Strategies for increasing fruit and vegetable intake in grocery stores and communities: policy, pricing, and environmental change

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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Role of Organizational Support on Implementation of an Environmental Change Intervention to Improve Child Fruit and Vegetable Intake: a Randomized Cross-Over Design

Prevention Science ◽

10.1007/s11121-019-01043-z ◽

2019 ◽

Vol 20 (8) ◽

pp. 1211-1218 ◽

Cited By ~ 1

Author(s):

Jennifer L. Gay ◽

Ruth P. Saunders ◽

Erika Rees-Punia ◽

Marsha Dowda ◽

Alexandra E. van den Berg

Keyword(s):

Environmental Change ◽

Organizational Support ◽

Vegetable Intake ◽

Fruit And Vegetable Intake ◽

Fruit And Vegetable

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The introduction of new food retail opportunities in lower-income communities and the impact on fruit and vegetable intake: a systematic review

Translational Behavioral Medicine ◽

10.1093/tbm/ibz094 ◽

2019 ◽

Vol 9 (5) ◽

pp. 837-846 ◽

Cited By ~ 9

Author(s):

Kelseanna Hollis-Hansen ◽

Leah Vermont ◽

Michelle L Zafron ◽

Jennifer Seidman ◽

Lucia Leone

Keyword(s):

Systematic Review ◽

Vegetable Intake ◽

Vegetable Consumption ◽

Fruit And Vegetable Consumption ◽

Fruit And Vegetable Intake ◽

Farmers Markets ◽

Grocery Stores ◽

Lower Income ◽

Fruit And Vegetable ◽

The Impact

Introducing mobile produce markets and farmers’ markets increased fruit and vegetable consumption in lower-income communities, while opening larger retailers (e.g. grocery stores) did not improve fruit and vegetable intake.

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Faculty Opinions recommendation of Fruit and vegetable intake: Few adolescent girls meet national guidelines.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.8128.465616 ◽

2006 ◽

Author(s):

Andreas Karwautz

Keyword(s):

Adolescent Girls ◽

Vegetable Intake ◽

Fruit And Vegetable Intake ◽

Fruit And Vegetable ◽

National Guidelines

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Awareness and outcomes of the fruits and veggies (FNV) campaign to promote fruit and vegetable consumption among targeted audiences in California and Virginia: a cross-sectional study

BMC Public Health ◽

10.1186/s12889-021-11055-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Tessa R. Englund ◽

Valisa E. Hedrick ◽

Sofía Rincón-Gallardo Patiño ◽

Lauren E. Kennedy ◽

Kathryn W. Hosig ◽

...

Keyword(s):

Fruits And Vegetables ◽

Vegetable Intake ◽

Behavioral Outcomes ◽

Cross Sectional Study ◽

Fruit And Vegetable Intake ◽

Brand Awareness ◽

Sectional Study ◽

Fruit And Vegetable ◽

Cross Sectional ◽

Convenience Sample

Abstract Background In 2015, the Partnership for a Healthier America launched the branded Fruits & Veggies (FNV) Campaign to apply a unique industry-inspired marketing approach to promote fruit and vegetable sales and intake to moms and teens in two US pilot markets: Fresno, California and Hampton Roads, Virginia. The aims of this cross-sectional study were to: 1) assess brand awareness and fruit- and vegetable-related outcomes among FNV Campaign target audiences in the California and Virginia market locations; and 2) examine whether reported awareness of the FNV Campaign was associated with differences in fruit- and vegetable-related cognitive and behavioral outcomes. Methods Data for this cross-sectional study were collected using an online survey administered to a non-probability convenience sample (n = 1604; February–July 2017) of youth aged 14–20 years (n = 744) and moms aged 21–36 years (n = 860) in the two pilot markets. Descriptive statistics were computed and outcomes compared between unaware and aware respondents, controlling for sociodemographic covariates. Multivariate analysis of covariance (MANCOVA) was conducted to assess whether fruit- and vegetable-related attitude, belief, and encouragement outcomes differed by FNV Campaign awareness; logistic regression was used to examine associations between FNV brand awareness and dichotomous variables (fruit- and vegetable-related behavioral intentions, trying new fruits and vegetables); and ANCOVA was used to assess associations with daily fruit and vegetable intake frequency. Results Approximately 20% (n = 315/1604) of respondents reported awareness of the FNV Campaign. Youth that reported awareness of the FNV Campaign (n = 167, 22.4%) had higher intentions to buy (p = 0.003) and eat (p = 0.009) fruits and vegetables than unaware respondents. Mothers that reported awareness of the FNV Campaign (n = 148, 17.2%) reported greater encouragement for friends and family to eat fruits and vegetables (p = 0.013) and were approximately 1.5 times more likely to report trying a new fruit or vegetable (p = 0.04) than mothers unaware of the Campaign. Daily fruit and vegetable intake frequency did not differ by Campaign awareness. Conclusions FNV Campaign awareness was associated with limited but positive short- and intermediate-term cognitive and behavioral outcomes among target audience respondents. These findings can inform future research to enhance understanding and improve the FNV Campaign as it is expanded to new markets nationwide.

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Biochemical Validation of a Self-Administered Food Frequency Questionnaire to Assess Diet Using Carotenoids and Vitamins E and D in Male Adolescents in Spain

Antioxidants ◽

10.3390/antiox10050750 ◽

2021 ◽

Vol 10 (5) ◽

pp. 750

Author(s):

Leyre Notario-Barandiaran ◽

Eva-María Navarrete-Muñoz ◽

Desirée Valera-Gran ◽

Elena Hernández-Álvarez ◽

Encarnación Donoso-Navarro ◽

...

Keyword(s):

Vitamin E ◽

Food Frequency Questionnaire ◽

Vegetable Intake ◽

Correlation Coefficients ◽

Fruit And Vegetable Intake ◽

Fruit And Vegetable ◽

Sample Mean ◽

Food Frequency ◽

Male Adolescents ◽

Β Carotene

Reliable tools to evaluate diet are needed, particularly in life periods such as adolescence in which a rapid rate of growth and development occurs. We assessed the biochemical validity of a self-administered food frequency questionnaire (FFQ) in a sample of Spanish male adolescents using carotenoids and vitamin E and D data. We analyzed data from 122 male adolescents aged 15–17 years of the INMA-Granada birth cohort study. Adolescents answered a 104-item FFQ and provided a non-fasting blood sample. Mean daily nutrient intakes and serum concentration were estimated for main carotenoids (lutein-zeaxanthin, β-cryptoxanthin, lycopene, α-carotene and β-carotene), vitamins E and D and also for fruit and vegetable intake. Pearson correlation coefficients (r) and the percentage of agreement (same or adjacent quintiles) between serum vitamin concentrations and energy-adjusted intakes were estimated. Statistically significant correlation coefficients were observed for the total carotenoids (r = 0.40) and specific carotenoids, with the highest correlation observed for lutein–zeaxanthin (r = 0.42) and the lowest for β-carotene (0.23). The correlation coefficient between fruit and vegetable intake and serum carotenoids was 0.29 (higher for vegetable intake, r = 0.33 than for fruit intake, r = 0.19). Low correlations were observed for vitamin E and D. The average percentage of agreement for carotenoids was 55.8%, and lower for vitamin E and D (50% and 41%, respectively). The FFQ may be an acceptable tool for dietary assessment among male adolescents in Spain.

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