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- Title
Reducing discretionary food and beverage intake in early childhood: a systematic review within an ecological framework.
- Authors
Johnson, Brittany J; Hendrie, Gilly A; Golley, Rebecca K
- Abstract
<bold>Objective: </bold>To systematically review the literature and map published studies on 4-8-year-olds' intake of discretionary choices against an ecological framework (ANalysis Grid for Environments Linked to Obesity; ANGELO).<bold>Design: </bold>Articles were identified through database searches (PubMed, PyscINFO®, Web of Science) in February and March 2014 and hand-searching reference lists. Studies were assessed for methodological quality and mapped against the ANGELO framework by environment size (macro and micro setting) and type (physical, economic, policy and socio-cultural influences).<bold>Setting: </bold>Studies were conducted in the USA (n 18), Australia (n 6), the UK (n 3), the Netherlands (n 3), Belgium (n 1), Germany (n 1) and Turkey (n 1).<bold>Subjects: </bold>Children aged 4-8 years, or parents/other caregivers.<bold>Results: </bold>Thirty-three studies met the review criteria (observational n 23, interventions n 10). Home was the most frequently studied setting (67 % of exposures/strategies), with the majority of these studies targeting family policy-type influences (e.g. child feeding practices, television regulation). Few studies were undertaken in government (5·5 %) or community (11 %) settings, or examined economic-type influences (0 %). Of the intervention studies only four were categorised as effective.<bold>Conclusions: </bold>The present review is novel in its focus on mapping observational and intervention studies across a range of settings. It highlights the urgent need for high-quality research to inform interventions that directly tackle the factors influencing children's excess intake of discretionary choices. Interventions that assist in optimising a range of environmental influences will enhance the impact of future public health interventions to improve child diet quality.
- Subjects
AUSTRALIA; BELGIUM; GERMANY; NETHERLANDS; TURKEY; UNITED States; BEVERAGES; CHILD nutrition; DECISION making; DIET; FOOD habits; HEALTH promotion; NUTRITIONAL requirements; SYSTEMATIC reviews
- Publication
Public Health Nutrition, 2016, Vol 19, Issue 8, p1684
- ISSN
1368-9800
- Publication type
journal article
- DOI
10.1017/S1368980015002992