Abstract
Background
The consumption of fruit and vegetables in old ages is particularly important, so that the appropriate consumption amount leads to reduction in the risk of chronic diseases. To increase consumption of fruit and vegetables and modify consumption pattern in the elderlies, training programs and appropriate intervention can be designed and implemented.
Aims
The study was done to assess and compare nutritional intervention-based training methods and education using theories and health education models for the consumption of fruits and vegetables in the elderlies.
Methods
Electronic search using keywords of Country Review Information Bank (Magiran), Scientific Information Database, Pub Med, Science direct, Science, Biomed central from the beginning of March 2014 to end of April 2015 was performed.
Results
Ten interventional studies were assessed in this systematic study. The interventions were divided into two groups of studies, a total of five studies, theories and health education models were the basis of training intervention and the other five studies that include their interventions without the use of theories and health education models was carried out. Of ten interventional studies, three studies as before and after and seven studies as the intervention and control was performed.
Discussion
The results showed that education-based theory and health education models have a greater impact on the consumption of fruit and vegetables in the elderlies.
Conclusions
The duration and interventions performing method, environmental factors and educational programs using appropriate models and theories are important on the effectiveness of interventions to increase consumption of fruit and vegetables in the elderliness.
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References
Brownie S (2006) Why are elderly individuals at risk of nutritional deficiency? Int J Nurs Pract 12:110–118
Kamp B, Wellman N, Russell C (2010) Position of the American Dietetic Association, American Society for Nutrition, and Society for Nutrition Education: food and nutrition programs for community-residing older adults. J Nutr Educ Behav 42:72–82
Wunderlich S, Bai Y, Gallop E (2010) Interactive nutrition education improves nutrition risk factors among older adults participating in government-sponsored programs. J Acad Nutr Diet 110:118
Dosil-Díaz O, Ruano Ravina A, Gestal-Otero JJ et al (2008) Consumption of fruit and vegetable and risk of lung cancer: a case-control study in Galicia, Spain. Nutr J 24:407–413
Dauchet L, Dallongeville J (2008) Fruit and vegetables and cardiovascular disease: epidemiological evidence from the non western world. Br J Nutr 99:219–220
Harding AH, Wareham NJ, Bingham SA et al (2008) Plasma vitamin C level, fruit and vegetable consumption, and the risk of new-onset type 2 diabetes mellitus. The European prospective investigation of cancer-Norfolk prospective study. Arch Intern Med 168:1493–1499
Shaikh AR, Yaroch AL, Nebeling L et al (2008) Psychosocial predictors of fruit and vegetable consumption in adults a review of the literature. Am J Prev Med 34:535–543
Vrieling A, Verhage BA, van Duijnhoven FJ et al (2009) Fruit and vegetable consumption and pancreatic cancer risk in the European Prospective Investigation into Cancer and Nutrition. Int J Cancer 124:1926–1934
Yamaji T, Inoue M, Sasazuki S et al (2008) Fruit and vegetable consumption and squamous cell carcinoma of the esophagus in Japan: the JPHC study. Int J Cancer 123:1935–1940
Boyington JE, Schoster B, Remmes Martin K et al (2009) Perceptions of individual and community environmental influences on fruit and vegetables intake, North Carolina, 2004. Prev Chronic Dis 6: A04. http://www.cdc.gov/pcd/issues/2009/jan/07_0168.htm
Bazzano LA, Li TY, Joshipura KJ et al (2008) Intake of fruit, vegetables, and fruit juices and risk of diabetes in women. Diabetes Care 31:1311–1317
