Positive effect of a targeted intervention to improve access and availability of fruit and vegetables in an area of deprivation

Jennings, Amy; Cassidy, Aedín; Winters, Tim; Barnes, Sarah; Lipp, Alistair; Holland, Richard; Welch, Ailsa

doi:10.1016/j.healthplace.2012.05.001

Cited by 19 publications

(35 citation statements)

References 17 publications

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“…Greater variety among vegetables has been shown to increase intake and improve dietary quality among lower income groups [42], and the present study suggests that expanding seasoning variety may produce similar effects. In areas where limited access to healthful food diversity contributes to inadequate intake of healthful foods [43], manipulating sensory variety holds promise as a novel strategy to improve diet quality.…”

Section: Discussionmentioning

confidence: 99%

Seasoning ingredient variety, but not quality, is associated with greater intake of beans and rice among urban Costa Rican adults

2016

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Exposure to a variety of flavors may promote food enjoyment, but few studies have examined the relationship between food seasoning and food intake. We hypothesized that using a higher variety (number) of eleven seasonings to prepare two staple foods (beans, white rice) would be associated with intake of those foods in a population-based case-control study of Costa Rican adults in urban vs. rural areas (n=1,025), where cooking and dietary practices differ. Participants were surveyed about the variety of seasoning ingredients added when preparing beans or rice. Ingredients were also categorized by their dietary quality (healthfulness), and scores for seasoning variety and quality were created. Multivariable linear regression was used to determine the association between variety and quality scores (continuously and in tertiles (T)) and intake of each staple food. Seasoning variety was positively associated with daily servings of beans (β=0.02, p=0.01; 1.31 and 1.23 servings/day in T2 and T3 versus 1.02 servings/day in T1, p<0.05) and rice (β=0.04, p=0.005) in the urban areas only. No differences in ingredient quality across increasing intakes of beans or rice were noted, and the joint associations between variety and quality were not significant. In conclusion, a greater variety, but not quality, of seasoning ingredients was positively associated with intakes of beans and rice in urban Costa Rican adults. Our results suggest that increasing the variety of seasonings added to beans may be a culturally-appropriate strategy to improve intake of this healthy staple food among urban Costa Rican adults.

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Section: Discussionmentioning

confidence: 99%

Seasoning ingredient variety, but not quality, is associated with greater intake of beans and rice among urban Costa Rican adults

2016

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“…Several studies on farmers' market interventions designed to improve FV accessibility in Canada and elsewhere report sociodemographic determinants of use. While shoppers are primarily middle-aged women [20,21,[33][34][35][36][37], associations between educational attainment or ethnicity and shopping patterns are discordant [38]. Market location appears to be linked to customers' socioeconomic profiles [35,39].…”

Section: Introductionmentioning

confidence: 99%

“…Most intervention studies use FV intake as a main outcome for evaluating the effectiveness of farmers' markets [23,24,33,34,[40][41][42][43][44][45][46][47][48][49][50]. However, the majority of these studies are based in the United States, where government assistance programs are used as financial incentives for purchasing FV.…”

Section: Introductionmentioning

confidence: 99%

Fruit and Vegetable Purchases in Farmer’s Market Stands: Analysing Survey and Sales Data

Rebouillat

Bonin

Kestens

et al. 2019

IJERPH

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Farmers' market implementation holds promise for increasing access to healthy foods. Although rarely measured, purchase data constitute an intermediate outcome between food environment and actual consumption. In a study conducted with two seasonal Fruits and Vegetables (FV) stands in a disadvantaged area of Montréal (Canada), we analysed how accessibility, perception, and mobility-related factors were associated with FV purchase. This analysis uses a novel measure of FV purchasing practices based on sales data obtained from a mobile application. A 2016 survey collected information on markets' physical access, perceived access to FV in the neighbourhood, usual FV consumption and purchases. Multivariate models were used to analyse three purchasing practice indicators: number of FV portions, FV variety and expenditures. Average shoppers purchased 12 FV portions of three distinct varieties and spent 5$. Shoppers stopping at the market on their usual travel route spent less (p = 0.11), bought fewer portions (p = 0.03) and a lesser FV variety (p < 0.01). FV stands may complement FV dietary intake. Individuals for whom the market is on their usual travel route might make more frequent visits and, therefore, smaller purchases. The novel data collection method allowed analysis of multiple purchase variables, is precise and easy to apply at unconventional points of sales and could be transposed elsewhere.

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“…38 Reducing the imbalance between the supply of healthy and unhealthy foods in neighbourhoods with a high concentration of seniors, or increasing access to healthy food in the vicinity, for example, by establishing mobile vendors of fruits and vegetables, could be considered as potential intervention approaches. 39 More evidence from longitudinal research and intervention studies is needed. MÉTHODE : Nous avons estimé la proportion de débits de restauration rapide (DRP) par rapport à l'ensemble des restaurants et la proportion de magasins d'alimentation pouvant offrir des aliments sains (MAS) par rapport à l'ensemble des magasins dans un rayon de 500 m autour du domicile des participants.…”

Section: Resultsmentioning

confidence: 99%

The food environment and diet quality of urban-dwelling older women and men: Assessing the moderating role of diet knowledge

Mercille

Richard

Gauvin

et al. 2016

Can J Public Health

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OBJECTIVES:The relationships between local food environments and dietary patterns are important for older adults and could be different in men and women. We examined associations between exposure to neighbourhood food sources and food consumption and the moderating role of diet knowledge separately among older women and men living in Montreal in 2003-2005 (n = 722). METHODS:The proportion of fast-food outlets relative to all restaurants (%FFO) and the proportion of healthy food stores relative to all stores (%HFS) were estimated for 500 m buffers around participants' homes. Two dietary patterns, designated "Western" and "prudent", reflecting lower-and higher-quality diets respectively, were identified from food frequency questionnaire data. The unique and interactive effects of diet knowledge and food-source exposure on diet scores were tested with separate linear regression models for women and men. RESULTS:For men, greater %FFO exposure was related to lower prudent diet scores (β = −0.18, p = 0.02), but no effect of %HFS exposure was observed and no interactions were statistically significant. For women, an inverse relationship between %FFO and prudent diet scores was strongest among those with low diet knowledge (β = −0.22, p < 0.01). No other associations were statistically significant.CONCLUSION: Older men's diet patterns may reflect unhealthy cues associated with fast-food outlets. Among women, diet knowledge potentiated both negative and positive relationships with the food environment. In the absence of consistent main effects of the food environment on diet scores, subgroup analysis is a promising avenue for research.KEY WORDS: Diet; older adults; urban population; food supply; effect modifier La traduction du résumé se trouve à la fin de l'article.

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Positive effect of a targeted intervention to improve access and availability of fruit and vegetables in an area of deprivation

Cited by 19 publications

References 17 publications

Seasoning ingredient variety, but not quality, is associated with greater intake of beans and rice among urban Costa Rican adults

Seasoning ingredient variety, but not quality, is associated with greater intake of beans and rice among urban Costa Rican adults

Fruit and Vegetable Purchases in Farmer’s Market Stands: Analysing Survey and Sales Data

The food environment and diet quality of urban-dwelling older women and men: Assessing the moderating role of diet knowledge

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