Information and communication technologies vs. traditional approaches targeting parents to improve healthy diet or body mass index in preschoolers: a systematic review
DOI:
https://doi.org/10.14306/renhyd.26.3.1680Keywords:
Parents, Healthy Diet, Body Mass Index, Child PreschoolAbstract
Introduction: Preschool age is a critical period for learning healthy habits and, in the face of technological advances, innovative ways to improve health have emerged. This study aims to compare interventions that use Information and Communication Technologies tools in comparison with traditional approaches, targeted to parents, to improve healthy diet and weight in preschoolers. Specifically, to know its effectiveness, which tools have been used and the main success factors in the interventions.
Methods: Following the PRISMA guidelines, a systematic review was conducted in the PubMed, Scopus, SpringerLink and Cochrane Library databases. The protocol was registered (PROSPERO ID. CRD42021251037). Intervention studies to promote healthy diet and weight in preschoolers and one or both parents were included. The authors assessed risk of bias separately assigning scores with specific tools such as PRISMA or CONSORT. The results were synthesized in Excel tables according to the results sought such as the use of technology, characteristics of the intervention, weight results, and healthy eating.
Results: A total of eight studies were included. Two studies showed positive effects, for both: healthy diet and Body Mass Index. Most of them used mixed tools, with predominant use of traditional approaches. The most frequent technological tool was telephony and, as a traditional approach, direct contact. The success factors seemed to be fictional characters to inspire healthy behaviors, home settings and daily dose of intervention.
Conclusions: Mixing both types of tools was effective in the studies, although the low use of Information and Communication Technologies in the interventions was reflected. In addition, the results increase the evidence that they may be more effective in reducing the consumption of non-recommended food groups and in overweight or obese children.
References
(1) Mejorar la supervivencia y el bienestar de los niños. [accessed 26 July 2022]. Available at: https://www.who.int/es/news-room/fact-sheets/detail/children-reducing-mortality.
(2) Levels and trends in child malnutrition: UNICEF/WHO/The World Bank Group joint child malnutrition estimates: key findings of the 2021 edition. [accessed 26 July 2022]. Available at: https://www.who.int/publications/i/item/9789240025257.
(3) Cena H, Calder PC Defining a Healthy Diet: Evidence for The Role of Contemporary Dietary Patterns in Health and Disease. Nutrients. 2020;12(2), doi: 10.3390/NU12020334.
(4) Healthy diet. [accessed 26 July 2022]. Available at: https://www.who.int/news-room/fact-sheets/detail/healthy-diet.
(5) About Child & Teen BMI | Healthy Weight, Nutrition, and Physical Activity | CDC. [accessed 26 July 2022]. Available at: https://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html.
(6) Estado nutricional y neurodesarrollo en la primera infancia | Rev. cuba. salud pública;44(4): 169-185, oct.-dic. 2018. | LILACS. [accessed 26 July 2022]. Available at: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-978476.
(7) Rodríguez-Garcés C, Muñoz-Soto J Delay in child development: The importance of education quality of family atmosphere. Revista Internacional de Investigación en Ciencias Sociales 2017, Vol 13, Pages 253-270. 2017;13(2):253–70, doi: 10.18004/RIICS.2017.DICIEMBRE.253-270.
(8) Becerra K, Russián O, Lopez R Asociación entre nivel de conocimiento y prácticas de progenitores sobre alimentación infantil y el estado nutricional de preescolares, Caracas 2015. Ciencia e Investigación Medico Estudiantil Latinoamericana. 2018;23(2), doi: 10.23961/CIMEL.V23I2.1224.
(9) Recommendations on digital interventions for health system strengthening. [accessed 26 July 2022]. Available at: https://www.who.int/publications/i/item/9789241550505.
(10) Information and communication technologies (ICT) | UNESCO UIS. [accessed 26 July 2022]. Available at: http://uis.unesco.org/en/glossary-term/information-and-communication-technologies-ict.
(11) do Amaral E Melo GR, de Carvalho Silva Vargas F, dos Santos Chagas CM, Toral N Nutritional interventions for adolescents using information and communication technologies (ICTs): A systematic review. PLoS One. 2017;12(9), doi: 10.1371/JOURNAL.PONE.0184509.
(12) McMullan M, Millar R, Woodside J v. A systematic review to assess the effectiveness of technology-based interventions to address obesity in children. BMC Pediatrics. 2020;20(1), doi: 10.1186/S12887-020-02081-1.
(13) Ling J, Robbins LB, Wen F Interventions to prevent and manage overweight or obesity in preschool children: A systematic review. Int J Nurs Stud. 2016;53:270–89, doi: 10.1016/J.IJNURSTU.2015.10.017.
(14) Sbruzzi G, Eibel B, Barbiero SM, Petkowicz RO, Ribeiro RA, Cesa CC, et al. Educational interventions in childhood obesity: A systematic review with meta-analysis of randomized clinical trials. Preventive Medicine. 2013;56(5):254–64, doi: 10.1016/J.YPMED.2013.02.024.
