Cochrane · systematic review · CD008552

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

Hodder, RK, O'Brien, KM, Tzelepis, F, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Heart5 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
7
No studies
5
Included studies
NR
No studies 5 · 41.7%Ungraded 0 · 0%Very low 4 · 33.3%Low 2 · 16.7%Moderate 1 · 8.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Child‐feeding interventions compared to no intervention for children aged five years and under

Population: children aged five years and under
CD008552.PUB7 (current) · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Child vegetable intake Short‐term impact (< 12 months)
Child‐feeding interventions vs no intervention
no estimate extracted19 studies · 2140 participantsLow
Downgraded: risk of bias, inconsistency
Cost effectiveness Short‐term impact (< 12 months) Not reported
Child‐feeding interventions vs no intervention
no estimate extractedNRNo studies
Unintended adverse events Short‐term impact (< 12 months)
Child‐feeding interventions vs no intervention
no estimate extracted1 study · 39 participantsVery low
Downgraded: risk of bias, imprecision, publication bias

Parent nutrition education interventions compared to no intervention for children aged five years and under

Population: children aged five years and under
CD008552.PUB7 (current) · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Child fruit and vegetable intake Short‐term impact (< 12 months)
Parent nutrition education interventions vs no intervention
no estimate extracted11 studies · 3050 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Cost effectiveness Short‐term impact (< 12 months)
Parent nutrition education interventions vs no intervention
no estimate extracted1 study · 389 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Unintended adverse events Short‐term impact (< 12 months)
Parent nutrition education interventions vs no intervention
no estimate extracted1 study · 343 participantsVery low
Downgraded: risk of bias, imprecision, publication bias

Multicomponent interventions compared to no intervention for children aged five years and under

Population: children aged five years and under
CD008552.PUB7 (current) · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Child fruit and vegetable intake Short‐term impact (< 12 months)
Multicomponent interventions vs no intervention
no estimate extracted9 studies · 2961 participantsModerate
Downgraded: risk of bias
Cost effectiveness Short‐term impact (< 12 months) Not reported
Multicomponent interventions vs no intervention
no estimate extractedNRNo studies
Unintended adverse events Short‐term impact (< 12 months) Not reported
Multicomponent interventions vs no intervention
no estimate extractedNRNo studies

Child nutrition education interventions compared to no intervention for children aged five years and under

Population: children aged five years and under
CD008552.PUB7 (current) · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Child fruit and vegetable intake Short‐term impact (< 12 months)
Child nutrition education interventions vs no intervention
no estimate extracted2 studies · 292 participantsLow
Downgraded: risk of bias, imprecision
Cost or cost effectiveness Not reported
Child nutrition education interventions vs no intervention
no estimate extractedNRNo studies
Unintended adverse events Not reported
Child nutrition education interventions vs no intervention
no estimate extractedNRNo studies

Child‐feeding interventions compared to no intervention for children aged five years and under

Population: children aged five years and under
CD008552.PUB6 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Child vegetable intake Short‐term impact (< 12 months)
Child‐feeding interventions vs no intervention
no estimate extracted18 studies · 2004 participantsVery low
Downgraded: risk of bias, inconsistency, publication bias
Cost effectiveness Short‐term impact (< 12 months) Not reported
Child‐feeding interventions vs no intervention
no estimate extractedNRNo studies
Unintended adverse events Short‐term impact (< 12 months)
Child‐feeding interventions vs no intervention
no estimate extracted1 study · 39 participantsVery low
Downgraded: risk of bias, imprecision, publication bias

Parent nutrition education interventions compared to no intervention for children aged five years and under

Population: children aged five years and under
CD008552.PUB6 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Child fruit and vegetable intake Short‐term impact (< 12 months)
Parent nutrition education interventions vs no intervention
no estimate extracted11 studies · 3078 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Cost effectiveness Short‐term impact (< 12 months)
Parent nutrition education interventions vs no intervention
no estimate extracted1 study · 389 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Unintended adverse events Short‐term impact (< 12 months)
Parent nutrition education interventions vs no intervention
no estimate extracted1 study · 343 participantsVery low
Downgraded: risk of bias, imprecision, publication bias

Multicomponent interventions compared to no intervention for children aged five years and under

