Consumption of Fruits and Vegetables Among Individuals 15 Years and Older in 28 Low- and Middle-Income Countries
The WHO recommends 400 g/d of fruits and vegetables (the equivalent of ∼5 servings/d) for the prevention of noncommunicable diseases (NCDs). However, there is limited evidence regarding individual-level correlates of meeting these recommendations in low- and middle-income countries (LMICs). In order...
Gespeichert in:
| Veröffentlicht in: | The Journal of nutrition 2019-07, Vol.149 (7), p.1252-1259 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1259 |
|---|---|
| container_issue | 7 |
| container_start_page | 1252 |
| container_title | The Journal of nutrition |
| container_volume | 149 |
| creator | Frank, Sarah M Webster, Jacqui McKenzie, Briar Geldsetzer, Pascal Manne-Goehler, Jennifer Andall-Brereton, Glennis Houehanou, Corine Houinato, Dismand Gurung, Mongal Singh Bicaba, Brice Wilfried McClure, Roy Wong Supiyev, Adil Zhumadilov, Zhaxybay Stokes, Andrew Labadarios, Demetre Sibai, Abla Mehio Norov, Bolormaa Aryal, Krishna K Karki, Khem Bahadur Kagaruki, Gibson B Mayige, Mary T Martins, Joao S Atun, Rifat Bärnighausen, Till Vollmer, Sebastian Jaacks, Lindsay M |
| description | The WHO recommends 400 g/d of fruits and vegetables (the equivalent of ∼5 servings/d) for the prevention of noncommunicable diseases (NCDs). However, there is limited evidence regarding individual-level correlates of meeting these recommendations in low- and middle-income countries (LMICs). In order to target policies and interventions aimed at improving intake, global monitoring of fruit and vegetable consumption by socio-demographic subpopulations is required.
The aims of this study were to 1) assess the proportion of individuals meeting the WHO recommendation and 2) evaluate socio-demographic predictors (age, sex, and educational attainment) of meeting the WHO recommendation.
Data were collected from 193,606 individuals aged ≥15 y in 28 LMICs between 2005 and 2016. The prevalence of meeting the WHO recommendation took into account the complex survey designs, and countries were weighted according to their World Bank population estimates in 2015. Poisson regression was used to estimate associations with socio-demographic characteristics.
The proportion (95% CI) of individuals aged ≥15 y who met the WHO recommendation was 18.0% (16.6–19.4%). Mean intake of fruits was 1.15 (1.10–1.20) servings per day and for vegetables, 2.46 (2.40–2.51) servings/d. The proportion of individuals meeting the recommendation increased with increasing country gross domestic product (GDP) class (P |
| doi_str_mv | 10.1093/jn/nxz040 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2233864956</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0022316622166587</els_id><sourcerecordid>2260067296</sourcerecordid><originalsourceid>FETCH-LOGICAL-c458t-16f67aac3f259fb7bf5e15a533fa833f3e8949b38ba610e65157c49ed8bbdf5f3</originalsourceid><addsrcrecordid>eNpt0U1P2zAYB3ALMdHCOPAFkCUu7BCw49hNjqhaR6UiLtuknSzHfly5SuzOTrqxTz9DgMO0ix_J-umv5wWhC0puKGnY7c7f-t9_SEWO0JzyihaCEnKM5oSUZcGoEDN0mtKOEEKrpj5BM0YpL4Ugc7RfBp_Gfj-44HGweBVHNySsvMHfYQuDajtI-K4PfovX3riDM6PqEqYc_wAVJ_nYGYjYeVzWeBN-FS-fD86YDoq116EHvAyjH6KD9BF9sDkAzl_rGfq2-vx1eV9sHr-sl3ebQle8HgoqrFgopZkteWPbRWs5UK44Y1bV-WFQN1XTsrpVeVgQnPKFrhowddsayy07Q9dT7j6GnyOkQfYuaeg65SGMSZYlY7WoGi4yvfqH7sIYfe4uK0GIWJTNs_o0KR1DShGs3EfXq_gkKZHPZ5A7L6czZHv5mji2PZh3-bb3DNgEIK_g4CDKpB14DcZF0IM0wf0n9i9y7JSk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2260067296</pqid></control><display><type>article</type><title>Consumption