(15) Hodder RK, Stacey FG, Wyse RJ, O’Brien KM, Clinton-Mcharg T, Tzelepis F, et al. Interventions for increasing fruit and vegetable consumption in children aged five years and under. Cochrane Database of Systematic Reviews. 2017;2017(9), doi: 10.1002/14651858.CD008552.PUB3.
(16) van de Kolk I, Verjans-Janssen SRB, Gubbels JS, Kremers SPJ, Gerards SMPL Systematic review of interventions in the childcare setting with direct parental involvement: effectiveness on child weight status and energy balance-related behaviours. Int J Behav Nutr Phys Act. 2019;16(1), doi: 10.1186/S12966-019-0874-6.
(17) Zarnowiecki D, Mauch CE, Middleton G, Matwiejczyk L, Watson WL, Dibbs J, et al. A systematic evaluation of digital nutrition promotion websites and apps for supporting parents to influence children’s nutrition. International Journal of Behavioral Nutrition and Physical Activity. 2020;17(1), doi: 10.1186/S12966-020-0915-1.
(18) Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372, doi: 10.1136/BMJ.N71.
(19) de Diputados C, Congreso De DH, Unión LA REGLAMENTO DE LA LEY GENERAL DE SALUD EN MATERIA DE INVESTIGACION PARA LA SALUD. n.d.
(20) Iaia M, Pasini M, Burnazzi A, Vitali P, Allara E, Farneti M An educational intervention to promote healthy lifestyles in preschool children: A cluster-RCT. International Journal of Obesity. 2017;41(4):582–90, doi: 10.1038/IJO.2016.239.
(21) Barkin SL, Heerman WJ, Sommer EC, Martin NC, Buchowski MS, Schlundt D, et al. Effect of a Behavioral Intervention for Underserved Preschool-Age Children on Change in Body Mass Index: A Randomized Clinical Trial. JAMA. 2018;320(5):450–60, doi: 10.1001/JAMA.2018.9128.
(22) Steenbock B, Buck C, Zeeb H, Rach S, Pischke CR Impact of the intervention program “JolinchenKids – fit and healthy in daycare” on energy balance related-behaviors: results of a cluster controlled trial. BMC Pediatrics. 2019;19(1):1–14, doi: 10.1186/S12887-019-1817-8.
(23) Romo ML, Abril-Ulloa V Improving Nutrition Habits and Reducing Sedentary Time Among Preschool-Aged Children in Cuenca, Ecuador: A Trial of a School-Based Intervention. Prev Chronic Dis. 2018;15(7), doi: 10.5888/PCD15.180053.
(24) Nyström CD, Sandin S, Henriksson P, Henriksson H, Trolle-Lagerros Y, Larsson C, et al. Mobile-based intervention intended to stop obesity in preschool-aged children: the MINISTOP randomized controlled trial. Am J Clin Nutr. 2017;105(6):1327–35, doi: 10.3945/AJCN.116.150995.
(25) French SA, Sherwood NE, Veblen-Mortenson S, Lauren Crain A, JaKa MM, Mitchell NR, et al. Multicomponent obesity prevention intervention in low-income preschoolers: Primary and subgroup analyses of the NET-works randomized clinical trial, 2012-2017. Am J Public Health. 2018;108(12):1695–706, doi: 10.2105/AJPH.2018.304696.
(26) Natale RA, Messiah SE, Asfour LS, Uhlhorn SB, Englebert NE, Arheart KL Obesity Prevention Program in Childcare Centers: Two-Year Follow-Up. American Journal of Health Promotion. 2017;31(6):502–10, doi: 10.1177/0890117116661156.
(27) Karmali S, Battram DS, Burke SM, Cramp A, Johnson AM, Mantler T, et al. Perspectives and Impact of a Parent-Child Intervention on Dietary Intake and Physical Activity Behaviours, Parental Motivation, and Parental Body Composition: A Randomized Controlled Trial. Int J Environ Res Public Health. 2020;17:6822, doi: 10.3390/ijerph17186822.
(28) Nezami BT, Ward DS, Lytle LA, Ennett ST, Tate DF A mHealth randomized controlled trial to reduce sugar-sweetened beverage intake in preschool-aged children. Pediatric Obesity. 2018;13(11):668–76, doi: 10.1111/IJPO.12258.
(29) Vercammen KA, Frelier JM, Lowery CM, McGlone ME, Ebbeling CB, Bleich SN A systematic review of strategies to reduce sugar-sweetened beverage consumption among 0-year to 5-year olds. Obes Rev. 2018;19(11):1504–24, doi: 10.1111/OBR.12741.
(30) Sanchez-Flack JC, Herman A, Buscemi J, Kong A, Bains A, Fitzgibbon ML A systematic review of the implementation of obesity prevention interventions in early childcare and education settings using the RE-AIM framework. Translational Behavioral Medicine. 2020;10(5):1168–76, doi: 10.1093/TBM/IBZ179.
(31) Lebron CN, Ofori A, Sardinas K, Luaces M, Natale R, Messiah SE Barriers and facilitators to obesity prevention dissemination and implementation efforts in the childcare centre setting from the provider perspective. Child: Care, Health and Development 2020, Vol 46, Pages 352-359. 2020;46(3):352–9, doi: 10.1111/CCH.12752.
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