Access With Education Improves Fruit and Vegetable Intake in Preschool Children

被引:12
作者
Smith, Elizabeth [1 ]
Sutarso, Toto [2 ]
Kaye, Gail L. [3 ]
机构
[1] Middle Tennessee State Univ, Coll Behav & Hlth Sci, Dept Human Sci, 1301 E Main St,Box 86, Murfreesboro, TN 37132 USA
[2] Middle Tennessee State Univ, Informat Technol Div, Murfreesboro, TN 37132 USA
[3] Ohio State Univ, Coll Publ Hlth, Div Hlth Behav & Hlth Promot, Columbus, OH 43210 USA
关键词
fruits and vegetables; Head Start children; carotenoids; food access; education; LOW-INCOME CHILDREN; DIETARY-INTAKE; SCHOOL; FOOD; HOME; CONSUMPTION; PARENT; INTERVENTION; PREVENTION; VALIDITY;
D O I
10.1016/j.jneb.2019.07.016
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Objective: To compare effects of interventions aimed at increasing fruit and vegetable (FV) intake in children. Design: Pre-post comparison and intervention study with randomly grouped classrooms. Setting: Head Start classrooms. Participants: Two hundred nine Head Start children. Interventions: Treatment A (n = 61) and treatment B (n = 82) children received high-carotenoid FVs for 8 weeks. Treatment B children also received weekly FV education, and their caregivers received FV information and recipes. The comparison group (n = 66) received neither FVs nor education. Main Outcome Measure: Carotenoid values in Raman units. Analysis: Multilevel mixed models, ANCOVA, and post hoc analysis were used. Results: Multilevel mixed models with the group as fixed effect and classrooms within group as a random effect; ANCOVA showed that the only significant variable affecting the score was the group main effect. The intraclass correlation coefficient was 0.037; the Raman unit scores of treatment B were significantly higher than those of treatment A (P = .02) or comparison group (P < .001). However, there was no significant difference between treatment A and comparison (P = .10; Cohen D = .71). Conclusions and Implications: The results suggested that providing education where FVs are offered may help increase consumption. Measurement of carotenoids in family members who received FVs plus education, as well as replication of this model in different locations and ages of children should be investigated in future research.
引用
收藏
页码:145 / 151
页数:7
相关论文
共 38 条
[1]   Skin Carotenoid Response to a High-Carotenoid Juice in Children: A Randomized Clinical Trial [J].
Aguilar, Sheryl S. ;
Wengreen, Heidi J. ;
Dew, Jeffrey .
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS, 2015, 115 (11) :1771-1778
[2]   Skin Carotenoids: A Biomarker of Fruit and Vegetable Intake in Children [J].
Aguilar, Sheryl S. ;
Wengreen, Heidi J. ;
Lefevre, Michael ;
Madden, Gregory J. ;
Gast, Julie .
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS, 2014, 114 (08) :1174-1180
[3]  
Aguilera AL, 2018, J EPIDEMIOL RES, V4, P1
[4]   The impact of instrumental feeding on children's responses to taste exposure [J].
Anez, E. ;
Remington, A. ;
Wardle, J. ;
Cooke, L. .
JOURNAL OF HUMAN NUTRITION AND DIETETICS, 2013, 26 (05) :415-420
[5]  
ANLIKER JA, 1990, J NUTR EDUC, V22, P24
[6]  
Baker S., 2014, Best Practices in Nutrition Education for Low-Income Audiences, DOI [10.1016/j.jneb.2014.04.144, DOI 10.1016/J.JNEB.2014.04.144]
[7]  
BARANOWSKI T, 1991, J AM DIET ASSOC, V91, P669
[8]   Family fun with new foods: A parent component to the food friends social marketing campaign [J].
Bellows, L ;
Cole, K ;
Gabel, JA .
JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR, 2006, 38 (02) :123-124
[9]   Critical review: vegetables and fruit in the prevention of chronic diseases [J].
Boeing, Heiner ;
Bechthold, Angela ;
Bub, Achim ;
Ellinger, Sabine ;
Haller, Dirk ;
Kroke, Anja ;
Leschik-Bonnet, Eva ;
Mueller, Manfred J. ;
Oberritter, Helmut ;
Schulze, Matthias ;
Stehle, Peter ;
Watzl, Bernhard .
EUROPEAN JOURNAL OF NUTRITION, 2012, 51 (06) :637-663
[10]   Facilitating or undermining? The effect of reward on food acceptance. A narrative review [J].
Cooke, Lucy J. ;
Chambers, Lucy C. ;
Anez, Elizabeth V. ;
Wardle, Jane .
APPETITE, 2011, 57 (02) :493-497