Social Cognitive Model of Fruit and Vegetable Consumption in Elementary School Children

Reynolds, Kim D.; Hinton, Agnes; Shewchuk, Richard M.; Hickey, Carol A.

doi:10.1016/s0022-3182(99)70381-x

Cited by 135 publications

(126 citation statements)

References 29 publications

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“…Our data build on previous findings that the availability of specific food types predicts consumption by residents [8][9][10][11][12][13][14][15] and that food store type is associated with obesity among residents 16,17 . Although it is well recognised that fresh fruits and vegetables are a good source of antioxidants, fibre and other nutrients found to prevent diseases, our findings further suggest that people living in some of the study areas may experience barriers in access to these foods because of the lack of supermarkets and the low prevalence of other stores in their neighbourhoods that carry these foods.…”

Section: Discussionsupporting

confidence: 74%

Disparities in the availability of fruits and vegetables between racially segregated urban neighbourhoods

Morland

Filomena

2007

Public Health Nutr.

260

188

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Objective: Public health professionals continue to see the benefits of fruit and vegetable consumption on population health. While studies that evaluate the availability of produce are sparse in the medical literature, disparities in availability may explain the disproportional intake of produce for some people. Therefore, the purpose of this study was to evaluate the availability and variety of produce located in two racially and economically diverse urban neighbourhoods. Design: A cross-sectional study was conducted in which 50% of the supermarkets, small grocery stores, delicatessens, and fruit and vegetable markets located in specific neighbourhoods were randomly sampled and surveyed between September 2004 and July 2005. Food stores were evaluated for the availability of 20 types of fresh fruits and 19 types of fresh vegetables, as well as their varieties and whether they were canned, frozen or previously prepared. 2000 US Census information was used to determine characteristics of the geo-coded census tracts where the food stores were located. Setting: Brooklyn, New York. Results: A supermarket was located in approximately every third census tract in predominantly white areas (prevalence 5 0.33) and every fourth census tract in racially mixed areas (prevalence 5 0.27). There were no supermarkets located in the predominantly black areas. With the exception of bananas, potatoes, okra and yucca, a lower proportion of predominantly black area stores carried fresh produce, while supermarkets carried the largest variety of produce types. Canned and frozen fruits and vegetables were found in the majority of stores, whereas prepared and organic produce was limited to predominantly white area stores.Conclusions: These data demonstrate that the availability and variety of fresh produce is associated with neighbourhood racial composition and may be a factor contributing to differences in intake among residents.

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Section: Discussionsupporting

confidence: 74%

Disparities in the availability of fruits and vegetables between racially segregated urban neighbourhoods

Morland

Filomena

2007

Public Health Nutr.

260

188

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“…In the present study, only home availability appeared to be a significant correlate of daily vegetable consumption but not of daily fruit intake. This is only partly in line with earlier studies revealing positive associations between availability and intake of fruit and vegetables (Reynolds et al, 1999;Kratt et al, 2000;Neumark-Sztainer et al, 2003;Bere and Klepp, 2004;Young et al, 2004;Hanson et al, 2005). However, measures of availability were quite different between studies, reflecting considerable differences in the strength of this relationship (Hearn et al, 1998;Reynolds et al, 1999;Kratt et al, 2000;Cullen et al, 2001;Bere and Klepp, 2004;Hanson et al, 2005).…”

Section: Discussionsupporting

confidence: 74%

“…Children who were confident that they can eat fruit or vegetables daily were one and a half time more likely to eat vegetables daily and more than two times more likely to eat fruit daily. The literature is inconsistent about the relationship between selfefficacy and fruit and vegetable intake (Domel et al, 1996;Resnicow et al, 1997;Reynolds et al, 1999;Lien et al, 2002;Young et al, 2004), probably owing to different possible operationalizations of the self-efficacy construct. Barriers were less consistently associated with daily intakes than general self-efficacy in the present study.…”

