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Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Watch Me Grow: A garden-based pilot intervention to increase vegetable and fruit intake in preschoolers

Authors: Rebecca J Namenek Brouwer, Sara E Benjamin Neelon

Published in: BMC Public Health | Issue 1/2013

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Abstract

Background

Americans, including children, consume fewer fruit and vegetable servings than is recommended. Given that young children spend large amounts of time in child care centers, this may be an ideal venue for increasing consumption of and enthusiasm for fruits and vegetables. This pilot study aimed to assess the feasibility of a gardening intervention to promote vegetable and fruit intake among preschoolers.

Methods

We enrolled two intervention centers and two control centers. The intervention included a fruit and vegetable garden, monthly curriculum, gardening support, and technical assistance. We measured mean (SD) servings of fruits and vegetables served to and consumed by three children per center before and after the intervention.

Results

Post intervention, intervention and control centers served fewer vegetables (mean (standard deviation) difference of -0.18 (0.63) in intervention, -0.37 (0.36) in control), but intervention children consumed more than control children (+0.25 (1.11) vs. -0.18 (0.52). The number of fruits served decreased in all centers (intervention -0.62 (0.58) vs. control -0.10 (0.52)) but consumption was higher in controls (intervention -0.32 (0.58) vs. control 0.15 (0.26)).

