American Journal of Preventive Medicine
Volume 36, Issue 5 , Pages 402-409.e5 , May 2009

Global Variability in Fruit and Vegetable Consumption

  • Justin N. Hall, BScH, BPHE

      Affiliations

    • School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario
    • ,
  • Spencer Moore, PhD, MPH

      Affiliations

    • School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario
    • Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montréal, Québec
    • Corresponding Author InformationAddress correspondence and reprint requests to: Spencer Moore, PhD, MPH, 69 Union Street PEC, Room 215, Queen's University, Kingston ON K7L 3N6, Canada
    • ,
  • Sam B. Harper, PhD, MPH

      Affiliations

    • Department of Epidemiology, Biostatistics, and Occupational Health, Faculty of Medicine, McGill University, Montréal, Québec
    • ,
  • John W. Lynch, PhD, MEd, MPH

      Affiliations

    • Department of Epidemiology, Biostatistics, and Occupational Health, Faculty of Medicine, McGill University, Montréal, Québec
    • School of Health Sciences, University of South Australia, Adelaide, South Australia
    • Department of Social Medicine, University of Bristol, Bristol, United Kingdom

References 

  1. Bes-Rastrollo M, Martinez-Gonzalez MA, Sanchez-Villegas A, de la Fuente Arrillage C, Martinez JA. Association of fiber intake and fruit/vegetable consumption with weight gain in a Mediterranean population. Nutrition. 2006;22:504–511
  2. McCrory MA, Fuss PJ, McCallum JE, et al. Dietary variety within food groups: association with energy intake and body fatness in men and women. Am J Clin Nutr. 1999;69:440–447
  3. Rolls BJ, Bell EA. Intake of fat and carbohydrate: role of energy density. Eur J Clin Nutr. 1999;53:S166–S173
  4. Ness AR, Powles JW. Fruit and vegetables and cardiovascular disease: a review. Int J Epidemiol. 1997;26:1–13
  5. Aldoori WH, Giovannucci EL, Rimm EB, Wing AL, Trichopoulos DV, Willett WC. A prospective study of diet and the risk of symptomatic diverticular disease in men. Am J Clin Nutr. 1994;60:757–764
  6. Aldoori WH, Giovannucci EL, Rockett HRH, Sampson L, Rimm EB, Willett WC. A prospective study of dietary fiber types and symptomatic diverticular disease in men. J Nutr. 1998;128:714–719
  7. Ard JD, Svetkey LP, La Chance PA, Bray G. Lowering blood pressure using a dietary pattern: a review of the Dietary Approaches to Stop Hypertension (DASH) trial. J Clin Hypertens. 2000;2:387–391
  8. Steinmetz KA, Potter JD. Vegetables, fruit, and cancer prevention: a review. J Am Diet Assoc. 1996;96:1027–1039
  9. World Cancer Research Fund/American Institute for Cancer Research. Food, Nutrition and the Prevention of Cancer: a Global Perspective. Washington DC: American Institute for Cancer Research; 1997;
  10. WHO. Global strategy on diet, physical activity and health. Geneva, Switzerland: WHO; 2004;
  11. WHO. Preventing chronic diseases: a vital investment. Geneva, Switzerland: WHO; 2005;
  12. Lock K, Pomerleau J, Causer L, McKee M. Low fruit and vegetable consumption. In:  Ezzati M,  Lopez AD,  Rodgers A,  Murray CJL editor. Comparative quantification of health risks: global and regional burden of disease attributable to selected major risk factors. Geneva, Switzerland: WHO; 2004;
  13. WHO. Diet, nutrition and the prevention of chronic diseases. Technical Report Series No. 797 Geneva, Switzerland: WHO; 1990;
  14. WHO/FAO. Diet, nutrition and the prevention of chronic diseases (Report of a Joint WHO/FAO Expert Consultation). Geneva, Switzerland: WHO; 2003;
  15. Pomerleau J, Lock K, McKee M, Altmann DR. The challenge of measuring global fruit and vegetable intake. J Nutr. 2004;134:1175–1180
  16. Armstrong T, Bonita R. Capacity building for an integrated noncommunicable disease risk factor surveillance system in developing countries. Ethn Dis. 2003;13(2S):S13–S18
  17. Moussavi S, Chatterji S, Verdes E, Tanden A, Patel V, Üstün B. Depression, chronic disease, and decrements in health: results from the World Health Surveys. Lancet. 2007;370:851–858
  18. Guthold R, Ono T, Strong KL, Chatterji S, Morabia A. Worldwide variability in physical inactivity: a 51-country survey. Am J Prev Med. 2008;34:486–494
  19. WHO. World Health Survey: guide to administration and question by question specifications. Geneva, Switzerland: WHO; 2002;