Population: children aged five years and under
CD008552.PUB6 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Child fruit and vegetable intake Short‐term impact (< 12 months)
Multicomponent interventions vs no intervention
no estimate extracted9 studies · 3022 participantsModerate
Downgraded: risk of bias
Cost effectiveness Short‐term impact (< 12 months) Not reported
Multicomponent interventions vs no intervention
no estimate extractedNRNo studies
Unintended adverse events Short‐term impact (< 12 months) Not reported
Multicomponent interventions vs no intervention
no estimate extractedNRNo studies

Child nutrition education interventions compared to no intervention for children aged five years and under

Population: children aged five years and under
CD008552.PUB6 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Child fruit and vegetable intake Short‐term impact (< 12 months)
Child nutrition education interventions vs no intervention
no estimate extracted2 studies · 292 participantsLow
Downgraded: risk of bias, imprecision
Cost or cost effectiveness Not reported
Child nutrition education interventions vs no intervention
no estimate extractedNRNo studies
Unintended adverse events Not reported
Child nutrition education interventions vs no intervention
no estimate extractedNRNo studies

Child feeding interventions compared to no intervention for children aged five years and under

Population: children aged five years and under
CD008552.PUB5 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term impact (< 12 months) child vegetable intake
Child feeding interventions vs no intervention
no estimate extracted13 studies · 1741 participantsVery low
Downgraded: risk of bias, inconsistency, publication bias
Short‐term impact (< 12 months) cost effectiveness ‐ not reported
Child feeding interventions vs no intervention
no estimate extractedNRNo studies
Short‐term impact (< 12 months) unintended adverse events
Child feeding interventions vs no intervention
no estimate extracted1 study · 39 participantsVery low
Downgraded: risk of bias, imprecision, publication bias

Parent nutrition education interventions compared to no intervention for children aged five years and under

Population: children aged 5 years and under
CD008552.PUB5 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term impact (< 12 months) child fruit and vegetable intake
Parent nutrition education interventions vs no intervention
no estimate extracted11 studies · 3078 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Short‐term impact (< 12 months) cost effectiveness
Parent nutrition education interventions vs no intervention
no estimate extracted1 study · 389 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Short‐term impact (< 12 months) unintended adverse events
Parent nutrition education interventions vs no intervention
no estimate extracted1 study · 343 participantsVery low
Downgraded: risk of bias, imprecision, publication bias

Multicomponent interventions compared to no intervention for children aged five years and under

Population: children aged 5 years and under
CD008552.PUB5 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term impact (< 12 months) child fruit and vegetable intake
Multicomponent interventions vs no intervention
no estimate extracted5 studies · 2009 participantsLow
Downgraded: risk of bias, inconsistency
Short‐term impact (< 12 months) cost effectiveness ‐ not reported
Multicomponent interventions vs no intervention
no estimate extractedNRNo studies
Short‐term impact (< 12 months) unintended adverse events ‐ not reported
Multicomponent interventions vs no intervention
no estimate extractedNRNo studies

Child nutrition education interventions compared to no intervention for children aged five years and under

Population: children aged 5 years and under
CD008552.PUB5 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term impact (< 12 months) child fruit and vegetable intake
Child nutrition education interventions vs no intervention
no estimate extracted1 study · 238 participantsLow
Downgraded: risk of bias, imprecision
Cost or cost effectiveness ‐ not reported
Child nutrition education interventions vs no intervention
no estimate extractedNRNo studies
Unintended adverse events ‐ not reported
Child nutrition education interventions vs no intervention
no estimate extractedNRNo studies

Child feeding interventions compared to no intervention for children aged five years and under

Population: children aged 5 years and under
CD008552.PUB4 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term impact (< 12 months) child vegetable intake
Child feeding interventions vs no intervention
no estimate extracted11 studies · 1509 participantsVery low
Downgraded: risk of bias, inconsistency, publication bias
Short‐term impact (< 12 months) cost effectiveness ‐ not reported
Child feeding interventions vs no intervention
no estimate extractedNRNo studies
Short‐term impact (< 12 months) unintended adverse events
Child feeding interventions vs no intervention
no estimate extracted1 study · 39 participantsVery low
Downgraded: risk of bias, imprecision, publication bias

