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Evidence-Based Approaches to Increase Fruit and Vegetable Consumption in Children

Year 2022, Volume: 7 Issue: 1, 145 - 150, 31.01.2022

Abstract

Childhood obesity increases rapidly in the world and in Turkey. Studies show that the increase in fruit and vegetable consumption reduces the risk of obesity. Most children do not eat enough vegetables and fruits. Food selection, which is one of the predisposing factors of obesity, has a special importance, especially in childhood, when healthy eating habits are acquired. In this period, making children love fruit and vegetables, and increasing their consumption will play a protective role against obesity that can also be experienced in adulthood. In the literature, there are many evidence-based interventions at home, in school, and in community enviroment to increase fruit and vegetable consumption in children. The purpose of this review is to provide information about the evidence-based practices to increase fruit and vegetable consumption in children, to raise awareness among professionals working in family and school settings for these interventions, and to contribute to the nursing practices.

References

  • Kit BK, et al. Trends in obesity prevalence among children and adolescents in the United States, 1988-1994 through 2013-2014. JAMA.2016;315(21):2292-2299.
  • Bakanlığı TS. Türkiye beslenme ve sağlık araştırması 2010: Beslenme durumu ve alışkanlıklarının değerlendirilmesi sonuç raporu. Ankara; 2014. [cited 2021 May 3] Available from: https://hsgm.saglik.gov.tr/ depo/birimler/saglikli-beslenme-hareketli-hayat-db/Yayinlar/kitaplar/ diger-kitaplar/TBSA-Beslenme-Yayini.pdf
  • Pandita A, Sharma D, Pandita D, Pawar S, Tariq M, Kaul A. Childhood obesity: Prevention is better than cure. Diabetes Metab Syndr Obes.2016;9:83-89
  • World Health Organisation (WHO).Population-based approaches to Childhood Obesity Prevention. 2012 [cited 2021 May 2] Available from: http://www.who.int/dietphysicalactivity/childhood/WHO_new_ childhoodobesity_PREVENTION_27nov_HR_PRINT_OK.pdf
  • World Health Organisation (WHO). Report of the Commission on Ending Childhood Obesity. Implement Plan Exec Summ. 2017; [cited 2021 May 3] Available from: https://www.who.int/publications/i/ item/9789241510066
  • Van Jaarsveld CHM, Gulliford MC. Childhood obesity trends from primary care electronic health records in England between 1994 and 2013: Population-based cohort study. Arch Dis Child. 2015;100(3):214–9.
  • Pekcan, E. G., Şanlıer, N., Baş, M., Başoğlu, S., & Acar Tek N. Türkiye Beslenme Rehberi 2015 (TÜBER) [Internet]. Ankara; 2016. [cited 2021 May 3] Available from: https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketlihayat-db/Yayinlar/rehberler/2015-beslenme-rehberi.pdf
  • NatCen Social Research. Health Survey for England 2016 Children’s health. NHS Digit. 2017; [cited 2021 May 5] Available from: http:// healthsurvey.hscic.gov.uk/media/63769/HSE2016-Child-health.pdf
  • Arduzlar Kağan D, Özkul E, Ergün C, Sam A, Şen N. Çocukların Meyve ve Sebze Tüketim Alışkanlığının Sosyoekonomik Durum İle İlişkisinin İncelenmesi. Eur J Sci Technol. 2019;(17):570-580.
  • Boeing H, Bechthold A, Bub A, Ellinger S, Haller D, Kroke A, et al. Critical review: Vegetables and fruit in the prevention of chronic diseases. Eur J Nutr. 2012;51(6):637-663.
  • Wang X., Y. Ouyang, J. Liu, M. Zhu, G. Zhao, W. Bao, F.B. Hu et al. Fruit and vegetable consumption and mortality from all causes, cardiovasculardisease, and cancer : Systematic review and dose-response metaanalysis of prospective cohort studies. BMJ. 2014;349:g4490
  • Birch L, A. Ann, S.S. Jennifer VA. Influences on the development of children’s eating behaviours: From infancy to adolescence. Can J Diet Pract Res. 2009;68(1):1–11.
  • Swanson M, Branscum A, Nakayima PJ. Promoting consumption of fruit in elementary school cafeterias. The effects of slicing apples and oranges. Appetite. 2009;53(2):264-267.
  • Reicks M, Redden JP, Mann T, Mykerezi E, Vickers Z. Photographs in lunch tray compartments and vegetable consumption among children in elementary school cafeterias. JAMA 2012;307(8):784-785
  • Draxten M, Fulkerson JA, Friend S, Flattum CF, Schow R. Parental role modeling of fruits and vegetables at meals and snacks is associated with children’s adequate consumption. Appetite. 2014;78:1-7
  • Hunsaker SL, Jensen CD. Effectiveness of a Parent Health Report in Increasing Fruit and Vegetable Consumption Among Preschoolers and Kindergarteners. J Nutr Educ Behav. 2017;49(5):380-386.e1.
