The feasibility and acceptability of two methods ofsnack portion control in United Kingdom (UK) preschool children: reduction and replacement.

REALE, Sophie, KEARNEY, Colette M, HETHERINGTON, Marion M, CRODEN, Fiona, CECIL, Joanne E, CARSTAIRS, Sharon A, ROLLS, Barbara J and CATON, Samantha J (2018). The feasibility and acceptability of two methods ofsnack portion control in United Kingdom (UK) preschool children: reduction and replacement. Nutrients, 10, p. 1493.

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Official URL: https://www.mdpi.com/2072-6643/10/10/1493
Open Access URL: https://www.mdpi.com/2072-6643/10/10/1493 (Published version)
Link to published version:: https://doi.org/10.3390/nu10101493
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    Abstract

    Large portions of high energy dense (HED) snacks are offered to children from a young age and are pervasive in our food environment. This study aimed to explore the feasibility, acceptability, and preliminary efficacy of two strategies of snack portion control: reduction and replacement. Forty-six mother-child dyads aged 22⁻56 months (36.6 ± 9.5 m, 48% female) completed a three-week intervention. In week 1 (baseline) no changes were made to the child's diet; week 2 (acclimation) children received a standardised selection of HED snacks, and in week 3 (intervention) participants were randomly assigned to snack replacement (n = 24) or snack reduction (n = 22). Snack replacement involved swapping HED snacks for fruits and vegetables, whilst snack reduction involved reducing the size of HED snacks by 50%. Food and energy intake were measured using a weighed food diary for four consecutive days. Snack replacement resulted in more positive changes to children's diets; vegetable intake increased (p < 0.01), and total daily energy intake decreased when compared to snack reduction (p < 0.05). Mothers expressed a more favourable attitude to snack replacement, although snack reduction was also well received by mothers. Despite increased preliminary efficacy of snack replacement on dietary intake, both strategies were feasible and acceptable. The current pilot study provides the necessary information to inform the design of future interventions.

    Item Type: Article
    Uncontrolled Keywords: acceptability; feasibility; portion size; preschool children; snack reduction; snack replacement; Adult; Attitude; Child, Preschool; Diet; Energy Intake; Feasibility Studies; Feeding Behavior; Female; Health Behavior; Health Promotion; Humans; Infant; Male; Mothers; Pilot Projects; Portion Size; Snacks; United Kingdom; Vegetables; Humans; Vegetables; Diet; Feasibility Studies; Pilot Projects; Attitude; Feeding Behavior; Health Behavior; Mothers; Energy Intake; Adult; Child, Preschool; Infant; Health Promotion; Female; Male; Snacks; Portion Size; United Kingdom; 1111 Nutrition and Dietetics
    Identification Number: https://doi.org/10.3390/nu10101493
    Page Range: p. 1493
    SWORD Depositor: Symplectic Elements
    Depositing User: Symplectic Elements
    Date Deposited: 16 Dec 2019 12:28
    Last Modified: 16 Dec 2019 12:30
    URI: http://shura.shu.ac.uk/id/eprint/25353

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