Chan Jacqueline, Conroy Patrick, Phongsavan Philayrath, Raubenheimer David, Allman-Farinelli Margaret
Nutrition and Dietetics Group, Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia.
Obes Rev. 2025 Jun;26(6):e13897. doi: 10.1111/obr.13897. Epub 2025 Jan 17.
Early childhood is a key opportunity to establish healthy eating behaviors and prevent future non-communicable diseases associated with poor diets. How to effectively intervene in the system of the many determinants influencing children's dietary intake remains unclear. This scoping review aimed to map the determinants of nutrition and eating that have been addressed in early childhood nutrition interventions and identify which of these improve dietary intake. We searched six electronic databases to identify eligible studies published from January 2000 to January 2024. We included studies of any interventions reporting dietary intake among children aged between two and five years. A total of 193 eligible studies were identified and mapped to the Determinants of Nutrition and Eating (DONE) Framework. Parent (n = 97) and child (n = 76) food knowledge and skills were most frequently addressed. Most studies addressing parent (67%) and child (66%) food knowledge and skills reported improvements in dietary intake. Government regulations such as healthy food subsidies, and food advertising and labeling interventions showed promised, with 82% of studies reporting improvements in dietary intake. However, these interventions were predominantly implemented in the United States and Chile. This review provides a comprehensive and systematic map of a range of interventions that positively influence nutritional outcomes in preschool-aged children but recommends further policy-level action globally.
幼儿期是建立健康饮食行为和预防未来与不良饮食相关的非传染性疾病的关键时期。如何有效干预影响儿童饮食摄入的众多决定因素系统仍不明确。本范围综述旨在梳理幼儿营养干预中已涉及的营养和饮食决定因素，并确定其中哪些因素能改善饮食摄入。我们检索了六个电子数据库，以确定2000年1月至2024年1月期间发表的符合条件的研究。我们纳入了任何报告2至5岁儿童饮食摄入情况的干预研究。共确定了193项符合条件的研究，并将其映射到营养与饮食决定因素（DONE）框架。父母（n = 97）和儿童（n = 76）的食物知识和技能是最常被提及的。大多数涉及父母（67%）和儿童（66%）食物知识和技能的研究报告称饮食摄入有所改善。健康食品补贴等政府法规以及食品广告和标签干预措施显示出前景，82%的研究报告饮食摄入有所改善。然而，这些干预措施主要在美国和智利实施。本综述提供了一系列对学龄前儿童营养结果有积极影响的干预措施的全面系统图谱，但建议在全球范围内采取进一步的政策层面行动。
