Changes in school environments with implementation of Arkansas Act 1220 of 2003.

ABSTRACT

Changes in school nutrition and physical activity policies and environments are important to combat childhood obesity. Arkansas Act 1220 of 2003 was among the first and most comprehensive statewide legislative initiatives to combat childhood obesity through school-based change. Annual surveys of principals and superintendents have been analyzed to document substantial and important changes in school environments, policies, and practices. For example, results indicate that schools are more likely to require that healthy options be provided for student parties (4.5% in 2004, 36.9% in 2008; P advertising by food or beverage companies (31.7% in 2005, 42.6% in 2008; P milk options for students in cafeterias (white milk 26.1% in 2004, 41.0% in 2008, P chocolate milk 9.0% in 2004, 24.0% in 2008, P lunch period (72.3% in 2004, 37.2% in 2008; P foods and beverages offered in the cafeteria, in classrooms, and at school events, as well as in fund-raising and physical activity practices. A significant number of school districts have modified physical education requirements for elementary schools and developed policies prohibiting the use of physical activity as a punishment. We conclude that Arkansas Act 1220 of 2003 is associated with a number of changes in school environments and policies, resulting from both statewide and local initiatives spawned by the Act.