of Fruits and Vegetables Among Individuals 15 Years and Older in 28 Low- and Middle-Income Countries</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Frank, Sarah M ; Webster, Jacqui ; McKenzie, Briar ; Geldsetzer, Pascal ; Manne-Goehler, Jennifer ; Andall-Brereton, Glennis ; Houehanou, Corine ; Houinato, Dismand ; Gurung, Mongal Singh ; Bicaba, Brice Wilfried ; McClure, Roy Wong ; Supiyev, Adil ; Zhumadilov, Zhaxybay ; Stokes, Andrew ; Labadarios, Demetre ; Sibai, Abla Mehio ; Norov, Bolormaa ; Aryal, Krishna K ; Karki, Khem Bahadur ; Kagaruki, Gibson B ; Mayige, Mary T ; Martins, Joao S ; Atun, Rifat ; Bärnighausen, Till ; Vollmer, Sebastian ; Jaacks, Lindsay M</creator><creatorcontrib>Frank, Sarah M ; Webster, Jacqui ; McKenzie, Briar ; Geldsetzer, Pascal ; Manne-Goehler, Jennifer ; Andall-Brereton, Glennis ; Houehanou, Corine ; Houinato, Dismand ; Gurung, Mongal Singh ; Bicaba, Brice Wilfried ; McClure, Roy Wong ; Supiyev, Adil ; Zhumadilov, Zhaxybay ; Stokes, Andrew ; Labadarios, Demetre ; Sibai, Abla Mehio ; Norov, Bolormaa ; Aryal, Krishna K ; Karki, Khem Bahadur ; Kagaruki, Gibson B ; Mayige, Mary T ; Martins, Joao S ; Atun, Rifat ; Bärnighausen, Till ; Vollmer, Sebastian ; Jaacks, Lindsay M</creatorcontrib><description>The WHO recommends 400 g/d of fruits and vegetables (the equivalent of ∼5 servings/d) for the prevention of noncommunicable diseases (NCDs). However, there is limited evidence regarding individual-level correlates of meeting these recommendations in low- and middle-income countries (LMICs). In order to target policies and interventions aimed at improving intake, global monitoring of fruit and vegetable consumption by socio-demographic subpopulations is required.
The aims of this study were to 1) assess the proportion of individuals meeting the WHO recommendation and 2) evaluate socio-demographic predictors (age, sex, and educational attainment) of meeting the WHO recommendation.
Data were collected from 193,606 individuals aged ≥15 y in 28 LMICs between 2005 and 2016. The prevalence of meeting the WHO recommendation took into account the complex survey designs, and countries were weighted according to their World Bank population estimates in 2015. Poisson regression was used to estimate associations with socio-demographic characteristics.
The proportion (95% CI) of individuals aged ≥15 y who met the WHO recommendation was 18.0% (16.6–19.4%). Mean intake of fruits was 1.15 (1.10–1.20) servings per day and for vegetables, 2.46 (2.40–2.51) servings/d. The proportion of individuals meeting the recommendation increased with increasing country gross domestic product (GDP) class (P < 0.0001) and with decreasing country FAO food price index (FPI; indicating greater stability of food prices; P < 0.0001). At the individual level, those with secondary education or greater were more likely to achieve the recommendation compared with individuals with no formal education: risk ratio (95% CI), 1.61 (1.24–2.09).
