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A Systematic Review of Behavioral Interventions to Promote Intake of Fruit and Vegetables


      Fruit and vegetable (F/V) intake in the United States remains below recommended levels despite evidence of the health benefits of regular consumption. Efforts to increase F/V intake include behavior-based interventions. A systematic review of MEDLINE PubMed and PsycINFO databases (2005–2010) was conducted to identify behavior-based intervention trials designed to promote F/V intake. Using predetermined limits and selection criteria, 34 studies were identified for inclusion. Behavior-based interventions resulted in an average increase in F/V intake of +1.13 and +0.39 servings per day in adults and children, respectively. Interventions involving minority adults or low-income participants demonstrated average increases in daily F/V consumption of +0.97 servings/day, whereas worksite interventions averaged +0.8 servings/day. Achieving and sustaining F/V intake at recommended levels of intake across the population cannot be achieved through behavior-based interventions alone. Thus, efforts to combine these interventions with other approaches including social marketing, behavioral economics approaches, and technology-based behavior change models should be tested to ensure goals are met and sustained.
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      C. A. Thomson is an associate professor, Department of Nutritional Sciences, University of Arizona, Tucson.


      J. Ravia is a research specialist, Department of Nutritional Sciences, University of Arizona, Tucson.

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      • Erratum
        Journal of the Academy of Nutrition and DieteticsVol. 112Issue 2
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          In the October 2011 issue of the Journal, there was an error in the article “A Systematic Review of Behavioral Interventions to Promote Intake of Fruit and Vegetables” by Thomson and Ravia. In Figure 3 on page 1526, the Study design/intervention column for the MENU study incorrectly included “Control: breast self-exam, counseling, and telephone call (non-diet)”. This description does not apply to this study and should not have been included. As indicated elsewhere in the Figure, the MENU study used an untailored Web diet intervention as its control group, which did not include breast self-exam, counseling, or direct telephone contact.
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