  • Thaler, R. H., & Sunstein CR. Nudge: Improving decisions about health, wealth, and happiness. New York: Penguin. 2008. 200p
  • Hollands GJ, Shemilt I, Marteau TM, Jebb SA, Kelly MP, Nakamura R, et al. Altering micro-environments to change population health behaviour: Towards an evidence base for choice architecture interventions. BMC Public Health. 2013;13(1):1-6
  • İpek İ., Duman, S., Akdeniz, G., Göklen M. Bilişsel-Yönlü Dürtme İle Üniversite Öğrencilerini Sağlıklı İçecek Tercih Etmeye Yöneltme. Pazarlama ve Pazarlama Araştırmaları Derg. 2020;13(2):359–78.
  • Broers VJV, Van den Broucke S, Taverne C, Luminet O. Investigating the conditions for the effectiveness of nudging: Cue-to-action nudging increases familiar vegetable choice. Food Qual Prefer. 2019;71:366-374.
  • Bonell C, McKee M, Fletcher A, Wilkinson P, Haines A. One nudge forward, two steps back. BMJ. 2011;342:d401.
  • Lin Y, Osman M, Ashcroft R. Nudge: Concept, Effectiveness, and Ethics. Basic Appl Soc Psych. 2017;39(6):293-306.
  • Bauer JM, Reisch LA. Behavioural Insights and (Un)healthy Dietary Choices: a Review of Current Evidence. J Consum Policy. 2019;42(1):3-45.
  • Sharps MA, Thomas E, Blissett JM. Using pictorial nudges of fruit and vegetables on tableware to increase children’s fruit and vegetable consumption. Appetite. 2020;144:104457.
  • Miller N, Reicks M, Redden JP, Mann T, Mykerezi E, Vickers Z. Increasing portion sizes of fruits and vegetables in an elementary school lunch program can increase fruit and vegetable consumption. Appetite. 2015;91:426–30.
  • Marcano-Olivier M, Pearson R, Ruparell A, Horne PJ, Viktor S, Erjavec M. A low-cost Behavioural Nudge and choice architecture intervention targeting school lunches increases children’s consumption of fruit: A cluster randomised trial. Int J Behav Nutr Phys Act. 2019;16(1):1-9.
  • Reinaerts E, de Nooijer J, Candel M, de Vries N. Explaining school children’s fruit and vegetable consumption: The contributions of availability, accessibility, exposure, parental consumption and habit in addition to psychosocial factors. Appetite. 2007;48(2):248-258.
  • De Bourdeaudhuij I, te Velde S, Brug J, Due P, Wind M, Sandvik C, et al. Personal, social and environmental predictors of daily fruit and vegetable intake in 11-year-old children in nine European countries. Eur J Clin Nutr. 2008;62(7):834-841.
  • Wyse R, Campbell KJ, Brennan L, Wolfenden L. A cluster randomised controlled trial of a telephone-based intervention targeting the home food environment of preschoolers (The Healthy Habits Trial): The effect on parent fruit and vegetable consumption. Int J Behav Nutr Phys Act. 2014;11(1):1-9.
  • Hodder RK, O’Brien KM, Tzelepis F, Wyse RJ, Wolfenden L. Interventions for increasing fruit and vegetable consumption in children aged five years and under. Cochrane Database Syst Rev. 2020; 5 Art. No: CD008552.
  • Perikkou A, Gavrieli A, Kougioufa MM, Tzirkali M, Yannakoulia M. A Novel Approach for Increasing Fruit Consumption in Children. J Acad Nutr Diet. 2013;113(9):1188–93.
  • Holley CE, Farrow C HE. A systematic review of methods for increasing vegetable consumption in early childhood. Current nutrition reports. Curr Nutr reports. 2017;6(2):157–70.
  • Nekitsing C, Blundell-Birtill P, Cockroft JE, Hetherington MM.Systematic review and meta-analysis of strategies to increase vegetable consumption in preschool children aged 2–5 years. Appetite. 2018;127:138–54.
  • Witt KE, Dunn C. Increasing Fruit and Vegetable Consumption among Preschoolers: Evaluation of Color Me Healthy. J Nutr Educ Behav. 2012;44(2):107-113.
  • Kristiansen AL, Bjelland M, Himberg-Sundet A, Lien N, Holst R, Frost Andersen L. Effects of a cluster randomized controlled kindergartenbased intervention trial on vegetable consumption among Norwegian 3-5-year-olds: The BRA-study. BMC Public Health. 2019;19(1):1-10.
  • Hutchinson J, Christian MS, Evans CEL, Nykjaer C, Hancock N, Cade JE. Evaluation of the impact of school gardening interventions on children’s knowledge of and attitudes towards fruit and vegetables. A cluster randomised controlled trial. Appetite. 2015;91:405–14.
  • Gatto NM, Ventura EE, Cook LT, Gyllenhammer LE, Davis JN. LA Sprouts: A Garden-Based Nutrition Intervention Pilot Program Influences Motivation and Preferences for Fruits and Vegetables in Latino Youth. J Acad Nutr Diet. 2012;112(6):913–20.
  • Savoie-Roskos MR, Wengreen H, Durward C. Increasing Fruit and Vegetable Intake among Children and Youth through Gardening-Based Interventions: A Systematic Review. J Acad Nutr Diet. 2017;117(2):240– 50.

