SNEAKER©: Instituting Knowledge and Behavior Changes in NYC Elementary Schools

NYC health statistics indicate the prevalence of childhood obesity is between 25% -30%. With obesity trends rising, CDC states obese children are more likely to exhibit immediate negative health effects such as bone and joint problems and osteoarthritis. Addressing this trend, HSS, a musculoskeletal hospital, implemented the SNEAKER© (Super Nutrition Education for All Kids to Eat Right) program to educate and improve diet and physical activity levels of NYC public school children to prevent obesity related musculoskeletal conditions.

SNEAKER© is a seven week nutrition and physical activity education program. The curriculum was implemented with 86 children ages 8–11 years attending NYC public schools in underserved communities. The program’s impact was evaluated using a validated questionnaire assessing nutrition knowledge and self-reported behavior before and after intervention. Paired sample t-test was used to measure pre/post changes in knowledge. Chi square test compared behavior from pre to post-test.

Overall mean nutrition knowledge scores significantly increased (p<0.001) from pre to post (47.2 to 60.5). Statistically significant (p<0.001) knowledge gains found in daily fruit servings, identifying healthier food choices, and using portion control. Statistically significant (p=0.006) increases were found in consumption of high fiber cereal (58% to 67%) and vegetable consumption (p=0.05; 73% to 79%). Participation in vigorous physical activity significantly (p < 0.001) increased (74% to 83%).

Results indicate SNEAKER© has a positive impact on knowledge and health behaviors of school-aged children. Findings show implementing an evidence- based educational curriculum can provide an effective and feasible strategy to address childhood obesity in underserved communities.