Interventions for increasing fruit and vegetable consumption in children aged five years and under

Hodder, Rebecca K; Stacey, Fiona; O’Brien, Kate; Wyse, Rebecca; Clinton‐McHarg, Tara; Tzelepis, Flora; James, Erica; Bartlem, Kate; Nathan, Nicole; Sutherland, Rachel; Robson, Emma; Yoong, Sze Lin; Wolfenden, Luke

doi:10.1002/14651858.cd008552.pub4

Cited by 30 publications

(8 citation statements)

References 620 publications

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“…A recently published Cochrane review on interventions for increasing fruit and vegetable consumption in children ≤ 5 years, concluded that the evidence for effective interventions remains sparse. Child feeding interventions appeared to increase fruit and vegetable intake, but this conclusion was based on very low-quality evidence, the effect sizes were small, and long-term follow-up was required [45]. This is consistent with findings from a recent review including 22 home-based and community-based interventions aiming to increase vegetable intake in children between 2 and 12 years [46].…”

Section: Discussionsupporting

confidence: 66%

Examining the effects of an eHealth intervention from infant age 6 to 12 months on child eating behaviors and maternal feeding practices one year after cessation: The Norwegian randomized controlled trial Early Food for Future Health

et al. 2019

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Objectives The Norwegian randomized controlled trial Early Food for Future Health provided parental anticipatory guidance on early protective feeding practices from child age 6 to 12 months through an eHealth intervention. Previously published outcomes at child age 12 months indicated that the eHealth intervention increased daily vegetable/fruit intake and promoted more beneficial mealtime routines. The objective of the current paper is to evaluate the effects of the intervention at child age 24 months, one year after cessation. Methods Parents of infants aged 3–5 months were recruited via social media and child health clinics during spring 2016. At child age 5.5 months, 715 mothers were randomized to either control (n = 358) or intervention (n = 360) arm. Primary study-outcomes were child eating behaviors, dietary intake, mealtime routines and maternal feeding practices and feeding styles. Secondary outcome was child anthropometry. Results In total 295 mothers (41%) completed the follow-up questionnaire at child age 24 months. Regarding fruit intake, 54.3% in the intervention group had a high score compared with 48.3% of the control group (p = 0.29). For intake of vegetables, 54.5% in the intervention group had a high score compared with 50.7% in the control group (p = 0.49). A total of 65.7% of the children in the intervention group were eating breakfast together with family ≥ 4 times per week, compared with 57.3% of the children in the control group (p = 0.12). There was no difference between the groups for child anthropometric outcomes at child age 24 months. Conclusions At child age 24 months, we found no evidence of sustained intervention-effects. Although dietary patterns and mealtime routines at child age 24 months were reasonably consistent and in the same directions as at child age 12 months, the between-group differences were not significant. The large loss to follow-up may have limited power and validity and makes it difficult to draw overall conclusions. Future research is needed to improve knowledge of how short-time effects could be retained over longer term, taking into account that larger samples are necessary when planning longer-term follow-up studies. Trial registration ISRCTN, ISRCTN13601567 .

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Section: Discussionsupporting

confidence: 66%

Examining the effects of an eHealth intervention from infant age 6 to 12 months on child eating behaviors and maternal feeding practices one year after cessation: The Norwegian randomized controlled trial Early Food for Future Health

et al. 2019

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“…A recently published Cochrane review on interventions for increasing fruit and vegetable consumption in children ≤5 years including 50 trials ( n = 10,267), concluded that the evidence for effective interventions to increase eating of fruit and vegetables remain sparse. Child feeding interventions appeared to increase vegetable intake by children, but this conclusion was based on very low-quality evidence, the effect sizes were small, and long-term follow-up was required [54]. In our study children in the intervention group had a higher times-per-day score for servings of fruit/vegetables and for number of vegetables tasted.…”

Section: Discussionmentioning

confidence: 69%

Evaluation of an eHealth intervention aiming to promote healthy food habits from infancy -the Norwegian randomized controlled trial Early Food for Future Health