Çocuklarda Meyve ve Sebze Tüketimini Artırmaya Yönelik Kanıt Temelli Yaklaşımlar

Year 2022, Volume: 7 Issue: 1, 145 - 150, 31.01.2022

Abstract

Çocukluk çağı obezitesi dünyada ve ülkemizde hızlı bir artış göstermektedir. Yapılan çalışmalar meyve ve sebze tüketimindeki artışın obezite riskini azalttığını belirtmektedir. Çocukların çoğu yeterli miktarda sebze ve meyve tüketmemektedir. Obezitenin hazırlayıcı faktörlerinden biri olan besin seçimi özellikle sağlıklı beslenme alışkanlıklarının kazanıldığı çocukluk döneminde ayrı bir öneme sahiptir. Bu dönemde çocuklara meyve ve sebzeyi sevdirmek ve tüketimini artırmak yetişkinlik döneminde de yaşanabilecek obeziteye ve birçok kronik hastalığa karşı koruyucu bir rol oynayacaktır. Literatürde çocuklarda meyve ve sebze tüketimini artırmaya yönelik ev, okul ve toplum tabanlı birçok kanıt temelli müdahale bulunmaktadır. Bu derlemenin amacı; literatür doğrultusunda çocuklarda meyve ve sebze tüketimini artırmaya yönelik kanıt temelli uygulamalar hakkında bilgi vermek, bu müdahalelere yönelik aile ve okul ortamında çalışan profesyonellerde farkındalık oluşturmak ve hemşirelik uygulamalarına katkı sağlamaktır.

