Prevalence and Types of School‐Based Out‐of‐School Time Programs at Elementary Schools and Implications for Student Nutrition and Physical Activity

BACKGROUND Out‐of‐school time (OST) programs are an important setting for supporting student health and academic achievement. This study describes the prevalence and characteristics of school‐based OST programs, which can inform efforts to promote healthy behaviors in this setting. METHODS A nationally representative sample of public elementary schools (N = 640) completed surveys in 2013‐2014. Administrators reported on OST programs and policies at their school. Multivariable logistic regression models estimated the prevalence of school‐based OST programs, adjusting for school characteristics. Among schools with OST programs (N = 475), chi‐square tests identified school characteristics associated with having an OST policy about physical activity or nutrition. RESULTS Three fourths of elementary schools (75.6%) had a full‐ or partial‐year school‐based OST program, with 30.8% having both. Full‐ and partial‐year programs were significantly less prevalent in rural and township areas versus urban settings. Only 27.5% of schools with OST programs reported having physical activity and/or nutrition policies. CONCLUSIONS Most US elementary schools have an on‐site OST program, but disparities in access exist, and most lack policies or awareness of existing policies regarding physical activity and nutrition. To maximize OST programs\u27 potential benefits, strategies are needed to increase access to programs and physical activity and/or nutrition policy adoption

The governmentality of childhood obesity: Coca-Cola, public health and primary schools

In this paper, we examine the emergence of what might seem an unexpected policy outcome – a large multinational corporation, frequently blamed for exacerbating childhood obesity, operating as an officially sanctioned driver of anti-obesity initiatives in primary schools across the globe. We draw on Foucault\u27s notion of governmentality to examine the pedagogical work of two international programmes devised and funded by Coca-Cola. We demonstrate how these programmes work simultaneously as marketing campaigns and as governmental strategies to position children as responsible for their own health, conflate (ill)health with body weight and strategically employ the concept of energy balance. We argue that these programmes not only act to unite the interests of corporations, governments and schools, but also seek to use schools to reshape the very ideas of health and a ‘healthy life’. We conclude by considering two sets of ethical and political issues that come sharply as corporations like Coca-Cola continue to exploit the policy space created by the ‘obesity epidemic’