Conclusions

The garden-based feasibility study shows promise, but additional testing is needed to assess its ability to increase vegetable and fruit intake in children.
Literature
1.
go back to reference Siega-Riz AM, Deming DM, Reidy KC, Fox MK, Condon E, Briefel RR: Food consumption patterns of infants and toddlers: where are we now?. J Am Diet Assoc. 2010, 110 (12, Supplement): 38-51. 10.1016/j.jada.2010.09.001.CrossRef Siega-Riz AM, Deming DM, Reidy KC, Fox MK, Condon E, Briefel RR: Food consumption patterns of infants and toddlers: where are we now?. J Am Diet Assoc. 2010, 110 (12, Supplement): 38-51. 10.1016/j.jada.2010.09.001.CrossRef
2.
go back to reference Fox MK, Condon E, Briefel RR, Reidy KC, Deming DM: Food consumption patterns of young preschoolers: are they starting off on the right path?. J Am Diet Assoc. 2010, 110 (12, Supplement): 52-59. 10.1016/j.jada.2010.09.002.CrossRef Fox MK, Condon E, Briefel RR, Reidy KC, Deming DM: Food consumption patterns of young preschoolers: are they starting off on the right path?. J Am Diet Assoc. 2010, 110 (12, Supplement): 52-59. 10.1016/j.jada.2010.09.002.CrossRef
3.
go back to reference Lipchock SV, Reed DR, Mennella JA: The gustatory and olfactory systems during infancy: implications for development of feeding behaviors in the high-risk neonate. Clin Perinatol. 2011, 38 (4): 627-641. 10.1016/j.clp.2011.08.008.CrossRefPubMedPubMedCentral Lipchock SV, Reed DR, Mennella JA: The gustatory and olfactory systems during infancy: implications for development of feeding behaviors in the high-risk neonate. Clin Perinatol. 2011, 38 (4): 627-641. 10.1016/j.clp.2011.08.008.CrossRefPubMedPubMedCentral
4.
go back to reference Barr RG, Young SN, Wright JH, Gravel R, Alkawaf R: Differential calming responses to sucrose taste in crying infants with and without colic. Pediatrics. 1999, 103 (5): 68-10.1542/peds.103.5.e68.CrossRef Barr RG, Young SN, Wright JH, Gravel R, Alkawaf R: Differential calming responses to sucrose taste in crying infants with and without colic. Pediatrics. 1999, 103 (5): 68-10.1542/peds.103.5.e68.CrossRef
6.
7.
go back to reference Birch LL: Psychological influences on the childhood diet. J Nutr. 1998, 128 (2 Suppl): 407S-410S.PubMed Birch LL: Psychological influences on the childhood diet. J Nutr. 1998, 128 (2 Suppl): 407S-410S.PubMed
8.
go back to reference Birch LL, Zimmerman SHH: The influence of social-affective context on preschool children’s food preferences. Child Dev. 1980, 51: 856-861. 10.2307/1129474.CrossRef Birch LL, Zimmerman SHH: The influence of social-affective context on preschool children’s food preferences. Child Dev. 1980, 51: 856-861. 10.2307/1129474.CrossRef
9.
go back to reference Birch LL, Davison KK: Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatr Clin North Am. 2001, 48 (4): 893-907. 10.1016/S0031-3955(05)70347-3.CrossRefPubMed Birch LL, Davison KK: Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatr Clin North Am. 2001, 48 (4): 893-907. 10.1016/S0031-3955(05)70347-3.CrossRefPubMed
10.
go back to reference Birch LL, Fisher JO: Development of eating behaviors among children and adolescents. Pediatrics. 1998, 101 (3 Pt 2): 539-549.PubMed Birch LL, Fisher JO: Development of eating behaviors among children and adolescents. Pediatrics. 1998, 101 (3 Pt 2): 539-549.PubMed
11.
go back to reference Birch LL, Johnson SL, Andresen G, Peters JC, Schulte MC: The variability of young children’s energy intake. N Engl J Med. 1991, 324 (4): 232-235. 10.1056/NEJM199101243240405.CrossRefPubMed Birch LL, Johnson SL, Andresen G, Peters JC, Schulte MC: The variability of young children’s energy intake. N Engl J Med. 1991, 324 (4): 232-235. 10.1056/NEJM199101243240405.CrossRefPubMed
12.
go back to reference Wardle J, Cooke LJ, Gibson EL, Sapochnik M, Sheiham A, Lawson M: Increasing children’s acceptance of vegetables; a randomized trial of parent-led exposure. Appetite. 2003, 40 (2): 155-162. 10.1016/S0195-6663(02)00135-6.CrossRefPubMed Wardle J, Cooke LJ, Gibson EL, Sapochnik M, Sheiham A, Lawson M: Increasing children’s acceptance of vegetables; a randomized trial of parent-led exposure. Appetite. 2003, 40 (2): 155-162. 10.1016/S0195-6663(02)00135-6.CrossRefPubMed
13.
go back to reference Wardle J, Herrera ML, Cooke L, Gibson EL: Modifying children’s food preferences: the effects of exposure and reward on acceptance of an unfamiliar vegetable. Eur J Clin Nutr. 2003, 57 (2): 341-348. 10.1038/sj.ejcn.1601541.CrossRefPubMed Wardle J, Herrera ML, Cooke L, Gibson EL: Modifying children’s food preferences: the effects of exposure and reward on acceptance of an unfamiliar vegetable. Eur J Clin Nutr. 2003, 57 (2): 341-348. 10.1038/sj.ejcn.1601541.CrossRefPubMed
14.
