Reducing discretionary food and beverage intake in early childhood: a systematic review within an ecological framework

Johnson, Brittany J.; Hendrie, Gilly A.; Golley, Rebecca K.

doi:10.1017/s1368980015002992

Cited by 28 publications

(33 citation statements)

References 59 publications

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“…Homes are a natural setting for nutrition promotion with 60-70% of children's food intake provided from within this setting [7,8] (Price 2014, unpublished findings). Parents are the primary "gatekeepers" within homes, serving as role models, determining food availability and setting the family norms that shape children's habits [9]. Nutrition promotion interventions where parents are the primary change agent are effective [6,10].…”

Section: Introductionmentioning

confidence: 99%

A systematic evaluation of digital nutrition promotion websites and apps for supporting parents to influence children’s nutrition

Zarnowiecki

Mauch

Middleton

et al. 2020

Int J Behav Nutr Phys Act

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Background: Globally children's diet quality is poor. Parents are primary gatekeepers to children's food intake; however, reaching and engaging parents in nutrition promotion can be challenging. With growth in internet and smartphone use, digital platforms provide potential to disseminate information rapidly to many people. The objectives of this review were to conduct a comprehensive and systematic evaluation of nutrition promotion via websites and apps supporting parents to influence children's nutrition, from three different perspectives: 1) current evidence base, 2) end user (parent) experience and 3) current commercial offerings. Methods: Three systematic reviews were undertaken of (1) studies evaluating the effectiveness for digital platforms for improving nutrition in children and parents, (2) studies conducting user-testing of digital tools with parents, (3) websites and apps providing lunch-provision information to parents. Searches were conducted in five databases for reviews one and two, and systematic search of Google and App Store for review three. Randomised controlled trials, cohort and cross-sectional and qualitative studies (study two only) were included if published in English, from 2013, with the intervention targeted at parents and at least 50% of intervention content focused on nutrition. Search results were double screened, with data extracted into standardised spreadsheets and quality appraisal of included search results. Results: Studies evaluating digital nutrition interventions targeting parents (n = 11) demonstrated effectiveness for improving nutrition outcomes, self-efficacy and knowledge. Six of the included randomised controlled trials reported digital interventions to be equal to, or better than comparison groups. User-testing studies (n = 9) identified that digital platforms should include both informative content and interactive features. Parents wanted evidence-based information from credible sources, practical tools, engaging content and connection with other users and health professionals. Websites targeting lunch provision (n = 15) were developed primarily by credible sources and included information-based content consistent with dietary guidelines and limited interactive features. Lunchbox apps (n = 6), developed mostly by commercial organisations, were more interactive but provided less credible information.(Continued on next page)

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Section: Introductionmentioning

confidence: 99%

A systematic evaluation of digital nutrition promotion websites and apps for supporting parents to influence children’s nutrition

Zarnowiecki

Mauch

Middleton

et al. 2020

Int J Behav Nutr Phys Act

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25Objective 26 To explore dietary differences according to socioeconomic and sociocultural characteristics of 27 adolescents and young adults. 28 Design 29 A systematic review was conducted.

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confidence: 99%

Socio-economic and cultural disparities in diet among adolescents and young adults: a systematic review

Desbouys

Méjean

Henauw

et al. 2019

Public Health Nutr.

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Objective:To explore dietary differences according to socio-economic and sociocultural characteristics of adolescents and young adults.Design:A systematic review was conducted.Setting:The main search source was MEDLINE, consulted between January 2012 and March 2017. Quality of selected studies was assessed based on dietary measurement method, sample selection, socio-economic indicator choice and statistical modelling.Participants:Cross-sectional and longitudinal studies, assessing relationships between socio-economic status and dietary intake (patterns, scores and food groups) in the 10- to 40-year-old general population of high-income countries, were selected.Results:Among the 7250 reports identified, forty were selected, seventeen of which were of high quality; their conclusions, related only to adolescents, were combined and presented. The most favourable dietary patterns, higher dietary scores, greater consumption of fruits, vegetables and dairy products, and lower consumption of sugary sweetened beverages and energy-dense foods, were associated with better parental socio-economic status, particularly in terms of higher education. Migrant status was associated with plant-based patterns, greater consumption of fruits and vegetables and of sugary sweetened beverages and energy-dense foods. For the other food groups, and for young adults, very few high-quality studies were found.Conclusions:The socio-economic gradient in adolescent diets requires confirmation by higher-grade studies of a wider set of food groups and must be extended to young adult populations. Future nutritional interventions should involve the most vulnerable adolescent populations, taking account of socio-economic status and migration.

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“…As any form of added sugar contributes to both dental caries and obesity, there is a need to review education and social policies about foods and SSBs that are marketed to children. Parents have identified that the marketing of SSBs is a key factor influencing child drink choice and consumption (Hennessy, Bleakley, Piotrowski, Mallya, & Jordan, 2015; Johnson, Hendrie, & Golley, 2016).…”

Section: Discussionmentioning

confidence: 99%

Are Australian parents following feeding guidelines that will reduce their child's risk of dental caries?

Martin-Kerry

Gussy

Gold

et al. 2020

Child

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Background Early childhood is an important time to establish eating behaviours and taste preferences, and there is strong evidence of the association between the early introduction of sugar‐sweetened beverages and obesity and dental caries (tooth decay). Dental caries early in life predicts lifetime caries experience, and worldwide expenditure for dental caries is high. Methods Questionnaire data from the Splash! longitudinal birth cohort study of young children in Victoria, Australia was used to examine beverage consumption and parental feeding behaviours of young children, aiming to provide contemporary dietary data and assess consistency with the Australian dietary guidelines. Results From 12 months of age, the proportion of children drinking sugar‐sweetened beverages consistently increased with age (e.g. fruit juice consumed by 21.8% at 12 months and 76.7% at 4 years of age). However, the most common beverages for young children are milk and water, consistent with Australian dietary guidelines. In relation to other risk factors for dental caries, at 6 months of age children were sharing utensils, and at 12 months three quarters of carers tasted the child's food before feeding. Conclusions The increasing consumption of sugar‐sweetened beverages and prevalence of other risk factors for dental caries and obesity through early childhood continues to be a problem despite efforts to raise awareness of these issues with parents.

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Reducing discretionary food and beverage intake in early childhood: a systematic review within an ecological framework

Cited by 28 publications

References 59 publications

A systematic evaluation of digital nutrition promotion websites and apps for supporting parents to influence children’s nutrition

A systematic evaluation of digital nutrition promotion websites and apps for supporting parents to influence children’s nutrition

Socio-economic and cultural disparities in diet among adolescents and young adults: a systematic review

Are Australian parents following feeding guidelines that will reduce their child's risk of dental caries?

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