{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:56:26Z","timestamp":1791438986834,"version":"4.3.3"},"reference-count":50,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Unhealthy eating behaviours and rising rates of undernutrition and obesity remain widespread among children and adolescents. Traditional education often fails to engage this population. In contrast, video and comic book formats offer accessible, engaging tools for nutrition education, but evidence on their effectiveness is inconsistent. This systematic review synthesises and critically appraises the evidence on video\u2010 and comic\u2010based interventions for improving nutritional outcomes in children and adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In accordance with PRISMA guidelines a protocol was registered in PROSPERO (CRD420251138451). We systematically searched PubMed, Embase, and CENTRAL from January 2000 to October 2025 for randomised, cluster\u2010randomised, and non\u2010randomised intervention studies in participants aged \u2264\u200918 years using video\u2010 or comic\u2010based formats. Outcomes included nutritional status, dietary intake, food consumption, dietary patterns, and nutrition literacy. The risk of bias quality of the included studies were independently assessed by two reviewers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 498 records, 18 studies met inclusion criteria\u201414 video\u2010based and 4 comic\u2010based interventions across school, digital, and clinical settings in Asia, Africa, Europe, North America, and Australia (sample sizes ranged from 57 to 6,640). Interventions consistently improved nutrition\u2010related knowledge, attitudes, and self\u2010efficacy. Effects on dietary behaviours, including fruit and vegetable consumption, were favourable, but rarely sustained at follow\u2010up. The effects of anthropometric factors on BMI and body composition were limited and inconsistent. Risk of bias ranged from some concerns to high or serious.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Video\u2010 and comic\u2010based interventions effectively improve nutrition literacy among children and adolescents but show limited and inconsistent effects on dietary behaviours and anthropometric outcomes. Future interventions should move beyond information delivery and embed multimedia within multilevel strategies addressing behavioural, environmental, and parental determinants of diet.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.70362","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T05:46:30Z","timestamp":1791438390000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intervention Using Video and Comic Books Targeting Nutritional Outcomes in Children and Adolescents: A Systematic Review"],"prefix":"10.1111","volume":"39","author":[{"given":"Ira","family":"Dwijayanti","sequence":"first","affiliation":[{"name":"Department of Nutrition, Faculty of Health Universitas Nahdlatul Ulama Surabaya Surabaya Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3276-2883","authenticated-orcid":false,"given":"Marian Abrafi","family":"Osei","sequence":"additional","affiliation":[{"name":"Transdisciplinary Research, Area (TRA) \u201cTechnology and Innovation for Sustainable Futures\u201d and Center for Development Research (ZEF) Rheinische Friedrich\u2010Wilhelms University of Bonn Bonn Germany"},{"name":"University Hospital, Kwame Nkrumah University of Science and Technology Kumasi Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farah","family":"Nuriannisa","sequence":"additional","affiliation":[{"name":"Department of Nutrition, Faculty of Health Universitas Nahdlatul Ulama Surabaya Surabaya Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5241-2240","authenticated-orcid":false,"given":"Luthfia","family":"Dewi","sequence":"additional","affiliation":[{"name":"Department of Nutrition Universitas Muhammadiyah Semarang Semarang Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6952-0010","authenticated-orcid":false,"given":"Arif Sabta","family":"Aji","sequence":"additional","affiliation":[{"name":"Research Center for Biomedical National Research and Innovation Agency Bogor Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9809-1953","authenticated-orcid":false,"given":"Adi Lukas","family":"Kurniawan","sequence":"additional","affiliation":[{"name":"Transdisciplinary Research, Area (TRA) \u201cTechnology and Innovation for Sustainable Futures\u201d and Center for Development Research (ZEF) Rheinische Friedrich\u2010Wilhelms University of Bonn Bonn Germany"},{"name":"Heidelberg Institute of Global Health (HIGH) Medical Faculty and University Hospital, Heidelberg University Heidelberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/nutrit\/nuac089"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu17040609"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17186806"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2024.1576"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2024.1405414"},{"key":"e_1_2_11_7_1","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2021-053852H","article-title":"Digital Interventions for Universal Health Promotion in Children and Adolescents: A Systematic Review","volume":"149","author":"Oh C.","year":"2022","journal-title":"Pediatrics"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.0042"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.2196\/60602"},{"key":"e_1_2_11_10_1","article-title":"The Efficacy of Digital Media Tools to Promote a Healthy Diet in Children: A Systematic Review of Intervention Studies","volume":"94","author":"Dallagiacoma G.","year":"2023","journal-title":"Acta Bio\u2010Medica: Atenei Parmensis"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/g4h.2018.0070"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-73671-7"},{"key":"e_1_2_11_13_1","doi-asserted-by":"crossref","DOI":"10.1017\/jns.2025.10072","article-title":"Development and Validation of an Educational Comic Book on Healthy Eating in Early Childhood","volume":"15","author":"Soares C. 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