Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part II: qualitative studies

<p>Abstract</p> <p>Background</p> <p>Large proportions of children do not fulfil the World Health Organization recommendation of eating at least 400 grams of fruit and vegetables (FV) per day. To promote an increased FV intake among children it is important to identify...

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Main Authors: Krølner Rikke, Rasmussen Mette, Brug Johannes, Klepp Knut-Inge, Wind Marianne, Due Pernille
Format: Article
Language:English
Published: BMC 2011-10-01
Series:International Journal of Behavioral Nutrition and Physical Activity
Subjects:
Online Access:http://www.ijbnpa.org/content/8/1/112
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author Krølner Rikke
Rasmussen Mette
Brug Johannes
Klepp Knut-Inge
Wind Marianne
Due Pernille
author_facet Krølner Rikke
Rasmussen Mette
Brug Johannes
Klepp Knut-Inge
Wind Marianne
Due Pernille
author_sort Krølner Rikke
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Large proportions of children do not fulfil the World Health Organization recommendation of eating at least 400 grams of fruit and vegetables (FV) per day. To promote an increased FV intake among children it is important to identify factors which influence their consumption. Both qualitative and quantitative studies are needed. Earlier reviews have analysed evidence from quantitative studies. The aim of this paper is to present a systematic review of qualitative studies of determinants of children's FV intake.</p> <p>Methods</p> <p>Relevant studies were identified by searching Anthropology Plus, Cinahl, CSA illumine, Embase, International Bibliography of the Social Sciences, Medline, PsycINFO, and Web of Science using combinations of synonyms for FV intake, children/adolescents and qualitative methods as search terms. The literature search was completed by December 1st 2010. Papers were included if they applied qualitative methods to investigate 6-18-year-olds' perceptions of factors influencing their FV consumption. Quantitative studies, review studies, studies reported in other languages than English, and non-peer reviewed or unpublished manuscripts were excluded. The papers were reviewed systematically using standardised templates for summary of papers, quality assessment, and synthesis of findings across papers.</p> <p>Results</p> <p>The review included 31 studies, mostly based on US populations and focus group discussions. The synthesis identified the following potential determinants for FV intake which supplement the quantitative knowledge base: Time costs; lack of taste guarantee; satiety value; appropriate time/occasions/settings for eating FV; sensory and physical aspects; variety, visibility, methods of preparation; access to unhealthy food; the symbolic value of food for image, gender identity and social interaction with peers; short term outcome expectancies.</p> <p>Conclusions</p> <p>The review highlights numerous potential determinants which have not been investigated thoroughly in quantitative studies. Future large scale quantitative studies should attempt to quantify the importance of these factors. Further, mechanisms behind gender, age and socioeconomic differences in FV consumption are proposed which should be tested quantitatively in order to better tailor interventions to vulnerable groups. Finally, the review provides input to the conceptualisation and measurements of concepts (i.e. peer influence, availability in schools) which may refine survey instruments and theoretical frameworks concerning eating behaviours.</p>
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spelling doaj.art-6b10e12fdabb431fa7bf7270f47491da2022-12-22T01:45:16ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682011-10-018111210.1186/1479-5868-8-112Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part II: qualitative studiesKrølner RikkeRasmussen MetteBrug JohannesKlepp Knut-IngeWind MarianneDue Pernille<p>Abstract</p> <p>Background</p> <p>Large proportions of children do not fulfil the World Health Organization recommendation of eating at least 400 grams of fruit and vegetables (FV) per day. To promote an increased FV intake among children it is important to identify factors which influence their consumption. Both qualitative and quantitative studies are needed. Earlier reviews have analysed evidence from quantitative studies. The aim of this paper is to present a systematic review of qualitative studies of determinants of children's FV intake.</p> <p>Methods</p> <p>Relevant studies were identified by searching Anthropology Plus, Cinahl, CSA illumine, Embase, International Bibliography of the Social Sciences, Medline, PsycINFO, and Web of Science using combinations of synonyms for FV intake, children/adolescents and qualitative methods as search terms. The literature search was completed by December 1st 2010. Papers were included if they applied qualitative methods to investigate 6-18-year-olds' perceptions of factors influencing their FV consumption. Quantitative studies, review studies, studies reported in other languages than English, and non-peer reviewed or unpublished manuscripts were excluded. The papers were reviewed systematically using standardised templates for summary of papers, quality assessment, and synthesis of findings across papers.</p> <p>Results</p> <p>The review included 31 studies, mostly based on US populations and focus group discussions. The synthesis identified the following potential determinants for FV intake which supplement the quantitative knowledge base: Time costs; lack of taste guarantee; satiety value; appropriate time/occasions/settings for eating FV; sensory and physical aspects; variety, visibility, methods of preparation; access to unhealthy food; the symbolic value of food for image, gender identity and social interaction with peers; short term outcome expectancies.</p> <p>Conclusions</p> <p>The review highlights numerous potential determinants which have not been investigated thoroughly in quantitative studies. Future large scale quantitative studies should attempt to quantify the importance of these factors. Further, mechanisms behind gender, age and socioeconomic differences in FV consumption are proposed which should be tested quantitatively in order to better tailor interventions to vulnerable groups. Finally, the review provides input to the conceptualisation and measurements of concepts (i.e. peer influence, availability in schools) which may refine survey instruments and theoretical frameworks concerning eating behaviours.</p>http://www.ijbnpa.org/content/8/1/112fruitvegetableschildadolescentqualitativereviewschoolfamilyavailabilityeating behaviour
spellingShingle Krølner Rikke
Rasmussen Mette
Brug Johannes
Klepp Knut-Inge
Wind Marianne
Due Pernille
Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part II: qualitative studies
International Journal of Behavioral Nutrition and Physical Activity
fruit
vegetables
child
adolescent
qualitative
review
school
family
availability
eating behaviour
title Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part II: qualitative studies
title_full Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part II: qualitative studies
title_fullStr Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part II: qualitative studies
title_full_unstemmed Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part II: qualitative studies
title_short Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part II: qualitative studies
title_sort determinants of fruit and vegetable consumption among children and adolescents a review of the literature part ii qualitative studies
topic fruit
vegetables
child
adolescent
qualitative
review
school
family
availability
eating behaviour
url http://www.ijbnpa.org/content/8/1/112
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