Youth

DeBar, Lynn; Ritenbaugh, Cheryl; Aickin, Mikel; Orwoll, Eric; Elliot, Diane L.; Dickerson, John F.; Vuckovic, Nancy; Stevens, Victor J.; Moe, Esther; Irving, Lori M.

doi:10.1001/archpedi.160.12.1269

Cited by 43 publications

(5 citation statements)

References 77 publications

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“… 31 For example, in a study reported by Debar et al (2006), adolescent girls' recordings of their diet and exercise goals and achievements were regularly shared with their peer group and their coach. 53 In another study reported by Wennberg et al (2010), participants in a telephone-based care management intervention signed a behavioral contract with their wellness coaches, and had access to a computer program that tracked progress toward goals through the intervention. 54 An additional 5% of articles described coaching in which accountability was partially built in.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of the Literature on Health and Wellness Coaching: Defining a Key Behavioral Intervention in Healthcare

Wolever

Simmons

Sforzo

et al. 2013

Glob Adv Health Med

309

189

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Primary Objective:Review the operational definitions of health and wellness coaching as published in the peer-reviewed medical literature.Background:As global rates of preventable chronic diseases have reached epidemic proportions, there has been an increased focus on strategies to improve health behaviors and associated outcomes. One such strategy, health and wellness coaching, has been inconsistently defined and shown mixed results.Methods:A Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)—guided systematic review of the medical literature on health and wellness coaching allowed for compilation of data on specific features of the coaching interventions and background and training of coaches.Results:Eight hundred abstracts were initially identified through PubMed, with 284 full-text articles ultimately included. The majority (76%) were empirical articles. The literature operationalized health and wellness coaching as a process that is fully or partially patient-centered (86% of articles), included patient-determined goals (71%), incorporated self-discovery and active learning processes (63%) (vs more passive receipt of advice), encouraged accountability for behaviors (86%), and provided some type of education to patients along with using coaching processes (91%). Additionally, 78% of articles indicated that the coaching occurs in the context of a consistent, ongoing relationship with a human coach who is trained in specific behavior change, communication, and motivational skills.Conclusions:Despite disparities in how health and wellness coaching have been operationalized previously, this systematic review observes an emerging consensus in what is referred to as health and wellness coaching; namely, a patient-centered process that is based upon behavior change theory and is delivered by health professionals with diverse backgrounds. The actual coaching process entails goal-setting determined by the patient, encourages self-discovery in addition to content education, and incorporates mechanisms for developing accountability in health behaviors. With a clear definition for health and wellness coaching, robust research can more accurately assess the effectiveness of the approach in bringing about changes in health behaviors, health outcomes and associated costs that are targeted to reduce the global burden of chronic disease.

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Section: Resultsmentioning

confidence: 99%

A Systematic Review of the Literature on Health and Wellness Coaching: Defining a Key Behavioral Intervention in Healthcare

Wolever

Simmons

Sforzo

et al. 2013

Glob Adv Health Med

309

189

View full text Add to dashboard Cite

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“…A further prospective study found a significantly higher bone mass in children with a high consumption of dark-green and deep-yellow vegetables [212]. DeBar et al [213] conducted a randomised study over 2 years, in which 228 adolescent girls (in the age between 14 and 16 years) were asked to increase their physical activity and to improve their diet, including an increased consumption of vegetables and fruit. Compared with the control group, the girls in the intervention group had a significantly higher bone density at the spine and the femoral neck.…”

