Association of Self-efficacy for Fruit and Vegetable Intake with Reported Dietary Intake in 5th Grade Children

Children of low socio-economic position (SEP) consume poorer diets than those of high SEP; however, there is limited understanding of why socio-economic gradients in diet occur. Some evidence suggests that determinants of dietary intake may differ between SEP groups. The aim of the present study was to determine whether the associations between personal and environmental variables and children's fruit and vegetable intake, and healthy dietary behaviours are moderated by SEP. A total of 395 children aged 9 to 13 years and their parents were recruited in Adelaide, South Australia. Personal and environmental dietary predictors were measured using child-completed online questionnaires and telephone interviews with parents. Dietary intake was measured using an online FFQ. First, dietary predictors were identified using correlated component regression, and subsequently tested for moderation by four SEP indicators using partial least-squares structural equation modelling. Fruit and vegetable intake and healthy behaviours were predicted by self-efficacy, attitudes and a supportive home environment. For girls, only the associations of self-efficacy with healthy behaviours were moderated by occupation. For boys, income moderated the associations of fruit and vegetable intake with attitudes, and healthy behaviours with supportive home environments. Occupation and employment moderated the associations of boys' family environments and fruit intake, and attitudes with healthy behaviours. Reducing socio-economic disparities in children's healthy dietary intake may be more successfully achieved by tailoring health promotion policies and interventions according to variables that moderate the relationships between dietary intake and SEP.

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School Gardening Activities have Profound Potential in Influencing the Knowledge, Attitude, Self-efficacy and Frequency of Fruit and Vegetable Intake by Late Adolescents

10.21203/rs.2.13719/v1 ◽

2019 ◽

Author(s):

Hussein Mukasa Kafeero ◽

David Kavuma ◽

Lillian Wampande Nantume ◽

Scovia Mbabazi

Keyword(s):

Dietary Intake ◽

Self Efficacy ◽

Nutritional Value ◽

Fruits And Vegetables ◽

Vegetable Intake ◽

Exposed Group ◽

Fruit And Vegetable Intake ◽

Control Group ◽

Late Adolescents ◽

Fruit And Vegetable

Abstract Back ground The dietary intake of fruits and vegetables by adolescents is influenced by self-efficacy, attitude and knowledge.This study was designed to understand the role of school gardens in influencing the frequency, attitudes, knowledge and self-efficacy of late in-school adolescents on their dietary intake of fruits and vegetables.Methods The study followed a cross-sectional study design employing quantitative research methods. The target population comprised of late adolescents 18-25 years attending the two-selected secondary school; one with gardening activities and another not. Self-administered structured questionnaire was used to collect data. Quantitative data was analyzed by t-test , Mann Whitney U test, Pearson Rank Correlation and odds ratio.Results Generally, there were low fruit (8 & 9) and vegetable (6 & 7) servings per week among the unexposed and the exposed groups respectively as compared to the USDA recommendation (14 and 11) servings per week for fruits and vegetables respectively. However, students exposed to gardening had slightly higher scores of fruits and vegetable frequency as compared to those not exposed (OR=1.0370). Students believed they consumed more fruits than vegetables with the exposed group consuming more fruits (p<0.0001) and vegetables (p<0.0001) than the control group. The students knew more nutritional value for fruit intake than for vegetable intake with the exposed group having higher knowledge scores than the control (OR=1.32). The students in the exposed group were more confident in consuming fruits and vegetables rather than a snack (p=0.008), ice cream (p=0.004), three times a day (p<0.0001) compared to the control group.Conclusion Overall, there was low fruit and vegetable intake by the study subjects. However, fruits were consumed more than the vegetables with the exposed group posting slightly higher weekly intake of fruits and vegetables than the control group. The students knew the nutritional value of fruits and vegetables attaching more importance on the fruits than vegetables with exposed group having better knowledge than the control. Although students in both groups were confident in consuming fruits and vegetables, the exposed group was more confident than the unexposed.

