Hiding vegetables to reduce energy density: an effective strategy to increase children’s vegetable intake and reduce energy intake

Spill, Maureen; Birch, Leann L.; Roe, Liane S.; Rolls, Barbara J.

doi:10.3945/ajcn.111.015206

Cited by 89 publications

(71 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These studies clearly demonstrate the potential to employ more novel strategies for decreasing children's EI, while at the same time not compromising on palatability. Spill et al (79) also recently demonstrated that incorporating pureed vegetables into multiple meals, to achieve a 25 % decrease in ED, resulted in a down-regulation of preschool children's EI by 12 % (3-5-year-old boys and girls, n 40). Interestingly this reduction in EI persisted over a full day, and moreover, children did not compensate by consuming greater quantities of the un-manipulated snacks and side dishes offered throughout the day, as might have been hypothesised (79) .…”

Section: Additive Effects Of Portion Size and Energy Density On Energmentioning

confidence: 98%

Influencing and modifying children's energy intake: the role of portion size and energy density

et al. 2014

View full text Add to dashboard Cite

Childhood obesity is of concern worldwide. The portion size (PS) and energy density (ED) of food are two major determinants of children's energy intake (EI). Trends towards increasing PS are most apparent and best documented in the USA, where PS of numerous food products have increased in the marketplace over the past three decades, particularly high-energy dense foods. Analyses of population-level dietary surveys have confirmed this trend in children for both in-and out-of-home eating, and a plethora of observational evidence positively associates PS, ED and adiposity in children. A limited number of intervention studies provide clear evidence that children, even as young as 2 years, respond acutely to increasing PS, with some studies also demonstrating the additive effects of increased ED in promoting excessive EI. However, most of the evidence is based on children aged 3-6 years and there is a paucity of data in older children and adolescents. It is unclear whether decreasing PS can have the opposite effect on children's EI but recent acute studies have demonstrated that the incorporation of lower energy dense foods, such as fruit and vegetables, into children's meals down-regulates EI. Although a direct causal link between PS and obesity remains to be established, the regular consumption of larger PS of energy dense foods do favour obesity-promoting eating behaviours in children. Further research is required to establish the most feasible and effective interventions and policies to counteract the deleterious impact of PS and ED on children's EI.

show abstract

Section: Additive Effects Of Portion Size and Energy Density On Energmentioning

confidence: 98%

Influencing and modifying children's energy intake: the role of portion size and energy density

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Caton et al, 2013;de Wild et al, 2013) • Vegetables by stealth, such as incorporating pureed vegetable into an entrée (e.g. Spill et al, 2011a) Food services…”

mentioning

confidence: 99%

Systematic review and meta-analysis of strategies to increase vegetable consumption in preschool children aged 2–5 years

et al. 2018

View full text Add to dashboard Cite

specifically with measured vegetable consumption were included. Results: 30 articles and 44 intervention arms were identified for inclusion (n = 4017). Nine dominant intervention strategies emerged to promote vegetable intake in preschool children. These included; choice, pairing (stealth), education, food service, modelling, reward, taste exposure, variety and visual presentation. The metaanalysis revealed that interventions implementing repeated taste exposure had better pooled effects than those which did not. Intake increased with number of taste exposures and intake was greater when vegetables offered were in their plain form rather than paired with a flavor, dip or added energy (e.g. oil). Moreover, intake of vegetables which were unfamiliar/disliked increased more than those which were familiar/liked. Conclusions: Repeated taste exposure is a simple technique that could be implemented in childcare settings and at home by parents. Health policy could specifically target the use of novel and disliked vegetables in childcare settings with emphasis on a minimum 8-10 exposures.The systematic review protocol was registered on the PROSPERO (number: CRD42016033984).

show abstract

“…Le camouflage consiste à intégrer des aliments, le plus souvent des légumes, dans d'autres aliments sans que l'enfant le détecte. À court terme, cela permet d'augmenter la consommation de légumes tout en diminuant la densité calorique des mets (Leahy et al, 2008;Blatt et al, 2011;Spill et al, 2011).…”

Section: Discussionunclassified

“…Toutefois, il est important que ce ne soit pas la seule façon de présenter un aliment plus ou moins apprécié (Spill et al, 2011). En complément à cette approche, le légume moins apprécié doit aussi être présenté dans sa forme entière.…”

Section: Discussionunclassified

Qualité ou quantité : des parents québécois lèvent le voile sur leurs stratégies déployées pour favoriser le « bien manger » chez leurs enfants

Pernice

Marquis

2014

efg

View full text Add to dashboard Cite

Les attitudes et comportements alimentaires développés pendant la petite enfance influencent grandement la relation future du mangeur à l’égard des aliments. Le parent s’avère en ce sens des plus déterminants. Cette étude vise à connaître les pratiques observées et les attitudes adoptées par les parents québécois d’enfants d’âge préscolaire pour favoriser le « bien manger ». La collecte de données a été effectuée à l’aide de cartes postales distribuées dans les centres de la petite enfance du Québec pour ensuite être remises aux parents. L’analyse des réponses à la question ouverte figurant sur la carte postale a été réalisée sur la base du modèle des prises alimentaires de Jean-Pierre Poulain. 1257 cartes postales ont été retenues aux fins d’analyses. Les données recueillies permettent dans un premier temps de connaître la perception des parents quant à la notion de « manger bien ». Les notions de qualité et de quantité, diamétralement opposées, se démarquent. Cette étude permet de constater la variété des stratégies employées par les parents québécois au moment du repas. D’une grande pertinence pour la santé publique, ces données permettront de cibler les messages clés à promouvoir auprès de ces acteurs d’influence dans le développement des habitudes alimentaires des tout-petits.

show abstract

Hiding vegetables to reduce energy density: an effective strategy to increase children’s vegetable intake and reduce energy intake

Abstract: The incorporation of substantial amounts of puréed vegetables to reduce the ED of foods is an effective strategy to increase the daily vegetable intake and decrease the energy intake in young children. This trial was registered at clinicaltrials.gov as NCT01252433.

Cited by 89 publications

References 27 publications

Influencing and modifying children's energy intake: the role of portion size and energy density

Influencing and modifying children's energy intake: the role of portion size and energy density

Systematic review and meta-analysis of strategies to increase vegetable consumption in preschool children aged 2–5 years

Qualité ou quantité : des parents québécois lèvent le voile sur leurs stratégies déployées pour favoriser le « bien manger » chez leurs enfants

Contact Info

Product

Resources

About