The feasibility and acceptability of two methods of snack portion control in United Kingdom (UK) preschool children: Reduction and replacement

Sophie Reale, Colette M. Kearney, Marion M. Hetherington, Fiona Croden, Joanne E. Cecil, Sharon A. Carstairs, Barbara J. Rolls, Samantha J. Caton (Lead / Corresponding author)

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)
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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.

Original languageEnglish
Article number1493
Number of pages25
JournalNutrients
Volume10
Issue number10
DOIs
Publication statusPublished - 12 Oct 2018

Keywords

  • Acceptability
  • Feasibility
  • Portion size
  • Preschool children
  • Snack reduction
  • Snack replacement

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