A Systematic Review of Behavioral Interventions to Promote Intake of Fruit and Vegetables

Cynthia A. Thomson, Jennifer Ravia

Research output: Contribution to journalArticle

115 Scopus citations

Abstract

Fruit and vegetable (F/V) intake in the United States remains below recommended levels despite evidence of the health benefits of regular consumption. Efforts to increase F/V intake include behavior-based interventions. A systematic review of MEDLINE PubMed and PsycINFO databases (2005-2010) was conducted to identify behavior-based intervention trials designed to promote F/V intake. Using predetermined limits and selection criteria, 34 studies were identified for inclusion. Behavior-based interventions resulted in an average increase in F/V intake of +1.13 and +0.39 servings per day in adults and children, respectively. Interventions involving minority adults or low-income participants demonstrated average increases in daily F/V consumption of +0.97 servings/day, whereas worksite interventions averaged +0.8 servings/day. Achieving and sustaining F/V intake at recommended levels of intake across the population cannot be achieved through behavior-based interventions alone. Thus, efforts to combine these interventions with other approaches including social marketing, behavioral economics approaches, and technology-based behavior change models should be tested to ensure goals are met and sustained.

Original languageEnglish (US)
Pages (from-to)1523-1535
Number of pages13
JournalJournal of the American Dietetic Association
Volume111
Issue number10
DOIs
StatePublished - Oct 1 2011

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics

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