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Fruit and Vegetable Intake Among Children by Level of Variety, What We Eat in America, NHANES 2013–2016

Current Developments in Nutrition ◽

10.1093/cdn/nzaa043_057 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 206-206 ◽

Cited By ~ 2

Author(s):

M Katherine Hoy ◽

John Clemens ◽

Carrie Martin ◽

Alanna Moshfegh

Keyword(s):

Young Children ◽

Dietary Intake ◽

Vegetable Intake ◽

Fruit And Vegetable Intake ◽

Fruit And Vegetable ◽

Percentage Contribution ◽

Funding Sources ◽

Very Young Children ◽

Food Patterns ◽

Side Dishes

Abstract Objectives To describe and compare fruit and vegetable intake by level of variety among children in What We Eat in America (WWEIA), NHANES. Methods One-day dietary intake data of children 2–19 years (N = 5920) in WWEIA, NHANES 2013–2016 were used. Fruit and vegetable (FV) variety was the count of foods consumed that contributed to total FV intake. To be counted, at least 0.1 cup equivalent (CE) FV of each single FV item and 0.2 CE FV from a mixed dish had to have been consumed. Each FV was counted only once; a mixed dish counted as one. The Food Patterns Equivalents Database was used to determine the CE of FV intake. Individuals were classified for variety of intake as High (H) (5 + items); Moderate (M) (3–4 items); Low (L) (1–2 items). Percentage contribution of WWEIA Food Categories to FV intake was estimated. Differences in FV intakes between variety levels were compared by t-test. Those with a count of ‘0’ (N = 466) were excluded. Results Percentage of children in each variety level was: H: 15, M: 33; L: 44; none: 8%. Mean FV intakes (CE/1000 kcal) by variety level were H: 1.9; M: 1.4; L: 0.8 (P < 0.001). Distributions of 2–5y, 6–11y and 12–19y, respectively among variety levels were: H: 18, 16, 13%; M: 40, 32, 30%; L: 37, 44, 48%; none: 6, 8, 9%. For H, M, and L levels, respectively, fruit variety counts were 2.5, 1.5, and 0.5, and vegetable variety counts were 3.5, 2, and 1 (P < 0.001). Among all 2–19y, single FV items (excl 100% juice) contributed 64% to FV intake of the H vs M (55%) and L (50%), whereas Mixed Dishes contributed 12% to intake of H vs M (15%) and L (21%). The percentages of H, M and L groups reporting intake from WWEIA Food Categories were 89, 65 and 40 for Vegetables; 86, 65, and 35 for Fruit; and 79, 79, and 77 for Mixed Dishes. Conclusions FV variety was highest for very young children and lowest among adolescents. Children with more variety of FV intake were more likely to include single FV and in higher amounts than those with less FV variety. These results support suggestions for boosting FV intake of children by encouraging their consumption at snacks and including vegetable side dishes at meals. Funding Sources ARS-USDA.

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Dietary Intake Among Church-Affiliated African Americans: The Role of Intentions and Beliefs

Journal of Black Psychology ◽

10.1177/0095798419887629 ◽

2019 ◽

Vol 46 (1) ◽

pp. 29-54 ◽

Cited By ~ 1

Author(s):

Alexandria G. Bauer ◽

Jannette Berkley-Patton ◽

Kym Bennett ◽

Delwyn Catley ◽

Carole Bowe-Thompson ◽

...

Keyword(s):

African Americans ◽

Dietary Intake ◽

Eating Behaviors ◽

Vegetable Intake ◽

Healthy Diet ◽

Fruit And Vegetable Intake ◽

Control Beliefs ◽

Fruit And Vegetable ◽

Dietary Interventions ◽

Path Analyses

Diabetes and heart disease disproportionately burden African Americans, who tend to have worse nutritional intake than Whites. Many Black churches are influential institutions in the Black community, with potential to assist with promotion of healthy eating behaviors. The purpose of the current study was to use the Theory of Planned Behavior (TPB) to examine intention to eat a healthy diet and dietary behaviors among church-affiliated African Americans. It was hypothesized that TPB constructs would positively predict intention to eat a healthy diet and that intention to eat a healthy diet would be a predictor of fat and fruit and vegetable intake. It was also hypothesized that control beliefs would predict reduced fat intake and increased fruit and vegetable intake. Path analyses indicated behavioral, normative, and control beliefs were predictive of intention to eat a healthy diet. Intention to eat healthy was a significant predictor of dietary intake behaviors. These findings provide support for the use of the TPB in examining diet among church-affiliated African Americans. This study represents an opportunity to inform dietary interventions for the African American faith community.

