Pullar Luke, Jarman Megan, Spence Alison C, Povall Hannah, Burnett Alissa J, Blissett Jacqueline
College of Health and Life Sciences, Aston University, Birmingham, United Kingdom; School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.
College of Health and Life Sciences, Aston University, Birmingham, United Kingdom.
Appetite. 2025 Jul 1;211:108012. doi: 10.1016/j.appet.2025.108012. Epub 2025 Apr 14.
Previous research suggests parental feeding practices potentially influence young children's consumption of fruits and vegetables. Most of this research is cross-sectional, with few studies exploring the longer-term associations. Therefore, this systematic review aims to explore the prospective associations between feeding practices and fruit and vegetable consumption in young children aged 1-6 years. Embase, Web of Science, MEDLINE, PsycINFO, CINAHL were searched on October 16, 2023 for prospective studies assessing feeding practices and fruit and vegetable consumption. The search returned 1597 studies, 14 of which met inclusion criteria (6 randomised controlled trials, 5 observational studies, 3 experiments). Included studies were critically appraised using the Joanna Briggs Institute tool for cohort studies and were synthesised following Cochrane guidance for a narrative synthesis. Included studies lasted an average of 77 weeks (range: 2-468 weeks), yielded a total of 18,137 participants (range: 24-12,740), and were mostly (86 %) moderate/high quality. Thirteen feeding practices were explored, including four practices relating to coercive control, five relating to structure, and four relating to autonomy support. The most frequently assessed feeding practices were modelling (50 % of studies), nutrition education (43 % of studies), and pressure to eat (36 % of studies). Eleven (79 %) of the included studies reported a statistically significant association between at least one feeding practice and children fruit and/or vegetable consumption, with modelling most often having a positive effect. This review suggests that structure-based feeding practices are most consistently associated with fruit and/or vegetable consumption. However, a greater range of feeding practices need to be assessed longitudinally to better understand how they predict children's fruit and vegetable consumption over time.
先前的研究表明，父母的喂养方式可能会影响幼儿对水果和蔬菜的摄入量。这项研究大多是横断面研究，很少有研究探讨长期关联。因此，本系统评价旨在探讨1至6岁幼儿的喂养方式与水果和蔬菜摄入量之间的前瞻性关联。2023年10月16日，对Embase、科学网、MEDLINE、PsycINFO、CINAHL进行了检索，以查找评估喂养方式和水果及蔬菜摄入量的前瞻性研究。检索结果为1597项研究，其中14项符合纳入标准（6项随机对照试验、5项观察性研究、3项实验）。使用乔安娜·布里格斯研究所队列研究工具对纳入研究进行严格评估，并按照Cochrane叙述性综述指南进行综合分析。纳入研究的平均时长为77周（范围：2至468周），共有18137名参与者（范围：24至12740），且大多（86%）为中/高质量研究。探讨了13种喂养方式，包括4种与强制控制相关的方式、5种与结构化相关的方式以及4种与自主支持相关的方式。评估最频繁的喂养方式是示范（50%的研究）、营养教育（43%的研究）和强迫进食（36%的研究）。纳入研究中有11项（79%）报告称，至少一种喂养方式与儿童水果和/或蔬菜摄入量之间存在统计学上的显著关联，其中示范方式最常产生积极影响。本综述表明，基于结构化的喂养方式与水果和/或蔬菜摄入量的关联最为一致。然而，需要对更多的喂养方式进行纵向评估，以更好地了解它们如何随着时间推移预测儿童的水果和蔬菜摄入量。
