Interventions on fruit and vegetable intake in low-, middle-, and high-income countries: A scoping review of evidence and knowledge gaps
Background Adequate fruit and vegetable (F&V) intake is important for health, yet populations globally are failing to meet recommendations. Objective A scoping review to summarize available evidence of evaluations of interventions to increase F&V intake globally, focusing on target populations, int...
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Journal Article |
| Language: | Inglés |
| Published: |
SAGE Publications
2025
|
| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/173501 |
| _version_ | 1855535144602959872 |
|---|---|
| author | Azupogo, Fusta Koyratty, Nadia Smith, Taryn J. Hinnouho, Guy-Marino Tharaney, Manisha Bliznashka, Lilia Amunga, Dorcas A. Angeles-Agdeppa, Imelda Goyena, Eva Grant, Frederick Kinabo, Joyce Mitchodigni, Irene Medeme Silva, Renuka Sitisekara, Hasara Olney, Deanna K. Hess, Sonja Y. |
| author_browse | Amunga, Dorcas A. Angeles-Agdeppa, Imelda Azupogo, Fusta Bliznashka, Lilia Goyena, Eva Grant, Frederick Hess, Sonja Y. Hinnouho, Guy-Marino Kinabo, Joyce Koyratty, Nadia Mitchodigni, Irene Medeme Olney, Deanna K. Silva, Renuka Sitisekara, Hasara Smith, Taryn J. Tharaney, Manisha |
| author_facet | Azupogo, Fusta Koyratty, Nadia Smith, Taryn J. Hinnouho, Guy-Marino Tharaney, Manisha Bliznashka, Lilia Amunga, Dorcas A. Angeles-Agdeppa, Imelda Goyena, Eva Grant, Frederick Kinabo, Joyce Mitchodigni, Irene Medeme Silva, Renuka Sitisekara, Hasara Olney, Deanna K. Hess, Sonja Y. |
| author_sort | Azupogo, Fusta |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Background
Adequate fruit and vegetable (F&V) intake is important for health, yet populations globally are failing to meet recommendations.
Objective
A scoping review to summarize available evidence of evaluations of interventions to increase F&V intake globally, focusing on target populations, intervention strategies, research methods, and summarizing their evaluated impacts.
Methods
We searched PubMed and Web of Science in February 2023 for intervention studies in which dietary intake of fruit and/or vegetables were documented. Eligible studies included all age groups, excluding those targeting populations with specific disease-related conditions, such as cancer patients/survivors. Only articles published in English since 2012 were included in the review.
Results
We identified 6338 articles, with 226 meeting inclusion criteria, comprising 223 unique studies and 284 intervention comparisons. Most comparisons occurred in high-income countries (n = 192) compared to low- and middle-income countries (n = 92). Randomized controlled trials (RCTs; 37.3%) and cluster RCTs (52.5%) were predominant. Interventions primarily targeted adults (31.7%), school-aged children (18.0%), children under-five (14.4%), and adolescents (13.7%), lasting an average of 24 weeks (range: 2 weeks to 20 years). Food-frequency questionnaires (59.2%) and 24-h recalls (26.8%) were the most used dietary assessment method. Health and nutrition education (75.9%) was the most common intervention, utilizing interpersonal communication, mass media, and information-communication technology, often in combinations. Positive impacts on fruit (43.9%), vegetable (40.2%), and combined F&V intake (53.0%) were observed in nearly half the intervention comparisons.
