Interventions on fruit and vegetable intake in low-, middle-, and high-income countries: A scoping review of evidence and knowledge gaps

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cg.authorship.typesCGIAR multi-centreen
cg.authorship.typesCGIAR and advanced research instituteen
cg.authorship.typesCGIAR and developing country instituteen
cg.contributor.affiliationUniversity of Californiaen
cg.contributor.affiliationUniversity for Development Studiesen
cg.contributor.affiliationInternational Food Policy Research Instituteen
cg.contributor.affiliationUniversity of Liverpoolen
cg.contributor.affiliationResearch Triangle Institute Internationalen
cg.contributor.affiliationUniversity of Edinburghen
cg.contributor.affiliationInternational Potato Centreen
cg.contributor.affiliationFood and Nutrition Research Instituteen
cg.contributor.affiliationSokoine University of Agricultureen
cg.contributor.affiliationWorld Vegetable Centeren
cg.contributor.affiliationWayamba University of Sri Lankaen
cg.contributor.affiliationICFen
cg.contributor.donorCGIAR Trust Funden
cg.contributor.initiativeFruit and Vegetables for Sustainable Healthy Diets
cg.contributor.initiativeSustainable Healthy Diets
cg.creator.identifierNadia Koyratty: 0000-0001-6035-6920en
cg.creator.identifierLilia Bliznashka: 0000-0003-2084-1141en
cg.creator.identifierDeanna Olney: 0000-0002-2420-8565en
cg.howPublishedFormally Publisheden
cg.identifier.doihttps://doi.org/10.1177/03795721251314141en
cg.identifier.projectIFPRI - Nutrition, Diets, and Health Uniten
cg.identifier.publicationRankBen
cg.isijournalISI Journalen
cg.issn0379-5721en
cg.journalFood and Nutrition Bulletinen
cg.reviewStatusPeer Reviewen
cg.subject.actionAreaSystems Transformation
cg.subject.impactAreaNutrition, health and food security
dc.contributor.authorAzupogo, Fustaen
dc.contributor.authorKoyratty, Nadiaen
dc.contributor.authorSmith, Taryn J.en
dc.contributor.authorHinnouho, Guy-Marinoen
dc.contributor.authorTharaney, Manishaen
dc.contributor.authorBliznashka, Liliaen
dc.contributor.authorAmunga, Dorcas A.en
dc.contributor.authorAngeles-Agdeppa, Imeldaen
dc.contributor.authorGoyena, Evaen
dc.contributor.authorGrant, Fredericken
dc.contributor.authorKinabo, Joyceen
dc.contributor.authorMitchodigni, Irene Medemeen
dc.contributor.authorSilva, Renukaen
dc.contributor.authorSitisekara, Hasaraen
dc.contributor.authorOlney, Deanna K.en
dc.contributor.authorHess, Sonja Y.en
dc.date.accessioned2025-03-06T18:24:35Zen
dc.date.available2025-03-06T18:24:35Zen
dc.identifier.urihttps://hdl.handle.net/10568/173501
dc.titleInterventions on fruit and vegetable intake in low-, middle-, and high-income countries: A scoping review of evidence and knowledge gapsen
dcterms.abstractBackground 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.en
dcterms.accessRightsOpen Access
dcterms.audienceAcademicsen
dcterms.available2025-03-03en
dcterms.bibliographicCitationAzupogo, Fusta; Koyratty, Nadia; Smith, Taryn J.; Hinnouho, Guy-Marino; Tharaney, Manisha; Bliznashka, Lilia; et al. 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. Article in Press. First published online March 3, 2025. https://doi.org/10.1177/03795721251314141en
dcterms.issued2025en
dcterms.languageen
dcterms.licenseCC-BY-NC-4.0
dcterms.publisherSAGE Publicationsen
dcterms.subjectfruitsen
dcterms.subjectvegetablesen
dcterms.subjecthealthen
dcterms.subjectnutritionen
dcterms.subjectnutrition educationen
dcterms.subjectdieten
dcterms.typeJournal Article

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