scholarly journals Effectiveness of Interventions and Behaviour Change Techniques for Improving Dietary Intake in Young Adults: A Systematic Review and Meta-Analysis of RCTs

Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 825 ◽  
Author(s):  
Ashton ◽  
Sharkey ◽  
Whatnall ◽  
Williams ◽  
Bezzina ◽  
...  

Poor eating habits are common during young adulthood and influence chronic disease morbidity. This systematic review evaluates the effectiveness of interventions aiming to improve dietary intake among young adults and, identifies which behaviour change techniques (BCTs) are most effective. Six electronic databases were searched for RCTs published until October 2018, and evaluating behavioural interventions assessing change in dietary intake in young adults (17–35 years). Of the 18,779 articles identified, 54 were included. Forty studies focused on fruit and/or vegetable intake, of which 63% showed a significant between-group difference in favour of the intervention group. Meta-analysis (n = 17) demonstrated a significant increase in fruit and vegetable intake of +68.6 g/day after three months of intervention and +65.8 g/day for interventions >3 months when compared to control. A meta-analysis (n = 5) on total energy intake found no significant differences between groups. The BCTs with the highest effectiveness ratio were habit formation (100%), salience of consequences (83%) and adding objects to the environment (70%). The review highlights the potential of behavioural interventions to improve young adults’ fruit and vegetable intake but was less convincing for other dietary outcomes. Due to the lack of studies including each BCT, the BCTs imperative to success could not be identified.

PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0217223 ◽  
Author(s):  
Juliana E. Brondani ◽  
Fabio V. Comim ◽  
Liziane M. Flores ◽  
Lígia Araújo Martini ◽  
Melissa O. Premaor

BMJ ◽  
2010 ◽  
Vol 341 (aug18 4) ◽  
pp. c4229-c4229 ◽  
Author(s):  
P. Carter ◽  
L. J. Gray ◽  
J. Troughton ◽  
K. Khunti ◽  
M. J. Davies

2014 ◽  
Vol 72 (7) ◽  
pp. 411-428 ◽  
Author(s):  
Ensiyeh Seyedrezazadeh ◽  
Masoud Pour Moghaddam ◽  
Khalil Ansarin ◽  
Mohammad Reza Vafa ◽  
Sangita Sharma ◽  
...  

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 125-125
Author(s):  
Marcela Radtke ◽  
Stephanie Jilcott Pitts ◽  
Lisa Jahns ◽  
Gina Firnhaber ◽  
Brittany Loofbourrow ◽  
...  

Abstract Objectives The purpose of this study was to conduct a systematic review to assess criterion-related validity of spectroscopy-based skin carotenoid measurements against serum/plasma carotenoids and/or dietary intake of fruit and vegetables. Methods PubMed, Embase, ProQuest, Cumulative Index of Nursing and Allied Health Literature, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials were systematically searched in December 2018 to identify articles for inclusion. Articles published from 1990–2018 that correlated spectroscopy-based skin carotenoid measurements to blood carotenoids and/or fruit and vegetable intake met inclusion criteria. The articles were reviewed independently by at least two authors and discrepancies were mediated by a third author. A hand search was conducted of the included papers to ensure no relevant articles were excluded. Results Of the 7931 articles identified in the literature search, 54 articles met the eligibility criteria for full-text review. Following the full-text review, 22 articles were selected for data extraction and were included in the present review. Following the hand search, seven additional articles were eligible for inclusion, resulting in a total of 29 articles. All 29 articles demonstrated statistically significant correlations between spectroscopy-based skin carotenoid measurements and serum/plasma carotenoids and/or dietary intake of fruits and vegetables. Three methods of spectroscopic detection were used: 20 articles used resonance Raman spectroscopy (RRS), seven articles used spectrophotometers, and two articles used reflection spectroscopy (RS) to measure skin carotenoids. Twenty of the articles described the racial/ethnic demographics of the study population, with seven articles containing more than 20% from a non-white, minority population. Four studies were conducted with infants, six studies included children, and the remaining 19 studies focused on adults. Conclusions The results of the systematic review support the use of spectroscopy-based skin carotenoid measurements as an alternative measure of fruit and vegetable intake. Additional research is warranted to examine the use of different spectroscopy techniques in diverse populations and populations of varying ages. Funding Sources N/A.


2020 ◽  
Author(s):  
Tessa Delaney ◽  
Matthew Mclaughlin ◽  
Alix Hall ◽  
Sze Lin Yoong ◽  
Alison Brown ◽  
...  

BACKGROUND There has been a proliferation of digital health interventions (DHIs) targeting dietary intake. Despite their potential, the effectiveness of such interventions are thought to be dependent, in part, on user engagement. However, the relationship between engagement and the effectiveness of dietary DHIs is not well understood. OBJECTIVE As such, the aim of this systematic review is to describe the association between DHI engagement (both usage and subjective experience) and dietary intake. METHODS A comprehensive search for peer-reviewed literature was undertaken in four electronic databases (EMBASE, MEDLINE, PsychINFO, Scopus) from inception to December 2019. A hand search of targeted journals, grey literature searches and a search of relevant references of similar reviews was also conducted. Studies were eligible if they examined a quantitative association between objective measures of engagement with a DHI (subjective experience or usage) and measures of dietary intake in adults (aged ≥18 years). Authors single screened studies, with a pair of review authors assessing quality of studies and extracting relevant data. Narrative syntheses using vote counting was undertaken to explore to relationship between measures of engagement and dietary intake. RESULTS The search resulted in 10,653 citations, of which seven studies (from nine articles) were included in the review. The majority of studies (n=5) included usage measures of engagement rather than subjective experience (n=2). Logins were the most commonly reported usage measure (n=5 studies), and fruit and vegetable intake was the most common measure of dietary intake (n=4 studies). The heterogeneity of engagement and dietary intake measures limited the use of meta-analytic techniques, however narrative review (vote counting) found mixed evidence of an association with usage measures (5 of 12 associations indicating a positive relationship, 7 were inconclusive). No evidence regarding an association with subjective experience was found (0 of 2 associations were inconclusive). The majority of included studies (n=5) were rated poor quality according to the Newcastle Ottawa Scale. CONCLUSIONS The findings provide some evidence supporting an association between measures of usage and fruit and vegetable intake, however this was inconsistent. No evidence was found regarding an association with subjective experience. Given the limited number of studies included in the review and poor quality of available evidence further research examining the association between DHI engagement and dietary intake using consistent measures, with an additional focus on subjective experience is warranted. CLINICALTRIAL CRD42018112189


2018 ◽  
Vol 76 (3) ◽  
pp. 154-173 ◽  
Author(s):  
Lauren M Touyz ◽  
Claire E Wakefield ◽  
Allison M Grech ◽  
Veronica F Quinn ◽  
Daniel S J Costa ◽  
...  

2014 ◽  
Vol 100 (2) ◽  
pp. 567-576 ◽  
Author(s):  
Kathryn A Kaiser ◽  
Andrew W Brown ◽  
Michelle M Bohan Brown ◽  
James M Shikany ◽  
Richard D Mattes ◽  
...  

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