Fruits, vegetables, and health: A comprehensive narrative, umbrella review of the science and recommendations for enhanced public policy to improve intake

Wallace, Taylor C.; Bailey, Regan L; Blumberg, Jeffrey B.; Burton‐Freeman, Britt; Chen, C‐Y. Oliver; Crowe-White, Kristi; Drewnowski, Adam; Hooshmand, Shirin; Johnson, Elizabeth J.; Lewis, Richard D.; Murray, Robert; Shapses, Sue; Wang, Ding Ding

doi:10.1080/10408398.2019.1632258

Cited by 405 publications

(297 citation statements)

References 406 publications

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“…Only 6.4% of participants consumed fruits and 14.2% consumed vegetables at least one serving daily. The prevalence of low fruit and vegetable consumption does not differ from the global situation (Wallace et al, 2019;Lee-Kwan et al, 2017;Msambichaka et al, 2018;Szucs et al, 2017).…”

Section: Discussionmentioning

confidence: 88%

“…Fruit and vegetable consumption is a dietary behavior of adulthood developing from habits cultivated during childhood (Othman et al, 2012). However, consuming low fruit and vegetable has been reported globally (Lee et al, 2015;Wallace et al, 2019). Only one third of the world population consumed fruit and vegetables following WHO recommendation (Msambichaka et al, 2018).…”

Section: Association Between Low Fruit and Vegetable Consumption And mentioning

confidence: 99%

“…Minerals and fiber in fruit and vegetables have been scientifically proved as significant components of a healthy diet (Wallace et al, 2019). Appropriate amounts of fruit and vegetable consumption help prevent micronutrient deficiency and noncommunicable diseases (NCDs), such as cardiovascular diseases and certain cancers (World Health Organization: WHO, 2003).…”

Section: Introductionmentioning

confidence: 99%

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Association between Low Fruit and Vegetable Consumption and Colorectal Polyps in Thailand

Supachai

Siripongpreeda

Soonklang

et al. 2020

Asian Pac J Cancer Prev

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Objective: This study aimed to evaluate the association between low fruit and vegetable consumption and colorectal polyps. Methods: A retrospective study was conducted among 1,228 participants aged 50-65 years who completed 2-time colonoscopy exams at the first and the fifth year of a colorectal screening program. Consuming less than one serving of fruit and vegetable daily was rated as low. Colorectal polyps from colonoscopy findings were recognized in 3 types: hyperplastic, low risk and high risk adenomatous polyps. Results: The findings demonstrated high prevalence of low fruit (93.6%) and low vegetable (85.8%) consumption. Exercising individuals were more likely to consume both fruit (OR 2.28, 95%CI 1.42-3.65) and vegetable (OR 1.40, 95%CI 1.00-1.96), while smoking history individuals tended to consume vegetable (OR 2.08, 95%CI 1.22-3.55). Low fruit consumption was strongly associated with high risk adenomatous polyps (OR 4.39, 95%CI 2.40-8.03), while low vegetable consumption was distinctively associated with low risk (OR 6.26, 95%CI 4.11-9.55) and high risk adenomatous polyps (OR 8.64, 95%CI 5.30-14.09). Conclusion: This study provides additional evidence of the association between low fruit and vegetable consumption and colorectal polyps. Enhancing people fiber eating behavior may help preventing colorectal cancer risk.

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Section: Discussionmentioning

confidence: 88%

Section: Association Between Low Fruit and Vegetable Consumption And mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between Low Fruit and Vegetable Consumption and Colorectal Polyps in Thailand

Supachai

Siripongpreeda

Soonklang

et al. 2020

Asian Pac J Cancer Prev

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“…Although clinical trials are underway to test several antivirals and other agents, an important question for the population is whether there are any nutrients and food/nutrition patterns that can prevent viral infection or mitigate its severity. Diet seems to be a neglected or at least underestimated aspect, although it is acknowledged that it often plays an important role in the prevention of various diseases, even those of an infectious nature [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Hesperidin and SARS-CoV-2: New Light on the Healthy Function of Citrus Fruits

