Community-based interventions for enhancing access to or consumption of fruit and vegetables among five to 18-year olds: a scoping review.
Community-based interventions for enhancing access to or consumption of fruit and vegetables among five to 18-year olds: a scoping review.
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DOI：
10.1186/1471-2458-12-711
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发表时间：
2012-08-30
影响因子：
4.5
通讯作者：
Peirson L
中科院分区：
文献类型：
--
作者：
Ganann R;Fitzpatrick-Lewis D;Ciliska D;Peirson L
水果和蔬菜（FV）消费量低是发病率和死亡率的一个关键风险因素。由于缺乏获得FV的途径，FV的消费受到限制。加强对干预措施及其对获得和消费FV的影响的理解，可以为公共卫生决策者提供指导。本范围审查的目的是确定和映射文献，这些文献评估了旨在增加5至18岁青奥尔兹的FV获取或消费的基于社区的干预措施的效果。检索包括21个电子书目数据库、灰色文献、目标组织网站和截至2011年5月发表的相关研究的15种关键期刊。对检索到的引文进行两次相关性筛选。从包括的研究中提取的数据涵盖：年份，国家，研究设计，目标受众，干预设置，干预策略，干预人员和报告的结果。检索发现了19，607篇独特引文。对1，908项研究进行了全文相关性筛选。最终的289项独特研究包括30项知识综合，27项随机对照试验，55项准实验研究，113项集群对照研究，60项前后研究，1项混合方法研究和3项对照时间序列研究。在这些研究中，46项包括获取结果，278项包括消费结果。在目标人群方面，110项研究侧重于5至7岁的奥尔兹，175项针对8至10岁的儿童，192项针对11至14岁的儿童，73项针对15至18岁的儿童，55项针对父母，30项针对教师、其他服务提供者或公众。最常见的干预地点包括学校、社区或社区中心以及家庭。大多数研究实施了多方面的干预策略，以增加FV的获取或消费。虽然消费措施通常报告，本审查确定了一个小而重要的子集的文献检查获得FV。这是一个至关重要的问题，因为消费取决于获取。未来的研究应该检查干预措施对FV访问的直接结果措施的影响，还需要对这些干预措施进行集中的系统评价。此外，根据有限的现有知识基础，有必要对中低收入国家的干预措施进行研究。
Low fruit and vegetable ( FV) consumption is a key risk factor for morbidity and mortality. Consumption of FV is limited by a lack of access to FV. Enhanced understanding of interventions and their impact on both access to and consumption of FV can provide guidance to public health decision-makers. The purpose of this scoping review is to identify and map literature that has evaluated effects of community-based interventions designed to increase FV access or consumption among five to 18-year olds. The search included 21 electronic bibliographic databases, grey literature, targeted organization websites, and 15 key journals for relevant studies published up to May 2011. Retrieved citations were screened in duplicate for relevance. Data extracted from included studies covered: year, country, study design, target audience, intervention setting, intervention strategies, interventionists, and reported outcomes. The search located 19,607 unique citations. Full text relevance screening was conducted on 1,908 studies. The final 289 unique studies included 30 knowledge syntheses, 27 randomized controlled trials, 55 quasi-experimental studies, 113 cluster controlled studies, 60 before-after studies, one mixed method study, and three controlled time series studies. Of these studies, 46 included access outcomes and 278 included consumption outcomes. In terms of target population, 110 studies focused on five to seven year olds, 175 targeted eight to 10 year olds, 192 targeted 11 to 14 year olds, 73 targeted 15 to 18 year olds, 55 targeted parents, and 30 targeted teachers, other service providers, or the general public. The most common intervention locations included schools, communities or community centres, and homes. Most studies implemented multi-faceted intervention strategies to increase FV access or consumption. While consumption measures were commonly reported, this review identified a small yet important subset of literature examining access to FV. This is a critically important issue since consumption is contingent upon access. Future research should examine the impact of interventions on direct outcome measures of FV access and a focused systematic review that examines these interventions is also needed. In addition, research on interventions in low- and middle-income countries is warranted based on a limited existing knowledge base.
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