Section: Discussionmentioning

confidence: 99%

Personal, social and environmental predictors of daily fruit and vegetable intake in 11-year-old children in nine European countries

et al. 2007

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Objective: To investigate potential personal, social and physical environmental predictors of daily fruit intake and daily vegetable intake in 11-year-old boys and girls in nine European countries. Subjects: The total sample size was 13 305 (90.4% participation rate). Results: Overall, 43.2% of the children reported to eat fruit every day, 46.1% reported to eat vegetables every day. Daily fruit intake and daily vegetable intake was mainly associated with knowledge of the national recommendations, positive self-efficacy, positive liking and preference, parental modeling and demand and bringing fruit to school (odds ratio between 1.40 and 2.42, Po0.02). These factors were associated fairly consistently with daily fruit intake across all nine European countries, implying that a rather uniform intervention strategy to promote fruit can be used across Europe. For vegetables, the pattern was, however, less consistent. Differences between countries in cooking and preparing vegetables might be responsible for this larger diversity. Conclusions: This study showed that especially a combination of personal and social factors is related to daily fruit and vegetable intake in schoolchildren. This shows that a comprehensive multilevel intervention strategy based upon a series of individual and social correlates will be most promising in the promotion of daily fruit and vegetable intake in children.

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“…Given that the children were the direct target of the intervention and parents the indirect target (through the media products that were brought home by the children), the results are congruent with the dose of the intervention received by children v. parents (26,(62)(63)(64)(65) . Nevertheless, the involvement of parents in the intervention was important because parental social support is considered a crucial determinant for children's engagement in healthy behaviours (45,(66)(67)(68)(69)(70)(71) .…”

Section: Discussionmentioning

confidence: 99%

“…These results indicate that the children had positive food environmental conditions and strong support from their parents before the start of the intervention. Several past studies indicated that the availability and accessibility of fruits and vegetables is a fundamental condition to develop healthy eating habits (19,24,26,56,(72)(73)(74)(75)(76) , but the results of that previous research also suggest that availability and accessibility is likely not enough without the improvement of psychosocial variables such as motivation (66) , self-efficacy (77)(78)(79) and perceived parental social support (80,81) .…”

Section: Discussionmentioning

confidence: 99%

Using a mixed-methods approach to measure impact of a school-based nutrition and media education intervention study on fruit and vegetable intake of Italian children

Grassi

Evans²,

Ranjit³

et al. 2016

Public Health Nutr.

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Objective: The purpose of the present study was to investigate the impact of a school-based nutrition and media education intervention on the promotion of fruit and vegetable consumption to help prevent childhood obesity. Design: The 10-week-long intervention included sessions on nutrition education and media literacy. It also included a health communication media-based campaign workshop during which the children created posters, newsletters and video commercials related to fruits and vegetables targeted to their parents. For evaluation purposes, the study utilized a mixed-methods approach, including a quasi-experimental study (with one intervention group and one control group) and a focus group study. Setting: Four different elementary schools in Treviso (Veneto Region of Italy) agreed to participate in the research. Subjects: The target population for the study included 10-year-old Italian children and their parents. Results: Data indicate that this intervention was effective for children but not for parents. Evaluation results show that the intervention was effective in significantly increasing children's fruit and vegetable intake (P < 0·05) and all psychosocial determinants (P < 0·05). Conclusions: The study results confirm the efficacy of a school-based health and media education intervention to address the children's obesity issue and, in particular, to increase children's fruit and vegetable intake. The study also opens a new perspective on the theoretical constructs investigated, because the development of 'ability of expression' could be considered one of the most important factors to determine the efficacy of the intervention.

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Social Cognitive Model of Fruit and Vegetable Consumption in Elementary School Children

Cited by 135 publications

References 29 publications

Disparities in the availability of fruits and vegetables between racially segregated urban neighbourhoods

Disparities in the availability of fruits and vegetables between racially segregated urban neighbourhoods

Personal, social and environmental predictors of daily fruit and vegetable intake in 11-year-old children in nine European countries

Using a mixed-methods approach to measure impact of a school-based nutrition and media education intervention study on fruit and vegetable intake of Italian children

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