The efficacy of digital media tools to promote a healthy diet in children: A systematic review of intervention studies
Keywords:
Children, nutrition, digital toolsAbstract
Background and aim: Proper nutrition during childhood and puberty is essential to ensure healthy growth of children and good health in adulthood. Different types of interventions have been suggested to promote nutritional health in children. This systematic review aims to summarize the available evidence from experimental studies on the efficacy of digital media tools for the promotion of a healthy diet in school-aged children.
Methods: According to PRISMA guidelines, a literature search was conducted in the three main electronic databases (PubMed/Medline, Embase e Scopus) until April 2022. We included all experimental studies assessing the effectiveness of digital media tools for nutritional health promotion in children from 5 to 12 years of age.
Results: Four studies were included in our analysis, all carried out in school settings. Three of them investigated the use of a videogame, while one study involved watching a cartoon. Each intervention tested was effective in promoting a healthy diet in school-aged children in the short term, regardless of the type of intervention and age of the children involved. A statistically significant increase was observed post-intervention in all studies, both in knowledge of food groups and food frequencies, and in practices (i.e. the amount of fruit and vegetables servings consumed per meal), although the effect faded over time (when follow-up was available).
Conclusions: Digital media tools can be used to effectively implement health promotion interventions to improve knowledge and adherence to healthy diets in school-aged children. Further studies are needed to assess the long-term effectiveness of these interventions.
References
Healthy diet [Internet]. [cited 2022 Jun 10]. Available from: https://www.who.int/news-room/fact-sheets/detail
/healthy-diet
Tandon PS, Tovar A, Jayasuriya AT, et al. The relationship between physical activity and diet and young children’s cognitive develop-ment: A systematic review. Prev Med Reports. 2016 Jun 1;3:379–90. doi: 10.1016/j.pmedr.2016.04.003
De Cosmi V, Scaglioni S, Agostoni C. Early Taste Experiences and Later Food Choices. Nutrients. 2017 Feb 4;
(2):107. doi: 10.3390/nu9020107
Obesity and overweight [Internet]. [cited 2022 Jun 10]. Available from: https://www.who.int/en/news-room
/fact-sheets/detail/obesity-and-overweight
Childhood Obesity Facts | Overweight & Obesity | CDC [Internet]. [cited 2022 Jun 10]. Available from: https://www.cdc.gov/obesity/data/childhood.html
Moschonis G, Siopis G, Anastasiou C, et al. Prevalence of Childhood Obesity by Country, Family Socio-Demographics, and Parental Obesity in Europe: The Feel4Diabetes Study George. Nutrients. 2022;14(1830). doi: 10.3390/nu14091830
What Is Digital Media? All You Need to Know About This Booming Industry [Internet]. [cited 2022 Jul 27]. Available from: https://online.maryville.edu/blog
/what-is-digital-media/
NAB Executive Technology Briefings, Burlington, MA: Focal Press; 2007.
Parisod H, Pakarinen A, Kauhanen L, et al. Promoting Children’s Health with Digital Games: A Review of Reviews. Games Health J 2014 Jun 1; 3(3):145–56. doi: 10.1089/g4h.2013.0086
Abdulrahaman MD, Faruk N, Oloyede AA, et al. Multimedia tools in the teaching and learning processes: A systematic review. He-liyon. 2020 Nov 1;6(11). doi: 10.1016/j.heliyon.2020.e05312
Balzarini F, Frascella B, Oradini-Alacreu A, et al. Does the use of personal electronic health records increase vaccine uptake? A syste-matic review. Vaccine 2020; Aug 8(38):
–78. doi: 10.1016/j.vaccine.2020.05.083
Odone A, Ferrari A, Spagnoli F, et al. Effectiveness of interventions that apply new media to improve vaccine uptake and vaccine cover-age. Hum Vaccin Immunother. 2015 Jan 1;
(1):72–82. doi: 10.4161/hv.34313
Champion KE, Parmenter B, McGowan C, et al. Effectiveness of school-based eHealth interventions to prevent multiple lifestyle risk behaviours among adolescents: a systematic review and meta-analysis. Lancet Digit Heal. 2019 Sep 1;1(5):e206–21. doi: 10.1186/s12889-022-13072-5
Holzmann SL, Schäfer H, Groh G, et al. Short-Term Effects of the Serious Game “Fit, Food, Fun” on Nutritional Knowledge: A Pilot Study among Children and Adolescents. Nutr 2019; 11(9):2031. doi: 10.3390/nu11092031.
Hermans RCJ, Van Den Broek N, Nederkoorn C, Otten R, Ruiter ELM, Johnson-Glenberg MC. Feed the Alien! the Effects of a Nu-trition Instruction Game on Children’s Nutritional Knowledge and Food Intake. Games Health J. 2018;7(3):164–74.
