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The Influence of Dietary Variety and Course Sequence on Fruit Intake in Preschool-Aged Children

The Influence of Dietary Variety and Course Sequence on Fruit Intake in Preschool-Aged Children

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01414699
Enrollment
16
Registered
2011-08-11
Start date
2011-08-31
Completion date
2015-12-31
Last updated
2018-04-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Caloric Intake

Keywords

dietary variety, course sequence, preschool, child feeding

Brief summary

The purpose of this study is to determine the extent to which manipulation of dietary variety and course sequence affects fruit intake and overall energy intake in preschool-aged children.

Detailed description

In the past two decades overweight and obesity rates in children (ages 2-19) have risen from 5% to 17%, with toddlers (ages 2-5) at 10%. Among children and adolescents the consumption of low-energy-dense foods, such as fruit and vegetables (F&Vs), remain below current recommendations. Therefore, strategies to increase low-energy-dense F&V intake and decrease high-energy-dense food intake aimed at young children are essential. Antecedents, or cues, can trigger eating. Therefore, manipulating food presentation can be utilized to produce certain behaviors. Dietary variety and course sequence are two examples of this relationship. It has been well established that high dietary variety leads to greater consumption patterns compared to low DV diets in adults. High DV has only been tested with problematic foods, and not with the goal of increasing F&V intake. Additionally, serving a first course meal can act as a preload to decrease intake of the second course entrée. Dietary variety and course sequence manipulations have been experimentally tested with caloric intake goals but never with the goal of increasing F&V intake. Therefore, the purpose of this study is to determine the extent to which manipulation of dietary variety and course sequence affects fruit intake and overall energy intake in preschool-aged children.

Interventions

BEHAVIORALVariety

These conditions will have snack served with an increase of fruit variety.

BEHAVIORALNon-Variety

These conditions will receive a snack without a variety of fruit.

Sponsors

The University of Tennessee, Knoxville
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
3 Years to 6 Years
Healthy volunteers
Yes

Inclusion criteria

* All children that are ≥3 years of age enrolled in the ELC preschool with parental consent can participate. * Eligible children must also like applesauce, peaches and cheese cubes, and be able to consume foods with a spoon.

Exclusion criteria

* Children allergic to applesauce, peaches, or chocolate pudding or who are lactose-intolerant will not be included in the study. * Did not attend all feeding sessions. * Did not consume more than 5 grams from any of the foods on an occasion.

Design outcomes

Primary

MeasureTime frameDescription
Total grams of snack consumed.4 weeksTotal grams of snack consumed by participants over the 4-week study (with 1 snack per week) period will be determined by subtracting pre- and post-consumption weight of the snack provided.

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026