Bellavite

Donzelli²

2020

Antioxidants

162

140

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Among the many approaches to Coronavirus disease 2019 (COVID-19) prevention, the possible role of nutrition has so far been rather underestimated. Foods are very rich in substances, with a potential beneficial effect on health, and some of these could have an antiviral action or be important in modulating the immune system and in defending cells from the oxidative stress associated with infection. This short review draws the attention on some components of citrus fruits, and especially of the orange (Citrus sinensis), well known for its vitamin and flavonoid content. Among the flavonoids, hesperidin has recently attracted the attention of researchers, because it binds to the key proteins of the Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Several computational methods, independently applied by different researchers, showed that hesperidin has a low binding energy, both with the coronavirus “spike” protein, and with the main protease that transforms the early proteins of the virus (pp1a and ppa1b) into the complex responsible for viral replication. The binding energy of hesperidin to these important components is lower than that of lopinavir, ritonavir, and indinavir, suggesting that it could perform an effective antiviral action. Furthermore, both hesperidin and ascorbic acid counteract the cell damaging effects of the oxygen free radicals triggered by virus infection and inflammation. There is discussion about the preventive efficacy of vitamin C, at the dose achievable by the diet, but recent reviews suggest that this substance can be useful in the case of strong immune system burden caused by viral disease. Computational methods and laboratory studies support the need to undertake apposite preclinical, epidemiological, and experimental studies on the potential benefits of citrus fruit components for the prevention of infectious diseases, including COVID-19.

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“…2 Fruits and vegetables are a rich source of vitamins, minerals, dietary fiber, and dietary bioactive content that are associated with reduced risk for coronary heart disease, cancer, hyperlipidemia, cognitive impairment, macular degeneration and other chronic diseases. 3 United States Department of Agriculture (USDA), in 2015-2020 Dietary Guidelines for Americans, recommends consumption of 2 cups of fruits and 3 cups of vegetables per day for adults. In the United States, only about 15% of individuals meet daily fruit intake recommendations and only 10% meet the vegetable intake recommendations.…”

Section: Introductionmentioning

confidence: 99%

Efficacy testing of the SAVOR (Sisters Adding Fruits and Vegetables for Optimal Results) intervention among African American women: A randomized controlled trial

Brown

Sharma

Leggett

et al. 2020

Health Promot Perspect

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Background: In the United States, only about 15% of individuals meet daily fruit intake recommendations of 2 cups per day and only 10% meet the vegetable intake recommendations of 3 cups per day. African American women are a high-risk group. In this study, a fourth-generation multi-theory model (MTM) of health behavior change was used to design and evaluate a Sisters Adding Fruits and Vegetables for Optimal Results (SAVOR) intervention for AA women. Methods: The study utilized a randomized controlled trial (RCT) with measurements taken at pretest, posttest (after the three-week intervention) and follow-up (at the end of eight weeks). SAVOR (n=26) was compared to an equivalent knowledge-based intervention (n=28). Process evaluation was done for program fidelity and satisfaction. A validated 38-item self-reported questionnaire was used to measure changes in MTM constructs and past 24-hour consumption of fruits and vegetables. Results: The SAVOR intervention resulted in improvement of mean consumption of fruits and vegetables in the experimental group from pre-test (2.78) to posttest (4.77) to recommended levels at follow-up (5.04) while in the comparison group they remained at around 3 (P<0.0001) Statistically significant changes (P<0.05) were noted for all MTM constructs except for participatory dialogue. Conclusion: The SAVOR intervention was found to be efficacious and established the robustness of MTM. SAVOR can be replicated for future effectiveness trials.

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Fruits, vegetables, and health: A comprehensive narrative, umbrella review of the science and recommendations for enhanced public policy to improve intake

Cited by 405 publications

References 406 publications

Association between Low Fruit and Vegetable Consumption and Colorectal Polyps in Thailand

Association between Low Fruit and Vegetable Consumption and Colorectal Polyps in Thailand

Hesperidin and SARS-CoV-2: New Light on the Healthy Function of Citrus Fruits

Efficacy testing of the SAVOR (Sisters Adding Fruits and Vegetables for Optimal Results) intervention among African American women: A randomized controlled trial

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