Exploring barriers to meeting recommendations for fruit and vegetable intake among adults in regional areas: A mixed-methods analysis of variations across socio-demographics

Livingstone, Katherine M.; Burton, Melissa; Brown, Amy; McNaughton, Sarah A.

doi:10.1016/j.appet.2020.104750

Cited by 34 publications

(44 citation statements)

References 42 publications

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“…Firstly, our results suggest that food liking measures may offer an appropriate methodology for understanding influences on young adults’ food choices. Given that young adults often report a busy lifestyle and a lack of time to prioritize health behaviours [ 43 , 44 , 45 ], methodologies for capturing food choices that have a lower participant burden than traditional dietary assessment methodologies are important [ 46 , 47 ]. Secondly, research suggests that young adults are not motivated to improve their future health and instead benefit from health messaging that is tailored to their motivators, including weight and physical appearance [ 48 , 49 ].…”

Section: Discussionmentioning

confidence: 99%

Demographic, Behavioural and Anthropometric Correlates of Food Liking: A Cross-sectional Analysis of Young Adults

et al. 2020

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The degree to which foods are liked or disliked is associated with dietary intake and health behaviours. However, most food liking research has focused on single foods and nutrients and few studies have examined associations with demographics and health behaviours. Thus, this study aimed to investigate the association between food liking and socio-demographics, health behaviours, diet quality and body mass index (BMI) in a sample of young Australian adults. Data from 1728 undergraduate students (21.8 (standard deviation [SD] 6.0) years; 76% female) were used. Food liking scores and a diet quality index (Dietary Guideline Index, DGI) were estimated from a Food Liking Questionnaire and Food Frequency Questionnaire (FFQ), respectively. Multivariate linear regression analyses were used to assess the association between food liking and correlates. Young adults with higher liking for encouraged core foods were older, female, did their own food shopping, consumed less packaged foods and had better diet quality. Higher liking for discretionary foods and beverages was associated with less healthy behaviours, such as smoking, higher BMI and lower diet quality. These results suggest that food liking measures may offer an appropriate methodology for understanding influences on young adults’ food choices, adding to the body of literature investigating the potential for food liking scores to assess diet–disease relationships.

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Section: Discussionmentioning

confidence: 99%

Demographic, Behavioural and Anthropometric Correlates of Food Liking: A Cross-sectional Analysis of Young Adults

et al. 2020

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“…Furthermore, studying interconnections between other variables that may relate to fruit and vegetable intake and rurality are important for future studies. For instance, a recent study [ 39 ] has demonstrated a variety of barriers to fruit and vegetable consumption including lack of time, perceived unachievable guidelines, variety of other available foods, high cost, and limited availability of fresh fruits and vegetables. Future studies would benefit from investigating how these various factors may interplay to lead to the decreased consumption of fruits and vegetables and the increased consumption of unhealthy foods such as french fries in more rural areas.…”

Section: Discussionmentioning

confidence: 99%

The Influence of Rurality on Fruit and Vegetable Intake and BMI: Findings in Mississippi Are Not Consistent with Those at the National Level

Fastring

Nadorff

DeShong

2021

IJERPH

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Sixty percent of Americans have at least one chronic disease that is both diet-related and preventable. Those living in rural areas often experience a greater burden of disease than those who live near a city center. The purpose of this study is to determine the influence of rurality on fruit and vegetable (FV) consumption and BMI. Additionally, the study compares national results to those in Mississippi, a state with an aging population, and high rates of poverty, rurality, poor diet, and obesity. Data utilized were from the 2017 Behavioral Risk Factor Surveillance System. One-way analyses of covariance were performed to determine impact of rurality on nutritional intake and BMI, while controlling for age, income, education, race, and the presence of children in the home. At the national level, rurality had a significant impact on BMI, and the daily intake of fruit juice, fruits, dark green vegetables, French fries, potatoes, other vegetables, and total daily vegetable intake. BMI and nutritional intake of those living in Mississippi was significantly poorer than those living in other states. More research is needed to determine how to best facilitate access to healthy FVs for those living in rural communities.

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“…salmon, some vegetables) (27,28) . Second, because time (11,50) , cost (9)(10)(11) and waste avoidance (27,28) are important barriers to healthy eating for low-income families, we altered the curriculum so that participants would learn how to prepare multiple meals at one time using shared ingredients across recipes and we condensed the five cooking sessions covering one meal each in the original curriculum into one session covering three meals. Finally, we provided each participant with a kitchen supplies kit to take home along with three prepared meals (51) , where the original curriculum sends home unprepared groceries only.…”

Section: Interventionmentioning

confidence: 99%

“…Cost is a well-known and important barrier to consuming F/V among low-income populations (9)(10)(11) . Previous research, including both national studies (12,13) and community studies (14)(15)(16)(17)(18)(19)(20) , has found that financial incentives have a statistically significant effect on increasing the purchase and/or intake of F/V among various subgroups of lower socio-economic individuals.…”

mentioning

confidence: 99%

The effect of a fresh produce incentive paired with cooking and nutrition education on healthy eating in low-income households: a pilot study

Fertig

Tang

Dahlen

2021

Public Health Nutr.

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Objective: This study pilot-tested combining financial incentives to purchase fruits and vegetables with nutrition education focused on cooking to increase the consumption of fruits and vegetables and improve attitudes around healthy eating on a budget among low-income adults. The goal of the pilot study was to examine implementation feasibility and fidelity, acceptability of the intervention components by participants and effectiveness. Design: The study design was a pre-post individual-level comparison without a control group. The pilot intervention included two components, a scan card providing free produce up to a weekly maximum dollar amount for use over a 2-month period, and two sessions of tailored nutrition and cooking education. Outcomes included self-reported attitudes about healthy eating and daily fruit and vegetable consumption from one 24-h dietary recall collected before and after the intervention. Setting: Greater Minneapolis/St. Paul area in Minnesota. Participants: Adults (n 120) were recruited from five community food pantries. Results: Findings indicated that the financial incentive component of the intervention was highly feasible and acceptable to participants, but attendance at the nutrition education sessions was moderate. Participants had a statistically significant increase in the consumption of fruit, from an average of 1·00 cup/d to 1·78 cups/d (P < 0·001), but no significant change in vegetable consumption or attitudes with respect to their ability to put together a healthy meal. Conclusions: While combining financial incentives with nutrition education appears to be acceptable to low-income adult participants, barriers to attend nutrition education sessions need to be addressed in future research.

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Exploring barriers to meeting recommendations for fruit and vegetable intake among adults in regional areas: A mixed-methods analysis of variations across socio-demographics

Cited by 34 publications

References 42 publications

Demographic, Behavioural and Anthropometric Correlates of Food Liking: A Cross-sectional Analysis of Young Adults

Demographic, Behavioural and Anthropometric Correlates of Food Liking: A Cross-sectional Analysis of Young Adults

The Influence of Rurality on Fruit and Vegetable Intake and BMI: Findings in Mississippi Are Not Consistent with Those at the National Level

The effect of a fresh produce incentive paired with cooking and nutrition education on healthy eating in low-income households: a pilot study

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