A systematic review of population and community dietary interventions to prevent cancer
Thorogood, Margaret, Simera, Iveta, Dowler, Elizabeth, Summerbell, Carolyn and Brunner, Eric. (2007) A systematic review of population and community dietary interventions to prevent cancer. Nutrition Research Reviews, Vol.20 (No.1). pp. 74-88. ISSN 0954-4224
WRAP_Dowler_Systematic_review.pdf - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Official URL: http://dx.doi.org/10.1017/S0954422407733073
Diet is an important factor in the causation of cancer. Previous systematic reviews of one-to-one interventions to encourage dietary change have found that such interventions can achieve modest improvements in diet. However, such interventions are resource intensive and unlikely to be good value for money at a population level. Interventions that address groups, communities or whole populations may be less resource intensive and effect change in a wider population. We report a systematic review of such interventions. We set wide inclusion criteria, including before-and-after studies and studies with a non-randomized comparison group as well as randomized trials. We found eighteen studies based in the community, seventeen based on worksites, five based in churches and one based in a supermarket. Interventions which targeted fruit and vegetable intake were most likely to be successful, particularly in worksites and churches. There was also evidence of small positive effects on reducing fat intake in worksites and churches. Overall the community-based interventions showed little effect. The studies included in the present review were generally poorly reported. Dietary changes are reported in the relatively short-term studies reviewed here but may not be sustained in the long term. The effects that we have identified are small but the reach is potentially very wide, in some cases as wide as a whole country. The cost effectiveness of such strategies remains to be evaluated.
|Item Type:||Journal Article|
|Subjects:||R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
|Divisions:||Faculty of Medicine > Warwick Medical School
Faculty of Social Sciences > Sociology
|Library of Congress Subject Headings (LCSH):||Cancer -- Nutritional aspects, Cancer -- Diet therapy, Cancer -- Prevention, Nutrition -- Research, Public health -- Research|
|Journal or Publication Title:||Nutrition Research Reviews|
|Publisher:||Cambridge University Press|
|Official Date:||June 2007|
|Page Range:||pp. 74-88|
|Access rights to Published version:||Open Access|
|Funder:||World Cancer Research Fund (WCRF)|
1 Key, TJ, Schatzkin, A, Willett, WC, Allen, NE, Spencer, EA & Travis, RC (2004) Diet, nutrition and the prevention of cancer. Public Health Nutr 7, 187–200.
2 Glanz, K, Sorensen, G & Farmer, A (1996) The health impact of worksite nutrition and cholesterol intervention programs. Am J Health Promot 10, 453–470.
3 Roe, L, Hunt, P, Bradshaw, H & Rayner, M (1997) Health Promotion Interventions to Promote Healthy Eating in the General Population: a Review. London: HEA.
4 Fletcher, A & Rake, C (1998) Effectiveness of Interventions to Promote Healthy Eating in Elderly People Living in the Community: a Review. London: HEA.
5 Peersman, G, Harden, A & Oliver, S (1998) Effectiveness of Health Promotion Intervention in the Workplace: a Review. London: HEA.
6 Van Teijlingen, E, Wilson, BJ, Barry, N, Ralph, A, McNeil, G, Graham, W & Campbell, D (1998) Effectiveness of Interventions to Promote Healthy Eating in Pregnant Women and Women in Childbearing Age: a Review. London: HEA.
7 White, M, Carlin, L & Rankin, J (1998) Effectiveness of Interventions to Promote Healthy Eating in People from Minority Ethnic Groups: a Review. London: HEA.
8 Brug, J, Campbell, M & van Assema, P (1999) The application and impact of computer-generated personalized nutrition education: a review of the literature. Patient Educ Couns 36, 145–156.
9 Ciliska, D, Miles, E, O'Brien, MA & Turl, C (2000) Effectiveness of community-based interventions to increase fruit and vegetable consumption. J Nutr Educ 32, 341–352.
10 Bowen, DJ & Beresford, SA (2002) Dietary interventions to prevent disease. Annu Rev Public Health 23, 255–286.
11 Janer, G, Sala, M & Kogevinas, M (2002) Health promotion trials at worksites and risk factors for cancer. Scand J Work Environ Health 28, 141–157.
12 Brunner EJ, Thorogood M, Rees K & Hewitt G (2005) Dietary interventions for reducing cardiovascular risk. Cochrane Database of Systematic Reviews CD002128. http://www.mrw.interscience.wiley.com/cochrane/clsysrev/articles/CD002128/frame.html.
13 Higgins JPT & Green S (2005) Cochrane Handbook for Systematic Reviews of Interventions 4.2.5, section 22.214.171.124 (updated May 2005). http://www.cochrane.org/resources/handbook/hbook.htm (accessed 10 October 2006).
14 Brownson, RC, Smith, CA, Pratt, M, Mack, NE, Jackson-Thompson, J, Dean, CG, Dabney, S & Wickerson, JC (1996) Preventing cardiovascular disease through community-based risk reduction: the Bootheel Heart Health project. Am J Public Health 86, 206–213.