Kauhanen L, Järvelä L, Lähteenmäki PM, et al. Active video games to promote physical activity in children with cancer: A randomized clinical trial with follow-up. BMC Pediatr. 2014;14(1). doi: 10.1186/1471-2431-14-94
Baranowski T, Baranowski J, Cullen KW, et al. Squire’s Quest!: Dietary outcome evaluation of a multimedia game. Am J Prev Med. 2003;24(1):52–61. doi: 10.1016/s0749-3797(02)00570-6
Odone A, Gianfredi V, Sorbello S, et al. The Use of Digital Technologies to Support Vaccination Programmes in Europe: State of the Art and Best Practices from Experts’ Interviews. Vaccines 2021 Oct 1;9(10). doi: 10.1136/bmj.n71
Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:71. doi: 10.1136/bmj.n71
Horne PJ, Tapper K, Lowe CF, Hardman CA, Jackson MC, Woolner J. Increasing children’s fruit and vegetable consumption: A peer-modelling and rewards-based intervention. Eur J Clin Nutr. 2004;58(12):1649–60. doi: 10.1038/sj.ejcn.1602024
Baranowski T, Baranowski J, Chen T-A, et al. Videogames That Encourage Healthy Behavior Did Not Alter Fasting Insulin or Other Diabetes Risks in Children: Randomized Clinical Trial. Games Health J. 2019 Aug;8(4):257–64. doi: 10.1089/g4h.2018.0097
Bell BM, Martinez L, Gotsis M, et al. Virtual Sprouts: A Virtual Gardening Pilot Intervention Increases Self-Efficacy to Cook and Eat Fruits and Vegetables in Minority Youth. Games Health J. 2018 Apr;7(2):127–35. doi: 10.1089/g4h.2017.0102.
Froome HM, Townson C, Rhodes S, et al. The effectiveness of the foodbot factory mobile serious game on increasing nutrition knowledge in children. Nutrients. 2020;12(11):1–14. doi: 10.3390/nu12113413
Sharma S V, Shegog R, Chow J, et al. Effects of the Quest to Lava Mountain Computer Game on Dietary and Physical Activity Behav-iors of Elementary School Children: A Pilot Group-Randomized Controlled Trial. J Acad Nutr Diet. 2015 Aug;115(8):1260–71. doi: 10.1016/j.jand.2015.02.022
Thompson D, Bhatt R, Vazquez I, Cullen KW, et al. Creating action plans in a serious video game increases and maintains child fruit-vegetable intake: A randomized controlled trial. Int J Behav Nutr Phys Act. 2015;12(1):1–10. doi: 10.1186/s12966-015-0199-z
Wengreen HJ, Joyner D, Kimball SS, Schwartz S, Madden GJ. A Randomized Controlled Trial Evaluating the FIT Game’s Efficacy in Increasing Fruit and Vegetable Consumption. Nutrients. 2021 Jul;13(8). doi: 10.3390/nu13082646
Gan FR, Cunanan E, Castro R. Effectiveness of healthy foodie nutrition game application as reinforcement intervention to previous standard nutrition education of school-aged children: A randomized controlled trial*. J ASEAN Fed Endocr Soc. 2019;34(2):144–52. doi: 10.15605/jafes.034.02.0
Wang JJ, Baranowski T, Lau PWC, Buday R, Gao Y. Story Immersion May Be Effective in Promoting Diet and Physical Activity in Chinese Children. J Nutr Educ Behav. 2017 Apr 1;49(4):321-329. doi: 10.1016/j.jneb.2017.01.001
Banchonhattakit P, Duangsong R, Muangsom N, Kamsong T, Phangwan K. Effectiveness of brain-based learning and animated car-toons for enhancing healthy habits among school children in Khon Kaen, Thailand. Asia-Pacific J Public Heal. 2015;27(2):NP2028–39. doi: 10.1177/1010539512466425
Espinosa-Curiel IE, Pozas-Bogarin EE, Lozano-Salas JL, Martínez-Miranda J, Delgado-Pérez EE, Estrada-Zamarron LS. Nutritional Education and Promotion of Healthy Eating Behaviors Among Mexican Children Through Video Games: Design and Pilot Test of FoodRateMaster. JMIR Serious Games 2020;8(2)e16431. doi: 10.2196/16431
Braga-Pontes C, Simões-Dias S, Lages M, Guarino MP, Graça P. Nutrition education strategies to promote vegetable consumption in preschool children: The Veggies4myHeart project. Public Health Nutr. 2022;25(4):1061–70. doi: 10.1017/S1368980021004456
Stuart B, Panico L. Early-childhood BMI trajectories: evidence from a prospective, nationally representative British cohort study. Nutr Diabetes 2016 Mar 7;6(3):e198–e198. doi: 10.1038/nutd.2016.6
Pulimeno M, Piscitelli P, Colazzo S, Colao A, Miani A. School as ideal setting to promote health and wellbeing among young people. Heal Promot Perspect. 2020 Nov 7;10(4):316. doi: 10.34172/hpp.2020.50
Food and nutrition education | School Food and Nutrition | Food and Agriculture Organization of the United Nations [Internet]. [cited 2022 Jun 10]. Available from: https://www.fao.org/school-food/areas-work
/based-food-nutrition-education
Staiano AE, Beyl RA, Guan W, Hendrick CA, Hsia DS, Newton RL. Home-based exergaming among children with overweight and obesity: a randomized clinical trial. Pediatr Obes. 2018;13(11):724–33. doi: 10.1111/ijpo.12438
Hornung RL, Lennon PA, Garrett JM, Devellis RF, Weinberg PD, Strecher VJ. Interactive computer technology for skin cancer pre-vention targeting children. Am J Prev Med. 2000;18(1):69–76. doi: 10.1016/S0749-3797(99)00115-4
Frascella B, Oradini-Alacreu A, Balzarini F, Signorelli C, Lopalco PL, Odone A. Effectiveness of email-based reminders to increase vaccine uptake: a systematic review. Vaccine. 2020 Jan 16;38(3):433–43. doi: 10.1016/j.vaccine.2019.10.089
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Giulia Dallagiacoma, Federica Alberti, Anna Odone
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.