduced this Bill that would require schools to provide 150 minutes per week of physical education to North Carolina’s school children.

NC House Bill 1414
The NC General Assembly added two nutrition requirements in the budget bill passed in July of 2004. One mandates eight schools pilot offering only healthy options a la carte. The other mandates removal of trans-fat foods from the menu by 2005.

The Nation

Arkansas: State Panel Agrees to Nutritional Requirements for Students

Arizona: Healthy School Environment Model Policy

California: Physical Education legislation
An act to amend the Education Code, relating to many aspects of quality physical education, including teacher qualifications, limiting student ability to be excused from physical education, and funding of physical education.

Connecticut: HB 5344
An Act Concerning Childhood Nutrition. This bill creates a sound nutritional and physical atmosphere for children in our schools, giving them the tools for healthful eating and learning that can be carried into their future

Healthy School Food Policies

Indiana: HB 1014: Childhood obesity
Requires the department of education to develop: recommendations for school corporation nutritional policies and curricula, model policies for body mass index data collection, and addresses healthy vending and physical activity.

Michigan: Michigan Model®
for Comprehensive School Health Curriculum.

Pennsylvania: School Policy
School District of Philadelphia’s Comprehensive School Nutrition Policy and Philadelphia Coalition for Healthy Children: Soda Fact Sheet.

Texas Public School Nutrition Policy
Texas Public School Nutrition Policy
Executive Summary
Nutrition Policy Table

Vending Machines in Schools
Some states have introduced and enacted legislation to replace existing food and drinks of minimal nutritional value for healthier options or to restrict student access to the machines.

Virginia: HJ 260: School divisions
Urging school divisions to provide age-appropriate and culturally sensitive health, nutrition and physical education.

Washington: Senate Bill 5436
School Directors Association to develop a model school nutrition, physical activity, and commercialism policy by January 1, 2005.

U.S.: Child Nutrition Reauthorization Bill
was signed by President Bush July 2004.

HeLP America Act S.2558

Team Nutrition Local Wellness Policy Information
To help combat childhood obesity, Congress passed a law requiring each local educational agency participating in USDA's school meals programs to establish a local wellness policy by the beginning of School Year 2006-2007.

This site serves as a clearinghouse of information on the components that should be considered when establishing a school wellness policy. Examples of policies already developed by schools and State agencies are provided as resources and references.

 

North Carolina Healthy Weight Initiative, in support of Eat Smart, Move More...North Carolina

NC Dept. of Health and Human Services, | NC Division of Public Health

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