Child-reported family and peer influences on fruit, juice and vegetable consumption: reliability and validity of measures

Cullen, Karen Weber; Baranowski, Tom; Rittenberry, Latroy; Cosart, C; Hébert, David; Moor, Carl de

doi:10.1093/her/16.2.187

Cited by 288 publications

(252 citation statements)

References 37 publications

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“…At age 11, parents are considered to be the most important social agent impacting upon diet (Hanson et al, 2005). In line with previous research, perceived modeling was a predictor of daily fruit and vegetable intake (Gibson et al, 1998;Cullen et al, 2001;Bere and Klepp, 2004;Young et al, 2004;Patrick and Nicklas, 2005). Next to this rather 'passive' influence of parental modeling, more active parental encouragement and facilitation was also found to be associated with daily intakes.…”

Section: Discussionsupporting

confidence: 75%

Personal, social and environmental predictors of daily fruit and vegetable intake in 11-year-old children in nine European countries

et al. 2007

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Objective: To investigate potential personal, social and physical environmental predictors of daily fruit intake and daily vegetable intake in 11-year-old boys and girls in nine European countries. Subjects: The total sample size was 13 305 (90.4% participation rate). Results: Overall, 43.2% of the children reported to eat fruit every day, 46.1% reported to eat vegetables every day. Daily fruit intake and daily vegetable intake was mainly associated with knowledge of the national recommendations, positive self-efficacy, positive liking and preference, parental modeling and demand and bringing fruit to school (odds ratio between 1.40 and 2.42, Po0.02). These factors were associated fairly consistently with daily fruit intake across all nine European countries, implying that a rather uniform intervention strategy to promote fruit can be used across Europe. For vegetables, the pattern was, however, less consistent. Differences between countries in cooking and preparing vegetables might be responsible for this larger diversity. Conclusions: This study showed that especially a combination of personal and social factors is related to daily fruit and vegetable intake in schoolchildren. This shows that a comprehensive multilevel intervention strategy based upon a series of individual and social correlates will be most promising in the promotion of daily fruit and vegetable intake in children.

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Section: Discussionsupporting

confidence: 75%

Personal, social and environmental predictors of daily fruit and vegetable intake in 11-year-old children in nine European countries

et al. 2007

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“…Parents play an important role in children's food intake: they make foods available and accessible for the child and they act as role models (1)(2)(3)(4) . Parents also create the social eating environment by the use of parental childfeeding (PCF) strategies, such as rules, table food management and verbal instructions (1,5,6) .…”

mentioning

confidence: 99%

Parental child-feeding strategies in relation to Dutch children’s fruit and vegetable intake

Zeinstra

Koelen

Kok

et al. 2009

Public Health Nutr.

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Objective: To identify parental child-feeding strategies that may increase children's fruit or vegetable intake, since the relationship between these strategies and children's intake has never been investigated for fruit and vegetables as two separate food groups. Design: A survey study, where parents provided information about their practices in relation to feeding their children and about their own and their children's fruit and vegetable intake. Children completed a preference questionnaire about fruit and vegetables. To find underlying parental child-feeding strategies, factor analysis was applied to parents' practices in relation to fruit and vegetables separately. Regression analysis was used to predict the effect of these strategies on children's fruit and vegetable intake. The impact of the strategies was further analysed by estimating children's intake based on the frequency of use of specific strategies. Setting: The study was conducted at three primary schools in The Netherlands. Subjects: A total of 259 children between 4 and 12 years old and their parents (n 242). Results: Parents used different strategies for fruit as compared with vegetables. The vegetable-eating context was more negative than the fruit-eating context. Parental intake and presenting the children with choice were positive predictors of children's intake of both fruit and vegetables. The intake difference based on frequency of use of the strategy 'Choice' was 40 g/d for vegetables and 72 g/d for fruit (P , 0?001). Conclusions: Future interventions should focus on presenting children with choice during fruit-and vegetable-eating situations, since this is a powerful strategy to stimulate children's fruit and vegetable intake.

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“…Given that the children were the direct target of the intervention and parents the indirect target (through the media products that were brought home by the children), the results are congruent with the dose of the intervention received by children v. parents (26,(62)(63)(64)(65) . Nevertheless, the involvement of parents in the intervention was important because parental social support is considered a crucial determinant for children's engagement in healthy behaviours (45,(66)(67)(68)(69)(70)(71) .…”

Section: Discussionmentioning

confidence: 99%

Using a mixed-methods approach to measure impact of a school-based nutrition and media education intervention study on fruit and vegetable intake of Italian children

Grassi

Evans²,

Ranjit³

et al. 2016

Public Health Nutr.

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Objective: The purpose of the present study was to investigate the impact of a school-based nutrition and media education intervention on the promotion of fruit and vegetable consumption to help prevent childhood obesity. Design: The 10-week-long intervention included sessions on nutrition education and media literacy. It also included a health communication media-based campaign workshop during which the children created posters, newsletters and video commercials related to fruits and vegetables targeted to their parents. For evaluation purposes, the study utilized a mixed-methods approach, including a quasi-experimental study (with one intervention group and one control group) and a focus group study. Setting: Four different elementary schools in Treviso (Veneto Region of Italy) agreed to participate in the research. Subjects: The target population for the study included 10-year-old Italian children and their parents. Results: Data indicate that this intervention was effective for children but not for parents. Evaluation results show that the intervention was effective in significantly increasing children's fruit and vegetable intake (P < 0·05) and all psychosocial determinants (P < 0·05). Conclusions: The study results confirm the efficacy of a school-based health and media education intervention to address the children's obesity issue and, in particular, to increase children's fruit and vegetable intake. The study also opens a new perspective on the theoretical constructs investigated, because the development of 'ability of expression' could be considered one of the most important factors to determine the efficacy of the intervention.

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Child-reported family and peer influences on fruit, juice and vegetable consumption: reliability and validity of measures

Cited by 288 publications

References 37 publications

Personal, social and environmental predictors of daily fruit and vegetable intake in 11-year-old children in nine European countries

Personal, social and environmental predictors of daily fruit and vegetable intake in 11-year-old children in nine European countries

Parental child-feeding strategies in relation to Dutch children’s fruit and vegetable intake

Using a mixed-methods approach to measure impact of a school-based nutrition and media education intervention study on fruit and vegetable intake of Italian children

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