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Highlights evidence that ECEC-based interventions may produce small improvements in diet quality, potentially increasing fruit consumption, and may have favorable effects on children’s weight and overweight or obesity risk. Notes moderate-to-very-low certainty due to heterogeneity, potential publication bias, and high or unclear risk of bias. Commentary adds direction for future trials targeting specific components and lower-income contexts.",{"@graph":14,"@context":71},[15,34,54],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/how-effective-are-healthy-eating-interventions-delivered-in-early-childhood-education-and-care-settings-a-cochrane-review-summary-with-commentary/586989/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":48,"encodingFormat":47,"isAccessibleForFree":49,"interactionStatistic":50},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/how-effective-are-healthy-eating-interventions-delivered-in-early-childhood-education-and-care-settings-a-cochrane-review-summary-with-commentary/586989.png","ImageObject",300,407,{"name":42,"@type":43},"Fahsai","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-15",true,{"@type":51,"interactionType":52,"userInteractionCount":22},"InteractionCounter",{"@type":53},"ViewAction",{"@type":55,"mainEntity":56},"FAQPage",[57,63,67],{"name":58,"@type":59,"acceptedAnswer":60},"What does the Cochrane Review focus on in ECEC settings?","Question",{"text":61,"@type":62},"It examines whether healthy eating interventions delivered in ECEC settings improve children’s dietary quality and health, focusing on children aged 6 months to 6 years.","Answer",{"name":64,"@type":59,"acceptedAnswer":65},"What are the main findings about diet and child weight?",{"text":66,"@type":62},"Findings suggest interventions may improve diet quality slightly, potentially increase fruit consumption, and may have favorable effects on weight and risk of overweight or obesity.",{"name":68,"@type":59,"acceptedAnswer":69},"Why is the certainty of evidence rated from moderate to very low?",{"text":70,"@type":62},"The authors caution that heterogeneity, potential publication bias, and high or unclear risks of bias reduce certainty.","https://schema.org",{"og:url":32,"og:type":73,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":75,"canonical":32},"index,follow",{"doc_id":77,"site_id":7},586989,1792083780,{"code":4,"msg":80,"data":81},"success",[82,86,90,94,99,104,108,113,118,121,125],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":83,"show_sort_weight":84,"slug":85},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":87,"show_sort_weight":88,"slug":89},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},"Exam",70,"exam",{"id":95,"doc_module":4,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},5,"Comic",60,"comic",{"id":100,"doc_module":4,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},6,"Technology",50,"technology",{"id":105,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":106,"slug":107},7,40,"healthcare",{"id":109,"doc_module":4,"doc_module_name":25,"category_name":110,"show_sort_weight":111,"slug":112},8,"Research & Report",30,"research-report",{"id":114,"doc_module":4,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},9,"Religion & Spirituality",20,"religion-spirituality",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":119,"show_sort_weight":116,"slug":120},"World Cup","world-cup",{"id":122,"doc_module":4,"doc_module_name":25,"category_name":123,"show_sort_weight":122,"slug":124},10,"Lifestyle","lifestyle",{"id":126,"doc_module":4,"doc_module_name":25,"category_name":127,"show_sort_weight":95,"slug":128},19,"General","general",{"code":4,"msg":80,"data":130},{"doc_id":77,"user_id":131,"nickname":42,"user_avatar":132,"doc_module":4,"category_id":105,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":133,"file_id":134,"file_url":135,"file_type":136,"file_size":137,"view_count":22,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":105,"language":138,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":139,"faqs":140,"seo_title":141,"seo_description":12,"update_tm":142,"read_time":143},549768702563,"https://ap-avatar.wpscdn.com/avatar/8000c4aa63b76e948b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786536092046926083","How Effective Are Healthy Eating Interventions Delivered in Early Childhood Education and Care Settings? A Cochrane Review Summary With Commentary  \nCaroline Rains and Kristen Giombi  \nBackground  \nThis paper summarizes the published Cochrane Review,“Healthy Eating Interventions Delivered in Early Childhood Education and Care Settings for Improving the Diet of Children Aged Six Months to Six Years,” by S. L. Yoong,  \nM. Lum, L. Wolfenden, J. Jackson, C. Barnes, A. E. Hall, S. McCrabb, N. Pearson, C. Lane, J. Z. Jones, E. Nolan, L. Dinour, T. McDonnell, D. Booth, and A. Grady. 