References

  • Kit BK, et al. Trends in obesity prevalence among children and adolescents in the United States, 1988-1994 through 2013-2014. JAMA.2016;315(21):2292-2299.
  • Bakanlığı TS. Türkiye beslenme ve sağlık araştırması 2010: Beslenme durumu ve alışkanlıklarının değerlendirilmesi sonuç raporu. Ankara; 2014. [cited 2021 May 3] Available from: https://hsgm.saglik.gov.tr/ depo/birimler/saglikli-beslenme-hareketli-hayat-db/Yayinlar/kitaplar/ diger-kitaplar/TBSA-Beslenme-Yayini.pdf
  • Pandita A, Sharma D, Pandita D, Pawar S, Tariq M, Kaul A. Childhood obesity: Prevention is better than cure. Diabetes Metab Syndr Obes.2016;9:83-89
  • World Health Organisation (WHO).Population-based approaches to Childhood Obesity Prevention. 2012 [cited 2021 May 2] Available from: http://www.who.int/dietphysicalactivity/childhood/WHO_new_ childhoodobesity_PREVENTION_27nov_HR_PRINT_OK.pdf
  • World Health Organisation (WHO). Report of the Commission on Ending Childhood Obesity. Implement Plan Exec Summ. 2017; [cited 2021 May 3] Available from: https://www.who.int/publications/i/ item/9789241510066
  • Van Jaarsveld CHM, Gulliford MC. Childhood obesity trends from primary care electronic health records in England between 1994 and 2013: Population-based cohort study. Arch Dis Child. 2015;100(3):214–9.
  • Pekcan, E. G., Şanlıer, N., Baş, M., Başoğlu, S., & Acar Tek N. Türkiye Beslenme Rehberi 2015 (TÜBER) [Internet]. Ankara; 2016. [cited 2021 May 3] Available from: https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketlihayat-db/Yayinlar/rehberler/2015-beslenme-rehberi.pdf
  • NatCen Social Research. Health Survey for England 2016 Children’s health. NHS Digit. 2017; [cited 2021 May 5] Available from: http:// healthsurvey.hscic.gov.uk/media/63769/HSE2016-Child-health.pdf
  • Arduzlar Kağan D, Özkul E, Ergün C, Sam A, Şen N. Çocukların Meyve ve Sebze Tüketim Alışkanlığının Sosyoekonomik Durum İle İlişkisinin İncelenmesi. Eur J Sci Technol. 2019;(17):570-580.
  • Boeing H, Bechthold A, Bub A, Ellinger S, Haller D, Kroke A, et al. Critical review: Vegetables and fruit in the prevention of chronic diseases. Eur J Nutr. 2012;51(6):637-663.
  • Wang X., Y. Ouyang, J. Liu, M. Zhu, G. Zhao, W. Bao, F.B. Hu et al. Fruit and vegetable consumption and mortality from all causes, cardiovasculardisease, and cancer : Systematic review and dose-response metaanalysis of prospective cohort studies. BMJ. 2014;349:g4490
  • Birch L, A. Ann, S.S. Jennifer VA. Influences on the development of children’s eating behaviours: From infancy to adolescence. Can J Diet Pract Res. 2009;68(1):1–11.
  • Swanson M, Branscum A, Nakayima PJ. Promoting consumption of fruit in elementary school cafeterias. The effects of slicing apples and oranges. Appetite. 2009;53(2):264-267.
  • Reicks M, Redden JP, Mann T, Mykerezi E, Vickers Z. Photographs in lunch tray compartments and vegetable consumption among children in elementary school cafeterias. JAMA 2012;307(8):784-785
  • Draxten M, Fulkerson JA, Friend S, Flattum CF, Schow R. Parental role modeling of fruits and vegetables at meals and snacks is associated with children’s adequate consumption. Appetite. 2014;78:1-7
  • Hunsaker SL, Jensen CD. Effectiveness of a Parent Health Report in Increasing Fruit and Vegetable Consumption Among Preschoolers and Kindergarteners. J Nutr Educ Behav. 2017;49(5):380-386.e1.
  • Thaler, R. H., & Sunstein CR. Nudge: Improving decisions about health, wealth, and happiness. New York: Penguin. 2008. 200p
  • Hollands GJ, Shemilt I, Marteau TM, Jebb SA, Kelly MP, Nakamura R, et al. Altering micro-environments to change population health behaviour: Towards an evidence base for choice architecture interventions. BMC Public Health. 2013;13(1):1-6
  • İpek İ., Duman, S., Akdeniz, G., Göklen M. Bilişsel-Yönlü Dürtme İle Üniversite Öğrencilerini Sağlıklı İçecek Tercih Etmeye Yöneltme. Pazarlama ve Pazarlama Araştırmaları Derg. 2020;13(2):359–78.
