scholarly journals Association between Spatial Access to Food Outlets, Frequency of Grocery Shopping, and Objectively-Assessed and Self-Reported Fruit and Vegetable Consumption

Nutrients ◽  
2018 ◽  
Vol 10 (12) ◽  
pp. 1974 ◽  
Author(s):  
Jared McGuirt ◽  
Stephanie Jilcott Pitts ◽  
Alison Gustafson

Because supermarkets are a critical part of the community food environment, the purpose of this paper is to examine the association between accessibility to the supermarket where participants were surveyed, frequency of shopping at the supermarket, and self-reported and objectively-assessed fruit and vegetable consumption. Accessibility was assessed using Geographic Information Systems (GIS) measured distance and multiple versions of the modified Retail Food Environment Index (mRFEI), including a localized road network buffer version. Frequency of shopping was assessed using self-report. The National Cancer Institute Fruit and Vegetable screener was used to calculate daily servings of fruits and vegetables. Skin carotenoids were assessed using the “Veggie Meter™” which utilizes reflection spectroscopy to non-invasively assess skin carotenoids as an objective measure of fruit and vegetable consumption. Bivariate and multivariable statistics were used to examine the associations in RStudio. There was a positive association between skin carotenoids and the Special Supplemental Nutrition Program for Women Infants and Children (WIC) and mRFEI scores, suggesting that WIC participation and a healthier food environment were associated with objectively-assessed fruit and vegetable consumption (skin carotenoids). Future research should examine these associations using longitudinal study designs and larger sample sizes.

2021 ◽  
Vol 9 ◽  
Author(s):  
Yun-Hsuan Wu ◽  
Spencer Moore ◽  
Cameron McRae ◽  
Laurette Dubé

Low fruit and vegetable consumption (FVC) remains a global health challenge. Fostering subsistence agriculture through the production and home-grown consumption (HGC) of fruits and vegetables are seen as potential strategies for improving overall FVC, in particular, for developing countries like India. In addition, educational strategies targeting FVC health literacy are also used. Little evidence has documented a connection between these two strategies. We examine the single and combined influence of HGC and health literacy with regard to benefits from fruits and vegetable consumption. Data were collected from 427 rural households in the state of Odisha, India. Three outcomes were examined: FVC, as well as fruit and vegetables separately. Linear and Poisson regression were used to examine the association among home-grown consumption (HGC), FVC health literacy, and the FVC outcomes. Findings show that HGC, but not FVC health literacy, was directly associated with FVC (β = 0.65, SE = 0.10, p = 0.008) and vegetable consumption (β = 0.57, SE = 0.11, p = 0.02). However, both HGC (β = 0.58, SE = 0.05, p < 0.01) and FVC health literacy (β = −0.07, SE = 0.02, p = 0.001) were associated with fruit consumption. In addition, HGC effect is concentrated among participants who reported low FVC health literacy, especially on overall FVC and vegetables alone. Results are discussed in relation to the beneficial role played by HGC in those particularly vulnerable households who perceived little FVC health literacy. Our results provide insights on novel improved FVC consumption across all population segments. Future research should explore the complex interplay between agricultural policies and educational programs in the design of interventions promoting fruit and vegetable production and consumption.


2017 ◽  
Vol 21 (5) ◽  
pp. 981-991 ◽  
Author(s):  
Rebecca C Woodruff ◽  
Ilana G Raskind ◽  
Diane M Harris ◽  
Julie A Gazmararian ◽  
Michael Kramer ◽  
...  

