Table 2 Compulsory changes and possible additional activities to promote a healthy lifestyle
From: The Healthy Primary School of the Future: study protocol of a quasi-experimental study
| Theme | Situation of control schools | Compulsory changes | HPSotF | PAS | Additional activities in HPSotF and PAS |
|---|---|---|---|---|---|
| School hours | ➢ 08:30–14:30/15:00 | ➢ 08:30–15:30/16:00 | X | X | |
| Obligatory lessons. Lunch break for lunch from school 30–60 min. | Obligatory lessons. Lunch break and organised sports, free play and cultural activities of 75–90 min. | ||||
| School health policy | ➢ No school health policy. | Changing existing policy into healthy lifestyle stimulating policy. | |||
| Healthy lifestyle education | ➢ No nutritional and/or physical activity education. | ➢ ‘Lekker Fit’ program: healthy lifestyle education with physical activity and nutrition lessons as part of the curriculum [60]. | |||
| Physical activity | ➢ 30-min lunch break with free play. | ➢ Organised sport, free play and cultural activities of at least 60 min a day. | X | X | ➢ ‘By Foot And By Bike’ program: between-class competition focusing on active transport. |
| ➢ 1 h PE/week. | ➢ Energizers: introducing short breaks of physical activity during lessons. | ||||
| ➢ No physical activity breaks. | ➢ Increased intensity of PE lessons [61]. | ||||
| ➢ School yard with limited physical activity stimulating facilities. | ➢ At least 2 PE lessons a week | ||||
| ➢ Introducing swimming lessons. | |||||
| ➢ Schoolyard with a physical activity stimulating environment. | |||||
| ➢ Introduction lessons by sports clubs. | |||||
| Nutrition | ➢ Children eat foods brought along from home at school or they have lunch at home. | ➢ Healthy lunch and morning snack provided by school. | X | - | ➢ ‘Smaaklessen’ program: practical food tasting lessons [62]. |
| ➢ Keeping a vegetable garden at the school yard. | |||||
| ➢ Distribution of water bottles. | |||||
| Socio-emotional well-being | - | ➢ ‘Taakspel’ program: a group-based approach in which children learn to comply better with rules in the classroom [63]. | |||
| Parents | - | ➢ Website with general advice for healthy practices at home. | |||
| ➢ ‘Gezonde afspraken met je kind’: e-health program to make healthy agreements with one’s child. | |||||
| ➢ ‘Goedkoop Gezonde Voeding’ program: learning about cheap and healthy nutrition. | |||||
| ➢ Interactive theatre: interactive evening to discuss (obstacles of) healthy practices at home. | |||||
| ➢ ‘COOL’ program: lifestyle intervention for overweight children and their parents | |||||
| ➢ ‘Lifestyle Triple P’ program: lifestyle intervention for parents of overweight children. |