Over 80% of individuals aged ≥15 y living in these 28 LMICs consumed lower amounts of fruits and vegetables than recommended by the WHO. Policies to promote fruit and vegetable consumption in LMICs are urgently needed to address the observed inequities in intake and prevent NCDs.</description><identifier>ISSN: 0022-3166</identifier><identifier>EISSN: 1541-6100</identifier><identifier>DOI: 10.1093/jn/nxz040</identifier><identifier>PMID: 31152660</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Africa ; Americas ; Asia ; Consumption ; Demographics ; Developed Countries ; Developing Countries ; Diet ; Education ; Female ; Food ; Fruit ; Fruits ; Humans ; Income ; LDCs ; Male ; Middle Aged ; Nutrition ; Poisson density functions ; Policies ; Population statistics ; Recommender systems ; Statistical analysis ; Subpopulations ; Vegetables ; Young Adult</subject><ispartof>The Journal of nutrition, 2019-07, Vol.149 (7), p.1252-1259</ispartof><rights>2019 American Society for Nutrition.</rights><rights>Copyright © American Society for Nutrition 2019.</rights><rights>Copyright American Institute of Nutrition Jul 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c458t-16f67aac3f259fb7bf5e15a533fa833f3e8949b38ba610e65157c49ed8bbdf5f3</citedby><cites>FETCH-LOGICAL-c458t-16f67aac3f259fb7bf5e15a533fa833f3e8949b38ba610e65157c49ed8bbdf5f3</cites><orcidid>0000-0001-6481-6242 ; 0000-0003-3513-3340 ; 0000-0002-8878-5505 ; 0000-0001-9295-0035 ; 0000-0001-8074-9393 ; 0000-0001-6972-6617 ; 0000-0003-4861-7870</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31152660$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Frank, Sarah M</creatorcontrib><creatorcontrib>Webster, Jacqui</creatorcontrib><creatorcontrib>McKenzie, Briar</creatorcontrib><creatorcontrib>Geldsetzer, Pascal</creatorcontrib><creatorcontrib>Manne-Goehler, Jennifer</creatorcontrib><creatorcontrib>Andall-Brereton, Glennis</creatorcontrib><creatorcontrib>Houehanou, Corine</creatorcontrib><creatorcontrib>Houinato, Dismand</creatorcontrib><creatorcontrib>Gurung, Mongal Singh</creatorcontrib><creatorcontrib>Bicaba, Brice Wilfried</creatorcontrib><creatorcontrib>McClure, Roy Wong</creatorcontrib><creatorcontrib>Supiyev, Adil</creatorcontrib><creatorcontrib>Zhumadilov, Zhaxybay</creatorcontrib><creatorcontrib>Stokes, Andrew</creatorcontrib><creatorcontrib>Labadarios, Demetre</creatorcontrib><creatorcontrib>Sibai, Abla Mehio</creatorcontrib><creatorcontrib>Norov, Bolormaa</creatorcontrib><creatorcontrib>Aryal, Krishna K</creatorcontrib><creatorcontrib>Karki, Khem Bahadur</creatorcontrib><creatorcontrib>Kagaruki, Gibson B</creatorcontrib><creatorcontrib>Mayige, Mary T</creatorcontrib><creatorcontrib>Martins, Joao S</creatorcontrib><creatorcontrib>Atun, Rifat</creatorcontrib><creatorcontrib>Bärnighausen, Till</creatorcontrib><creatorcontrib>Vollmer, Sebastian</creatorcontrib><creatorcontrib>Jaacks, Lindsay M</creatorcontrib><title>Consumption of Fruits and Vegetables Among Individuals 15 Years and Older in 28 Low- and Middle-Income Countries</title><title>The Journal of nutrition</title><addtitle>J Nutr</addtitle><description>The WHO recommends 400 g/d of fruits and vegetables (the equivalent of ∼5 servings/d) for the prevention of noncommunicable diseases (NCDs). However, there is limited evidence regarding individual-level correlates of meeting these recommendations in low- and middle-income countries (LMICs). In order to target policies and interventions aimed at improving intake, global monitoring of fruit and vegetable consumption by socio-demographic subpopulations is required.
The aims of this study were to 1) assess the proportion of individuals meeting the WHO recommendation and 2) evaluate socio-demographic predictors (age, sex, and educational attainment) of meeting the WHO recommendation.
Data were collected from 193,606 individuals aged ≥15 y in 28 LMICs between 2005 and 2016. The prevalence of meeting the WHO recommendation took into account the complex survey designs, and countries were weighted according to their World Bank population estimates in 2015. Poisson regression was used to estimate associations with socio-demographic characteristics.
The proportion (95% CI) of individuals aged ≥15 y who met the WHO recommendation was 18.0% (16.6–19.4%). Mean intake of fruits was 1.15 (1.10–1.20) servings per day and for vegetables, 2.46 (2.40–2.51) servings/d. The proportion of individuals meeting the recommendation increased with increasing country gross domestic product (GDP) class (P < 0.0001) and with decreasing country FAO food price index (FPI; indicating greater stability of food prices; P < 0.0001). At the individual level, those with secondary education or greater were more likely to achieve the recommendation compared with individuals with no formal education: risk ratio (95% CI), 1.61 (1.24–2.09).