15 Croft, JB, Temple, SP, Lankenau, B, Heath, GW, Macera, CA, Eaker, ED & Wheeler, FC (1994) Community intervention and trends in dietary fat consumption among black and white adults. J Am Diet Assoc 94, 1284–1290.
16 Cheadle, A, Psaty, M, Diehr, P, Koepsell, T, Wagner, E, Curry, S & Kristal, A (1995) Evaluating community-based nutrition programs: comparing grocery store and individual-level survey measures of program impact. Prev Med 24, 71–79.
17 Foerster, SB, Kizer, KW, Disogra, LK, Bal, DG, Krieg, BF & Bunch, KL (1995) California's “5 a Day – for Better Health” campaign: an innovative population-based effort to effect large-scale dietary change. Am J Prev Med 11, 124–131.
18 Glasgow, RE, Terborg, JR, Hollis, JF, Severson, HH & Boles, SM (1995) Take Heart: results from the initial phase of work-site wellness program. Am J Public Health 85, 209–216.
19 Glasgow, RE, Terborg, JR, Strycker, LA, Boles, SM & Hollis, JF (1997) Take Heart II: replication of a worksite health promotion trial. J Behav Med 20, 143–161.
20 Turner, LW, Sutherland, M, Harris, GJ & Barber, M (1995) Cardiovascular health promotion in north Florida African-American churches. Health Values 19, 3–9.
21 Dubois, A, Strychar, IM, Champagne, F, Leblanc, MP & Tremblay, C (1996) The effect of a worksite cafeteria program on employees’ dietary fat intakes. J Can Diet Assoc 57, 98–102.
22 Sorensen, G, Stoddard, A, Peterson, K, Cohen, N, Hunt, MK, Stein, E, Palombo, R & Lederman, R (1999) Increasing fruit and vegetable consumption through worksites and families in the treatwell 5-a-day study. Am J Public Health 89, 54–60.
23 Sorensen, G, Thompson, B, Glanz, K, Feng, Z, Kinne, S, DiClemente, C, Emmons, K, Heimendinger, J, Probart, C & Lichtenstein, E (1996) Work site-based cancer prevention: primary results from the Working Well Trial. Am J Public Health 86, 939–947.
24 Kristal, AR, Goldenhar, L, Muldoon, J & Morton, RF (1997) Evaluation of a supermarket intervention to increase consumption of fruits and vegetables. Am J Health Promot 11, 422–425.
25 Perlmutter, CA, Canter, DD & Gregoire, MB (1997) Profitability and acceptability of fat- and sodium-modified hot entrees in a worksite cafeteria. J Am Diet Assoc 97, 391–395.
26 Reger, B, Wootan, MG & Booth-Butterfield, S (1999) Using mass media to promote healthy eating: a community-based demonstration project. Prev Med 29, 414–421.
27 Reger, B, Wootan, MG & Booth-Butterfield, S (2000) A comparison of different approaches to promote community-wide dietary change. Am J Prev Med 18, 271–275.
28 Reger, B, Wootan, MG, Booth-Butterfield, S & Smith, H (1998) 1% or less: a community-based nutrition campaign. Public Health Rep 113, 410–419.
29 Buller, DB, Morrill, C, Taren, D, Aickin, M, Sennott-Miller, L, Buller, MK, Larkey, L, Alatorre, C & Wentzel, TM (1999) Randomized trial testing the effect of peer education at increasing fruit and vegetable intake. J Natl Cancer Inst 91, 1491–1500.
30 Campbell, MK, Demark-Wahnefried, W, Symons, M, et al.. (1999) Fruit and vegetable consumption and prevention of cancer: the Black Churches United for Better Health Project. Am J Public Health 89, 1390–1396.
31 Campbell, M, Tessaro, I, DeVellis, B, Benedict, S, Kelsey, K, Belton, L & Sanhueza, A (2002) Effects of a tailored health promotion program for female blue-collar workers: health works for women. Prev Med 34, 313–323.
32 Fries, EA, Ripley, JS, Fugueiredo, MI & Thompson, B (1999) Can community organization strategies be used to implement smoking and dietary changes in a rural manufacturing work site? J Rural Health 15, 413–420.
33 O'Loughlin, JL, Paradis, G, Gray-Donald, K & Renaud, L (1999) The impact of a community-based heart disease prevention program in a low-income, inner-city neighborhood. Am J Public Health 89, 1819–1826.
34 Tilley, BC, Glanz, K, Kristal, AR, Hirst, K, Li, S, Vernon, SW & Myers, R (1999) Nutrition intervention for high-risk auto workers: results of the Next Step Trial. Prev Med 28, 284–292.
35 Beresford, SA, Thompson, B, Feng, Z, Christianson, A, McLerran, D & Patrick, DL (2001) Seattle 5 a Day worksite program to increase fruit and vegetable consumption. Prev Med 32, 230–238.
36 Yanek, LR, Becker, DM, Moy, TF, Gittelsohn, J & Koffman, DM (2001) Project joy: faith based cardiovascular health promotion for African American women. Public Health Rep 116, 68–81.
