{"id":71205,"date":"2020-05-18T13:32:18","date_gmt":"2020-05-18T11:32:18","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/?post_type=article_revue&#038;p=71205"},"modified":"2020-05-18T13:32:18","modified_gmt":"2020-05-18T11:32:18","slug":"strategies-for-healthcare-providers-to-increase-fruit-and-vegetable-consumption-in-children","status":"publish","type":"article_revue","link":"https:\/\/aprifel-pp.mentalworks.biz\/en\/global-fv-newsletter-article\/strategies-for-healthcare-providers-to-increase-fruit-and-vegetable-consumption-in-children\/","title":{"rendered":"Strategies for Healthcare Providers to Increase Fruit and Vegetable Consumption in Children"},"content":{"rendered":"<p><em>The findings and conclusions in this article are those of the authors and <\/em><em>do not necessarily represent the official position of the Centers for Disease <\/em><em>Control and Prevention.<\/em><\/p>\n<p>Fruits and vegetables (FV) provide many important nutrients1. Higher intake of FV is associated with a reduced risk for heart disease<sup>1<\/sup>, stroke<sup>1<\/sup>, diabetes<sup>2<\/sup>, and some cancers1. Replacing energy-dense foods with FV may assist in healthy weight management<sup>3<\/sup>. Eating habits developed early in life impact dietary behaviors in adolescence and adulthood<sup>4,5<\/sup>. Because most children do not consume the recommended amounts of FV<sup>6<\/sup>, it is important to understand strategies to increase children\u2019s consumption of these foods.<\/p>\n<p>Healthcare providers can be an important influence on children\u2019s consumption of FV. This article summarizes strategies that healthcare providers can use, which were detailed in a previously published paper<sup>7<\/sup>. Through counseling during clinic visits, providers may be able to directly influence children\u2019s food selections, encourage caregivers to create a home environment supportive of healthy choices, and recommend community resources that improve access to FV. Health care providers can also create a healthy food environment in the clinical setting where they work to serve as a role model for patients and the community.<\/p>\n<p>Below, we summarize some specific activities health care providers can engage in at the patient level, healthcare facility level and community level to create healthier communities and empower patients and families.<\/p>\n<p><strong>Opportunities at the patient level, healthcare facility level and <\/strong><strong>community level for healthcare providers to influence children\u2019s FV <\/strong><strong>consumption<\/strong><\/p>\n<h1>Patient level: assess, counsel, and provide resources<\/h1>\n<ul>\n<li>Integrate assessment of, and counseling on, FV consumption into clinical practice. The American Academy of Pediatrics provides a guide for billing<sup>8<\/sup>.<\/li>\n<li>Give a FV prescription on a prescription pad to document and emphasize the importance of consuming recommended FV servings each day<sup>9<\/sup>.<\/li>\n<li>Develop referral guides to resources, e.g., Special Supplemental Nutrition Program for Women, Infants and Children [WIC], WIC Farmers Market Nutrition Program [FMNP], and the Supplemental Nutrition Assistance Program [SNAP], farmers markets, cooking classes, and community gardens.<\/li>\n<\/ul>\n<h1>Healthcare facility level: create a healthy environment<\/h1>\n<ul>\n<li>Be a role model by providing healthy foods and beverages for patients, visitors, and employees.<\/li>\n<li>Host a farmers market or community-supported agriculture program.<\/li>\n<li>Create guidelines for increasing FV in vending, food service venues, hospital shops, and inpatient meals. Consult the Health and Sustainability Guidelines for Federal Concessions and Vending Operations for an example<sup>10<\/sup>.<\/li>\n<\/ul>\n<h1>Community level: support healthy food environments where children spend time<\/h1>\n<ul>\n<li>Work with community stakeholders and partners, such as health departments, schools, child care and early care and education (ECE), and community organizations to improve FV access and consumption.<\/li>\n<\/ul>\n<p><strong>Patient visit: strategies healthcare providers can advise caregivers to<\/strong><br \/>\n<strong>use to encourage children\u2019s FV consumption<\/strong><\/p>\n<h1>Individual level: get kids involved<\/h1>\n<ul>\n<li>Garden, cook, and grocery shop with kids.