A systematic review of types of healthy eating interventions in preschools
Tóm tắt
With the worldwide levels of obesity new venues for promotion of healthy eating habits are necessary. Considering children’s eating habits are founded during their preschool years early educational establishments are a promising place for making health promoting interventions. This systematic review evaluates different types of healthy eating interventions attempting to prevent obesity among 3 to 6 year-olds in preschools, kindergartens and day care facilities. Studies that included single interventions, educational interventions and/or multicomponent interventions were eligible for review. Included studies also had to have conducted both baseline and follow-up measurements. A systematic search of the databases Scopus, Web of Science, CINAHL and PubMed was conducted to identify articles that met the inclusion criteria. The bibliographies of identified articles were also searched for relevant articles. The review identified 4186 articles, of which 26 studies met the inclusion criteria. Fifteen of the interventions took place in preschools, 10 in kindergartens and 1 in another facility where children were cared for by individuals other than their parents. Seventeen of the 26 included studies were located in North America, 1 in South America, 5 in Asia, and 3 in a European context. Healthy eating interventions in day care facilities increased fruit and vegetable consumption and nutrition related knowledge among the target groups. Only 2 studies reported a significant decrease in body mass index. This review highlights the scarcity of properly designed healthy eating interventions using clear indicators and verifiable outcomes. The potential of preschools as a potential setting for influencing children’s food choice at an early age should be more widely recognised and utilised.
Tài liệu tham khảo
De Onis M, Blössner M, Borghi E: Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr. 2010, 92 (5): 1257-1264.
World Health Organization: Milestones in Health Promotion: Statements from Global Conferences. 2009, Geneva: World Health Organization
World Health Organization: European Charter on Counteracting Obesity.WHO European Ministerial Conference on Counteracting Obesity, Istanbul, Turkey, 15–17 November 2006.Copenhagen: WHO Regional Office for Europe. 2006, Copenhagen: WHO Regional Office for Europe
Waters E, de Silva-Sanigorski A, Hall BJ, Brown T, Campbell KJ, Gao Y, Armstrong R, Prosser L, Summerbell CD: Interventions for preventing obesity in children. Cochrane Database Syst Rev. 2011, 12: 00-
Mikkelsen BE: Images of foodscapes: Introduction to foodscape studies and their application in the study of healthy eating out-of-home environments. Perspect Public Health. 2011, 131 (5): 209-216.
Lehtisalo J, Erkkola M, Tapanainen H, Kronberg-Kippilä C, Veijola R, Knip M, Virtanen SM: Food consumption and nutrient intake in day care and at home in 3-year-old Finnish children. Public Health Nutr. 2010, 13 (6): 957-
Schindler JM, Corbett D, Forestell CA: Assessing the effect of food exposure on children's identification and acceptance of fruit and vegetables. Eating Behav. 2013, 14 (1): 53-56.
Moss P: Workforce Issues in Early Childhood Education and Care. 2000, New York: Columbia University, New York
Bluford DA, Sherry B, Scanlon KS: Interventions to prevent or treat obesity in preschool children: a review of evaluated programs. Obesity. 2007, 15 (6): 1356-1372.
ToyBox Study. [http://www.toybox-study.eu/?q=en/node/1] Last assesed June 17
Mouratidou T, Mesana M, Manios Y, Koletzko B, Chinapaw M, De Bourdeaudhuij I, Socha P, Iotova V, Moreno L: Assessment tools of energy balance‒related behaviours used in European obesity prevention strategies: review of studies during preschool. Obes Rev. 2012, 13 (s1): 42-55.
Nixon C, Moore H, Douthwaite W, Gibson E, Vogele C, Kreichauf S, Wildgruber A, Manios Y, Summerbell C: Identifying effective behavioural models and behaviour change strategies underpinning preschool‒and school‒based obesity prevention interventions aimed at 4–6‒year‒olds: a systematic review. Obes Rev. 2012, 13 (s1): 106-117.
Gibson EL, Kreichauf S, Wildgruber A, Vögele C, Summerbell C, Nixon C, Moore H, Douthwaite W, Manios Y: A narrative review of psychological and educational strategies applied to young children's eating behaviours aimed at reducing obesity risk. Obes Rev. 2012, 13 (s1): 85-95.
Higgins JP, Green S: Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series. 2008, Chichester, UK: John Wiley & Sons, Ltd
Seymour JD, Yaroch AL, Serdula M, Blanck HM, Khan LK: Impact of nutrition environmental interventions on point-of-purchase behavior in adults: a review. Prev Med. 2004, 39: 108-136.
Bannon K, Schwartz MB: Impact of nutrition messages on children's food choice: Pilot study. Appetite. 2006, 46 (2): 124-129.
Birch LL: Effects of peer models' food choices and eating behaviors on preschoolers' food preferences. Child Dev. 1980, 51 (2): 489-496.
O'Connell ML, Henderson KE, Luedicke J, Schwartz MB: Repeated exposure in a natural setting: A preschool intervention to increase vegetable consumption. J Acad Nutr Diet. 2012, 112 (2): 230-234.
Harnack LJ, Oakes JM, French SA, Rydell SA, Farah FM, Taylor GL: Results from an experimental trial at a Head Start center to evaluate two meal service approaches to increase fruit and vegetable intake of preschool aged children. Int J Behav Nutr Phys Act. 2012, 9: 51-
Hendy H: Effectiveness of trained peer models to encourage food acceptance in preschool children. Appetite. 2002, 39 (3): 217-225.
