Objective: To describe fruit and vegetable intake of 11-year-old children in ten European countries and compare it with current dietary guidelines. Design: Cross-sectional survey. Intake was assessed using a previously validated questionnaire containing a pre-coded 24 h recall and an FFQ which were completed in the classroom. Portion sizes were calculated using a standardized protocol. Setting: Surveys were performed in schools regionally selected in eight countries and nationally representative in two countries. Subjects: A total of 8158 children from 236 schools across Europe participating in the PRO GREENS project. Results: The total mean consumption of fruit and vegetables was between 220 and 345 g/d in the ten participating countries. Mean intakes did not reach the WHO population goal of ≥ 400 g/d in any of the participating countries. Girls had a significantly higher intake of total fruit and vegetables than boys in five of the countries (Sweden, Finland, Iceland, Bulgaria and Slovenia). Mean total fruit intake ranged between 114 and 240 g/d and vegetable intake between 73 and 141 g/d. When using the level ≥ 400 g/d as a cut-off, only 23·5 % (13·8-37·0 %) of the studied children, depending on country and gender, met the WHO recommendation (fruit juice excluded). Conclusions: Fruit and vegetable consumption was below recommended levels among the schoolchildren in all countries and vegetable intake was lower than fruit intake. The survey shows that there is a need for promotional activities to improve fruit and vegetable consumption in this age group. Keywords Fruit and vegetable consumption Children EuropeIt has been recognized for some time that fruit and vegetables (F&V) constitute an essential part of a healthy diet (1)(2)(3) . High consumption of F&V has been associated with a decreased risk of morbidity and mortality from a number of chronic diseases like CHD (4) , stroke (5) , type 2 diabetes (6) and certain cancers (7) . F&V are low in energy
Objective: To validate a method for assessing fruit and vegetable intake among adults in a population of low intake. The method assesses mean intake and ranks individuals by their usual intake. Design: A precoded fruit and vegetable Questionnaire included a 24-h recall and a food frequency. The participants filled in the Questionnaire, a week later they started a 7-day food record, 1-day weighed record and 6 days using household measures. Subjects: Following advertisements 40 participants were recruited, 36 returned food records(mean age ¼ 37 years). Results: No difference was observed between the average intake yielded by the 24-h recall and that from the 1-day weighed food record of fruits or vegetables. Correlation coefficients between results from the food frequency questionnaire and the 7-day food records were 0.45 (P ¼ 0.007) for vegetables, 0.63 (Po0.001) for fruits and 0.73 (Po0.001) for fruits and vegetables combined. Cross-classification into quartiles showed that the proportion of participants in the same or the adjacent quartile of the intake distribution were 94% for fruit intake and 80% for vegetable intake. Registered intake of fruits and vegetables was higher the first 4 days of the record than the last 3 days (P ¼ 0.002). The 4-day food record correlated with the food frequency questionnaire in similar manner as the 7-day record. Conclusion: The present study indicates that the precoded 24-h recall may be valuable tool for measuring average intake of fruits and vegetables among adults in a population of low intake. Moreover, the food frequency questionnaire was valid for ranking individuals according to their usual intake. A 4-day food record might be sufficient when validating food frequency questionnaires for fruits and vegetables.
Objective: To study the differences between children's self-reports and parents' reports on environmental determinants of fruit and vegetable intake among 11-year-old children in the European country with the lowest reported consumption.
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