Section: Judgement Of the Evidence Regarding Individual Diseasesmentioning

confidence: 99%

Critical review: vegetables and fruit in the prevention of chronic diseases

Bechthold²,

et al. 2012

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Background Vegetables and fruit provide a significant part of human nutrition, as they are important sources of nutrients, dietary fibre, and phytochemicals. However, it is uncertain whether the risk of certain chronic diseases can be reduced by increased consumption of vegetables or fruit by the general public, and what strength of evidence has to be allocated to such an association. Methods Therefore, a comprehensive analysis of the studies available in the literature and the respective study results has been performed and evaluated regarding obesity, type 2 diabetes mellitus, hypertension, coronary heart disease (CHD), stroke, cancer, chronic inflammatory bowel disease (IBD), rheumatoid arthritis (RA), chronic obstructive pulmonary disease (COPD), asthma, osteoporosis, eye diseases, and dementia. For judgement, the strength of evidence for a risk association, the level of evidence, and the number of studies were considered, the quality of the studies and their estimated relevance based on study design and size. Results For hypertension, CHD, and stroke, there is convincing evidence that increasing the consumption of vegetables and fruit reduces the risk of disease. There is probable evidence that the risk of cancer in general is inversely associated with the consumption of vegetables and fruit. In addition, there is possible evidence that an increased consumption of vegetables and fruit may prevent body weight gain. As overweight is the most important risk factor for type 2 diabetes mellitus, an increased consumption of vegetables and fruit therefore might indirectly reduces the incidence of type 2 diabetes mellitus. Independent of overweight, there is probable evidence that there is no influence of increased consumption on the risk of type 2 diabetes mellitus. There is possible evidence that increasing the consumption of vegetables and fruit lowers the risk of certain eye diseases, dementia and the risk of osteoporosis. Likewise, current data on asthma, COPD, and RA indicate that an increase in vegetable and fruit consumption may contribute to the prevention of these diseases. For IBD, glaucoma, and diabetic retinopathy, there was insufficient evidence regarding an association with the consumption of vegetables and fruit. Conclusions This critical review on the associations between the intake of vegetables and fruit and the risk of several chronic diseases shows that a high daily intake of these foods promotes health. Therefore, from a scientific point of view, national campaigns to increase vegetable and fruit consumption are justified. The promotion of vegetable and fruit consumption by nutrition and health policies is a preferable strategy to decrease the burden of several chronic diseases in Western societies.

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“…Education programs had an emphasis on healthy lifestyle habits (diet and physical activity). Educational Mix 24 2 weeks 24-h recall Yes DeBar, et al 2006 [ 37 ] Behavioral intervention (bimonthly group meetings, quarterly coaching telephone calls, and weekly self-monitoring) designed to improve diet and increase physical activity. Educational Mix 96 1 week 24-h recall Yes DeBar, et al 2009 [ 38 ] Participants were urged to consume 1350 mg/day of calcium (four glasses of milk a day or the equivalent) and eight servings of fruits and vegetables, as well as to participate in exercise.…”

Section: Resultsmentioning

confidence: 99%

Community-based interventions to increase dairy intake in healthy populations: a systematic review

et al. 2020

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Background: Considering the low frequency of dairy intake in the population, interventions aiming to increase its consumption can be a priority for any health system. Objective: This study aims to summarize community-based interventions for improving dairy consumption and their effectiveness to help policy-makers in designing coherent public health strategies. Methods: This study was conducted in 2019, using PubMed/MEDLINE, Scopus, EMBASE, Cochrane Library, Web of Science, ProQuest, and Google Scholar. Two independent reviewers selected the eligible studies, and the outcomes of interest were extracted. The quality of eligible studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for randomized controlled trials and quasiexperimental studies. Results: Out of 521 initially identified articles, 25 studies were included. Interventions reported in 19 studies were effective in increasing dairy consumption. Interventions in high-income countries were more effective than those in middle-and low-income countries. Interventions in health centers and supermarkets were more effective than the community and school-level interventions. Interventions in supermarkets and adolescents as target groups were more effective than children, middle-aged people, and the elderly. Also, educational interventions and changing buying/selling pattern were more effective than multiple interventions. Interventions longer than 24 and 48 weeks were more effective than shorter interventions. Conclusion: Three policy options including educational interventions, multiple interventions, and changing the purchase pattern are suggested. It seems that applying all of the interventions together can be more effective. Also, long-term and well-designed future studies in different settings are recommended to confirm these results.

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Youth

Cited by 43 publications

References 77 publications

A Systematic Review of the Literature on Health and Wellness Coaching: Defining a Key Behavioral Intervention in Healthcare

A Systematic Review of the Literature on Health and Wellness Coaching: Defining a Key Behavioral Intervention in Healthcare

Critical review: vegetables and fruit in the prevention of chronic diseases

Community-based interventions to increase dairy intake in healthy populations: a systematic review

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