AbstractObjectiveTo investigate the potential dietary impact of the opening of new retailers of healthy foods.DesignSystematic review of the peer-reviewed research literature.SettingReferences published before November 2015 were retrieved from MEDLINE, EMBASE and Web of Science databases using keyword searches.SubjectsThe outcome of the review was change in fruit and vegetable consumption among adults.ResultsOf 3514 references retrieved, ninety-two articles were reviewed in full text, and twenty-three articles representing fifteen studies were included. Studies used post-test only (n 4), repeated cross-sectional (n 4) and repeated measures designs (n 7) to evaluate the dietary impact of supermarket (n 7), farmers’ market (n 4), produce stand (n 2) or mobile market (n 2) openings. Evidence of increased fruit and vegetable consumption was most consistent among adults who began shopping at the new retailer. Three of four repeated measures studies found modest, albeit not always statistically significant, increases in fruit and vegetable consumption (range 0·23–0·54 servings/d) at 6–12 months after baseline. Dietary change among residents of the broader community where the new retailer opened was less consistent.ConclusionsThe methodological quality of studies, including research designs, sampling methods, follow-up intervals and outcome measures, ranged widely. Future research should align methodologically with previous work to facilitate meta-analytic synthesis of results. Opening a new retailer may result in modest short-term increases in fruit and vegetable consumption among adults who choose to shop there, but the potential longer-term dietary impact on customers and its impact on the broader community remain unclear.


Author(s):  
Ellen C Francis ◽  
Lu Zhang ◽  
Brian Witrick ◽  
Liwei Chen

Abstract Background This study examined engagement in five health behaviors among pregnant women in the USA. Methods Pregnant women who participated in the National Health and Nutrition Examination Survey 2007–2014 were included in this study. Five health behaviors were examined: adequate fruit and vegetable consumption, prenatal multivitamin use, physical activity, sleep and smoking. Multivariable regressions were used to estimate the odds ratio and 95% confidence interval of characteristics associated with health behaviors. Results Among 248 pregnant women, only 10.2% engaged in all five health behaviors and 35.4% consumed adequate fruits and vegetables. For adequate fruit and vegetable consumption, Hispanic and women of ‘other’ race were more likely to meet the recommendation compared to non-Hispanic white (P = 0.01 and P = 0.03, respectively); high school graduates were less likely to meet the recommendation compared to those with at least some college education or more (P = 0.04). Conclusions Adequate fruit and vegetable consumption among pregnant women was poor and differed by race/ethnicity and education status. Because of the cross-sectional design, we cannot examine engagement in health behaviors continuously throughout pregnancy. Future research with longitudinal data over the course of pregnancy is needed to confirm these results.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
J. Qi ◽  
J. J. Spinelli ◽  
T. J. B. Dummer ◽  
P. Bhatti ◽  
M. C. Playdon ◽  
...  

AbstractMetabolomics can detect metabolic shifts resulting from lifestyle behaviors and may provide insight on the relevance of changes to carcinogenesis. We used non-targeted nuclear magnetic resonance to examine associations between metabolic measures and cancer preventive behaviors in 1319 participants (50% male, mean age 54 years) from the BC Generations Project. Behaviors were dichotomized: BMI < 25 kg/m2, ≥ 5 servings of fruits or vegetables/day, ≤ 2 alcoholic drinks/day for men or 1 drink/day for women and ≥ 30 min of moderate or vigorous physical activity/day. Linear regression was used to estimate coefficients and 95% confidence intervals with a false discovery rate (FDR) of 0.10. Of the 218 metabolic measures, 173, 103, 71 and 6 were associated with BMI, fruits and vegetables, alcohol consumption and physical activity. Notable findings included negative associations between glycoprotein acetyls, an inflammation-related metabolite with lower BMI and greater fruit and vegetable consumption, a positive association between polyunsaturated fatty acids and fruit and vegetable consumption and positive associations between high-density lipoprotein subclasses with lower BMI. These findings provide insight into metabolic alterations in the context of cancer prevention and the diverse biological pathways they are involved in. In particular, behaviors related to BMI, fruit and vegetable and alcohol consumption had a large metabolic impact.


2012 ◽  
Vol 26 (6) ◽  
pp. 366-370 ◽  
Author(s):  
Nicholas J. Ollberding ◽  
Claudio R. Nigg ◽  
Karly S. Geller ◽  
Caroline C. Horwath ◽  
Rob W. Motl ◽  
...  

