Increasing vegetable intakes: rationale and systematic review of published interventions.
Increasing vegetable intakes: rationale and systematic review of published interventions.
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DOI：
10.1007/s00394-015-1130-8
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发表时间：
2016-04
影响因子：
5
通讯作者：
Hartwell H
中科院分区：
文献类型：
--
作者：
Appleton KM;Hemingway A;Saulais L;Dinnella C;Monteleone E;Depezay L;Morizet D;Armando Perez-Cueto FJ;Bevan A;Hartwell H
虽然大量食用水果和蔬菜对健康的益处是众所周知的，并且已经做了大量工作试图改善摄入量，但越来越多的证据也认识到水果和蔬菜之间的区别，无论是在对健康的影响还是在消费模式方面。越来越多的工作表明，蔬菜的高消费对健康有益，但摄入量仍然很低，增加摄入量的障碍普遍存在，使干预变得困难。进行了系统的审查，以确定从已发表的文献中所有的研究报告的干预措施，以增加摄入量的蔬菜作为一个独特的食物组。数据库-PubMed，PsychInfo和Medline-使用预先指定的术语检索了截至2015年4月的所有年份的记录。我们的检索确定了77项研究，详细介绍了140项干预措施，其中133项（81%）干预措施在儿童中进行。干预措施旨在使用或改变享乐因素，如品味，喜好和熟悉度（n = 72），使用或改变环境因素（n = 39），使用或改变认知因素（n = 19），或策略组合（n = 10）。116项（83%）干预措施在一定程度上增加了蔬菜接受、选择和/或消费，但大多数效果似乎很小且不一致。目前，环境、教育和多因素干预的成功率更高，但可能存在出版偏倚，很少考虑长期影响和成本效益。需要注重长期利益和持续的行为改变。某些人口群体也明显没有出现在目前尝试过的干预措施清单上。
While the health benefits of a high fruit and vegetable consumption are well known and considerable work has attempted to improve intakes, increasing evidence also recognises a distinction between fruit and vegetables, both in their impacts on health and in consumption patterns. Increasing work suggests health benefits from a high consumption specifically of vegetables, yet intakes remain low, and barriers to increasing intakes are prevalent making intervention difficult. A systematic review was undertaken to identify from the published literature all studies reporting an intervention to increase intakes of vegetables as a distinct food group. Databases—PubMed, PsychInfo and Medline—were searched over all years of records until April 2015 using pre-specified terms. Our searches identified 77 studies, detailing 140 interventions, of which 133 (81 %) interventions were conducted in children. Interventions aimed to use or change hedonic factors, such as taste, liking and familiarity (n = 72), use or change environmental factors (n = 39), use or change cognitive factors (n = 19), or a combination of strategies (n = 10). Increased vegetable acceptance, selection and/or consumption were reported to some degree in 116 (83 %) interventions, but the majority of effects seem small and inconsistent. Greater percent success is currently found from environmental, educational and multi-component interventions, but publication bias is likely, and long-term effects and cost-effectiveness are rarely considered. A focus on long-term benefits and sustained behaviour change is required. Certain population groups are also noticeably absent from the current list of tried interventions.