
Scrolling for Better Health: Can Social Media Improve What We Eat?
The Question
Can dietary interventions delivered through social media improve health outcomes?The Recommendation
Adolescents and Adults
Limited evidence from two systematic reviews suggests that health interventions delivered through social media likely have either no effect or a small positive effect on dietary behaviours of adolescents and adults. More research is needed before a recommendation can be made.
Evidence
A 2021 systematic review of 18 studies found that health interventions delivered through social media generally had a small positive effect on diet behaviour and/or quality (e.g. increased vegetable intake, improved Healthy Eating Index, reduced consumption of less healthy foods) in adolescents and adults, although some studies showed no effect. Many of the studies included in the review relied on self-reported measures and targeted females aged 18 to 35 years and, when ethnicity was reported, most participants were white, which limits these findings.
Grade of Evidence C
A 2021 Cochrane Review of eight studies found that, compared to non-social media interventions, health interventions delivered through social media had no significant effect on vegetable and fruit intake Grade of Evidence C or caloric intake Grade of Evidence B in adults aged 18 years and older. Study quality was downgraded due to heterogeneity and for having an unclear risk of bias. Adverse events were not discussed.
*Grade B - The conclusion is supported by fair evidence.
*Grade C - The conclusion is supported by limited evidence or expert opinion
Remarks
Social media was defined in the studies as online platforms (e.g. websites, apps) designed to allow users to interact with each other and to create and/or consume content. The social media platforms that were used in these studies were Facebook (including private Facebook groups), Twitter, Reddit, WeChat and mobile apps (not specified).
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