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Table 3 Impact of nutrition interventions on children’s fruit and vegetable intake

From: How effective are family-based and institutional nutrition interventions in improving children’s diet and health? A systematic review

Study

F&V resultsa (95% CI)

Outcome method

Direction of assoc. Intervention vs control

Family studies

 Baranowski 2003

Fruit & Veg (including juice) intake d = 1.3 (0.55, 2.11)

24-h recall ×2

+

 Cameron 2014

Fruit intake d = 0.06

Veg intake d = 0.05

24-h recall ×3

 Epstein 2001

F&V intake d = 1.05 (0.23–1.87) (↑ F&V group cf. ↓Fat/Sugar group)

FFQ

+/−

 Olvera 2008, 2010

F&V d = 0.34

SPAN questionnaire

+

 Tabak 2012

V intake d = 0.24 (−0.35, 0.84)

FFQ

Preschool/School studies with no parent component

 Bere 2006a

F&V intake (1 yr) d = 0.21 (0.04, 0.39)

F&V intake (2 yrs) d = 0.19 (0.02, 0.37)

24-h recall

+

 Breslin 2012

Veg intake d = 0.17 (−0.03, 0.36)

Fruit intake d = 0.0 (−0.19, 0.19)

FFQ

 Christian 2014

F&V intake d = −0.2 (−0.3, 0.0)

Veg intake d = −0.1 (−0.2, 0.1)

Fruit intake d = −0.1 (−0.3, 0.0)

24-h recall

 Hardy 2010

Fruit in lunch d = −0.11 (−0.40, 0.18)

Veg in lunch d = 0.20 (−0.09, 0.48)

Lunchbox audit

 Hendy 2011

F or V eaten first d = 0.61 (0.36, 0.81)

Direct observation

+

 Perrikou 2013

Fruit intake d = 1.43 (1.05, 1.79) Exposure

d = 1.41 (1.05, 1.77) Education at 1 year

2 day food record (parent)

+

 Perry 2004

Fruit intake d = 0.09

Fruit (no juice) d = 0.12

Direct observation

+

Preschool/School studies with parent component

 Anderson 2005

Fruit intake d = 0.48 (0.13, 0.83)

F&V d = 0.04 (−0.30, 0.39)

3 day food record (self-report)

+/−

 Baranowski 2000

F&V intake Mean difference 0.2 serves/day (1 yr), 0.2 Serves/day (2 yrs)

7 day food record

+

 Bayer 2009

Fruit intake d = 0.14, Veg. intake d = 0.13

FFQ

+

 Bere 2006b

F&V intake (1 yr) d = 0.03(−0.17, 0.23)

F&V intake (2 yrs) d = −0.1(−0.29, 0.12)

24-h recall

 Cohen 2014

F&V intake/1000 kcal d = 0.1

F intake/1000 kcal d = 0.1

V intake/1000 kcal d = 0.1

24-h recall/FFQ

 De Bock 2012

Change in Fruit intake d = 0.38 (0.18, 0.59) Change in Veg intake 0.33 (0.12, 0.53)

Short questions

+

 Evans 2012

F&V intake d = 0.01 (−0.14, 0.16)

24-h recall

 Hoffman 2010

Fruit intake 1 yr. d = 0.86, 2 yrs. d = 0.55, Veg intake 1 yr. d = 0.34, 2 yrs. No difference (at school)

Direct measurement

+/−

 Hopper 1996

Change in F&V serves d = 0.40 (0.00, 0.80) (at school)

Direct observation & measurement

+

 Horne 2009

F&V consumed at lunch at 1 yr. d = 0.35 (0.16, 0.54)

Direct observation & measurement

+

 Kristjansdottir 2010

F&V intake d = 0.92 (0.52, 1.32)

3 day weighed food diary

+

 Muth 2008

F&V Mean difference + 0.85 serves/day

SPAN questionnaire (child)

+

 Vereecken 2009

Fruit intake d = 0.19 (0.00, 0.38)

Veg intake d = 0.08 (−0.11, 0.27)

Fruit intake (at school) d = 0.10 (−0.02, 0.22)

FFQ (parent)

Audit (teacher)

+/−

  1. ad = Cohen’s d where data available otherwise mean difference presented