go back to reference Hendy HM, Raudenbush B: Effectiveness of teacher modeling to encourage food acceptance in preschool children. Appetite. 2000, 34 (1): 61-76. 10.1006/appe.1999.0286.CrossRefPubMed Hendy HM, Raudenbush B: Effectiveness of teacher modeling to encourage food acceptance in preschool children. Appetite. 2000, 34 (1): 61-76. 10.1006/appe.1999.0286.CrossRefPubMed
15.
go back to reference Cooke LJ, Wardle J: Age and gender differences in children’s food preferences. Br J Nutr. 2005, 93 (05): 741-746. 10.1079/BJN20051389.CrossRefPubMed Cooke LJ, Wardle J: Age and gender differences in children’s food preferences. Br J Nutr. 2005, 93 (05): 741-746. 10.1079/BJN20051389.CrossRefPubMed
16.
go back to reference Nicklas TA, Baranowski T, Baranowski JC, Cullen K, Rittenberry L, Olvera N: Family and child-care provider influences on preschool children’s fruit, juice, and vegetable consumption. Nutr Rev. 2001, 59 (7): 224-235.CrossRefPubMed Nicklas TA, Baranowski T, Baranowski JC, Cullen K, Rittenberry L, Olvera N: Family and child-care provider influences on preschool children’s fruit, juice, and vegetable consumption. Nutr Rev. 2001, 59 (7): 224-235.CrossRefPubMed
17.
go back to reference Cabalda AB, Rayco-Solon P, Solon JAA, Solon FS: Home gardening is associated with filipino preschool children’s dietary diversity. J Am Diet Assoc. 2011, 111 (5): 711-715. 10.1016/j.jada.2011.02.005.CrossRefPubMed Cabalda AB, Rayco-Solon P, Solon JAA, Solon FS: Home gardening is associated with filipino preschool children’s dietary diversity. J Am Diet Assoc. 2011, 111 (5): 711-715. 10.1016/j.jada.2011.02.005.CrossRefPubMed
18.
go back to reference Nanney MS, Johnson S, Elliott M, Haire-Joshu D: Frequency of eating homegrown produce is associated with higher intake among parents and their preschool-aged children in rural Missouri. J Am Diet Assoc. 2007, 107 (4): 577-584. 10.1016/j.jada.2007.01.009.CrossRefPubMed Nanney MS, Johnson S, Elliott M, Haire-Joshu D: Frequency of eating homegrown produce is associated with higher intake among parents and their preschool-aged children in rural Missouri. J Am Diet Assoc. 2007, 107 (4): 577-584. 10.1016/j.jada.2007.01.009.CrossRefPubMed
19.
go back to reference Evans CE, Christian MS, Cleghorn CL, Greenwood DC, Cade JE, Evans CE, Christian MS, Cleghorn CL, Greenwood DC, Cade JE: Systematic review and meta-analysis of school-based interventions to improve daily fruit and vegetable intake in children aged 5 to 12 y. Am J Clin Nutr. 2012, 96 (4): 889-901. 10.3945/ajcn.111.030270.CrossRefPubMed Evans CE, Christian MS, Cleghorn CL, Greenwood DC, Cade JE, Evans CE, Christian MS, Cleghorn CL, Greenwood DC, Cade JE: Systematic review and meta-analysis of school-based interventions to improve daily fruit and vegetable intake in children aged 5 to 12 y. Am J Clin Nutr. 2012, 96 (4): 889-901. 10.3945/ajcn.111.030270.CrossRefPubMed
20.
go back to reference Sturm R: Childhood obesity - what we can learn from existing data on societal trends, part 1. Prev Chronic Dis. 2005, 2 (1): A12-PubMed Sturm R: Childhood obesity - what we can learn from existing data on societal trends, part 1. Prev Chronic Dis. 2005, 2 (1): A12-PubMed
21.
go back to reference Ball SC, Benjamin SE, Ward DS: Dietary intakes in North Carolina child-care centers: are children meeting current recommendations?. J Am Diet Assoc. 2008, 108 (4): 718-721. 10.1016/j.jada.2008.01.014.CrossRefPubMed Ball SC, Benjamin SE, Ward DS: Dietary intakes in North Carolina child-care centers: are children meeting current recommendations?. J Am Diet Assoc. 2008, 108 (4): 718-721. 10.1016/j.jada.2008.01.014.CrossRefPubMed
22.
go back to reference Padget A, Briley ME: Dietary intakes at child-care centers in central Texas fail to meet food guide pyramid recommendations. J Am Diet Assoc. May 2005, 105 (5): 790-793. 10.1016/j.jada.2005.02.002.CrossRefPubMed Padget A, Briley ME: Dietary intakes at child-care centers in central Texas fail to meet food guide pyramid recommendations. J Am Diet Assoc. May 2005, 105 (5): 790-793. 10.1016/j.jada.2005.02.002.CrossRefPubMed
23.
go back to reference Monsivais PJD: Improving nutrition in home child care: are food costs a barrier?. Public Health Nutr. 2011, 29: 1-7. Monsivais PJD: Improving nutrition in home child care: are food costs a barrier?. Public Health Nutr. 2011, 29: 1-7.
24.
go back to reference Ball SC, Benjamin SE, Ward DS: Development and reliability of an observation method to assess food intake of young children in child care. J Am Diet Assoc. 2007, 107 (4): 656-661. 10.1016/j.jada.2007.01.003.CrossRefPubMed Ball SC, Benjamin SE, Ward DS: Development and reliability of an observation method to assess food intake of young children in child care. J Am Diet Assoc. 2007, 107 (4): 656-661. 10.1016/j.jada.2007.01.003.CrossRefPubMed
25.
