The relationship of weight-related perceptions, goals, and behaviors with fruit and vegetable consumption in young adolescents

2005 ◽  
Vol 40 (2) ◽  
pp. 203-208 ◽  
Author(s):  
A NYSTROM ◽  
K SCHMITZ ◽  
C PERRY ◽  
L LYTLE ◽  
D NEUMARKSZTAINER
Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Jessie L Parker ◽  
Liwei Chen ◽  
Diane C Mitchell ◽  
Hsin-Chieh Yeh ◽  
Cheryl Anderson ◽  
...  

Background: Increased intake of fruits and vegetables (F/V) may protect against adiposity, but effects on weight have been inconsistent. Our objective was to examine the relationship between fruit and vegetable intake and weight, using direct and indirect measures of dietary intake: self-reported 24-hour recall and serum carotenoid levels. Methods: Participants from the PREMIER lifestyle intervention trial were included in this analysis (n=554). Dietary measures included 24-hour dietary recalls and serum carotenoid levels, from a fasting blood sample. The outcome was weight in pounds. Nested linear mixed models were used to examine the association between F/V and weight. Results: Mean F/V increased from 4.6 (SD 2.4) to 5.6 (SD 3.2) (p=<.01), mean serum carotenoids increased from 53.2 (SD 31.9) to 68.1 (SD 42.5) (p=<.01). At 18 months, participants in the lowest quintile of fruit and vegetable change reported an average intake of 4.42.8 servings of fruits and vegetables, and those in the highest quintile of change reported an average intake of 7.73.2 servings. In a multivariate model adjusting for age, race, gender, intervention, energy, study site, and time, lower body weight was associated with higher F/V intake measured by dietary recall (−0.63 lbs, 95% CI −0.83 to −0.42, per 1 serving increase in F/V) and serum carotenoids (−0.13 lbs, 95% CI −0.15 to −0.11, per 1 ug/dl increase in carotenoids). Results were somewhat attenuated but consistent after additional adjustments for working heart rate, exercise, calories from sugar-sweetened beverages, marital and employment status, and alcohol use . Conclusions: Greater fruit and vegetable consumption was associated with decreased body weight. Results were consistent for both objective and self-reported measures of fruit and vegetable intake.


2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Leandra J Jones ◽  
Joan VanWassenhove-Paetzold ◽  
Kymie Thomas ◽  
Carolyn Bancroft ◽  
E Quinn Ziatyk ◽  
...  

ABSTRACT Background Rates of childhood obesity are higher in American Indian and Alaska Native populations, and food insecurity plays a major role in diet-related disparities. To address this need, local healthcare providers and a local nonprofit launched the Navajo Fruit and Vegetable Prescription (FVRx) Program in 2015. Children up to 6 y of age and their caregivers are enrolled in the 6-mo program by healthcare providers. Families attend monthly health coaching sessions where they receive vouchers redeemable for fruits, vegetables, and healthy traditional foods at retailers participating in the FVRx program. Objectives We assessed the impact of a fruit and vegetable prescription program on the health outcomes and behaviors of participating children. Methods Caregivers completed voluntary surveys to assess food security, fruit and vegetable consumption, hours of sleep, and minutes of physical activity; healthcare providers also measured children's body mass index [BMI (kg/m2)] z score at initiation and completion of the program. We calculated changes in health behaviors, BMI, and food security at the end of the program, compared with baseline values. Results A total of 243 Navajo children enrolled in Navajo FVRx between May 2015 and September 2018. Fruit and vegetable consumption significantly increased from 5.2 to 6.8 servings per day between initiation and program completion (P &lt; 0.001). The proportion of participant households reporting food insecurity significantly decreased from 82% to 65% (P &lt; 0.001). Among children classified as overweight or obese at baseline, 38% achieved a healthy BMI z score at program completion (P &lt; 0.001). Sixty-five percent of children were retained in the program. Conclusions The Navajo FVRx program improves fruit and vegetable consumption among young children. Children who are obese or overweight may benefit most from the program.


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