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Primary school interventions to promote fruit and vegetable consumption: a systematic review and meta-analysis.

机译:小学干预措施促进水果和蔬菜的消费:系统的回顾和荟萃分析。

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OBJECTIVE: The consumption of fruits and vegetables (FV) may contribute to the prevention of many diseases. However, children at school age do not eat an enough amount of those foods. We have systematically reviewed the literature to assess the effectiveness of school interventions for promoting the consumption of FV. METHODS: We performed a search in MEDLINE, EMBASE, CINAHL and CENTRAL. We pooled results and stratified the analysis according to type of intervention and study design. RESULTS: Nineteen cluster studies were included. Most studies did not describe randomization method and did not take the cluster's effect into account. Pooled results of two randomized controlled trials (RCTs) of computer-based interventions showed effectiveness in improving consumption of FV [Standardized Mean Difference (SMD) 0.33 (95% CI 0.16, 0.50)]. No significant differences were found in pooled analysis of seven RCTs of multicomponent interventions or pooling results of two RCTs evaluating free/subsidized FV interventions. CONCLUSIONS: Meta-analysis shows that computer-based interventions were effective in increasing FV consumption. Multicomponent interventions and free/subsidized FV interventions were not effective. Improvements in methodology are needed in future cluster studies. Although these results are preliminary, computer-based interventions could be considered in schools, given that they are effective and cheaper than other alternatives.
机译:目的:食用水果和蔬菜(FV)可能有助于预防许多疾病。但是,学龄儿童没有吃足够的这些食物。我们已系统地回顾了文献,以评估学校干预措施促进FV消费的有效性。方法:我们在MEDLINE,EMBASE,CINAHL和CENTRAL中进行了搜索。我们汇总了结果,并根据干预类型和研究设计对分析进行了分层。结果:包括19个聚类研究。大多数研究没有描述随机方法,也没有考虑聚类的影响。两项基于计算机干预的随机对照试验(RCT)的汇总结果显示,可以有效改善FV的摄入[标准均差(SMD)0.33(95%CI 0.16,0.50)]。在对多成分干预措施的七个RCT进行汇总分析或对自由/补贴FV干预措施进行评估的两个RCT汇总结果中,未发现显着差异。结论:荟萃分析表明,基于计算机的干预措施在增加FV消耗方面是有效的。多成分干预和免费/补贴的FV干预均无效。未来的聚类研究需要改进方法。尽管这些结果是初步的,但由于它们比其他替代方法更有效且更便宜,因此可以在学校中考虑基于计算机的干预措施。

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