  • Broers VJV, Van den Broucke S, Taverne C, Luminet O. Investigating the conditions for the effectiveness of nudging: Cue-to-action nudging increases familiar vegetable choice. Food Qual Prefer. 2019;71:366-374.
  • Bonell C, McKee M, Fletcher A, Wilkinson P, Haines A. One nudge forward, two steps back. BMJ. 2011;342:d401.
  • Lin Y, Osman M, Ashcroft R. Nudge: Concept, Effectiveness, and Ethics. Basic Appl Soc Psych. 2017;39(6):293-306.
  • Bauer JM, Reisch LA. Behavioural Insights and (Un)healthy Dietary Choices: a Review of Current Evidence. J Consum Policy. 2019;42(1):3-45.
  • Sharps MA, Thomas E, Blissett JM. Using pictorial nudges of fruit and vegetables on tableware to increase children’s fruit and vegetable consumption. Appetite. 2020;144:104457.
  • Miller N, Reicks M, Redden JP, Mann T, Mykerezi E, Vickers Z. Increasing portion sizes of fruits and vegetables in an elementary school lunch program can increase fruit and vegetable consumption. Appetite. 2015;91:426–30.
  • Marcano-Olivier M, Pearson R, Ruparell A, Horne PJ, Viktor S, Erjavec M. A low-cost Behavioural Nudge and choice architecture intervention targeting school lunches increases children’s consumption of fruit: A cluster randomised trial. Int J Behav Nutr Phys Act. 2019;16(1):1-9.
  • Reinaerts E, de Nooijer J, Candel M, de Vries N. Explaining school children’s fruit and vegetable consumption: The contributions of availability, accessibility, exposure, parental consumption and habit in addition to psychosocial factors. Appetite. 2007;48(2):248-258.
  • De Bourdeaudhuij I, te Velde S, Brug J, Due P, Wind M, Sandvik C, et al. Personal, social and environmental predictors of daily fruit and vegetable intake in 11-year-old children in nine European countries. Eur J Clin Nutr. 2008;62(7):834-841.
  • Wyse R, Campbell KJ, Brennan L, Wolfenden L. A cluster randomised controlled trial of a telephone-based intervention targeting the home food environment of preschoolers (The Healthy Habits Trial): The effect on parent fruit and vegetable consumption. Int J Behav Nutr Phys Act. 2014;11(1):1-9.
  • Hodder RK, O’Brien KM, Tzelepis F, Wyse RJ, Wolfenden L. Interventions for increasing fruit and vegetable consumption in children aged five years and under. Cochrane Database Syst Rev. 2020; 5 Art. No: CD008552.
  • Perikkou A, Gavrieli A, Kougioufa MM, Tzirkali M, Yannakoulia M. A Novel Approach for Increasing Fruit Consumption in Children. J Acad Nutr Diet. 2013;113(9):1188–93.
  • Holley CE, Farrow C HE. A systematic review of methods for increasing vegetable consumption in early childhood. Current nutrition reports. Curr Nutr reports. 2017;6(2):157–70.
  • Nekitsing C, Blundell-Birtill P, Cockroft JE, Hetherington MM.Systematic review and meta-analysis of strategies to increase vegetable consumption in preschool children aged 2–5 years. Appetite. 2018;127:138–54.
  • Witt KE, Dunn C. Increasing Fruit and Vegetable Consumption among Preschoolers: Evaluation of Color Me Healthy. J Nutr Educ Behav. 2012;44(2):107-113.
  • Kristiansen AL, Bjelland M, Himberg-Sundet A, Lien N, Holst R, Frost Andersen L. Effects of a cluster randomized controlled kindergartenbased intervention trial on vegetable consumption among Norwegian 3-5-year-olds: The BRA-study. BMC Public Health. 2019;19(1):1-10.
  • Hutchinson J, Christian MS, Evans CEL, Nykjaer C, Hancock N, Cade JE. Evaluation of the impact of school gardening interventions on children’s knowledge of and attitudes towards fruit and vegetables. A cluster randomised controlled trial. Appetite. 2015;91:405–14.
  • Gatto NM, Ventura EE, Cook LT, Gyllenhammer LE, Davis JN. LA Sprouts: A Garden-Based Nutrition Intervention Pilot Program Influences Motivation and Preferences for Fruits and Vegetables in Latino Youth. J Acad Nutr Diet. 2012;112(6):913–20.
  • Savoie-Roskos MR, Wengreen H, Durward C. Increasing Fruit and Vegetable Intake among Children and Youth through Gardening-Based Interventions: A Systematic Review. J Acad Nutr Diet. 2017;117(2):240– 50.
There are 38 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Derlemeler
Authors