go back to reference Prelip M, Slusser W, Thai CL, Kinsler J, Erausquin JT: Effects of a school-based nutrition program diffused throughout a large urban community on attitudes, beliefs, and behaviors related to fruit and vegetable consumption. J Sch Health. 2011, 81 (9): 520-529. 10.1111/j.1746-1561.2011.00622.x.CrossRefPubMed Prelip M, Slusser W, Thai CL, Kinsler J, Erausquin JT: Effects of a school-based nutrition program diffused throughout a large urban community on attitudes, beliefs, and behaviors related to fruit and vegetable consumption. J Sch Health. 2011, 81 (9): 520-529. 10.1111/j.1746-1561.2011.00622.x.CrossRefPubMed
26.
go back to reference French SA, Wechsler H: School-based research and initiatives: fruit and vegetable environment, policy, and pricing workshop. Prev Med. 2004, 39 (Supplement 2(0)): 101-107.CrossRef French SA, Wechsler H: School-based research and initiatives: fruit and vegetable environment, policy, and pricing workshop. Prev Med. 2004, 39 (Supplement 2(0)): 101-107.CrossRef
27.
go back to reference Morgan PJ, Warren JM, Lubans DR, Saunders KL, Quick GI, Collins CE: The impact of nutrition education with and without a school garden on knowledge, vegetable intake and preferences and quality of school life among primary-school students. Public Health Nutr. 2010, 13 (11): 1931-1940. 10.1017/S1368980010000959.CrossRefPubMed Morgan PJ, Warren JM, Lubans DR, Saunders KL, Quick GI, Collins CE: The impact of nutrition education with and without a school garden on knowledge, vegetable intake and preferences and quality of school life among primary-school students. Public Health Nutr. 2010, 13 (11): 1931-1940. 10.1017/S1368980010000959.CrossRefPubMed
28.
go back to reference Robinson-O’Brien R, Story M, Heim S: Impact of garden-based youth nutrition intervention programs: a review. J Am Diet Assoc. 2009, 109 (2): 273-280. 10.1016/j.jada.2008.10.051.CrossRefPubMed Robinson-O’Brien R, Story M, Heim S: Impact of garden-based youth nutrition intervention programs: a review. J Am Diet Assoc. 2009, 109 (2): 273-280. 10.1016/j.jada.2008.10.051.CrossRefPubMed
29.
go back to reference Somerset S, Markwell K: Impact of a school-based food garden on attitudes and identification skills regarding vegetables and fruit: a 12-month intervention trial. Public Health Nutr. 2009, 12 (02): 214-221. 10.1017/S1368980008003327.CrossRefPubMed Somerset S, Markwell K: Impact of a school-based food garden on attitudes and identification skills regarding vegetables and fruit: a 12-month intervention trial. Public Health Nutr. 2009, 12 (02): 214-221. 10.1017/S1368980008003327.CrossRefPubMed
30.
go back to reference Morris JL, Zidenberg-Cherr S: Garden-enhanced nutrition curriculum improves fourth-grade school children’s knowledge of nutrition and preferences for some vegetables. J Am Diet Assoc. 2002, 102 (1): 91-93. 10.1016/S0002-8223(02)90027-1.CrossRefPubMed Morris JL, Zidenberg-Cherr S: Garden-enhanced nutrition curriculum improves fourth-grade school children’s knowledge of nutrition and preferences for some vegetables. J Am Diet Assoc. 2002, 102 (1): 91-93. 10.1016/S0002-8223(02)90027-1.CrossRefPubMed
31.
go back to reference Parmer SM, Salisbury-Glennon J, Shannon D, Struempler B: School gardens: an experiential learning approach for a nutrition education program to increase fruit and vegetable knowledge, preference, and consumption among second-grade students. J Nutr Educ Behav. 2009, 41 (3): 212-217. 10.1016/j.jneb.2008.06.002.CrossRefPubMed Parmer SM, Salisbury-Glennon J, Shannon D, Struempler B: School gardens: an experiential learning approach for a nutrition education program to increase fruit and vegetable knowledge, preference, and consumption among second-grade students. J Nutr Educ Behav. 2009, 41 (3): 212-217. 10.1016/j.jneb.2008.06.002.CrossRefPubMed
32.
go back to reference McAleese JD, Rankin LL: Garden-based nutrition education affects fruit and vegetable consumption in sixth-grade adolescents. J Am Diet Assoc. 2007, 107 (4): 662-665. 10.1016/j.jada.2007.01.015.CrossRefPubMed McAleese JD, Rankin LL: Garden-based nutrition education affects fruit and vegetable consumption in sixth-grade adolescents. J Am Diet Assoc. 2007, 107 (4): 662-665. 10.1016/j.jada.2007.01.015.CrossRefPubMed
33.
go back to reference Wang MC, Rauzon S, Studer N: Exposure to a comprehensive school intervention increases vegetable consumption. J Adolesc Health. 2010, 47 (1): 74-82. 10.1016/j.jadohealth.2009.12.014.CrossRefPubMed Wang MC, Rauzon S, Studer N: Exposure to a comprehensive school intervention increases vegetable consumption. J Adolesc Health. 2010, 47 (1): 74-82. 10.1016/j.jadohealth.2009.12.014.CrossRefPubMed
Metadata
Title
Watch Me Grow: A garden-based pilot intervention to increase vegetable and fruit intake in preschoolers
Authors
Rebecca J Namenek Brouwer
Sara E Benjamin Neelon
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-363

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