Additionally, most provided the number of dropouts but not the reason. Health promotion positively influences progressive behaviors that seek to advance health potential, to continuously improve one's lifestyle. Five of six studies (four preventive, one treatment studies) measuring dietary behavior reported significant intervention effects. Developments in Marketing Science: Proceedings of the Academy of Marketing Science. Arija V., Abellana R., Ribot B., Ramn J.M. Nine in 10 Americans consume more than the recommended amount of sodium. The variety of dietary intake of both the intervention and the control schools at baseline was almost similar except for protein source food and oil consumption. The following are available online at https://www.mdpi.com/2072-6643/12/6/1891/s1, Table S1: Risk of bias for individual studies, Figure S1: Funnel plot. An official website of the United States government. Finally, only one study stated that it performed an intent-to-treat analysis. Dietary effects of universal-free school breakfast: Findings from the evaluation of the school breakfast program pilot project. Comfortable eating environment: Another way home health care aides and nurses can help with your loved one's nutrition is to make sure the eating environment is safe and comfortable. De Lauzon-Gillain B., Oliveira A., Charles M.A., Grammatikaki E., Jones L., Rigal N., Lopes C., Manios Y., Moriera P., Emmett P., et al. Because images are known to increase affective response to a message (61), we can hypothesize that performing such modifications in the leaflets visual and design could intensify the pleasure effect already conveyed by the message itself and lead to the expected greater induced emotion after reading the pleasure-oriented message compared with the health-oriented message. 378 children (13 schools, 31 pre-school classes allocated to intervention group or control group. The leaflet was designed by a communication agency from Laval University, the Agence de communication Prambule, to offer a pleasing aesthetic and visual aspect. Dietary intake: fruit and vegetable, sugar-sweetened beverages, fast food. Although our expectations were not met, it is worth mentioning that the median scores of the perceived effectiveness of the message in both conditions were high, meaning that pleasure- and health-oriented approaches both received high appraisal and, therefore, are both likely to foster changes in eating behaviors (58, 59). Licensee MDPI, Basel, Switzerland. Although groups were randomized after baseline assessments, statistical differences between groups at baseline were detected. Mobile Technology for Obesity Prevention: A Randomized Pilot Study in Racial- And Ethnic-Minority Girls. First, participants completed 10 online questionnaires at home documenting, among others, sociodemographic data, food and eating perceptions as well as attitude towards healthy eating and intention to eat healthily; these questionnaires were hosted on a secure web platform (FANI, http://inaf.fsaa.ulaval.ca/fani/). Borenstein M., Hedges L., Higgins J., Rothstein H. Arija V. Mtodos de valoracin del consumo alimentario. There were no significant baseline differences between the groups except for intake of ice-cream, chocolate, and sweets, with children in the control group consuming significantly more than those in the intervention group. Regarding the valence of emotions, the median score was greater for the pleasure leaflet than the health leaflet, although this difference did not reach statistical significance (P=0.06). The type of intervention ranged from the provision of educational materials to individual or group advice, in most cases mixing both strategies and establishing multi-component interventions. Promoting Healthy Nutrition in the Elderly: Six Ways Home Health Care Participated only in data collection during the study period (received the DVD series and family manual after completing the final assessment protocol). Took part in regular after-school childcare enrichment programs at community centers. First, as in all nutrition studies that use self-reported questionnaires, we cannot exclude the possibility of results being influenced by a social desirability bias. For both leaflets, the messages were perceived as being moderately to strongly easy to understand, interesting, important, and of good quality. Mean scores were calculated for both components of attitude and a global score was derived from all 6 items of attitude. Target strategies (classroom, before/after