Setting the Table with a Healthy Plate: Make Half Your Plate Fruits and Vegetables

Post, Robert C.; Haven, Jackie; Maniscalco, Shelley

doi:10.1016/j.jada.2011.09.040

Cited by 15 publications

(9 citation statements)

References 1 publication

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“…This plan implemented 5 fruits/vegetables per day, 4 glasses of water daily, 3-servings of low-fat dairy daily (alternatives provided for children with lactose intolerance or those who refuse dairy), 2 h or less of screen time per day, 1 h physical activity per day, and 0 sugared drinks. The healthy plate materials were adopted [ 34 ]. These guidelines were reviewed at each visit and used to review progress, provide feedback, and support goal setting.…”

Section: Methodsmentioning

confidence: 99%

Sustainability of weight loss from a family-centered pediatric weight management program integrated in primary care

Else

Chen

Cortez

et al. 2022

BMC Health Serv Res

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Background A 6-month pediatric weight loss program showed modest success, but the sustainability of this success after 12 months was unclear. The present study aims tomeasure the medium-term effectiveness of family-based weight management in pediatric primary care to reduce body weight in children living with obesity. Methods In a retrospective cohort study, children ages 3 to 17 years with obesity in Kaiser Permanente Orange County, California, who enrolled in a weight management program between April 2014 and December 2018 (FB-WMG, n = 341) were compared to children referred but not enrolled (Ref-CG, n = 317) and controls matched by sex, age, zip code and BMI (Area-CG, n = 801). The relative distance from the median BMI-for-age at months 0, 6, and 12 were expressed as difference-in-differences (DID) using multivariable linear regressions with robust standard error. Results The baseline BMI-for-age was 98.6 (SD 1.08) percentile in FB-WMG, 98.2 (SD 1.22) percentile in Ref-CG, and 98.6 (1.13 in Area-CG). FB-WMG had a median of 3 visits (P25 1 visit, P75 5 visits) in the first 6 months. Despite a more considerable decrease in the relative distance to the median BMI-for-age in FB-WMG children with 3+ visits after 6 months, the success obtained was not sustained at 12 months (DID FB-WMG vs Area-CG -0.34, 95% CI − 3.00 to 2.33%, FB-WMG vs Ref-CG -0.39, 95% CI − 3.14 to 2.35%). At 12 months, there was no statistical significant difference between the three groups (FB-WWG, Ref-CG, Area-CG). Conclusions The initial success in weight management was not sustained in the absence of continued support for healthy lifestyle changes. Based on current evidence, continued support is necessary to maintain and promote success beyond a brief 6 month intervention. Long-term pediatric weight management programs are needed to promote continuing progress.

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Section: Methodsmentioning

confidence: 99%

Sustainability of weight loss from a family-centered pediatric weight management program integrated in primary care

Else

Chen

Cortez

et al. 2022

BMC Health Serv Res

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show abstract

“…Considering that nutrition information sometimes seems too complex to be actionable [ 6 , 7 ], MyPlate was designed to offer a quick visual and actionable summary and an easy-to-follow benchmark. In doing so, it was intended to prompt diners to think about eating more balanced meals, such as ones that included more fruits, vegetables, and whole grains [ 8 ]. Yet there is a concern that some people may not be following any dietary guidance system [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

MyPlate, Half-Plate, and No Plate: How Visual Plate-Related Dietary Benchmarks Influence What Food People Serve

Wansink¹,

Wansink²

2022

Cureus

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Introduction The objective of this article is to analyze whether visual plate-related dietary guidance systems - such as the MyPlate guideline or the Half-Plate Rule - help people eat better when dining at home or in restaurants. Methods To help explore this, 104 young adults were randomly assigned to follow either (1) USDA MyPlate guidelines, (2) the Half-Plate Rule, or (3) no guidelines (control condition). They then used their assigned guidelines to complete the survey while eating a dinner of their choice. They completed a food diary for the meal and then completed a survey about their experience. Results Both the two visual dietary guidance systems (My Plate and the Half-Plate Rule) were considered easy to understand and easy to follow, and they left people with fewer questions about what to eat (all p < 0.01). Understandability is important because those people who rated a system "easy to follow" indicated they had consumed less meat than usual (r = 0.268), but understandability was uncorrelated with fruit and vegetable intake (r = 0.092) and carbohydrate intake (r = 0.069). Conclusions There are three key conclusions to these and other findings: first, the simplest guidance system may be more effective than none. Second, even the most perfect dietary guidance system will not change behavior if (a) the foods are not available, or (b) it is not followed. Third, guidance systems could over- increase the consumption of some foods (such as dairy) they specifically mention, presumably because it makes them more salient in one's mind.

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“…Considering that nutrition information sometimes seem too complex to be an actionable (Cowburn & Stockley, 2005;Grunert & Wills, 2007), MyPlate was designed to offer a quick visual and actionable summary and easy to follow benchmark. In doing so, it was intended to prompt diners to think about eating more balanced meals, such as ones which included more fruits, vegetables, and whole grains (Bachman, Reedy, Subar, & Krebs-Smith, 2008;Post, Haven, & Maniscalco, 2011). Yet there is a concern that some that people may not be following any dietary guidance system (Kon, Lam, and Chan 2017).…”

Section: Introductionmentioning

confidence: 99%

MyPlate, Half-Plate, and No Plate: How Visual Plate-related Dietary Benchmarks Influence Meal Composition

Wansink

2021

Preprint

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Can visual plate-related dietary guidance systems – such as the MyPlate guideline or the Half-Plate Rule – help people eat better when dining at home or in restaurants? To help explore this, 104 young adults completed a food diary study after having been randomly assigned to follow either 1) USDA MyPlate guidelines, 2) the Half-Plate Rule, or 3) no guidelines (control condition). Both of the visual dietary guidance systems were considered easy to understand, to follow, and left people with fewer questions about what to eat (all p<.01). Moreover, people who rated a system “easy to follow” indicated they had consumed less (meat (r = .268), but this was uncorrelated with fruit and vegetable intake (r =.092) and carbohydrate intake (r = .069). There are three key conclusions to these and other findings: First, the simplest guidance system may be more effective than no system. Second, even the most perfect dietary guidance system will not change behavior if the foods are not available or it is not followed. Third, guidance systems could over-increase the consumption of any food they specifically mention.

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Setting the Table with a Healthy Plate: Make Half Your Plate Fruits and Vegetables

Cited by 15 publications

References 1 publication

Sustainability of weight loss from a family-centered pediatric weight management program integrated in primary care

Sustainability of weight loss from a family-centered pediatric weight management program integrated in primary care

MyPlate, Half-Plate, and No Plate: How Visual Plate-Related Dietary Benchmarks Influence What Food People Serve

MyPlate, Half-Plate, and No Plate: How Visual Plate-related Dietary Benchmarks Influence Meal Composition

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