Over 80% of individuals aged ≥15 y living in these 28 LMICs consumed lower amounts of fruits and vegetables than recommended by the WHO. Policies to promote fruit and vegetable consumption in LMICs are urgently needed to address the observed inequities in intake and prevent NCDs.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Africa</subject><subject>Americas</subject><subject>Asia</subject><subject>Consumption</subject><subject>Demographics</subject><subject>Developed Countries</subject><subject>Developing Countries</subject><subject>Diet</subject><subject>Education</subject><subject>Female</subject><subject>Food</subject><subject>Fruit</subject><subject>Fruits</subject><subject>Humans</subject><subject>Income</subject><subject>LDCs</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nutrition</subject><subject>Poisson density functions</subject><subject>Policies</subject><subject>Population statistics</subject><subject>Recommender systems</subject><subject>Statistical analysis</subject><subject>Subpopulations</subject><subject>Vegetables</subject><subject>Young Adult</subject><issn>0022-3166</issn><issn>1541-6100</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0U1P2zAYB3ALMdHCOPAFkCUu7BCw49hNjqhaR6UiLtuknSzHfly5SuzOTrqxTz9DgMO0ix_J-umv5wWhC0puKGnY7c7f-t9_SEWO0JzyihaCEnKM5oSUZcGoEDN0mtKOEEKrpj5BM0YpL4Ugc7RfBp_Gfj-44HGweBVHNySsvMHfYQuDajtI-K4PfovX3riDM6PqEqYc_wAVJ_nYGYjYeVzWeBN-FS-fD86YDoq116EHvAyjH6KD9BF9sDkAzl_rGfq2-vx1eV9sHr-sl3ebQle8HgoqrFgopZkteWPbRWs5UK44Y1bV-WFQN1XTsrpVeVgQnPKFrhowddsayy07Q9dT7j6GnyOkQfYuaeg65SGMSZYlY7WoGi4yvfqH7sIYfe4uK0GIWJTNs_o0KR1DShGs3EfXq_gkKZHPZ5A7L6czZHv5mji2PZh3-bb3DNgEIK_g4CDKpB14DcZF0IM0wf0n9i9y7JSk</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Frank, Sarah M</creator><creator>Webster, Jacqui</creator><creator>McKenzie, Briar</creator><creator>Geldsetzer, Pascal</creator><creator>Manne-Goehler, Jennifer</creator><creator>Andall-Brereton, Glennis</creator><creator>Houehanou, Corine</creator><creator>Houinato, Dismand</creator><creator>Gurung, Mongal Singh</creator><creator>Bicaba, Brice Wilfried</creator><creator>McClure, Roy Wong</creator><creator>Supiyev, Adil</creator><creator>Zhumadilov, Zhaxybay</creator><creator>Stokes, Andrew</creator><creator>Labadarios, Demetre</creator><creator>Sibai, Abla Mehio</creator><creator>Norov, Bolormaa</creator><creator>Aryal, Krishna K</creator><creator>Karki, Khem Bahadur</creator><creator>Kagaruki, Gibson B</creator><creator>Mayige, Mary T</creator><creator>Martins, Joao S</creator><creator>Atun, Rifat</creator><creator>Bärnighausen, Till</creator><creator>Vollmer, Sebastian</creator><creator>Jaacks, Lindsay M</creator><general>Elsevier Inc</general><general>American Institute of Nutrition</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6481-6242</orcidid><orcidid>https://orcid.org/0000-0003-3513-3340</orcidid><orcidid>https://orcid.org/0000-0002-8878-5505</orcidid><orcidid>https://orcid.org/0000-0001-9295-0035</orcidid><orcidid>https://orcid.org/0000-0001-8074-9393</orcidid><orcidid>https://orcid.org/0000-0001-6972-6617</orcidid><orcidid>https://orcid.org/0000-0003-4861-7870</orcidid></search><sort><creationdate>201907</creationdate><title>Consumption of Fruits and Vegetables Among Individuals 15 Years and Older in 28 Low- and Middle-Income Countries</title><author>Frank, Sarah M ; Webster, Jacqui ; McKenzie, Briar ; Geldsetzer, Pascal ; Manne-Goehler, Jennifer ; Andall-Brereton, Glennis ; Houehanou, Corine ; Houinato, Dismand ; Gurung, Mongal Singh ; Bicaba, Brice Wilfried ; McClure, Roy Wong ; Supiyev, Adil ; Zhumadilov, Zhaxybay ; Stokes, Andrew ; Labadarios, Demetre ; Sibai, Abla Mehio ; Norov, Bolormaa ; Aryal, Krishna K ; Karki, Khem Bahadur ; Kagaruki, Gibson B ; Mayige, Mary T ; Martins, Joao S ; Atun, Rifat ; Bärnighausen, Till ; Vollmer, Sebastian ; Jaacks, Lindsay M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c458t-16f67aac3f259fb7bf5e15a533fa833f3e8949b38ba610e65157c49ed8bbdf5f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Africa</topic><topic>Americas</topic><topic>Asia</topic><topic>Consumption</topic><topic>Demographics</topic><topic>Developed Countries</topic><topic>Developing Countries</topic><topic>Diet</topic><topic>Education</topic><topic>Female</topic><topic>Food</topic><topic>Fruit</topic><topic>Fruits</topic><topic>Humans</topic><topic>Income</topic><topic>LDCs</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nutrition</topic><topic>Poisson density functions</topic><topic>Policies</topic><topic>Population statistics</topic><topic>Recommender systems</topic><topic>Statistical analysis</topic><topic>Subpopulations</topic><topic>Vegetables</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Frank, Sarah M</creatorcontrib><creatorcontrib>Webster, Jacqui</creatorcontrib><creatorcontrib>McKenzie, Briar</creatorcontrib><creatorcontrib>Geldsetzer, Pascal</creatorcontrib><creatorcontrib>Manne-Goehler, Jennifer</creatorcontrib><creatorcontrib>Andall-Brereton, Glennis</creatorcontrib><creatorcontrib>Houehanou, Corine</creatorcontrib><creatorcontrib>Houinato, Dismand</creatorcontrib><creatorcontrib>Gurung, Mongal Singh</creatorcontrib><creatorcontrib>Bicaba, Brice Wilfried</creatorcontrib><creatorcontrib>McClure, Roy Wong</creatorcontrib><creatorcontrib>Supiyev, Adil</creatorcontrib><creatorcontrib>Zhumadilov, Zhaxybay</creatorcontrib><creatorcontrib>Stokes, Andrew</creatorcontrib><creatorcontrib>Labadarios, Demetre</creatorcontrib><creatorcontrib>Sibai, Abla Mehio</creatorcontrib><creatorcontrib>Norov, Bolormaa</creatorcontrib><creatorcontrib>Aryal, Krishna K</creatorcontrib><creatorcontrib>Karki, Khem Bahadur</creatorcontrib><creatorcontrib>Kagaruki, Gibson B</creatorcontrib><creatorcontrib>Mayige, Mary T</creatorcontrib><creatorcontrib>Martins, Joao S</creatorcontrib><creatorcontrib>Atun, Rifat</creatorcontrib><creatorcontrib>Bärnighausen, Till</creatorcontrib><creatorcontrib>Vollmer, Sebastian</creatorcontrib><creatorcontrib>Jaacks, Lindsay M</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Frank, Sarah M</au><au>Webster, Jacqui</au><au>McKenzie, Briar</au><au>Geldsetzer, Pascal</au><au>Manne-Goehler, Jennifer</au><au>Andall-Brereton, Glennis</au><au>Houehanou, Corine</au><au>Houinato, Dismand</au><au>Gurung, Mongal Singh</au><au>Bicaba, Brice Wilfried</au><au>McClure, Roy Wong</au><au>Supiyev, Adil</au><au>Zhumadilov, Zhaxybay</au><au>Stokes, Andrew</au><au>Labadarios, Demetre</au><au>Sibai, Abla Mehio</au><au>Norov, Bolormaa</au><au>Aryal, Krishna K</au><au>Karki, Khem Bahadur</au><au>Kagaruki, Gibson B</au><au>Mayige, Mary T</au><au>Martins, Joao S</au><au>Atun, Rifat</au><au>Bärnighausen, Till</au><au>Vollmer, Sebastian</au><au>Jaacks, Lindsay M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Consumption of Fruits and Vegetables Among Individuals 15 Years and Older in 28 Low- and Middle-Income Countries</atitle><jtitle>The Journal of nutrition</jtitle><addtitle>J Nutr</addtitle><date>2019-07</date><risdate>2019</risdate><volume>149</volume><issue>7</issue><spage>1252</spage><epage>1259</epage><pages>1252-1259</pages><issn>0022-3166</issn><eissn>1541-6100</eissn><abstract>The WHO recommends 400 g/d of fruits and vegetables (the equivalent of ∼5 servings/d) for the prevention of noncommunicable diseases (NCDs). However, there is limited evidence regarding individual-level correlates of meeting these recommendations in low- and middle-income countries (LMICs). In order to target policies and interventions aimed at improving intake, global monitoring of fruit and vegetable consumption by socio-demographic subpopulations is required.
