Disparities in State-Specific Adult Fruit and Vegetable Consumption — United States, 2015

Lee‐Kwan, Seung Hee; Moore, Latetia V.; Blanck, Heidi M.; Harris, Diane M.; Galuska, D.A.

doi:10.15585/mmwr.mm6645a1

Cited by 325 publications

(273 citation statements)

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“…According to the Eurostat data for 2014 [6], only one in seven European Union inhabitants met the recommendation of five servings of fruits and vegetables per day. Similar data were indicated by the Centers for Disease Control and Prevention (CDC) of the United States of America for 2015 [7], in which only one in 10 inhabitants of the United States met the abovementioned recommendations.…”

Section: Introductionsupporting

confidence: 78%

Mother-Related Determinants of Children At-Home Fruit and Vegetable Dietary Patterns in a Polish National Sample

et al. 2019

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Fruit and vegetable intake is indicated among the features of sustainable diets, while children's intake is strongly associated with the intake of their parents, as well as the availability of food products and their accessibility at home. The aim of the study was to analyze the mother-related determinants of children at-home fruit and vegetable dietary patterns in a Polish national sample of children aged 3-10 years. The random quota sampling (with quotas for age, education, and place of residence) was conducted to recruit the national representative sample of Polish mothers of children aged 3-10 years (n = 1200) who were interviewed using a Computer-Assisted Telephone Interviewing (CATI) method. They were asked about their children's at-home fruit and vegetable dietary patterns, which were later compared in sub-groups that were stratified for age, educational background, marital status, place of residence, occupational status, and total net income in households. The indicated features, but not marital status, were indicated as determinants of children at-home fruit and vegetable dietary patterns. Children of younger mothers more often than others consumed fruits, whereas those of older mothers consumed vegetables. Children of mothers who had a lower level of education more commonly than others consumed fruits alone as a dish, and they had a higher preference for them, while those of mothers who had a higher level of education had a higher consumption of vegetables than others, although they had a medium preference for them. Children of mothers from villages had a lower consumption of vegetables and fruits than others, although they had a higher preference for fruits. Children of mothers with no professional job had a lower consumption of vegetables than others and more often consumed them processed, although they had a higher preference for fruits and vegetables. Children of mothers with low income had a lower consumption of vegetables than others and more often consumed fruits in a dish with other products, although they had a higher preference for fruits and vegetables. To summarize, an indication of a high preference for fruits and vegetables by mothers is not accompanied by the higher consumption and recommended dietary patterns for fruit and vegetable intake by their children. In particular, the sub-samples of mothers who had a low level of education, were from villages, did not have a professional job, and had low income may either overestimate the fruit and vegetable preference of their children or do not offer them sufficient amount of fruits and vegetables, although they indicate a higher preference. In order to encourage more sustainable diet following, in terms of the fruit and vegetable intake, it is essential to introduce actions toward the properly planned nutritional education for the indicated target groups.

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Section: Introductionsupporting

confidence: 78%

Mother-Related Determinants of Children At-Home Fruit and Vegetable Dietary Patterns in a Polish National Sample

et al. 2019

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“…In 2015, 12% of adults in the United States met recommendations for eating fruit and 9% of adults met recommendations for eating vegetables (2). These trends are much worse among those of lower socioeconomic status (2). …”

Section: Introductionmentioning

confidence: 99%

Dietary Impact of Produce Prescriptions for Patients With Hypertension

et al. 2018

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IntroductionLittle is known regarding the impact of produce prescriptions within the context of hypertension visits at safety net clinics. We evaluated intervention effectiveness on patient usage of farmers markets and dietary change related to fruit and vegetable consumption.MethodsHealth Improvement Partnership — Cuyahoga worked with 3 clinics to integrate, implement, and evaluated a produce prescription for hypertension (PRxHTN) program. PRxHTN involves 3 monthly, nonphysician provider visits, comprising blood pressure measurement, nutrition counseling, and four $10 farmers market produce vouchers, for hypertensive adult patients screening positive for food insecurity. Dietary measures were collected at visits 1 and 3. Voucher use was tracked via farmers market redemption logs.ResultsOf the 224 participants from 3 clinics, most were middle-aged (mean age, 62 y), female (72%), and African American (97%) and had a high school education or less (62%). Eighty-six percent visited a farmers market to use their produce vouchers, with one-third reporting it was their first farmers market visit ever. Median number of farmers market visits was 2 (range: 0–6), and median number of vouchers redeemed was 8 (range: 0–12). Among the subsample with follow-up survey data (n = 137), significant improvement in fruit and vegetable consumption was observed as well as a decline in fast food consumption.ConclusionPRxHTN participants visited at least 1 farmers market, reported increases in provider communication related to diet, and exhibited significant changes in dietary behavior. PRxHTN can serve as a strong model for linking safety net clinics with farmers markets to promote community resource use and improve fruit and vegetable consumption among food-insecure patients with hypertension.

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“…A pilot test (N = 96) corroborated that diet changes and losing weight, compared to voting or completing an academic assignment, have a lessdefined end point, offer lower chance of initial success, and require greater decision making, behavioral modification, and ongoing self-regulation (see MDA). Evidence on completion base rates support a similar conclusion; for example, about 58% of eligible voters participated in the 2016 election (Regan, 2016) while about 10% of adults eat recommended amounts of fruit and vegetables (Lee-Kwan, Moore, Blanck, Harris, & Galuska, 2017). Correspondingly, recent research (e.g., Rennie, Harris, & Webb, 2014, 2016Rennie & Uskul, 2017;Rennie, Uskul, Adams, & Appleton, 2014) has also revealed the challenge of using third-person perspectives in health contexts; in contrast to Libby and Eibach's (2011) prediction, sometimes changing one's perspective on health goals helps and sometimes it hurts.…”

Section: Introductionmentioning

confidence: 87%