Advertisement
Research Article| Volume 49, ISSUE 5, P380-386.e1, May 2017

Effectiveness of a Parent Health Report in Increasing Fruit and Vegetable Consumption Among Preschoolers and Kindergarteners

Published:February 28, 2017DOI:https://doi.org/10.1016/j.jneb.2017.01.002

      Abstract

      Objective

      To determine the effectiveness of a parent health report on fruit and vegetable consumption among preschoolers and kindergarteners.

      Design

      Pre-post open design trial and a randomized controlled trial.

      Setting

      A university-sponsored preschool and kindergarten.

      Participants

      A total of 63 parents of preschool and kindergarten students participated in the pre-post open design trial and 65 parents participated in the randomized controlled trial.

      Intervention

      Parents in intervention groups were given a parent health report providing information about their child's fruit and vegetable intake as well as recommendations for how to increase their child's fruit and vegetable consumption.

      Main Outcome Measure

      Change in fruit and vegetable consumption.

      Analysis

      Latent growth curve modeling with Bayesian estimation.

      Results

      Vegetable consumption increased by 0.3 servings/d in the open trial and 0.65 servings/d in the randomized trial. Fruit consumption did not increase significantly in either study.

      Conclusions and Implications

      Results from both an open trial and a randomized controlled trial suggested that the parent health report may be a beneficial tool to increase vegetable consumption in preschoolers and kindergarteners. Increases in vegetable consumption can lead to the establishment of lifelong habits of healthy vegetable intake and decrease risk for chronic diseases.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access

      SNEB Member Login

      SNEB Members, full access to the journal is a member benefit. Login via the SNEB Website to access all journal content and features.

      Subscribe:

      Subscribe to Journal of Nutrition Education and Behavior
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Mikkilä V.
        • Räsänen L.
        • Raitakari O.
        • Pietinen P.
        • Viikari J.
        Longitudinal changes in diet from childhood into adulthood with respect to risk of cardiovascular diseases: the Cardiovascular Risk in Young Finns Study.
        Eur J Clin Nutr. 2004; 58: 1038-1045
        • Singer M.R.
        • Moore L.L.
        • Garrahie E.J.
        • Ellison R.C.
        The tracking of nutrient intake in young children: the Framingham Children’s Study.
        Am J Public Health. 1995; 85: 1673-1677
        • Van Duyn M.A.S.
        • Pivonka E.
        Overview of the health benefits of fruit and vegetable consumption for the dietetics professional: selected literature.
        J Am Dietc Assoc. 2000; 100: 1511-1521
        • Natale R.A.
        • Messiah S.E.
        • Asfour L.
        • Uhlhorn S.B.
        • Delamater A.
        • Arheart K.L.
        Role modeling as an early childhood obesity prevention strategy: effect of parents and teachers on preschool children’s healthy lifestyle habits.
        J Dev Behav Pediatr. 2014; 35: 378-387
        • Patrick H.
        • Nicklas T.A.
        A review of family and social determinants of children’s eating patterns and diet quality.
        J Am Coll Nutr. 2005; 24: 83-92
        • Tabak R.G.
        • Tate D.F.
        • Stevens J.
        • Siega-Riz A.M.
        • Ward D.S.
        Family ties to health program: a randomized intervention to improve vegetable intake in children.
        J Nutr Educ Behav. 2012; 44: 166-171
        • Haire-Joshu D.
        • Elliott M.B.
        • Caito N.M.
        • et al.
        High 5 for Kids: the impact of a home visiting program on fruit and vegetable intake of parents and their preschool children.
        Prev Med. 2008; 47: 77-82
        • Sweitzer S.J.
        • Briley M.E.
        • Roberts-Gray C.
        • et al.
        Lunch is in the bag: increasing fruits, vegetables, and whole grains in sack lunches of preschool-aged children.
        J Am Diet Assoc. 2010; 110: 1058-1064
        • Chomitz V.R.
        • Collins J.
        • Kim J.
        • Kramer E.
        • McGowan R.
        Promoting healthy weight among elementary school children via a health report card approach.
        Arch Pediatr Adolesc Med. 2003; 157: 765-772
        • Ajzen I.
        The theory of planned behavior.
        Organizational Behavior and Human Decision Processes. 1991; 50: 179-211
      1. World Health Organization. Healthy diet. http://www.who.int/mediacentre/factsheets/fs394/en/. Accessed December 8, 2016.

      2. Centers for Disease Control and Prevention. BMI percentile calculator for child and teen. http://nccd.cdc.gov/dnpabmi/Calculator.aspx. Accessed December 30, 2014.

        • Thompson F.E.
        • Subar A.F.
        • Smith A.F.
        • et al.
        Fruit and vegetable assessment: performance of 2 new short instruments and a food frequency questionnaire.
        J Am Diet Assoc. 2002; 102: 1764-1772
        • Innes-Hughes C.
        • Hardy L.L.
        • Venugopal K.
        • King L.A.
        • Wolfenden L.
        • Rangan A.
        Children’s consumption of energy-dense nutrient-poor foods, fruit and vegetables: are they related? An analysis of data from a cross sectional survey.
        Health Promot J Austr. 2011; 22: 210-216
        • Pate R.R.
        • Pfeiffer K.A.
        • Trost S.G.
        • Ziegler P.
        • Dowda M.
        Physical activity among children attending preschools.
        Pediatrics. 2004; 114: 1258-1263
      3. US Department of Agriculture. Choose MyPlate. https://www.choosemyplate.gov/. Accessed December 7, 2016.

        • Muthén B.
        • Asparouhov T.
        Bayesian structural equation modeling: a more flexible representation of substantive theory.
        Psychol Methods. 2012; 17: 313-335
        • van de Schoot R.
        • Kaplan D.
        • Denissen J.
        • Asendorpf J.B.
        • Neyer F.J.
        • van Aken M.A.
        A gentle introduction to Bayesian analysis: applications to developmental research.
        Child Dev. 2014; 85: 842-860
        • Witt K.E.
        • Dunn C.
        Increasing fruit and vegetable consumption among preschoolers: evaluation of Color Me Healthy.
        J Nutr Educ Behav. 2012; 44: 107-113
        • Ammerman A.S.
        • Lindquist C.H.
        • Lohr K.N.
        • Hersey J.
        The efficacy of behavioral interventions to modify dietary fat and fruit and vegetable intake: a review of the evidence.
        Prev Med. 2002; 35: 25-41
        • Knai C.
        • Pomerleau J.
        • Lock K.
        • McKee M.
        Getting children to eat more fruit and vegetables: a systematic review.
        Prev Med. 2006; 42: 85-95
        • Wyse R.
        • Campbell K.J.
        • 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: 144
        • Keyte J.
        • Harris S.
        • Margetts B.
        • Robinson S.
        • Baird J.
        Engagement with the National Healthy Schools Programme is associated with higher fruit and vegetable consumption in primary school children.
        J Hum Nutr Diet. 2012; 25: 155-160