1,*  \n* This brief is one in a series prepared by RTI Press in agreement with the Cochrane Library/Wiley. These briefs summarize and add original commentary to research presented in Cochrane Reviews. This summary is based on a Cochrane Review previously published in the Cochrane Database of Systematic Reviews 2023, Issue 8, Art. No. CD013862, DOI: [https://doi.org/](https://doi.org/)[ ](https://doi.org/)[10.1002/14651858.CD013862.pub3](10.1002/14651858.CD013862.pub3) (see [https://www.cochranelibrary.com](https://www.cochranelibrary.com)[ ](https://www.cochranelibrary.com)[for information](for information))[. Cochrane Reviews are regularly updated](. Cochrane Reviews are regularly updated) as new evidence emerges and in response to feedback, and Cochrane Database of Systematic Reviews should be consulted for the most recent version of the review.  \nKey Points  \n• Worldwide, poor diet quality is associated with noncommunicable disease morbidity and mortality; early childhood education and care (ECEC) settings can serve as important places to encourage children to engage in healthy behaviors, including healthy eating.  \n• This Cochrane Review examined evidence for effectiveness of healthy eating interventions delivered in ECEC settings for improving child dietary quality and health.  \n• Findings ofthe systematic review indicate that ECEC-based healthy eating interventions may improve child diet quality slightly, potentially increasing fruit consumption, and may have favorable effects on child weight and risk of being overweight or obese. However, the authors caution that the certainty of evidence is moderate to very low because of considerable heterogeneity, potential publication bias, and high/unclear risks of bias.  \n• The commentary elaborates upon the conclusions of the Cochrane Review authors and suggests that future trials examine the impact of specific intervention components and focus on populations in low-and lower-middleincome countries.  \nWorldwide, poor diet quality is associated with a wide range of noncommunicable disease morbidity and mortality. In 2017, 255 million disability-adjusted life-years and 11 million deaths among adults were attributed to dietary risk factors, including high intake of sodium and low intake of whole grainsand fruits.2 Although many factors influence dietary choicesand quality (e.g., physical environment, culture, knowledge, preferences, physiological needs3), studies have shown  \nRTI Press Publication No. RB-0038-2407 . Research Triangle Park, NC: RTI Press.  \n[https://doi.org/10.3768/rtipress.2024.rb.0038.2407](https://doi.org/10.3768/rtipress.2024.rb.0038.2407)  \nCochrane Review Summary: Healthy Eating Interventions in ECEC Settings  \nthat dietary patterns established in childhood persist into adulthood and can affect health and development.4–7  \nEarly childhood education and care (ECEC) settings have been identified as key places to encourage children to engage in healthy behaviors, including healthy eating.8, 9 Estimates on ECEC participation rates range from 21% in low-income countries to 79% in high-income countries, with an average participation rate of 54% globally.10  \nThis Cochrane Review examined the evidence for effectiveness of healthy eating interventions delivered in ECEC settings for improving child dietary quality and health. It focused on children aged 6 months to 6 years. Yoong and colleagues rate","cbCaiaH1ybR8XPIf","https://ap.wps.com/l/cbCaiaH1ybR8XPIf","pdf",784024,"English","# Background\n# Key Points\n# Methods\n## Study population and intervention criteria\n## Outcomes and eligibility\n# Search Methodology","[{\"question\":\"What does the Cochrane Review focus on in ECEC settings?\",\"answer\":\"It examines whether healthy eating interventions delivered in ECEC settings improve children’s dietary quality and health, focusing on children aged 6 months to 6 years.\"},{\"question\":\"What are the main findings about diet and child weight?\",\"answer\":\"Findings suggest interventions may improve diet quality slightly, potentially increase fruit consumption, and may have favorable effects on weight and risk of overweight or obesity.\"},{\"question\":\"Why is the certainty of evidence rated from moderate to very low?\",\"answer\":\"The authors caution that heterogeneity, potential publication bias, and high or unclear risks of bias reduce certainty.\"}]","How Effective Are Healthy Eating Interventions Delivered in Early Childhood Education and Care Settings? A Cochrane Review Summary With Commentary | PDF",1792060377,18]