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Associations of psychosocial factors with fruit and vegetable intake among African-Americans

Public Health Nutrition ◽

10.1017/s1368980007662284 ◽

2007 ◽

Vol 10 (7) ◽

pp. 701-711 ◽

Cited By ~ 56

Author(s):

Joanne L Watters ◽

Jessie A Satia ◽

Joseph A Galanko

Keyword(s):

African American ◽

African Americans ◽

Psychosocial Factors ◽

Self Efficacy ◽

Vegetable Intake ◽

African American Men ◽

Predisposing Factors ◽

Fruit And Vegetable Intake ◽

Fruit And Vegetable ◽

Enabling Factors

AbstractObjectiveTo examine associations of various psychosocial factors with fruit and vegetable intake in African-American adults.MethodsA cross-sectional survey of a population-based sample of 658 African-Americans, aged 18–70 years, in North Carolina. Information was collected on diet-related psychosocial (predisposing, reinforcing and enabling) factors based on the PRECEDE (Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation) planning framework; demographic, lifestyle and behavioural characteristics, and fruit and vegetable intake.ResultsThe mean participant age was 43.9 years (standard deviation 11.6), 57% were female and 76% were overweight/obese. Participants expressed healthy beliefs regarding many of, but not all, the psychosocial factors. For example, although half of the respondents believed it is important to eat a diet high in fruits/vegetables, only 26% knew that ≥ 5 daily servings are recommended. The strongest associations of the psychosocial factors with fruit/vegetable intake were for predisposing factors (e.g. belief in the importance of a high fruit/vegetable diet and knowledge of fruit/vegetable recommendations) and one reinforcing factor (social support), with differences between the healthiest and least healthy responses of 0.5–1.0 servings per day. There was evidence of effect modification by gender in associations between psychosocial factors and fruit/vegetable consumption (e.g. self-efficacy was only significant in women), with higher intakes and generally healthier responses to the psychosocial variables in women than men.ConclusionsInterventions to increase fruit/vegetable intake in African-Americans may be more effective if they focus primarily on predisposing factors, such as knowledge, self-efficacy and attitudes, but not to the exclusion of reinforcing and enabling factors. The psychosocial factors that are targeted may also need to be somewhat different for African-American men and women.

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Correspondence of self–reported fruit and vegetable intake with dietary intake data

Australian and New Zealand Journal of Public Health ◽

10.1111/j.1467-842x.1977.tb01521.x ◽

1977 ◽

Vol 21 (7) ◽

pp. 703-710 ◽

Cited By ~ 1

Author(s):

Kathy L. Radimer ◽

Philip. Harvey ◽

Leslie Lytle

Keyword(s):

Dietary Intake ◽

Vegetable Intake ◽

Fruit And Vegetable Intake ◽

Fruit And Vegetable

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The Impact of a Community Fruit and Vegetable Voucher Program (Vouchers 4 Veggies) on Improvements in Dietary Intake and Food Security (P04-013-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz051.p04-013-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Leah Jennings ◽

Sanjana Marpadga ◽

Cissie Bonini ◽

Melissa Akers ◽

Ronli Levi ◽

...

Keyword(s):

Food Security ◽

Dietary Intake ◽

Vegetable Intake ◽

Health Perception ◽

Healthy Food ◽

Fruit And Vegetable Intake ◽

Grocery Stores ◽

Fruit And Vegetable ◽

Voucher Program ◽

The Impact

Abstract Objectives Vouchers 4 Veggies (V4V) is a transformative healthy food voucher program aimed at increasing access to and affordability of healthy food in the most vulnerable communities. Between 2015–2018, over 2600 ethnically diverse low-income individuals were enrolled in the program with the goal to increase their fruit and vegetable intake, improve food security status and change health perception. Methods V4V partners with local community-based organizations and clinics that serve as voucher distribution sites as well as neighborhoods stores, grocery stores, and famer's markets where participants can redeem their vouchers. Participants receive $20-$40 worth of vouchers per month for 6 months. Data for this evaluation were collected using pre- and post- surveys (at 0 and 4–6 months) that included a validated fruit and vegetable intake screener, the USDA 7-item food security screener, demographic questions and health perception questions. Results Data from 862 matched surveys indicate that mean fruit and vegetable intake increased from 2.49 to 3.52 servings daily, corresponding to a 1.03 servings increase after six months in the program (0.89,1.77; P < .001). In addition, V4V participants’ food security scores improved, decreasing 0.88 points (−1.07, −0.71; P < 0.001) on a 6 point scale (0 being the most food secure and 6 being very food insecure), from a mean of 5.53 to 4.65 using the USDA validated 6-item scale. When stratified by race, food security improved significantly for all major racial groups except Black/African Americans. Finally, participants reported a statistically significant improvement in self-reported health status (P < 0.001), with a 14% change in status from poor/fair health to good/very good/excellent health. Conclusions This evaluation suggests that a modest supplement for fruits and vegetables may be able to improve dietary intake, support food security, and improve health perception among vulnerable residents of San Francisco. More research is needed to understand differences in maintaining long-term health and behavior changes among program participants. Funding Sources V4V received funding from the SF Department of Public Health, Hellman Foundation, AARP Foundation, and Kaiser Permanente Community Benefits Program.