37 Stables, GJ, Subar, AF, Patterson, BH, Dodd, K, Heimendinger, J, Van Duyn, MA & Nebeling, L (2002) Changes in vegetable and fruit consumption and awareness among US adults: results of the 1991 and 1997 5 A Day for Better Health Program surveys. J Am Diet Assoc 102, 809–817.
38 Elliot, DL, Goldberg, L, Duncan, TE, Kuehl, KS, Moe, EL, Breger, RK, DeFrancesco, CL, Ernst, DB & Stevens, VJ (2004) The PHLAME firefighters' study: feasibility and findings. Am J Health Behav 28, 13–23.
39 Huot, I, Paradis, G & Ledoux, M; Quebec Heart Health Demonstration Project Research Group (2004) Effects of the Quebec Heart Health Demonstration Project on adult dietary behaviours. Prev Med 38, 137–148.
40 Resnicow, K, Campbell, MK, Carr, C, McCarty, F, Wang, T, Periasamy, S, Rahotep, S, Doyle, C, Williams, A & Stables, G (2004) Body and Soul – a dietary intervention conducted through African-American churches. Am J Prev Med 27, 97–105.
41 Van Assema, P (1994) Results of the Dutch community project ‘Healthy Bergeyk’. Prev Med 23, 394–401.
42 Albright, CL (1996) Nutritional epidemiology: methods and innovations used in a central European community-based program. Nutrition 12, 386–387.
43 Van Wechem, SN, Van Assema, P, Brug, J, Kistemaker, C, Riedstra, M, Hardeman, W & Lowik, MR (1997) Results of a community-based campaign to reduce fat intake. Nutr Health 11, 207–218.
44 Tudor-Smith, C, Nutbeam, D, Moore, L & Catford, J (1998) Effects of the Heartbeat Wales programme over five years on behavioural risks for cardiovascular disease: quasi-experimental comparison of result from Wales and a matched reference area. BMJ 316, 818–822.
45 Lupton, BS, Fonnebo, V & Sogaard, AJ (2003) The Finnmark Intervention Study: is it possible to change CVD risk factors by community-based intervention in an Arctic village in crisis? Scand J Public Health 31, 178–186.
46 Wrigley, N, Warm, D & Margetts, B (2003) Deprivation, diet, and food-retail access: findings from the Leeds ‘food deserts’ study. Environ Plan A 35, 151–188.
47 Holdsworth, M, Raymond, MT & Haslam, C (2004) Does the Heartbeat Award scheme in England result in change in dietary behaviour in the workplace? Health Promot Int 19, 197–204.
48 Lassen, A, Thorsen, AV, Trolle, E, Elsig, M & Ovesen, L (2004) Successful strategies to increase the consumption of fruits and vegetables: results from the Danish ‘6 a day’ Work-site Canteen Model Study. Public Health Nutr 7, 263–270.
49 Ronda, G, Van Assema, P, Candel, M, Ruland, E, Steenbakkers, M, Van Ree, J & Brug, J (2004) The Dutch Heart Health community intervention ‘Hartslag Limburg’: results of an effect study at individual level. Health Promot Int 19, 21–31.
50 Steenhuis, I, Van Assema, P, Van Breukelen, G, Glanz, K, Kok, G & De Vries, H (2004) The impact of educational and environmental interventions in Dutch worksite cafeterias. Health Promot Int 19, 335–343.
51 Dunt, D, Day, N & Pirkis, J (1999) Evaluation of a community-based health promotion program supporting public policy initiatives for a healthy diet. Health Promot Int 14, 317–327.
52 Simpson, JM, Oldenburg, B, Owen, N, Harris, D, Dobbins, T, Salmon, A, Vita, P, Wilson, J & Saunders, JB (2000) The Australian National Workplace Health Project: design and baseline findings. Prev Med 31, 249–260.
53 Cook, C, Simmons, G, Swinburn, B & Stewart, J (2001) Changing risk behaviours for non-communicable disease in New Zealand working men – is workplace intervention effective? N Z Med J 114, 175–178.
54 Bowen, DJ, Beresford, SA, Vu, T, Feng, Z, Tinkler, L, Hart, A Jr, Christensen, AL, McLerran, D, Satia-Abouta, J & Campbell, M (2004) Baseline data and design for a randomized intervention study of dietary change in religious organizations. Prev Med 39, 602–611.
55 Milio, N (1981) Promoting health through structural change: analysis of the origins and implementation of Norway's farm-food-nutrition policy. Soc Sci Med 15, 721–734.
56 National Food Survey Committee (1991) Household Food Consumption and Expenditure 1990 Annual Report of the National Food Survey Committee. London: Ministry of Agriculture, Fisheries and Food.
57 Moher, D, Schulz, KF & Altman, DG (2001) The CONSORT statement revised recommendations for improving the quality of reports of parallel-group randomised trials. Lancet 357, 1191–1194.
58 Stroup, DF, Berlin, JA, Morton, SC, Olkin, I, Williamson, GD, Rennie, D, Moher, D, Becker, BJ, Sipe, TA & Thacker, SB (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis of Observational Studies in Epidemiology (MOOSE) group. JAMA 283, 2008–2012.
Actions (login required)
Downloads per month over past year