school, recess, cafeteria (school meals)). Fruit juice, milk flavored, soft drinks, snacks, chocolate/sweets, ice-cream, cake/buns/cookies. Standardized mean differences combined by subgroups based on post-intervention time points (random effects model). Promote healthy eating by stocking a variety of nutritious foods at home-fruits and vegetables, whole grains, healthy sources of protein, low-fat dairy (1,4) Keep high-calorie, low-nutrient foods and drinks out of the home-especially sugar-sweetened beverages (1,4,5) Model healthy eating for children by choosing a healthy diet (4,6) Recent studies have indicated the potential of an approach oriented towards eating pleasure to promote the consumption of healthy foods. From a clinical practice perspective, a pilot randomized control trial has suggested that eating-related attitudes and behaviors could be improved through sensory-based interventions among restrained women (17). Standardized mean differences (SMD) combined for all post-intervention time points (random effects model). In contrast, a review by Kader et al. In addition, individuals with an elevated BMI more frequently associate negatively the notions of healthiness and tastiness than do individuals with normal BMI (65), which may have reduced the impact of the pleasure-oriented messages in our sample. The median score includes the items: not persuasive/persuasive, ineffective/effective, not convincing/convincing, and not compelling/compelling. The median scores for the perceived message effectiveness are presented in Table 4. The result of this analysis showed only a change in the effect size but not in the effect direction. Kunst A., Groenhof F., Mackenbach J., Health E. Occupational class and cause specific mortality in middle aged men in 11 European countries: Comparison of population based studies. Healthy diet: health impact, prevalence, correlates, and interventions, Promoting consumption of fruit and vegetables for better health. Therefore, although parental/family involvement was not a key element in improving childrens eating habits, our findings are in line with the results obtained by Hingle et al. [(accessed on 8 April 2020)]; Mozaffarian D., Afshin A., Benowitz N., Bittner V., Daniels S., Franch H.A., Jacobs D.R., Jr., Kraus W.E., Kris-Etherton P.M., Krummel D.A., et al. Because As the result variable of the studies was continuous, the means and the standard deviations in the post-intervention of each group (intervention group and control group) were extracted. This is a challenge for future research, as is the impact of the completeness of interventions. In the context of this study, our definition of eating pleasure echoes the Epicurean pleasure as proposed by Cornil and Chandon (25) and defined as the enduring pleasure derived from the aesthetic appreciation of the sensory and symbolic value of foods (p. 52). Outside unhealthy foods and beverages (items/child/week). Dietary intake (fruits/vegetables, sugar-sweetened beverages), scree time, BMI. Four Strategies for Promoting Healthy Lifestyles in Your Practice A similar situation is observed in other industrialized countries, in which the consumption of a large proportion of the population does not meet dietary guidelines (811). The focus of health promotion is attaining wellness by managing modifiable risk factors, such as smoking, diet, or physical activity. Both versions of the leaflet contained 500 words, and included a title and a short introduction summarizing what it means to eat well. In each version, the message was divided into 4 sections, each referring to 1 of the 4 food groups. Flow chart of the participants through the study. Summarising evidence on effective health promotion interventions from Abbreviations: DE: standard deviation; EDNP: energy-dense nutrient-poor; FVs: fruits and vegetables; LSM: least square means; SSBs: sugar-sweetened beverages; SE: standard error; SHK: Sprouting Healthy Kids. 9. Caroline Vaillancourt and others, Promoting Healthy Eating in Adults: An Evaluation of Pleasure-Oriented versus Health-Oriented Messages, Current Developments in Nutrition, Volume 3, Issue 5, May 2019, nzz012, https://doi.org/10.1093/cdn/nzz012. Imperial County (CA): is characterized by nationally high poverty rates. The clarity score was significantly higher for the health version than for the pleasure version. Role of government policy in nutritionbarriers to and - The BMJ Between 2 and 4 wk after the completion of these online questionnaires, participants