<\/li>\n<li>Take kids to a local farm or community garden so they can see where their food comes from.<\/li>\n<\/ul>\n<h1>Social environment: have positive feeding interactions with children<\/h1>\n<ul>\n<li>Expose children to a variety of FV.<\/li>\n<li>Avoid controlling feeding practices like overly pressuring children to eat certain foods and overly restricting food.<\/li>\n<li>Eat together regularly as a family.<\/li>\n<li>Role model healthy behaviors.<\/li>\n<\/ul>\n<h1>Physical environment: make FV readily available<\/h1>\n<ul>\n<li>Make FV accessible by having them washed, cut, and ready to eat on a counter, or at eye level in the refrigerator.<\/li>\n<li>Incorporate vegetables into dishes such as breads, pasta, chili, soups, casseroles, and pizza.<\/li>\n<li>Pack FV for kids to take to school, ECE, the playground, pool, or camp.<\/li>\n<li>Provide FV when bringing snacks to school or sports events.<\/li>\n<\/ul>\n<p>Health care providers can engage in many strategies in and outside the clinic setting at the individual, social, and physical environment levels to positively influence children\u2019s fruit and vegetable consumption.<\/p>\n","protected":false},"template":"","class_list":["post-71205","article_revue","type-article_revue","status-publish","hentry"],"acf":{"auteur":"","source":"","revue":[{"ID":70518,"post_author":"22","post_date":"2020-04-21 16:32:52","post_date_gmt":"2020-04-21 14:32:52","post_content":"","post_title":"85 - January 2014","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"85-january-2014","to_ping":"","pinged":"","post_modified":"2020-04-21 16:32:52","post_modified_gmt":"2020-04-21 14:32:52","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/?post_type=revue&#038;p=70518","menu_order":200,"post_type":"revue","post_mime_type":"","comment_count":"0","filter":"raw"}],"position":"2","references":"<ol>\n<li>U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2010. Washington, DC: US Government Printing Office; 2010.<\/li>\n<li>Montonen J, Knekt P, Jarvinen R, et al. Dietary antioxidant intake and risk of type 2 diabetes. Diabetes Care 2004;27(2):362\u20136.<\/li>\n<li>Rolls BJ, Ello-Martin JA, Tohill BC. What can intervention studies tell us about the relationship between fruit and vegetable consumption and weight management? Nutr Rev 2004;62(1):1\u201317.<\/li>\n<li>Lien N, Lytle LA, Klepp KI. Stability in consumption of fruit, vegetables, and sugary foods in a cohort from age 14 to age 21. Prev Med 2001;33(3):217\u201326.<\/li>\n<li>Wang Y, Bentley ME, Zhai F, et al. Tracking of dietary intake patterns of Chinese from childhood to adolescence over a six-year follow-up period. J Nutr 2002; 132(3):430\u20138.<\/li>\n<li>Krebs-Smith SM, Guenther RM, Subar AF, et al. Americans do not meet federal dietary recommendations. J Nutr 2010;140:1832-1838.<\/li>\n<li>Kim SA, Grimm KA, May AL, Harris DM, Kimmons J, Foltz JL. Strategies for pediatric practitioners to increase fruit and vegetable consumption in children.2011 Dec;58(6):1439-53<\/li>\n<li>American Academy of Pediatrics. \u201cPrevention and Treatment of Childhood Overweight and Obesity \u2013 Practice Management Resources\u201d http:\/\/www2.aap.org\/obesity\/practice_management_resources.html?technology=0<\/li>\n<li>American Academy of Pediatrics. \u201cPrevention and Treatment of Childhood Overweight and Obesity \u2013 Clinical Resources \u2013 Clinical tools.\u201d http:\/\/www2.aap.org\/obesity\/clinical_resources.html?technology=0<\/li>\n<li>Centers for Disease Control and Prevention. \u201cChronic Disease Prevention and Health Promotion &#8211; Health and Sustainability Guidelines for Federal Concessions and Vending Operations.\u201c http:\/\/www.cdc.gov\/chronicdisease\/resources\/guidelines\/food-serviceguidelines.htm<\/li>\n<li>National Initiative for Children\u2019s Healthcare Quality. \u201cBe Our Voice &#8211; Resource Guide for Healthcare Professionals Interested in Advocating for Children&#8217;s Health.\u201d http:\/\/www.nichq.org\/advocacy\/obesity_resources\/toolkit.html<\/li>\n<li>American Academy of Pediatrics. \u201cPrevention and Treatment of Childhood Overweight and Obesity &#8211; Policy Tool.\u201d http:\/\/www.aap.org\/obesity\/matrix_1.html<\/li>\n<\/ol>\n"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v23.6) - 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