Utsugi MT, Ohkubo T, Kikuya M et al (2008) Fruit and vegetable consumption and the risk of hypertension determined by self measurement of blood pressure at home: the Ohasama study. Hypertens Res 31:1435–1443
DiBello JR, Kraft P, McGarvey ST et al (2008) Comparison of 3 methods for identifying dietary patterns associated with risk of disease. Am J Epidemiol 168:1433–1443
World Health Organization (2003) Diet, nutrition and the prevention of chronic diseases. Report of a joint WHO/FAO expert consultation. World Health Organization, Geneva. http://whqlibdoc.who.int/trs/who_trs_916.pdf
Riedger ND, Moghadasian MH (2008) Patterns of fruit and vegetable consumption and influence of sex, age and sociodemographic factors among Canadian elderly. J Am Coll Nutr 27:306–313
Salehi L, Efthekhar H, Mohammad K et al (2010) Consumption of fruit and vegetables among elderly people: a cross sectional study from Iran. Nutr J 1:2 (Persian)
Riediger ND, Moghadasian MH (2008) Patterns of fruit and vegetable consumption and the influence of Sex, Age and socio-demographic factors among canadian elderly. J Am Coll Nutr 27:306–313
Contento I (2007) Nutrition education: linking theory, research and practice. Jones and Barttlet publishers. Sudbury. http://www.jblearning.com/catalog/9780763775087/
Lynch L, Happell B (2008) Implementation of clinical supervision in action: Part 2: implementation and beyond. Int J Ment Health Nurs 17:65–72
Khezeli M, Ramezankhani A, Bakhtiyari M (2012) Effect of education on nutritional knowledge and stages of fruit and vegetable intake in geriatrics according to stages of change model. J Mazandaran Univ Med Sci 22:88–98. (Persian). http://jmums.mazums.ac.ir/files/site1/user_files_0d0bf0/bmahmadi-A-10-1768-19-fcce5fa.pdf
Salehi L, Mohammad K, Montazeri A (2011) Fruit and vegetables intake among elderly Iranians: a theory-based interventional study using the five-aday program. Nutr J 10:123
Kramish Campbell M, Carr C, DeVellis B et al (2009) A randomized trial of tailoring and motivational interviewing to promote fruit and vegetable consumption for cancer prevention and control. Ann Behav Med 38:71–85
Bradbury J, Thomason JM, Jepson NJA et al (2006) Nutrition counseling increases fruit and vegetable intake in the edentulous. J Dent Res 85:463–468
Hendrix SJ, Fischer JG, Reddy S et al (2008) Fruit and vegetable intake and knowledge increased following a community-based intervention in older adults in Georgia senior centers. J Nutr Elder 27: 155–178. Available online at http://jne.haworthpress.com
Charlotte E, Neville EC, Young IS et al (2013) Effect of increased fruit and vegetable consumption on physical function and muscle strength in older adults. AGE 35:2409–2422
Neville CE, Young IS, Gilchrist SECM et al (2014) Effect of increased fruit and vegetable consumption on bone turnover in older adults: a randomised controlled trial. Osteoporos Int 25:223–233
Gibson A, Edgar JD, Neville CE et al (2012) Effect of fruit and vegetable consumption on immune function in older people: a randomized controlled trial. Am J Clin Nutr 96:1429–1436
Abusabha R, Namjoshi D, Klein A (2011) Increasing access and affordability of produce improves perceived consumption of vegetables in low-income seniors. J Am Diet Assoc 111:1549–1555
Cates S, Hersey J, Blitstein J et al (2014) Eat smart, live strong intervention increases fruit and vegetable consumption among low-income older adults. J Nutr Educ Behav 46:S103–S105
U.S. Department of Health and Human Services and U.S. Department of Agriculture (2005) Dietary guidelines for Americans. U.S. Government Printing Office, Washington, DC. http://www.health.gov/dietaryguidelines/dga2005/document/pdf/DGA2005.pdf. Accessed July 30, 2007
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Hazavehei, S.M.M., Afshari, M. The role of nutritional interventions in increasing fruit and vegetable intake in the elderlies: a systematic review. Aging Clin Exp Res 28, 583–598 (2016). https://doi.org/10.1007/s40520-015-0454-9
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DOI: https://doi.org/10.1007/s40520-015-0454-9