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doi:10.1006/pmed.2000.0649 
Copyright © 2000 American Health Foundation and Academic Press. All rights reserved.
Regular Article
Using the School Environment to Promote Physical Activity and Healthy Eating
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Howell Wechsler Ed.D., M.P.H.1, Randolph S. Devereaux A.B., Margarett Davis M.D., M.P.H. and Janet Collins Ph.D.
Available online 12 March 2002.
Abstract
Background. The role of the community environment in shaping dietary and physical activity behaviors has received increasing attention in recent years. Al though schools are a key part of the community envi ronment, interventions that promote physical activity and healthy eating among students through changes in the school environment have received relatively lit tle attention.
Method. After reviewing the role of environmental factors in shaping health behavior, this paper de scribes the various aspects of the school environment that influence physical activity and nutrition behav iors. Relevant research is described and new research directions are proposed for five key environmental in fluences: recess periods, intramural sports and physi cal activity programs, physical activity facilities, foods and beverages available at school outside of the school meals program, and psychosocial support for physical activity and healthy eating.
Results. Recess, intramural programs, and access to school physical activity facilities outside of school hours can provide opportunities for health-enhancing physical activity. States, school districts, and schools can establish strong policies and implement creative interventions to promote healthy eating through the foods and beverages offered at school. Schools can offer psychosocial support for physical activity and healthy eating through school policies, administrative commit ment, role modeling by school staff, and the use of cues and incentives.
Conclusions. Enough is known from theory, practice, and research to suggest that school-based environmen tal strategies to promote physical activity and healthy eating among young people merit implementation and ongoing refinement.
Author Keywords: physical activity; diet; school; environment.
1 To whom reprint requests should be addressed at Division of Adolescent and School Health, Centers for Disease Control and Prevention, 4770 Buford Highway, NE Mail Stop K-32, Atlanta, GA 30341-3717. Fax: 770-488-3112. E-mail:haw7;cacdc.gov.