were invited to the Clinical Investigation Unit of the Institute of Nutrition and Functional Foods to evaluate the new healthy eating promotion tool. Heterogeneity statistics (Chi2 and I2) were calculated, considering the ranges of I2 values collected in the Cochrane Handbook for Systematic Reviews of Interventions: 040% (non-significant heterogeneity); 3060%: moderate heterogeneity; 5090% (significant heterogeneity); 75100% (considerable heterogeneity) [23]. Affective attitude towards healthy eating was assessed by the following 3 semantic differential scales: Eating healthily in the next month would be (i) unenjoyable/enjoyable; (ii) unpleasant/pleasant; (iii) boring/exciting. Cognitive attitude towards healthy eating was assessed by the following 3 semantic differential scales: Eating healthily in the next month would be (i) not worthwhile/worthwhile; (ii) worthless/valuable; (iii) harmful/beneficial. The score ranged from 1 to 7 (4 being the neutral option) (48). Processed foods are linked with chronic inflammation and other health conditions such as heart disease, diabetes, and cancer. The study was conducted in 2 phases. Wong W.W., Ortiz C.L., Stuff J.E., Mikhail C., Lathan D., Moore L.A., Alejandro M.E., Butte N.F., Smith E.O. Irala-Estvez J., Groth M., Johansson L., Oltersdorf U., Prttl R., Martnez-Gonzlez M.A. Contrasting visceral and Epicurean eating pleasure and their association with portion size preferences and wellbeing, Pleasure and the control of food intake: an embodied cognition approach to consumer self-regulation, Adapting communication messages to reward and punishment sensitivity of targeted audiences in fighting obesity, Let's Get Engaged! vegetables and fruits, grain products, milk and alternatives, meat and alternatives). Towards a consumer-based approach. 12 government secondary schools located in the bottom 50% of the SEIFA measure of relative disadvantage. The dietary changes outlined were: the increased consumption of iron-rich foods, fruit and . As for the valence, participants were asked to rate the following 6 pairs of bipolar adjectives (positively compared with negatively weighted adjectives) on a 7-point semantic differential scale ranging from 3 to 3 (0 being the neutral option): 1) unhappy/happy; 2) annoyed/pleased; 3) unsatisfied/satisfied; 4) melancholic/contended; 5) despairing/hopeful; and 6) bored/relaxed (44). Validated (against 24 h dietary recall) parent-proxy questionnaire, the EPAQ in the 3 outcome measurement time points. The 4 impact items were: 1) persuasive/not persuasive; 2) effective/ineffective; 3) convincing/not convincing; and 4) compelling/not compelling. 12 weeks telephone counseling intervention delivered by automated IVR system and an HER behavioral counseling tool used by the primary care clinician during follow- up visits (parents and children: similar but separate interventions). government site. Also, the language was carefully chosen to closely reflect the respective message orientation of each leaflet. Learning outcome 1: Understand what makes up a balanced diet The main food groups and their sources Carbohydrates: starches, e.g. A total of 14 articles were finally included in this systematic review. Except for arousal score (19), valence score (3 to 3), and general appreciation (110), the score for the other items ranged from 1 to 7. n = 49 for affective, instrumental, and global attitude scores. The authors did not provide intakes in either the baseline (T1) or the time point (post-intervention). The results showed that the orientation manipulation was successful because the pleasure version of the message was perceived as more focused on pleasure than the health version (P=0.01), whereas the health version was perceived as more focused on health than the pleasure version (P<0.001). The Cochrane Collaboration Cochrane Handbook for Systematic Reviews of Interventions. Part of a person's health and wellbeing is about feeling happy and content, as well as meeting the requirements of keeping them nutritionally sustained. Participated only in data collection during the study period. Daily intake fruit and vegetable: 2 questions from the National Cancer Institute Food Attitudes and Behavior survey. Nollen N.L., Mayo M.S., Carlson S.E., Rapoff M.A., Goggin K.J., Ellerbeck E.F. However, this model assumes that the dispersion of the observed effects is due only to the sampling error. Available from: Psychosocial determinants of fruit and vegetable intake in adult population: a systematic