Trial reportThe American journal of clinical nutrition2013
Serving a variety of vegetables and fruit as a snack increased intake in preschool children.
Trial report in The American journal of clinical nutrition, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01557218 (Increasing the Variety of Vegetables and Fruits Served to Preschool Children at a Snack), which is not on this map. Cited by 46 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Increasing the Variety of Vegetables and Fruits Served to Preschool Children at a Snack
Who cites it
46 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Effects of policies or interventions that influence the school food environment on children's health and nonhealth outcomes: a systematic review.Nutrition reviews · 2024Pooled it
- Effect of food variety on intake of a meal: a systematic review and meta-analysis.The American journal of clinical nutrition · 2021Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2020Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2019Pooled it
- Altering the availability or proximity of food, alcohol, and tobacco products to change their selection and consumption.The Cochrane database of systematic reviews · 2019Pooled it
- Altering the availability or proximity of food, alcohol, and tobacco products to change their selection and consumption.The Cochrane database of systematic reviews · 2019Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2018Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2018Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2017Pooled it
- Trial
- Impact of decreasing the proportion of higher energy foods and reducing portion sizes on food purchased in worksite cafeterias: A stepped-wedge randomised controlled trial.PLoS medicine · 2021Trial
- Learning to like vegetables during breastfeeding: a randomized clinical trial of lactating mothers and infants.The American journal of clinical nutrition · 2017Trial
- Examining the feasibility of implementing behavioural economics strategies that encourage home dinner vegetable intake among low-income children.Public health nutrition · 2017Trial
- Fruit and Vegetable Preparation Style in Family Child Care Homes in Oklahoma.Childhood obesity (Print) · 2026Article
- Development and validation of an educational comic book on healthy eating in early childhood.Journal of nutritional science · 2026Article
- "The Big Three" properties of food that drive intake.Physiology & behavior · 2025Review
- From preschool to policy: A scoping review of recommended interventions for a systems approach to improve dietary intake in early childhood.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Nutritional Quality of the Mid-Afternoon Snack of Schooled Children between the Ages of 3 and 12 Years in Three Areas in Spain.Nutrients · 2024Observational
- Effects of flavour variety on the intake and palatability of commercial feed in nursery pigs.Frontiers in veterinary science · 2023Article
- Dietary Diversity Indicators and Their Associations with Dietary Adequacy and Health Outcomes: A Systematic Scoping Review.Advances in nutrition (Bethesda, Md.) · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundAlthough serving a greater variety of food increases intake, this effect has not been well studied as a strategy to encourage consumption of vegetables and fruit in preschool children.
objectiveThis study examined whether providing a variety of familiar vegetables or fruit to preschool children as a snack would lead to increased selection and intake.
designIn a crossover design, 61 children (aged 3-5 y) ate a snack in their childcare facility on 8 afternoons. At 4 snack times, the children were offered vegetables: either a single type (cucumber, sweet pepper, or tomato) or a variety of all 3 types. At 4 other snack times, the children were offered fruit (apple, peach, pineapple, or all 3 types). Uniform-sized pieces were served family style, and children selected and ate as much as they desired.
resultsOffering a variety of vegetables or fruit increased the likelihood of selection (P < 0.0001); children chose some pieces in 94% of snacks with variety and in 70% of snacks without variety. Serving a variety also increased consumption of both vegetables and fruit (P < 0.0002); the mean (±SEM) increase was 31 ± 5 g, about one-sixth the recommended daily amount. Independent of the variety effect, children were less likely to select vegetables than fruit (P < 0.0001), and the mean intake was substantially less for vegetables than for fruit (22 ± 1 compared with 84 ± 3 g).
conclusionsProviding a variety of vegetables and fruit as a snack led to increased consumption of both food types in a childcare facility. Serving a variety of vegetables or fruit as a snack could help preschool children meet recommended intakes. This trial was registered at clinicaltrials.gov as NCT01557218.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.