Conclusions
These findings highlight the predominance of health and nutrition education interventions, predominantly in high-income countries, showing mixed success in improving F&V intake, emphasizing the need for context-specific strategies and standardized methodologies to design sustainable, cost-effective interventions for better diet quality and health outcomes. |
| format | Journal Article |
| id | CGSpace173501 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | SAGE Publications |
| publisherStr | SAGE Publications |
| record_format | dspace |
| spelling | CGSpace1735012025-12-11T21:31:30Z Interventions on fruit and vegetable intake in low-, middle-, and high-income countries: A scoping review of evidence and knowledge gaps Azupogo, Fusta Koyratty, Nadia Smith, Taryn J. Hinnouho, Guy-Marino Tharaney, Manisha Bliznashka, Lilia Amunga, Dorcas A. Angeles-Agdeppa, Imelda Goyena, Eva Grant, Frederick Kinabo, Joyce Mitchodigni, Irene Medeme Silva, Renuka Sitisekara, Hasara Olney, Deanna K. Hess, Sonja Y. fruits vegetables health nutrition nutrition education diet Background Adequate fruit and vegetable (F&V) intake is important for health, yet populations globally are failing to meet recommendations. Objective A scoping review to summarize available evidence of evaluations of interventions to increase F&V intake globally, focusing on target populations, intervention strategies, research methods, and summarizing their evaluated impacts. Methods We searched PubMed and Web of Science in February 2023 for intervention studies in which dietary intake of fruit and/or vegetables were documented. Eligible studies included all age groups, excluding those targeting populations with specific disease-related conditions, such as cancer patients/survivors. Only articles published in English since 2012 were included in the review. Results We identified 6338 articles, with 226 meeting inclusion criteria, comprising 223 unique studies and 284 intervention comparisons. Most comparisons occurred in high-income countries (n = 192) compared to low- and middle-income countries (n = 92). Randomized controlled trials (RCTs; 37.3%) and cluster RCTs (52.5%) were predominant. Interventions primarily targeted adults (31.7%), school-aged children (18.0%), children under-five (14.4%), and adolescents (13.7%), lasting an average of 24 weeks (range: 2 weeks to 20 years). Food-frequency questionnaires (59.2%) and 24-h recalls (26.8%) were the most used dietary assessment method. Health and nutrition education (75.9%) was the most common intervention, utilizing interpersonal communication, mass media, and information-communication technology, often in combinations. Positive impacts on fruit (43.9%), vegetable (40.2%), and combined F&V intake (53.0%) were observed in nearly half the intervention comparisons. Conclusions These findings highlight the predominance of health and nutrition education interventions, predominantly in high-income countries, showing mixed success in improving F&V intake, emphasizing the need for context-specific strategies and standardized methodologies to design sustainable, cost-effective interventions for better diet quality and health outcomes. 2025-09 2025-03-06T18:24:35Z 2025-03-06T18:24:35Z Journal Article https://hdl.handle.net/10568/173501 en Open Access SAGE Publications Azupogo, Fusta; Koyratty, Nadia; Smith, Taryn J.; Hinnouho, Guy-Marino; Tharaney, Manisha; Bliznashka, Lilia; et al. 2025. Interventions on fruit and vegetable intake in low-, middle-, and high-income countries: A scoping review of evidence and knowledge gaps. Food and Nutrition Bulletin 46(1_suppl): S5 - S18. https://doi.org/10.1177/03795721251314141 |
| spellingShingle | fruits vegetables health nutrition nutrition education diet Azupogo, Fusta Koyratty, Nadia Smith, Taryn J. Hinnouho, Guy-Marino Tharaney, Manisha Bliznashka, Lilia Amunga, Dorcas A. Angeles-Agdeppa, Imelda Goyena, Eva Grant, Frederick Kinabo, Joyce Mitchodigni, Irene Medeme Silva, Renuka Sitisekara, Hasara Olney, Deanna K. Hess, Sonja Y. Interventions on fruit and vegetable intake in low-, middle-, and high-income countries: A scoping review of evidence and knowledge gaps |
| title | Interventions on fruit and vegetable intake in low-, middle-, and high-income countries: A scoping review of evidence and knowledge gaps |
| title_full | Interventions on fruit and vegetable intake in low-, middle-, and high-income countries: A scoping review of evidence and knowledge gaps |
| title_fullStr | Interventions on fruit and vegetable intake in low-, middle-, and high-income countries: A scoping review of evidence and knowledge gaps |
| title_full_unstemmed | Interventions on fruit and vegetable intake in low-, middle-, and high-income countries: A scoping review of evidence and knowledge gaps |
| title_short | Interventions on fruit and vegetable intake in low-, middle-, and high-income countries: A scoping review of evidence and knowledge gaps |
| title_sort | interventions on fruit and vegetable intake in low middle and high income countries a scoping review of evidence and knowledge gaps |
| topic | fruits vegetables health nutrition nutrition education diet |
| url | https://hdl.handle.net/10568/173501 |
| work_keys_str_mv | AT azupogofusta interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT koyrattynadia interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT smithtarynj interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT hinnouhoguymarino interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT tharaneymanisha interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT bliznashkalilia interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT amungadorcasa interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT angelesagdeppaimelda interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT goyenaeva interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT grantfrederick interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT kinabojoyce interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT mitchodigniirenemedeme interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT silvarenuka interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT sitisekarahasara interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT olneydeannak interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps AT hesssonjay interventionsonfruitandvegetableintakeinlowmiddleandhighincomecountriesascopingreviewofevidenceandknowledgegaps |