Table 9 Effective environmental strategies to prevent pediatric obesity at school

Support school personnel’s strategies for implementing health promotion programs.

Improvement of overall school food environment:

Removal of vending machines selling sugar sweetened beverages or snacks high in fat, sugar or salt; banning sales of this kind of food; reformulation of school lunches to reduce high calorie unhealthy food.

Provision of a healthy breakfast

Provision of free or low-cost fruit

Provision of free/low cost water

Improvement of overall school physical activity environment:

Increase of the daily formal PA session organized during and after school hours.

Availability of school playgrounds for structured/unstructured PA during and after regular school hours