» Articles » PMID: 34776826

Effectiveness of a Kindergarten-based Intervention to Increase Vegetable Intake and Reduce Food Neophobia Amongst 1-year-old Children: a Cluster Randomised Controlled Trial

Overview
Journal Food Nutr Res
Date 2021 Nov 15
PMID 34776826
Citations 10
Authors
Affiliations
Soon will be listed here.
Abstract

Background: Children's first years of life are crucial to their future health. Studies show that a varied diet with a high intake of vegetables is positive in several domains of health. The present low vegetable intake amongst children is, therefore, a concern. Food neophobia is a common barrier to vegetable intake in children. As most Norwegian children attend kindergarten from an early age, kindergartens could contribute to the prevention of food neophobia and the promotion of vegetable intake.

Objective: The aim of this study was to assess the effect of a cluster randomised trial amongst 1-year-old children in kindergarten to reduce food neophobia and promote healthy eating.

Methods: Kindergartens were randomly allocated to either a control group or one of two intervention groups. Both intervention groups (diet and diet + Sapere-method) were served a warm lunch meal including three alternating intervention vegetables, whilst the intervention group 2 (diet + Sapere) in addition received tools for weekly sensory lessons. The intervention was digitally administered via information and recipes on a study website. The control group did not receive any information. Parents completed digitally distributed questionnaires addressing food neophobia and food habits at baseline and post-intervention.

Results: The parents of 144 1-year-old children in 46 kindergartens completed the questionnaires, which were included in the main analysis. The results suggested a higher intake of the intervention vegetables in group 2 (diet + Sapere) compared to the control group. The effect on total vegetable intake was inconclusive. No effect was observed on the level of food neophobia in either of the intervention group.

Conclusion: This digitally delivered dietary and sensory intervention promoted the intake of intervention-targeted vegetables with inconclusive effect on total vegetable intake due to large loss to follow-up. No effect on the level of food neophobia was detected.

Citing Articles

Assessing and Enhancing Nutrition and Physical Activity Environments in Early Childhood Education and Care Centers: Scoping Review of eHealth Tools.

Hayek J, Dickson K, Lafave L JMIR Pediatr Parent. 2025; 8:e68372.

PMID: 39841984 PMC: 11809617. DOI: 10.2196/68372.


Implementation strategies: lessons learned during an e-learning intervention to improve dietary behaviors and feeding practices in early childhood education and care.

Lian H, Overby N, Vik F, Medin A, Osorio N, Helle C BMC Nutr. 2025; 11(1):7.

PMID: 39806465 PMC: 11726949. DOI: 10.1186/s40795-024-00990-3.


Enhancing core components for a digital "healthy eating" resource in early childhood and care settings: staff's perceptions and needs.

Helland S, Bjorkkjaer T, Vejrup K, Overby N BMC Public Health. 2024; 24(1):3000.

PMID: 39478518 PMC: 11523860. DOI: 10.1186/s12889-024-20456-2.


Interventions for increasing fruit and vegetable consumption in children aged five years and under.

Hodder R, OBrien K, Wyse R, Tzelepis F, Yoong S, Stacey F Cochrane Database Syst Rev. 2024; 9:CD008552.

PMID: 39312396 PMC: 11418976. DOI: 10.1002/14651858.CD008552.pub8.


Implementing an early-life nutrition intervention through primary healthcare: staff perspectives.

Osorio N, Vik F, Helle C, Hillesund E, Overby N, Helland S BMC Health Serv Res. 2024; 24(1):1106.

PMID: 39304886 PMC: 11414156. DOI: 10.1186/s12913-024-11582-z.


References
1.
Dovey T, Staples P, Gibson E, Halford J . Food neophobia and 'picky/fussy' eating in children: a review. Appetite. 2007; 50(2-3):181-93. DOI: 10.1016/j.appet.2007.09.009. View

2.
Cassells E, Magarey A, Daniels L, Mallan K . The influence of maternal infant feeding practices and beliefs on the expression of food neophobia in toddlers. Appetite. 2014; 82:36-42. DOI: 10.1016/j.appet.2014.07.001. View

3.
McCambridge J, Witton J, Elbourne D . Systematic review of the Hawthorne effect: new concepts are needed to study research participation effects. J Clin Epidemiol. 2013; 67(3):267-77. PMC: 3969247. DOI: 10.1016/j.jclinepi.2013.08.015. View

4.
Blomkvist E, Helland S, Hillesund E, Overby N . A cluster randomized web-based intervention trial to reduce food neophobia and promote healthy diets among one-year-old children in kindergarten: study protocol. BMC Pediatr. 2018; 18(1):232. PMC: 6046098. DOI: 10.1186/s12887-018-1206-8. View

5.
Johannessen B, Helland S, Bere E, Overby N, Fegran L . "A bumpy road": Kindergarten staff's experiences with an intervention to promote healthy diets in toddlers. Appetite. 2018; 127:37-43. DOI: 10.1016/j.appet.2018.04.008. View