Parent nutrition education interventions compared to no intervention for children aged five years and under

Population: children aged 5 years and under
CD008552.PUB4 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term impact (< 12 months) child fruit and vegetable intake
Parent nutrition education interventions vs no intervention
no estimate extracted10 studies · 3023 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Short‐term impact (< 12 months) cost effectiveness
Parent nutrition education interventions vs no intervention
no estimate extracted1 study · 389 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Short‐term impact (< 12 months) unintended adverse events
Parent nutrition education interventions vs no intervention
no estimate extracted1 study · 343 participantsVery low
Downgraded: risk of bias, imprecision, publication bias

Multicomponent interventions compared to no intervention for children aged five years and under

Population: children aged 5 years and under
CD008552.PUB4 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term impact (< 12 months) child fruit and vegetable intake
Multicomponent interventions vs no intervention
no estimate extracted4 studies · 1861 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Short‐term impact (< 12 months) cost effectiveness ‐ not reported
Multicomponent interventions vs no intervention
no estimate extractedNRNo studies
Short‐term impact (< 12 months) unintended adverse events ‐ not reported
Multicomponent interventions vs no intervention
no estimate extractedNRNo studies

Child nutrition education interventions compared to no intervention for children aged five years and under

Population: children aged 5 years and under
CD008552.PUB4 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term impact (< 12 months) child fruit and vegetable intake
Child nutrition education interventions vs no intervention
no estimate extracted1 study · 238 participantsLow
Downgraded: risk of bias, imprecision
Cost or cost effectiveness ‐ not reported
Child nutrition education interventions vs no intervention
no estimate extractedNRNo studies
Unintended adverse events ‐ not reported
Child nutrition education interventions vs no intervention
no estimate extractedNRNo studies

Child feeding interventions compared to no intervention for children aged five years and under

Population: children aged 5 years and under
CD008552.PUB3 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term impact (< 12 months) child vegetable intake
Child feeding interventions vs no intervention
no estimate extracted11 studies · 1509 participantsVery low
Downgraded: risk of bias, inconsistency, publication bias
Short‐term impact (< 12 months) cost effectiveness ‐ not reported
Child feeding interventions vs no intervention
no estimate extractedNRNo studies
Short‐term impact (< 12 months) unintended adverse events
Child feeding interventions vs no intervention
no estimate extracted1 study · 39 participantsVery low
Downgraded: risk of bias, imprecision, publication bias

Parent nutrition education interventions compared to no intervention for children aged five years and under

Population: children aged 5 years and under
CD008552.PUB3 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term impact (< 12 months) child fruit and vegetable intake
Parent nutrition education interventions vs no intervention
no estimate extracted10 studies · 3023 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Short‐term impact (< 12 months) cost effectiveness
Parent nutrition education interventions vs no intervention
no estimate extracted1 study · 389 participantsVery low
Downgraded: risk of bias, imprecision, publication bias
Short‐term impact (< 12 months) unintended adverse events
Parent nutrition education interventions vs no intervention
no estimate extracted1 study · 343 participantsVery low
Downgraded: risk of bias, imprecision, publication bias

Multicomponent interventions compared to no intervention for children aged five years and under

Population: children aged 5 years and under
CD008552.PUB3 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term impact (< 12 months) child fruit and vegetable intake
Multicomponent interventions vs no intervention
no estimate extracted4 studies · 1861 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Short‐term impact (< 12 months) cost effectiveness ‐ not reported
Multicomponent interventions vs no intervention
no estimate extractedNRNo studies
Short‐term impact (< 12 months) unintended adverse events ‐ not reported
Multicomponent interventions vs no intervention
no estimate extractedNRNo studies

Child nutrition education interventions compared to no intervention for children aged five years and under

Population: children aged 5 years and under
CD008552.PUB3 · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Short‐term impact (< 12 months) child fruit and vegetable intake
Child nutrition education interventions vs no intervention
no estimate extracted1 study · 238 participantsLow
Downgraded: risk of bias, imprecision
Cost or cost effectiveness ‐ not reported
Child nutrition education interventions vs no intervention
no estimate extractedNRNo studies
Unintended adverse events ‐ not reported
Child nutrition education interventions vs no intervention
no estimate extractedNRNo studies