Perihan Solmaz 0000-0002-4659-6845

Hatice Başkale 0000-0003-4811-2098

Early Pub Date January 30, 2022
Publication Date January 31, 2022
Submission Date August 5, 2021
Published in Issue Year 2022 Volume: 7 Issue: 1

Cite

APA Solmaz, P., & Başkale, H. (2022). Çocuklarda Meyve ve Sebze Tüketimini Artırmaya Yönelik Kanıt Temelli Yaklaşımlar. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 7(1), 145-150.
AMA Solmaz P, Başkale H. Çocuklarda Meyve ve Sebze Tüketimini Artırmaya Yönelik Kanıt Temelli Yaklaşımlar. İKÇÜSBFD. January 2022;7(1):145-150.
Chicago Solmaz, Perihan, and Hatice Başkale. “Çocuklarda Meyve Ve Sebze Tüketimini Artırmaya Yönelik Kanıt Temelli Yaklaşımlar”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 7, no. 1 (January 2022): 145-50.
EndNote Solmaz P, Başkale H (January 1, 2022) Çocuklarda Meyve ve Sebze Tüketimini Artırmaya Yönelik Kanıt Temelli Yaklaşımlar. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 7 1 145–150.
IEEE P. Solmaz and H. Başkale, “Çocuklarda Meyve ve Sebze Tüketimini Artırmaya Yönelik Kanıt Temelli Yaklaşımlar”, İKÇÜSBFD, vol. 7, no. 1, pp. 145–150, 2022.
ISNAD Solmaz, Perihan - Başkale, Hatice. “Çocuklarda Meyve Ve Sebze Tüketimini Artırmaya Yönelik Kanıt Temelli Yaklaşımlar”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 7/1 (January 2022), 145-150.
JAMA Solmaz P, Başkale H. Çocuklarda Meyve ve Sebze Tüketimini Artırmaya Yönelik Kanıt Temelli Yaklaşımlar. İKÇÜSBFD. 2022;7:145–150.
MLA Solmaz, Perihan and Hatice Başkale. “Çocuklarda Meyve Ve Sebze Tüketimini Artırmaya Yönelik Kanıt Temelli Yaklaşımlar”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol. 7, no. 1, 2022, pp. 145-50.
Vancouver Solmaz P, Başkale H. Çocuklarda Meyve ve Sebze Tüketimini Artırmaya Yönelik Kanıt Temelli Yaklaşımlar. İKÇÜSBFD. 2022;7(1):145-50.



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