Primary school interventions to promote fruit and vegetable consumption: A systematic review and meta-analysis

Delgado-Noguera, Mario; Tort, Sera; Martinez‐Zapata, Maria José; Bonfill, Xavier

doi:10.1016/j.ypmed.2011.04.016

Cited by 104 publications

(115 citation statements)

References 50 publications

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“…These results are also consistent with what was reported in other studies [17,[22][23][24]. The study by Sweitzer et al [9] performed in Texas, observed a significant increase in the intake of vegetables, from 0.41 to 0.65 (p \ 0.001), and of whole grains, from 0.54 to 1.06 (p \ 0.001), among those in the IG, after the intervention.…”

Section: Discussionsupporting

confidence: 91%

Nutritional Intervention to Improve the Quality of Lunchboxes Among Mexican School Children

2016

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In Mexico, the type of foods included in the lunchboxes of school children are unhealthy. The aim of this study was to evaluate the effects of an intervention program to improve the quality of the foods in the lunchboxes. Two schools were randomly selected as the intervention group (IG) and two more as the control group (CG). The evaluation was performed by comparing a food list from 3 days before and 6 months after the intervention. The components of the intervention included: exposure to posters inside and outside the classrooms and the distribution of pamphlets to parents, the pamphlets provided recipes and information about healthy foods. A lunchbox was considered adequate (AL) if it had less than 276 cal, fruits or vegetables, and an item prepared at home; a healthy lunchbox (HL) consisted of fruits or vegetables, water, and it did not have unhealthy foods. At the beginning of the study there were no significant differences in the compliance of AL and HL in both groups. By the end of the study, 19 % of the children in the IG and 10 % of the children in the CG met the criteria of a HL (p = 0.002). The results of this study demonstrate that a simple, 6 month intervention targeting parents improved the quality of the foods in the lunchboxes of second and sixth graders.

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Section: Discussionsupporting

confidence: 91%

Nutritional Intervention to Improve the Quality of Lunchboxes Among Mexican School Children

2016

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“…A number of reviews of school programs to improve fruit and vegetable consumption have been conducted (47)(48)(49)(50)(51), 2 studies of which have included a meta-analysis that enabled the impact of programs to be quantified. Of the 2 reviews that included a meta-analysis, one review included a small number of studies (51), and one review pooled studies in which fruit and vegetable intake was assessed either over the school day or over the whole day, which resulted in a high level of heterogeneity between studies (47).…”

Section: Introductionmentioning

confidence: 99%

“…Of the 2 reviews that included a meta-analysis, one review included a small number of studies (51), and one review pooled studies in which fruit and vegetable intake was assessed either over the school day or over the whole day, which resulted in a high level of heterogeneity between studies (47). This latter review may have overestimated the impact of programs because it did not take into account the fact that children may potentially increase their consumption of fruit and vegetables while at school and compensate with reductions in home consumption (52).…”

Section: Introductionmentioning

confidence: 99%

Systematic review and meta-analysis of school-based interventions to improve daily fruit and vegetable intake in children aged 5 to 12 y

Evans

Mestres

Cleghorn

et al. 2012

The American Journal of Clinical Nutrition

398

393

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“…Most reviews of fruit and vegetable intake tend to focus on children aged 5 and over, reporting intakes of both food groups (e.g. Blanchette & Brug, 2005;Delgado-Noguera, Tort, Martinez-Zapata, & Bonfill, 2011;Diep, Chen, Davies, Baranowski, & Baranowski, 2014;Evans et al, 2012;French & Stables, 2003;Krolner et al, 2011;Rasmussen et al, 2006). A systematic research review by Appleton et al (2016) described vegetable promoting interventions across the lifespan.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2018

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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).

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Primary school interventions to promote fruit and vegetable consumption: A systematic review and meta-analysis

Cited by 104 publications

References 50 publications

Nutritional Intervention to Improve the Quality of Lunchboxes Among Mexican School Children

Nutritional Intervention to Improve the Quality of Lunchboxes Among Mexican School Children

Systematic review and meta-analysis of school-based interventions to improve daily fruit and vegetable intake in children aged 5 to 12 y

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

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