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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Impact of nutrition environmental interventions on point-of-purchase behavior in adults: a review.
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Impact of nutrition environmental interventions on point-of-purchase behavior in adults: a review.

机译:营养环境干预措施对成年人购买行为的影响:综述。

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BACKGROUND: Nutrition interventions targeted to individuals are unlikely to significantly shift US dietary patterns as a whole. Environmental and policy interventions are more promising for shifting these patterns. We review interventions that influenced the environment through food availability, access, pricing, or information at the point-of-purchase in worksites, universities, grocery stores, and restaurants. METHODS: Thirty-eight nutrition environmental intervention studies in adult populations, published between 1970 and June 2003, were reviewed and evaluated on quality of intervention design, methods, and description (e.g., sample size, randomization). No policy interventions that met inclusion criteria were found. RESULTS: Many interventions were not thoroughly evaluated or lacked important evaluation information. Direct comparison of studies across settings was not possible, but available data suggest that worksite and university interventions have the most potential for success. Interventions in grocery stores appear to be the least effective. The dual concerns of health and taste of foods promoted were rarely considered. Sustainability of environmental change was never addressed. CONCLUSIONS: Interventions in "limited access" sites (i.e., where few other choices were available) had the greatest effect on food choices. Research is needed using consistent methods, better assessment tools, and longer durations; targeting diverse populations; and examining sustainability. Future interventions should influence access and availability, policies, and macroenvironments.
机译:背景:针对个人的营养干预措施不太可能整体上改变美国的饮食方式。环境和政策干预对于改变这些模式更有希望。我们审查了在工作场所,大学,杂货店和餐馆中通过食品的可获得性,获取,价格或购买时的信息影响环境的干预措施。方法:回顾并评估了1970年至2003年6月在成年人群中进行的38次营养环境干预研究,评估了干预设计,方法和描述的质量(例如样本量,随机化)。未找到符合纳入标准的政策干预措施。结果:许多干预措施未得到彻底评估或缺少重要的评估信息。无法进行跨场所研究的直接比较,但是可用数据表明,工作场所和大学的干预措施具有最大的成功潜力。杂货店的干预似乎效果最低。很少考虑促进食品健康和口味的双重问题。从未解决环境变化的可持续性。结论:在“限制进入”场所(即其他选择很少的场所)进行的干预对食物选择的影响最大。需要使用一致的方法,更好的评估工具和更长的时间进行研究;针对不同人群;并研究可持续性。未来的干预措施应该影响访问和可用性,策略以及宏观环境。

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