The aims of this study were to 1) assess the proportion of individuals meeting the WHO recommendation and 2) evaluate socio-demographic predictors (age, sex, and educational attainment) of meeting the WHO recommendation.
Data were collected from 193,606 individuals aged ≥15 y in 28 LMICs between 2005 and 2016. The prevalence of meeting the WHO recommendation took into account the complex survey designs, and countries were weighted according to their World Bank population estimates in 2015. Poisson regression was used to estimate associations with socio-demographic characteristics.
The proportion (95% CI) of individuals aged ≥15 y who met the WHO recommendation was 18.0% (16.6–19.4%). Mean intake of fruits was 1.15 (1.10–1.20) servings per day and for vegetables, 2.46 (2.40–2.51) servings/d. The proportion of individuals meeting the recommendation increased with increasing country gross domestic product (GDP) class (P < 0.0001) and with decreasing country FAO food price index (FPI; indicating greater stability of food prices; P < 0.0001). At the individual level, those with secondary education or greater were more likely to achieve the recommendation compared with individuals with no formal education: risk ratio (95% CI), 1.61 (1.24–2.09).
Over 80% of individuals aged ≥15 y living in these 28 LMICs consumed lower amounts of fruits and vegetables than recommended by the WHO. Policies to promote fruit and vegetable consumption in LMICs are urgently needed to address the observed inequities in intake and prevent NCDs.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31152660</pmid><doi>10.1093/jn/nxz040</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-6481-6242</orcidid><orcidid>https://orcid.org/0000-0003-3513-3340</orcidid><orcidid>https://orcid.org/0000-0002-8878-5505</orcidid><orcidid>https://orcid.org/0000-0001-9295-0035</orcidid><orcidid>https://orcid.org/0000-0001-8074-9393</orcidid><orcidid>https://orcid.org/0000-0001-6972-6617</orcidid><orcidid>https://orcid.org/0000-0003-4861-7870</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-3166 |
| ispartof | The Journal of nutrition, 2019-07, Vol.149 (7), p.1252-1259 |
| issn | 0022-3166 1541-6100 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2233864956 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Africa Americas Asia Consumption Demographics Developed Countries Developing Countries Diet Education Female Food Fruit Fruits Humans Income LDCs Male Middle Aged Nutrition Poisson density functions Policies Population statistics Recommender systems Statistical analysis Subpopulations Vegetables Young Adult |
| title | Consumption of Fruits and Vegetables Among Individuals 15 Years and Older in 28 Low- and Middle-Income Countries |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T16%3A09%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Consumption%20of%20Fruits%20and%20Vegetables%20Among%20Individuals%2015%20Years%20and%20Older%20in%2028%20Low-%20and%20Middle-Income%20Countries&rft.jtitle=The%20Journal%20of%20nutrition&rft.au=Frank,%20Sarah%20M&rft.date=2019-07&rft.volume=149&rft.issue=7&rft.spage=1252&rft.epage=1259&rft.pages=1252-1259&rft.issn=0022-3166&rft.eissn=1541-6100&rft_id=info:doi/10.1093/jn/nxz040&rft_dat=%3Cproquest_cross%3E2260067296%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2260067296&rft_id=info:pmid/31152660&rft_els_id=S0022316622166587&rfr_iscdi=true |