Helle

Hillesund

Wills

et al. 2019

Int J Behav Nutr Phys Act

108

183

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BackgroundStrategies to optimize early-life nutrition provide an important opportunity for primary prevention of childhood obesity. Interventions that can be efficiently scaled-up to the magnitude needed for sustainable childhood obesity prevention are needed. The objective of this study was to evaluate the effects of an eHealth intervention on parental feeding practices and infant eating behaviors.MethodsThe Norwegian study Early Food for Future Health is a randomized controlled trial. Parents were recruited via social media and child health clinics during spring 2016 when their child was aged 3 to 5 months. In total 718 parents completed a web-based baseline questionnaire at child age 5.5 months. The intervention group had access to a webpage with monthly short video clips addressing specific infant feeding topics and age-appropriate baby food recipes from child age 6 to 12 months. The control group received routine care. The primary outcomes were child eating behaviors, dietary intake, mealtime routines and maternal feeding practices and feeding styles. The secondary outcomes were child anthropometry. This paper reports outcomes at child age 12 months.ResultsMore than 80% of the intervention group reported viewing all/most of the video clips addressing infant feeding topics and indicated that the films were well adapted to the child’s age and easy to understand. Children in the intervention group were served vegetables/fruits more frequently (p = 0.035) and had tasted a wider variety of vegetables (p = 0.015) compared to controls. They were also more likely to eat family breakfast (p = 0.035) and dinner (p = 0.011) and less likely to be playing or watching TV/tablet during meals (p = 0.009) compared to control-group children. We found no group differences for child anthropometry or maternal feeding practices.ConclusionsOur findings suggest that the eHealth intervention is an appropriate and feasible tool to propagate information on healthy infant feeding to Norwegian mothers. Our study also suggests that anticipatory guidance on early protective feeding practices by such a tool may increase young children’s daily vegetable/fruit intake and promote beneficial mealtime routines.Trial registrationISRCTN, ISRCTN13601567. Registered 29 February 2016, http://www.isrctn.com/ISRCTN13601567Electronic supplementary materialThe online version of this article (10.1186/s12966-018-0763-4) contains supplementary material, which is available to authorized users.

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“…However, in comparison to standard curriculum-based nutrition education (for example, a lesson in the classroom on the nutrients in fruits), experiential learning in a school garden has been found to have a greater influence on children’s consumption/energy intake and increasing nutritional knowledge [41]. Children are more willing to try foods after involvement in the growing, preparation and/or cooking of that food, and consumption and skills increases in the short term [42,43]. A comprehensive approach to improving food preparation, knowledge and cooking skills, such as that found in Jamie’s Ministry of Food programme [44], appears to be the most promising for improving community dietary quality.…”

Section: Discussionmentioning

confidence: 99%

Improving low fruit and vegetable intake in children: Findings from a system dynamics, community group model building study

et al. 2019

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Many children globally do not meet government guidelines for daily fruit and vegetable intake, and in New Zealand, adherence to the vegetable intake recommendation is declining. This study aimed to identify systemic barriers to children meeting fruit and vegetable (FV) guidelines and generate sustainable actions within a local community to improve children’s FV intake. A qualitative system dynamics method of community group model building was used. The research team partnered with Healthy Families Waitākere, a Ministry of Health funded prevention initiative, to recruit 17 participants (including students, parents, teachers, community leaders, local retailers and health promoters) from a low-income, ethnically-diverse community in West Auckland, New Zealand. Three group model building workshops were held during which a systems map was created and used to identify actions by considering causal pathways and reinforcing loops in the system. Barriers to children’s FV intake identified by participants were the saturation of fast-food outlets in the community and ubiquitous marketing of these products, the high cost of fresh produce compared to fast food, and parents having little time for food preparation plus declining cooking skills and knowledge. Several actions to improve children’s FV intake by improving the local food environment were identified, which will be co-designed further and tested by a collaborative group involving community leaders. This project highlights the effectiveness of group model building for engaging a local community in systems change to improve child nutrition, and supplies a blueprint for future qualitative system dynamics research.

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Interventions for increasing fruit and vegetable consumption in children aged five years and under

Abstract: Interventions for increasing fruit and vegetable consumption in children aged five years and under.

Cited by 30 publications

References 620 publications

Examining the effects of an eHealth intervention from infant age 6 to 12 months on child eating behaviors and maternal feeding practices one year after cessation: The Norwegian randomized controlled trial Early Food for Future Health

Examining the effects of an eHealth intervention from infant age 6 to 12 months on child eating behaviors and maternal feeding practices one year after cessation: The Norwegian randomized controlled trial Early Food for Future Health

Evaluation of an eHealth intervention aiming to promote healthy food habits from infancy -the Norwegian randomized controlled trial Early Food for Future Health

Improving low fruit and vegetable intake in children: Findings from a system dynamics, community group model building study

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