Journal Article

Parent-targeted home-based interventions for increasing fruit and vegetable intake in children: a systematic review and meta-analysis

Lauren M Touyz, Claire E Wakefield, Allison M Grech, Veronica F Quinn, Daniel S J Costa, Fang Fang Zhang, Richard J Cohn, Mona Sajeev and Jennifer Cohen

in Nutrition Reviews

Published on behalf of International Life Science Institute

Volume 76, issue 3, pages 154-173
Published in print March 2018 | ISSN: 0029-6643
Published online January 2018 | e-ISSN: 1753-4887 | DOI: https://dx.doi.org/10.1093/nutrit/nux066
Parent-targeted home-based interventions for increasing fruit and vegetable intake in children: a systematic review and meta-analysis

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  • Dietetics and Nutrition
  • Popular Health
  • Public Health and Epidemiology
  • Economics of Health

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Abstract

Context

Parent interventions delivered in the home represent a valuable approach to improving children’s diets.

Objective

This review aims to examine the effectiveness of parent-targeted in-home interventions in increasing fruit and vegetable intake in children.

Data Sources

Five electronic databases were searched: MEDLINE, Embase, PubMed, CINAHL, and PsycINFO.

Study Selection

Randomized and nonrandomized trials conducted in children aged 2 to 12 years and published in English from 2000 to 2016 were eligible.

Data Extraction

Eighteen publications were reviewed, and 12 randomized trials were analyzed. Studies were pooled on the basis of outcome measure and type of intervention, resulting in 3 separate meta-analyses.

Results

Nutrition education interventions resulted in a small but significant increase in fruit intake (Hedges’ g = 0.112; P = 0.028). Taste exposure interventions led to a significant increase in vegetable intake, with a moderate effect (Hedges’ g = 0.438; P < 0.001). Interventions involving daily or weekly sessions reported positive outcomes more frequently than those using monthly sessions.

Conclusions

Future interventions should incorporate regular taste exposure to maximize increases in vegetable intake in children. This is particularly important because fewer children meet national recommendations for vegetable intake than for fruit intake.

Keywords: child; fruit; home; parent; vegetables

Journal Article.  11237 words.  Illustrated.

Subjects: Dietetics and Nutrition ; Popular Health ; Public Health and Epidemiology ; Economics of Health

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