Evidence map›Paper›PMID 31409342›Full record

Trial reportBMC public health2019

Effects of a cluster randomized controlled kindergarten-based intervention trial on vegetable consumption among Norwegian 3-5-year-olds: the BRA-study.

Anne Lene Kristiansen, Mona Bjelland, Anne Himberg-Sundet, Nanna Lien, René Holst, Lene Frost Andersen

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 6 pooled it
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 6 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  4. Policy, system, and environmental interventions addressing obesity and diet-related outcomes in early childhood education settings: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023
    Pooled it
  5. Pooled it
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  7. Trial
  8. Trial
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  11. 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 · 2025
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  12. Review
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  14. ResponsiveInternational journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Anne Lene KristiansenDepartment of Nutrition, Institute of Basic Medical Sciences, University of Oslo, PO Box 1046, Blindern, 0317, Oslo, Norway. a.l.kristiansen@medisin.uio.no.ORCID http://orcid.org/0000-0002-7175-135X
Mona BjellandDepartment of Nutrition, Institute of Basic Medical Sciences, University of Oslo, PO Box 1046, Blindern, 0317, Oslo, Norway.
Anne Himberg-SundetDepartment of Nutrition, Institute of Basic Medical Sciences, University of Oslo, PO Box 1046, Blindern, 0317, Oslo, Norway.
Nanna LienDepartment of Nutrition, Institute of Basic Medical Sciences, University of Oslo, PO Box 1046, Blindern, 0317, Oslo, Norway.
René HolstDepartment of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, PO Box 1122, Blindern, 0317, Oslo, Norway.
Lene Frost AndersenDepartment of Nutrition, Institute of Basic Medical Sciences, University of Oslo, PO Box 1046, Blindern, 0317, Oslo, Norway.
University of Oslo · NO

Funding

The Research Council of Norway Project number 228452
6 · The paper itself

Abstract

backgroundEarly childhood represents a critical period for the establishment of long-lasting healthy dietary habits. Limited knowledge exists on how to successfully increase vegetable consumption among preschool children. The overall aim of the present study was to improve vegetable intake among preschool children in a kindergarten-based randomized controlled trial.

methodsThe target group was preschool children born in 2010 and 2011, attending public or private kindergartens in two counties in Norway. Data about child intake of vegetables were collected by three methods. First, parents filled in a web-based questionnaire of the child's vegetable intake. Second, among a subsample, trained researchers observed children's vegetable intake in the kindergarten. Thirdly, a parental web-based 24-h recall assessing the child's vegetable intake was filled in. For allocation of kindergartens to intervention and control groups, a stratified block randomization was used. Multiple intervention components were implemented from September 2015 to February 2016 and components focused at influencing the four determinants availability, accessibility, encouragement and role modelling. The effect of the intervention from baseline (spring 2015) to follow-up 1 (spring 2016) was assessed by mixed-model analysis taking the clustering effect of kindergartens into account.

resultsParental consent was obtained for 38.8% of the children (633 out of 1631 eligible children). Based on the observational data in the kindergarten setting (n 218 in the control group and n 217 in the intervention group), a tendency to a small positive effect was seen as a mean difference of 13.3 g vegetables/day (95% CI: - 0.2, 26.9) (P = 0.054) was observed. No significant overall effects were found for the total daily vegetable intake or for the parental reported frequency or variety in vegetable intake.

conclusionsBased on the observational data in the kindergarten setting, a tendency to a small positive effect was seen with a mean difference of about 13 g vegetables/day, while no other effects on child vegetable intake were found. Additionally, further research to understand the best strategies to involve parents in dietary interventions studies is warranted.

trial registrationInternational Standard Randomised Controlled Trials ISRCTN51962956 . Registered 21 June 2016 (retrospectively registered).

Indexed as

Feeding BehaviorSchool Health ServicesVegetablesChild, PreschoolCluster AnalysisDietDiet SurveysFemaleHumansMaleNorwayObservationParentsProgram EvaluationSchoolsKindergarten-based interventionNorwayPreschool childrenVegetables

Identifiers

PMID31409342
PMCPMC6692927
OpenAlexW2966900634

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.