Purpose. To examine if spatial access to healthy and unhealthy outlets comprising the local food environment was associated with fruit and vegetable consumption. Design. Cross-sectional. Setting. Population-based sample residing in Hawaii. Subjects. Three hundred and eighty-four adults (36% Asian-American, 33% non-Hispanic white, 31% other/mixed race). Measures. A spatial model of the local food environment was constructed using radial buffers extending from participants' place of residence. Fruit and vegetable intake was estimated using the National Cancer Institute Fruit and Vegetable All-Day Screener. Analysis. Mean intakes of fruits and vegetables were compared for spatial access to total, healthy, and unhealthy food outlets at distances of .5 to 3.5 km. Multiple linear regression was used to estimate differences in fruit and vegetable intake for residing further from a food outlet or for residing in an area with a greater number of food outlets. Results. Residing in an area with a greater density of total or healthy food outlets was associated with a higher mean intake of fruits and vegetables (p < .05) at .5 km. No differences in mean intakes were detected for distances beyond .5 km or for regression models. Conclusion. Findings suggest that greater spatial accessibility to food outlets comprising the local food environment in Hawaii may not be meaningfully associated with fruit and vegetable consumption; however, associations were detected for the smallest spatial scale examined, warranting further investigation.


2021 ◽  
pp. 026010602199374
Author(s):  
Qianzhi Jiang ◽  
Sarah L. Francis ◽  
Karen M. Chapman-Novakofski ◽  
McKenzie Wilt ◽  
Elena T. Carbone ◽  
...  

Background: The physical and social environments surrounding food, whether perceived or observed, can influence consumers’ food choices by changing food access, and affordability, or by changing settings where food-related behaviors occur. Aim: To describe older adults’ perceived food environment, identify the most important sites and factors that enable healthy eating, and explore older adults’ recommendations for communities to facilitate fruit and vegetable consumption. Methods: Participants aged 60 and older from metropolitan areas in Massachusetts, Iowa, and Illinois completed a researcher-administered survey to rate the perceived environment including accessibility, availability, and affordability of fruits and vegetables, and perceived importance of factors and establishments related to fruit and vegetable consumption. Participants also suggested changes for establishments to facilitate fruit and vegetable consumption. Results: The majority of the 142 participants perceived their food environment for fruits and vegetables as not difficult to access (85.2%) with good or excellent availability (90.1%). Education, marital status, and race were associated with some aspects of the perceived food environment. Perceived accessibility and supermarkets were rated as the most important factor and establishment, respectively, to facilitate fruit and vegetable consumption across all study sites. Participants proposed recommendations to address the availability, quality, accessibility and affordability of fruits and vegetables. Conclusion: Interventions promoting accessible, affordable, quality fruits and vegetables may improve older adult consumers’ perceptions of their food environment. Communities may also use undervalued resources such as mobile markets more strategically to provide additional support for healthy eating in older adults.


2021 ◽  
pp. 1-3
Author(s):  
Joreintje Dingena Mackenbach

Abstract I reflect upon the potential reasons why American low-income households do not spend an optimal proportion of their food budgets on fruits and vegetables, even though this would allow them to meet the recommended levels of fruit and vegetable consumption. Other priorities than health, automatic decision-making processes and access to healthy foods play a role, but solutions for the persistent socio-economic inequalities in diet should be sought in the wider food system which promotes cheap, mass-produced foods. I argue that, ultimately, healthy eating is not a matter of prioritisation by individual households but by policymakers.