review, Canadian Foundation for Dietetic Research, Pleasure as an ally of healthy eating? Describe the factors that may affect nutritional intake. Our review identified studies that used a wide range of concepts to focus on the low socioeconomic level, such as place of residence and/or school located in a low-income area, belonging to certain ethnic groups, being enrolled in a financial support program, as well as concepts directly linked to low income. This variable was measured with eight 7-point semantic differential scales as proposed by Dillard and Ye (42) involving 2 dimensions: the global evaluation of message effect (persuasiveness of the message) and specific judgments of message attributes (believability of the message). The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance was followed, and the protocol of this systematic review was registered in the international prospective register of systematic reviews (PROSPEROID:183900). Four studies carried out the measurements at two points after the intervention [26,29,31,33], three in three points of time [25,30,38], five at a single point [27,28,32,35,37], and only one conducted the evaluation at six post-intervention time points [34]. Effect of smooth eye tracking in different patterns on results of the modified Clinical Balance Sensory Integration Test in healthy young adults. is supported by the official funding agency for biomedical research of the Spanish government, Institute of Health Carlos III(ISCIII) through the Fondo de Investigacin para la Salud (FIS) (Projects 17/01827, Red Predimed-RETIC RD06/0045/1004), the CIBEROBN (CB12/03/30038) and the Balearic Islands Government Grant of support to research groups no. Brown bread, wholegrain cereal, fruits and vegetables (servings/day). PDF social care settings Unit Accreditation Ref FSN 301 Level 3 Credit The contribution of diet and lifestyle to socioeconomic inequalities in cardiovascular morbidity and mortality. As an example, instead of putting the same images in both leaflets, pictures representing as faithfully as possible each dimension of eating pleasure could be used in the pleasure leaflet, whereas pictures focusing on health attributes of foods usually associated with the promotion of healthy eating could be selected for the health leaflet. healthy eating, eating pleasure, message orientation, leaflet, healthy eating promotion, adults This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (, Maternal Mediterranean Diet Adherence and Its Associations with Maternal Prenatal Stressors and Child Growth, The Intestinal Microbiota and Short-Chain Fatty Acids in Association with Advanced Metrics of Glycemia and Adiposity Among Young Adults with Type 1 Diabetes and Overweight or Obesity, COP27 Climate Change Conference: Urgent Action Needed for Africa and the World: : Wealthy nations must step up support for Africa and vulnerable countries in addressing past, present and future impacts of climate change, Participating in a Nutrition-Sensitive Agriculture Intervention Is Not Associated with Less Maternal Time for Care in a Rural Ghanaian District, A Global Analysis of National Dietary Guidelines on Plant-Based Diets and Substitutions for Animal-Based Foods, http://www.who.int/dietphysicalactivity/diet/fr/, https://www.canada.ca/en/health-canada/services/food-nutrition/food-labelling/nutrition-labelling.html, https://www150.statcan.gc.ca/n1/pub/82-625-x/2017001/article/54860-fra.htm, http://www.eufic.org/en/healthy-living/article/fruit-and-vegetable-consumption-in-europe-do-europeans-get-enough, http://inpes.santepubliquefrance.fr/Barometres/barometre-sante-nutrition-2008/index.asp, http://www.foodinsight.org/2017-food-and-health-survey, https://www.cfdr.ca/Sharing/Tracking-Nutrition-Trends.aspx, http://creativecommons.org/licenses/by-nc/4.0/, Receive exclusive offers and updates from Oxford Academic, Facilitators and Barriers to Healthy Eating Among American Indian and Alaska Native Adults with Type 2 Diabetes: Stakeholder Perspectives, Greater Scores for Dietary Fat and Grain Quality Components Underlie Higher Total Healthy Eating Index2015 Scores, While Whole Fruits, Seafood, and Plant Proteins Are Most Favorably Associated with Cardiometabolic Health in US Adults, The Healthy Nurse: Identifying Barriers to Healthy Eating at Work, Nutrition during Pregnancy: Findings from the National Institute of Child Health and Human Development (NICHD) Fetal Growth StudiesSingleton Cohort.
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