Leahy KE, Birch LL, Rolls BJ: Reducing the energy density of an entree decreases children’s energy intake at lunch. J Am Diet Assoc. 2008, 108 (1): 41-48.
Noradilah M, Zahara A: Acceptance of a test vegetable after repeated exposures among preschoolers. Malaysian J Nutr. 2012, 18 (1): 67-75.
Ramsay S, Safaii S, Croschere T, Branen LJ, Wiest M: Kindergarteners' entrée intake increases when served a larger entrée portion in school lunch: a quasi‒experiment. J Sch Health. 2013, 83 (4): 239-242.
Başkale H, Bahar Z: Outcomes of nutrition knowledge and healthy food choices in 5‒to 6‒year‒old children who received a nutrition intervention based on Piaget's theory. J Spec Pediatr Nurs. 2011, 16 (4): 263-279.
Cason KL: Evaluation of a preschool nutrition education program based on the theory of multiple intelligences. J Nutr Educ. 2001, 33 (3): 161-164.
Céspedes J, Briceño G, Farkouh ME, Vedanthan R, Baxter J, Leal M, Boffetta P, Hunn M, Dennis R, Fuster V: Promotion of Cardiovascular Health in Preschool Children: 36-Month Cohort Follow-up. Am J Med. 2013, 126 (12): 1122-1126.
Gorelick MC, Clark EA: Effects of a nutrition program on knowledge of preschool children. J Nutr Educ. 1985, 17 (3): 88-92.
Hu C, Ye D, Li Y, Huang Y, Li L, Gao Y, Wang S: Evaluation of a kindergarten-based nutrition education intervention for pre-school children in China. Public Health Nutr. 2009, 13 (2): 253-
Johnson SL: Improving Preschoolers' self-regulation of energy intake. Pediatrics. 2000, 106 (6): 1429-1435.
Nemet D, Geva D, Pantanowitz M, Igbaria N, Meckel Y, Eliakim A: Health promotion intervention in Arab-Israeli kindergarten children. J Pediatr Endocrinol Metabol. 2011, 24 (11–12): 1001-1007.
Nemet D, Geva D, Pantanowitz M, Igbaria N, Meckel Y, Eliakim A: Long term effects of a health promotion intervention in low socioeconomic Arab-Israeli kindergartens. BMC Pediatr. 2013, 13 (1): 45-
Parcel GS, Bruhn JG, Murray JL: Preschool health education program (PHEP): analysis of educational and behavioral outcome. Health Educ Behav. 1983, 10 (3–4): 149-172.
Piziak V: A pilot study of a pictorial bilingual nutrition education game to improve the consumption of healthful foods in a head start population. Int J Environ Res Public Health. 2012, 9 (4): 1319-1325.
Sirikulchayanonta C, Iedsee K, Shuaytong P, Srisorrachatr S: Using food experience, multimedia and role models for promoting fruit and vegetable consumption in Bangkok kindergarten children. Nutr Diet. 2010, 67 (2): 97-101.
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.
Bayer O, von Kries R, Strauss A, Mitschek C, Toschke AM, Hose A, Koletzko BV: Short-and mid-term effects of a setting based prevention program to reduce obesity risk factors in children: a cluster-randomized trial. Clin Nutr. 2009, 28 (2): 122-128.
Brouwer RJN, Neelon SEB: Watch Me Grow: A garden-based pilot intervention to increase vegetable and fruit intake in preschoolers. BMC Public Health. 2013, 13 (1): 1-6.
De Bock F, Breitenstein L, Fischer JE: Positive impact of a pre-school-based nutritional intervention on children's fruit and vegetable intake: results of a cluster-randomized trial. Public Health Nutr. 2011, 15 (03): 466-475.
Hammond GK, McCargar LJ, Barr S: Student and parent response to use of an early childhood nutrition education program. Can J Diet Pract Res. 1998, 59 (3): 125-131.
Hoffman JA, Thompson DR, Franko DL, Power TJ, Leff SS, Stallings VA: Decaying behavioral effects in a randomized, multi-year fruit and vegetable intake intervention. Prev Med. 2011, 52 (5): 370-375.
Vereecken C, Huybrechts I, Van Houte H, Martens V, Wittebroodt I, Maes L: Results from a dietary intervention study in preschools “Beastly Healthy at School”. Int J Public Health. 2009, 54 (3): 142-149.
Williams CL, Strobino BA, Bollella M, Brotanek J: Cardiovascular risk reduction in preschool children: the “Healthy Start” project. J Am Coll Nutr. 2004, 23 (2): 117-123.
Miller AL, Horodynski MA, Herb HE, Peterson KE, Contreras D, Kaciroti N, Staples-Watson J, Lumeng JC: Enhancing self-regulation as a strategy for obesity prevention in Head Start preschoolers: the growing healthy study. BMC Public Health. 2012, 12: 1040-doi:10.1186/1471-2458-12-1040.
Natale R, Scott SH, Messiah SE, Schrack MM, Uhlhorn SB, Delamater A: Design and methods for evaluating an early childhood obesity prevention program in the childcare center setting. BMC Public Health. 2013, 13 (1): 78-
Peñalvo JL, Santos-Beneit G, Sotos-Prieto M, Martínez R, Rodríguez C, Franco M, López-Romero P, Pocock S, Redondo J, Fuster V: A cluster randomized trial to evaluate the efficacy of a school-based behavioral intervention for health promotion among children aged 3 to 5. BMC Public Health. 2013, 13 (1): 656-