Author(s):  
Irma Nuraeni ◽  
Hamam Hadi ◽  
Yhona Paratmanitya

ABSTRACT<br /><br />Background: Curently, Indonesia has double burden problems nutrition, such as malnutrition and over nutrition. Overnutrition or obesity are not just happening in adults only, but also can occur in childhood. If the problem of obesity in children and adolescents cannot be resolved, it can be infl uenced obese in adulthood then potentially to have noncommunicable diseases, such as cardiovascular disease, hypertension and diabetes mellitus. Prevalence of obesity in<br />children at Yogyakarta Province increases year by year (1;2). Obesity was caused by an imbalance in energy intake and<br />energy expenditure. Children tend to consume high energy-dense, sweet  taste meal, high fat foods and less dietary fiber from fruits and vegetables. Several studies showed that there was increasing in risk of obesity from someone who have less consumption of fruits and vegetables.<br /><br />Objective:<br />To determine differences in frequency and amount of fruit and vegetable consumption in elementary school children obese and non-obese at Yogyakarta Municipality and  District of Bantul and to find out the risk of obesity in children who have less consumption of fruits and vegetables. <br /><br />Methods:<br />The study design was a case-control, 244 samples as cases (obese children) and 244 controls (non-obesechildren). The subject of this study was children aged 6-12 years who were seated in class 1 to class 5 elementary schools at Yogyakarta Municipality and District of Bantul. Identity data obtained from a structured questionnaire respondent, frequency and amount of fruit and vegetable consumption were taken from Semi Quantitative Food Frequency Questioner(SQFFQ).Then the results analyzed using statistical test.<br /><br />Results: <br />Statistical test showed that there were significant differences (p&lt;0,05) in the frequency and number of fruit and vegetable consumption in obese and non-obese elementary school children at Yogyakarta Municipality and District of Bantul. Multivariate analysis after controlled by gender and energy intake, showed that obese  children who rarely consuming fruits (&lt;7 times/week) (OR=2,24, 95%CI: 1.53-3.28), rarely consuming vegetables (&lt;7 times/week) (OR=2,52, 95%CI: 1,70-3,73), and consuming fruits and vegetables less than 5 servings/day (equivalent to 400 g/day) (OR= 4,59, 95%CI:2,11-10,00) were greater risk for being obesity.<br /><br />Conclusion:<br />Obese children had rarely and less consume of fruits and vegetables than that did in non-obese children at Yogyakarta Municipality and District of Bantul. The children rarely and less consuming fruits and vegetables increased the risk of obesity.<br /><br />KEYWORDS: children obesity, vegetable, fruit<br /><br />ABSTRAK<br /><br />Latar Belakang: Indonesia saat ini mengalami masalah gizi ganda, yaitu masalah gizi kurang dan gizi lebih. Kelebihan  gizi atau obesitas pada anak dan remaja apabila tidak diatasi maka berdampak menjadi obesitas pada masa dewasa yang berpotensi mengalami penyakit tidak menular, seperti jantung, hipertensi dan diabetes mellitus. Prevalensi obesitas pada anak di Provinsi Daerah Istimewa Yogyakarta mengalami peningkatan dari tahun ke tahun (1; 2). Obesitas disebabkan ketidakseimbangan antara masukan dengan keluaran energi. Anak cenderung mengkonsumsi padat energi yang berasa manis dan berlemak tinggi serta makanan kurang serat dari buah dan sayur. Beberapa penelitian menunjukkan peningkatan risiko obesitas pada orang yang kurang konsumsi buah dan sayur.<br /><br />Tujuan: Untuk mengetahui perbedaan frekuensi dan jumlah konsumsi buah dan sayur pada anak SD obes dan tidak obes di Kota Yogyakarta dan Kabupaten Bantul serta peran konsumsi buah dan sayur terhadap kejadian obesitas. <br /><br />Metode: Rancangan penelitian ini adalah case-control, 244 kasus (anak obes) dan 244 kontrol (anak tidak obes). Subjek penelitian adalah anak usia 6-12 tahun yang duduk di kelas 1 hingga kelas 5 sekolah dasar di Kota Yogyakarta dan di Kabupaten Bantul. Data identitas diperoleh dari kuesioner terstruktur, sedangkan data frekuensi dan jumlah konsumsi buah dan sayur diperoleh dari semikuantitatif FFQ. Hasilnya kemudian dianalisis menggunakan uji statistik.<br /><br />Hasil: Pada anak SD obes dan tidak obes di Kota Yogyakarta dan Kabupaten Bantul terdapat perbedaan yang signifikan(p&lt;0,05) dalam frekuensi dan jumlah konsumsi buah dan sayur. Hasil analisis multivariat setelah dikontrol dengan jenis kelamin dan asupan energi menunjukkan bahwa anak SD obes yang mengkonsumsi buah jarang (&lt; 7 kali/minggu) (OR=2,24, 95%CI:1,53-3,28), frekuensi konsumsi sayur jarang (&lt;7 kali/minggu) (OR=2,52, 95%CI: 1,70-3,73), jumlah konsumsi buah dan sayur kurang dari 5 porsi/hari atau setara dengan 400 gr/hari (OR=4,59, 95%CI: 2,11-10,00) berisiko lebih besar untuk terjadinya obesitas. <br /><br />Kesimpulan: Anak SD yang obes lebih jarang dan lebih sedikit mengkonsumsi buah dan sayur dibandingkan dengan anak SD yang tidak obes di Kota Yogyakarta dan Kabupaten Bantul. Anak yang jarang dan sedikit mengkonsumsi buah dan sayur dapat meningkatkan risiko terjadinya obesitas.<br /><br />KATA KUNCI: obesitas anak, sayur, buah


Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Jessie L Parker ◽  
Liwei Chen ◽  
Diane C Mitchell ◽  
Hsin-Chieh Yeh ◽  
Cheryl Anderson ◽  
...  

Background: Increased intake of fruits and vegetables (F/V) may protect against adiposity, but effects on weight have been inconsistent. Our objective was to examine the relationship between fruit and vegetable intake and weight, using direct and indirect measures of dietary intake: self-reported 24-hour recall and serum carotenoid levels. Methods: Participants from the PREMIER lifestyle intervention trial were included in this analysis (n=554). Dietary measures included 24-hour dietary recalls and serum carotenoid levels, from a fasting blood sample. The outcome was weight in pounds. Nested linear mixed models were used to examine the association between F/V and weight. Results: Mean F/V increased from 4.6 (SD 2.4) to 5.6 (SD 3.2) (p=<.01), mean serum carotenoids increased from 53.2 (SD 31.9) to 68.1 (SD 42.5) (p=<.01). At 18 months, participants in the lowest quintile of fruit and vegetable change reported an average intake of 4.42.8 servings of fruits and vegetables, and those in the highest quintile of change reported an average intake of 7.73.2 servings. In a multivariate model adjusting for age, race, gender, intervention, energy, study site, and time, lower body weight was associated with higher F/V intake measured by dietary recall (−0.63 lbs, 95% CI −0.83 to −0.42, per 1 serving increase in F/V) and serum carotenoids (−0.13 lbs, 95% CI −0.15 to −0.11, per 1 ug/dl increase in carotenoids). Results were somewhat attenuated but consistent after additional adjustments for working heart rate, exercise, calories from sugar-sweetened beverages, marital and employment status, and alcohol use . Conclusions: Greater fruit and vegetable consumption was associated with decreased body weight. Results were consistent for both objective and self-reported measures of fruit and vegetable intake.


Medicina ◽  
2019 ◽  
Vol 55 (7) ◽  
pp. 397 ◽  
Author(s):  
Łuszczki ◽  
Sobek ◽  
Bartosiewicz ◽  
Baran ◽  
Weres ◽  
...  

Background and Objectives: Eating habits acquired or changed during childhood are likely to track into adulthood. Due to the fact that nutritional behaviours are not so strongly formed among children, it is easier to change and develop them in children than in adults. The aim of this study was to assess the impact of selected sociodemographic factors affecting fruit and vegetable consumption (i.e., age, parents’ body mass index, parents’ level education, duration of breastfeeding, child’s time spent in front of computer/television) among children in school canteens. Materials and Methods: The sample consisted of 106 participants (52 girls, 54 boys) aged 6–12. The frequency of consuming fruits and vegetables at a school canteen was assessed using bar code cards for two weeks. Body composition estimates were obtained using a foot-to-foot bioelectrical impedance analysis, body height was measured using a stadiometer Seca 213. The questionnaire contained questions about selected factors which can have an influence on fruit and vegetable consumption. In the study group, 13.2% of participants were overweight and 17.9% were obese. Results: Our results showed a statistically significant relationship between age and fruit and vegetable consumption, and it increased with age in both sexes. Conclusions: Bearing in mind the various conditions discussed when shaping the eating habits of pre-school- and early-school-aged children, the importance of proper nutritional education should be stressed both among children and parents.


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