Named and shamed

Several UK supermarkets were on the receiving end of the wrath of the Children's Food Campaign for undermining parents' efforts to encourage their children to eat healthily.  The report, Checkouts Checked Out, was highly critical of how much junk food is displayed at checkouts, both in supermarkets and non-food stores.  One of its recommendations is that removal of this kind of food from checkout areas should be included in the Public Health Responsibility Deal, the latest element of which (a calorie reduction initiative) was announced by DH recently. Public Health features an evaluation of the MEND (Mind, Exercise, Nutirition ... Do it!) healthy living programme as delivered in the West Midlands.  A systematic review of evidence about the association of childhood obesity with primary school built environments finds little to commend in the literature.  Community Practitioner offers an overview of the Food Dudes school-based healthy eating programme. 

On your bike

Preventive Medicine offers several articles on physical exercise interventions, including a UK study on the contribution of active travel to physical activity levels in schoolchildren, the effect of a school-based active commuting intervention and a population-based RCT of a pedometer combined with an intervention toolkit for people with low levels of fitness or physical activity. A systematic review in the American Journal of Preventive Medicine assesses the state of knowledge on adult sedentary behaviour.

Keep up

There's a raft of evaluations and monitoring reports for active travel programmes, including the I Bike project in Scotland, the Living Streets community walking programme and the Travel Actively projects. A study of urban, multi-ethnic school children considers the association of active travel to school with general physical activity levels. Do "use the stairs" notices work, asks a team from the New York City Department of Health and Mental Hygiene. This study examined the effectiveness of a prompt ("burn calories, not electricity") across a range of different sized buildings and found an immediate increase in stair climbing, which was also maintained after 9 months. An analysis of the Aerobics Center Longitudinal Study adds a little more to the sum of knowledge about the dynamic relationship between fitness, overweight and cardiovascular health. Exercise on prescription schemes are examined in a systematic review and meta-analysis and are found to be of uncertain value in increasing physical activity, fitness and other health outcomes. A cost effectiveness study also suggested that exercise referral schemes only delivered a "modest increase in lifetime costs and benefits."

Trying to be heard

A paper from the NHS Confederation and the Royal College of Paediatrics and Child Health considers options for involving children and young people in decisions about health and wellbeing services. Looking back at survey data since 2000, it seems that "the voice of under 16s is not included in most national surveys". A study based on experience at Sheffield Children's Foundation Trust assesses effective surveys to measure patient experience amongst children and young people. Meanwhile, Penny Woods from the Picker Institute explains in Pulse how this survey forms the basis for the Children's Patient Experience Questionnaire, from which the new Outcomes Framework indicator on young people's experience of care.