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Examining the Validity of Spectroscopy-Based Skin Carotenoid Measurements as a Proxy for Fruit and Vegetable Consumption

Current Developments in Nutrition ◽

10.1093/cdn/nzaa041_029 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 125-125

Author(s):

Marcela Radtke ◽

Stephanie Jilcott Pitts ◽

Lisa Jahns ◽

Gina Firnhaber ◽

Brittany Loofbourrow ◽

...

Keyword(s):

Systematic Review ◽

Dietary Intake ◽

Full Text ◽

Vegetable Intake ◽

Fruit And Vegetable Intake ◽

Minority Population ◽

Cochrane Central Register ◽

Fruit And Vegetable ◽

Hand Search ◽

Full Text Review

Abstract Objectives The purpose of this study was to conduct a systematic review to assess criterion-related validity of spectroscopy-based skin carotenoid measurements against serum/plasma carotenoids and/or dietary intake of fruit and vegetables. Methods PubMed, Embase, ProQuest, Cumulative Index of Nursing and Allied Health Literature, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials were systematically searched in December 2018 to identify articles for inclusion. Articles published from 1990–2018 that correlated spectroscopy-based skin carotenoid measurements to blood carotenoids and/or fruit and vegetable intake met inclusion criteria. The articles were reviewed independently by at least two authors and discrepancies were mediated by a third author. A hand search was conducted of the included papers to ensure no relevant articles were excluded. Results Of the 7931 articles identified in the literature search, 54 articles met the eligibility criteria for full-text review. Following the full-text review, 22 articles were selected for data extraction and were included in the present review. Following the hand search, seven additional articles were eligible for inclusion, resulting in a total of 29 articles. All 29 articles demonstrated statistically significant correlations between spectroscopy-based skin carotenoid measurements and serum/plasma carotenoids and/or dietary intake of fruits and vegetables. Three methods of spectroscopic detection were used: 20 articles used resonance Raman spectroscopy (RRS), seven articles used spectrophotometers, and two articles used reflection spectroscopy (RS) to measure skin carotenoids. Twenty of the articles described the racial/ethnic demographics of the study population, with seven articles containing more than 20% from a non-white, minority population. Four studies were conducted with infants, six studies included children, and the remaining 19 studies focused on adults. Conclusions The results of the systematic review support the use of spectroscopy-based skin carotenoid measurements as an alternative measure of fruit and vegetable intake. Additional research is warranted to examine the use of different spectroscopy techniques in diverse populations and populations of varying ages. Funding Sources N/A.

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Contribution of What We Eat in America Food Categories to Fruit and Vegetable Intake by Level of Variety, What We Eat in America, NHANES 2013–2016 (P18-113-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz039.p18-113-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

M Katherine Hoy ◽

John Clemens ◽

Carrie Martin ◽

Alanna Moshfegh

Keyword(s):

