包括环境可持续性成分的学校营养教育计划对5-12岁儿童水果和蔬菜消费的有效性：系统评价。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior Pub Date : 2025-07-01 DOI:10.1016/j.jneb.2025.02.008

Fay Karpouzis PhD , Kim Anastasiou PhD , Rebecca Lindberg PhD , Adam Walsh PhD , Smita Shah MBChB , Kylie Ball PhD

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引用次数: 0

摘要

本系统综述研究了以学校为基础的营养教育计划的干预措施的有效性，该计划包括环境可持续性成分，以解决儿童（5-12岁）的水果和蔬菜（F&V）消费和/或品种。方法：系统检索MEDLINE、CINAHL、ERIC、Global Health、PsychINFO、EMBASE、Cochrane Library和3个临床试验注册库。在1987年1月1日至2022年2月22日之间的搜索中，发现了18项符合条件的研究。使用证据项目风险偏倚（RoB）工具进行质量评估。结果：16项研究为中高RoB， 2项研究为低RoB。八项研究报告了食品和饮料消费和/或种类的显著增加。包括环境可持续性体验成分（即园艺，品尝f&v和烹饪活动）并以理论框架为基础的项目比报告没有影响的研究更有可能报告显著的结果。结论和意义：本综述强调了以学校为基础的营养教育项目的好处，这些项目包含了环境可持续性的体验成分。这些发现可以支持未来的研究人员通过将环境可持续性的经验成分纳入营养计划来设计改善儿童食品和饮料消费的策略。此外，进行过程评估以收集教师的意见以克服常见的实施障碍，进行长期跟踪评估以监测行为随时间的变化，以及实施学校政策以支持这些项目也可能是有益的。本综述已在国际前瞻性系统评价注册（CRD42020184727）注册。

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Effectiveness of School-based Nutrition Education Programs that Include Environmental Sustainability Components, on Fruit and Vegetable Consumption of 5–12YearOld Children: A Systematic Review

Introduction

This systematic review examined the effectiveness of interventions of school-based nutrition education programs that included environmental sustainability components in addressing fruit and vegetable (F&V) consumption and/or variety among children (aged 5–12 years).

Methods

The systematic search included MEDLINE, CINAHL, ERIC, Global Health, PsychINFO, EMBASE, the Cochrane Library, and 3 clinical trial registries. Searches between January 1, 1987, and February 22, 2022, found 18 eligible studies. The Evidence Project risk-of-bias (RoB) tool was used for quality assessment.

Results

Sixteen studies had moderate-to-high RoB, and 2 had low RoB. Eight studies reported significant increases in F&V consumption and/or variety. Programs that included environmental sustainability experiential components (i.e., gardening, tasting F&Vs, and cooking activities) and were underpinned by a theoretical framework were more likely to report significant outcomes than studies that reported no effects.

Conclusions and Implications

This review underscores the benefits of school-based nutrition education programs that incorporate experiential components of environmental sustainability. These findings could support future researchers in designing strategies to improve children's F&V consumption by incorporating the experiential components of environmental sustainability into nutrition programs. In addition, conducting process evaluations to gather teachers’ input to overcome common implementation barriers, performing long-term follow-up assessments to monitor behavioral changes over time, and implementing school policies to support these programs could also be beneficial. This review was registered with the International Prospective Register of Systematic Reviews (CRD42020184727).

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来源期刊

Journal of Nutrition Education and Behavior 医学-学科教育

CiteScore

4.20

自引率

11.50%

发文量

379

审稿时长

44 days

期刊介绍： The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas. The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.