sábado, 9 de marzo de 2013

Preventing Chronic Disease | Healthy Eating Design Guidelines for School Architecture - CDC

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Preventing Chronic Disease | Healthy Eating Design Guidelines for School Architecture - CDC

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TOOLS AND TECHNIQUES

Healthy Eating Design Guidelines for School Architecture

Terry T-K Huang, PhD, MPH, CPH; Dina Sorensen, MArch; Steven Davis, AIA; Leah Frerichs, MS; Jeri Brittin, MM; Joseph Celentano, AIA; Kelly Callahan, AIA; Matthew J. Trowbridge, MD, MPH

Suggested citation for this article: Huang TT, Sorensen D, Davis S, Frerichs L, Brittin J, Celentano J, et al. Healthy Eating Design Guidelines for School Architecture. Prev Chronic Dis 2013;10:120084. DOI: http://dx.doi.org/10.5888/pcd10.120084External Web Site Icon.
PEER REVIEWED

Abstract

We developed a new tool, Healthy Eating Design Guidelines for School Architecture, to provide practitioners in architecture and public health with a practical set of spatially organized and theory-based strategies for making school environments more conducive to learning about and practicing healthy eating by optimizing physical resources and learning spaces. The design guidelines, developed through multidisciplinary collaboration, cover 10 domains of the school food environment (eg, cafeteria, kitchen, garden) and 5 core healthy eating design principles. A school redesign project in Dillwyn, Virginia, used the tool to improve the schools’ ability to adopt a healthy nutrition curriculum and promote healthy eating. The new tool, now in a pilot version, is expected to evolve as its components are tested and evaluated through public health and design research.

Introduction

Creating school food environments that facilitate healthy eating among children is a recommended national strategy to prevent and reduce childhood obesity (1). According to socioecological models, the macroenvironment — the density of fast food outlets around schools (2,3), for example — affects eating behavior. Limited research has focused on the microenvironment, such as building design. School design can affect student behavior, development, and academic performance (4–6). Food displays and time allotment for school meals can also affect children’s eating behavior (7–9). A recent evaluation of a system-level healthy eating initiative in 4 California schools showed that changes in dining room design and features may have contributed to positive outcomes such as increased nutrition and knowledge of the food environment, preference for fruits and vegetables, and higher in-school and out-of-school fruit and vegetable consumption (10).
Interest is growing in how the physical design of school buildings (ie, architecture, interior design, and landscaping) affects school policies and practices and the subsequent eating behaviors and norms among children. Systematic theory- and evidence-based design strategies drawn from both public health and architecture are needed to define, test, and further develop best practices. We developed a pilot version of a new tool, Healthy Eating Design Guidelines for School Architecture. These guidelines, organized for practical use by architects, schools, and health researchers, present a set of design strategies to help promote healthy eating behaviors in schools.

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TÉCNICAS Y HERRAMIENTAS

Directrices para el diseño relacionado con una alimentación saludable dentro del plan arquitectónico de las escuelas

Terry T-K Huang, PhD, MPH, CPH; Dina Sorensen, MArch; Steven Davis, AIA; Leah Frerichs, MS; Jeri Brittin, MM; Joseph Celentano, AIA; Kelly Callahan, AIA; Matthew J. Trowbridge, MD, MPH

Suggested citation for this article: Huang TT, Sorensen D, Davis S, Frerichs L, Brittin J, Celentano J, et al. Healthy Eating Design Guidelines for School Architecture. Prev Chronic Dis 2013;10:120084. DOI: http://dx.doi.org/10.5888/pcd10.120084Aclaraci?n sobre los enlaces a sitios web externos.
REVISADO POR EXPERTOS

Resumen

Desarrollamos una nueva herramienta denominada Directrices para el diseño sobre una alimentación saludable dentro del plan arquitectónico de las escuelas. Esta herramienta proporciona a los profesionales de arquitectura y salud pública una serie de estrategias prácticas basadas en la teoría y cuya organización se centra en la distribución de los espacios, a fin de crear ambientes escolares que mediante la optimización de los recursos físicos y las áreas de aprendizaje sean más conducentes a que las personas aprendan sobre la alimentación saludable y a practicarla. Las directrices para el diseño que fueron elaboradas a partir de una colaboración multidisciplinaria abarcan cinco principios centrales de alimentación saludable y diez ámbitos relacionados al entorno alimentario en las escuelas (por ej., el comedor, la cocina, el huerto). Se utilizó esta herramienta en una obra de remodelación en Dillwyn, Virginia a fin de mejorar la capacidad de la escuela de adoptar un currículo educativo sobre la nutrición saludable y de promover la alimentación saludable. Se espera que la nueva herramienta, que ahora se encuentra en etapa piloto, evolucione a medida que se pongan a prueba sus componentes y se evalúen mediante la investigación de salud pública y su diseño.

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