Dietary Intake ◽

Vegetable Intake ◽

T Test ◽

Fruit And Vegetable Intake ◽

Fruit And Vegetable ◽

Funding Sources ◽

Food Patterns ◽

Beneficial Impact ◽

Side Dishes

Abstract Objectives To compare contribution of What We Eat in America (WWEIA) Food Categories to fruit and vegetable (FV) intake by level of FV variety. Methods One-day dietary intake data of adults 20+ years (N = 10,064) in WWEIA, NHANES 2013–2016 were used. Fruit and vegetable (FV) variety was the count of foods consumed that contributed to total FV intake. To be counted, at least 0.1 cup equivalent (CE) FV of each single FV item and 0.2 CE FV from a mixed dish had to have been consumed. Each FV was counted only once; a mixed dish counted as one. The Food Patterns Equivalents Database was used to determine the CE of FV intake. Individuals were classified for variety of intake as High (H) (5 + items) N = 2316; Moderate (M) (3–4), N = 3423; Low (L) (1–2), N = 3746. Differences in % contribution of WWEIA Food Categories to FV intake between each level of variety were compared by t-test. Those with a count of ‘0’ (N = 579) were excluded. Results Mean CE FV intakes for each group were H: 4.4; M: 2.6; L: 1.4 (P < 0.001). Whole FV contributed 67% to FV intake of the H vs M (58%) and L (53%) (P < 0.001), whereas Mixed Dishes contributed 12% to intake of H vs M (17%) and L (27%) groups, (P < 0.001). Savory snacks accounted for 3% of H vs 5% of L and M (P < 0.001). Proportions of FV intake from other foods included: 100% juice (∼9%), Condiments (∼4%) or Sweets (∼1%). The contribution of Vegetables excluding potatoes to intakes of H, M and L groups, respectively, was 32%, 24% and 19%, (P < 0.001); contribution of White potatoes for H vs M and L was 7% vs 12% and 15%, (P < 0.001). Whole fruit accounted for 28% of intake by H vs M (22%) and L (19%), (P < 0.001). FV intake from the Food Categories of the H, M and L levels respectively were 1.4, 0.6 and 0.03 CE of Vegetables excluding potatoes; 1.2, 0.6, and 0.3 CE of Fruit; and 0.5, 0.4, and 0.4 CE from Mixed Dishes. The percentages from H, M and L groups reporting intake from Food Categories were 89, 64 and 34 for Vegetables excluding potatoes; 75, 49, and 22 for Fruit; and 72, 71, and 72 for Mixed Dishes. Conclusions Those with more variety of FV intake include whole FV in their diet more frequently and in higher amounts. These results illustrate the beneficial impact on FV intake of including a variety of FV items each day, and support suggestions for boosting intake by choosing FV at snacks, adding FV to mixed dishes and including vegetable side dishes at meals. Funding Sources ARS-USDA.

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Stages of Change for Increasing Fruit and Vegetable Intake in a Japanese Population

Global Journal of Health Science ◽

10.5539/gjhs.v11n7p139 ◽

2019 ◽

Vol 11 (7) ◽

pp. 139

Author(s):

Da-Hong Wang ◽

Michiko Kogashiwa ◽

Naoko Mori ◽

Shikibu Yamashita ◽

Wakako Fujii ◽

...

Keyword(s):

Stages Of Change ◽

Self Efficacy ◽

Vegetable Intake ◽

Linear Trend ◽

Cross Sectional Study ◽

Fruit And Vegetable Intake ◽

Fruit Intake ◽

Fruit And Vegetable ◽

Cross Sectional ◽

Maintenance Stage

OBJECTIVE: Thhis study aimed to investigate the reason why people choose to consume less vegetable and fruit through examining how the stage of change and psycho-social parameters relate to vegetable and fruit intake. METHODS: We carried out a cross-sectional study in 4 regions of Japan in which 2308 individuals (1012 men and 1296 women) aged 18 years or older who completed the questionnaires were included in the study. RESULTS: The results showed 56% of the participants were in the precontemplation stage (not thinking about consuming recommended amount of fruit and vegetable) and their average amounts of vegetable and fruit intake were far below the level of current recommendations, and subjects in the precontemplation stage showed lower scores of attitude and self efficacy. Men were more likely to be in precontemplation (67.7%) and less likely to be in action/maintenance stage (7.9%) than women (46.9%, 12.1%, respectively) (p < 0.001). We also observed the scores of attitude (p = 0.06) and self-efficacy (p < 0.01) rose as the stage went up from the precontemplation to action/maintenance for increasing vegetable and fruit intake. Moreover, a linear trend was found toward higher vegetable (p < 0.05) and fruit (p = 0.121) intake from precontemplation to action/maintenance stage. CONCLUSION: The present evidence suggests more attention should be focused on strategy for perceptions of personal need for recommended amount of vegetable and fruit intake for those who are in the precontemplation stage. Moreover, effective programs on enhancement of self-efficacy and attitude toward vegetable and fruit consumption are needed for increasing the vegetable and fruit intake.

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