- Title
- Consolidating evidence on the effectiveness of interventions promoting fruit and vegetable consumption: an umbrella review
- Creator
- Wolfenden, Luke; Barnes, Courtney; Lane, Cassandra; McCrabb, Sam; Brown, Hannah M.; Gerritsen, Sarah; Barquera, Simon; Véjar, Lesly Samara; Munguía, Ana; Yoong, Sze Lin
- Relation
- The International Journal of Behavioral Nutrition and Physical Activity Vol. 18, no. 11
- Publisher Link
- http://dx.doi.org/10.1186/s12966-020-01046-y
- Publisher
- BioMed Central
- Resource Type
- journal article
- Date
- 2021
- Description
- Background: The overarching objective was to examine the effectiveness of intervention strategies to promote fruit and vegetable consumption. To do this, systematic review evidence regarding the effects of intervention strategies was synthesized; organized, where appropriate, by the setting in which the strategies were implemented. Additionally, we sought to describe gaps in the review of evidence; that is, where evidence regarding the effectiveness of recommended policy actions had not been systematically synthesised. Methods: We undertook a systematic search of electronic databases and the grey literature to identify systematic reviews describing the effects of any intervention strategy targeting fruit and/or vegetable intake in children or adults of any age. Results: The effects of 32 intervention strategies were synthesised from the 19 included reviews. The strategies were mapped across all three broad domains of the NOURISHING framework (i.e. food environment, food system and behaviour change communication), but covered just 14 of the framework's 65 sub-policy areas. There was evidence supporting the effectiveness of 19 of the 32 intervention strategies. The findings of the umbrella review suggest that intervention strategies implemented within schools, childcare services, homes, workplaces and primary care can be effective, as can eHealth strategies, mass media campaigns, household food production strategies and fiscal interventions. Conclusions: A range of effective strategy options are available for policy makers and practitioners interested in improving fruit and/or vegetable intake. However, the effects of many strategies - particularly those targeting agricultural production practices, the supply chain and the broader food system - have not been reported in systematic reviews. Primary studies assessing the effects of these strategies, and the inclusion of such studies in systematic reviews, are needed to better inform national and international efforts to improve public health nutrition.
- Subject
- nutrition policy; recommended dietary allowances; diet; public health; health promotion; Sustainable Development Goals; SDG 7
- Identifier
- http://hdl.handle.net/1959.13/1423483
- Identifier
- uon:37943
- Identifier
- ISSN:1479-5868
- Rights
- This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
- Language
- eng
- Full Text
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