  20. Ferguson BD, Tandon A, Gakidou E, Murray CJL. Estimating permanent income using indicator variables. In:  Murray CJL,  Evans DB editor. Health systems performance assessment: debates, methods and empiricism. Geneva, Switzerland: WHO; 2003;
  21. Chatterji S, Kowal P, Mathers C, et al. The health of aging populations in China and India. Health Affairs. 2008;27:1052–1063
  22. Gakidou E, Oza S, Fuertes CV, et al. Improving child survival through environmental and nutritional interventions: the importance of targeting interventions toward the poor. JAMA. 2007;298:1876–1887
  23. Filmer D, Pritchett LH. Estimating wealth effects without expenditure data—or tears: an application to educational enrolments in states of India. Demography. 2001;38:115–132
  24. Wagstaff A, Watanabe N. What difference does the choice of ses make in health inequality measurement?. Health Economics. 2003;12:885–890
  25. Zou G. A modified Poisson regression approach to prospective studies with binary data. Am J Epid. 2004;159:702–706
  26. Barros A, Hirakata V. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003;3:21
  27. Blanck HM, Gillespie C, Kimmons JE, Seymour JD, Serdula MK. Trends in fruit and vegetable consumption among U.S. men and women, 1994–2005. Prev Chronic Dis. 2008;5:A35–A44
  28. Blake M, Chaudhury M, Deverill C, et al. Health survey for England 2003, volume 2: risk factors for cardiovascular disease. In:  Sproston K,  Primatesta P editor. Health survey for England 2003. Norwich, United Kingdom: Her Majesty's Stationery Office; 2004;
  29. Australian Bureau of Statistics (ABS). National health survey summary of results, 2004–05. ABS Catalogue No. 4364.0 Canberra, Australia: ABS; 2006;
  30. Schneider M, Norman R, Steyn N, Bradshaw D South African Comparative Risk Assessment Collaborating Group. Estimating the burden of disease attribute to low fruit and vegetable intake in South Africa in 2000. S Afr Med J. 2007;97:717–723
  31. Subar AF, Heimendinger J, Patterson BH, Krebs-Smith SM, Pivonka E, Kessler R. Fruit and vegetable intake in the United States: the baseline survey of the Five a Day for Better Health Program. Am J Health Promot. 1995;9:352–360
  32. Slesinger DP, McDivitt M, O'Donnell FM. Food patterns in an urban population: age and sociodemographic correlates. J Gerontol. 1980;35:432–441
  33. Tamers SL, Agurs-Collins T, Dodd KW, Nebeling L. U.S. and France adult fruit and vegetable consumption patterns: an international comparison. Eur J Clin Nutr. 2009;63:11–17
  34. Johansson L, Thelle DS, Solvoll K, Bjorneboe GE, Drevon CA. Healthy dietary habits in relation to social determinants and lifestyle factors. Br J Nutr. 1999;81:211–220
  35. Prättälä R, Paalanen L, Grinberga D, Helasoja V, Kasmel A, Petkeviciene J. Gender differences in the consumption of meat, fruit and vegetables are similar in Finland and the Baltic countries. Eur J Public Health. 2007;17:520–525
  36. Guenther PM, Dodd KW, Reedy J, Krebs-Smith SM. Most Americans eat much less than recommended amounts of fruits and vegetables. J Am Diet Assoc. 2006;106:1371–1379
  37. Havas S, Treiman K, Langenberg P, et al. Factors associated with fruit and vegetable consumption among women participating in WIC. J Am Diet Assoc. 1998;98:1141–1148
  38. Reicks M, Randall JL, Haynes BJ. Factors affecting consumption of fruits and vegetables by low-income families. J Am Diet Assoc. 1994;94:1309–1311
  39. Pollard J, Kirk SFL, Cade JE. Factors affecting food choice in relation to fruit and vegetable intake: a review. Nutr Rev. 2002;15:373–387
  40. Agudo A. Measuring intake of fruit and vegetables (Background Paper for the Joint FAO/WHO Workshop on Fruit and Vegetables for Health; 2004 Sept 1–3; Kobe, Japan). Geneva, Switzerland: WHO; 2005;
  41. Popkin BM. Global nutrition dynamics: the world is shifting rapidly toward a diet linked with noncommunicable diseases. Am J Clin Nutr. 2006;84:289–298
  42. Van Duyn MA, Pivonka E. Overview of the health benefits of fruit and vegetable consumption for the dietetic professional: selected literature. J Am Diet Assoc. 2000;100:1511–1521

PII: S0749-3797(09)00097-X

doi: 10.1016/j.amepre.2009.01.029

American Journal of Preventive Medicine
Volume 36, Issue 5 , Pages 402-409.e5 , May 2009

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