scholarly journals Using epidemiological models to estimate the health effects of diet behaviour change: the example of tailored fruit and vegetable promotion

2006 ◽  
Vol 9 (4) ◽  
pp. 415-420 ◽  
Author(s):  
J Lennert Veerman ◽  
Jan J Barendregt ◽  
Johan P Mackenbach ◽  
Johannes Brug
Keyword(s):  
Nutrition Education ◽  
Health Effects ◽  
Behaviour Change ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Adult Population ◽  
Evaluation Study ◽  
Epidemiological Models ◽  
Fruit And Vegetable ◽  
Life Years

AbstractObjectiveTo explore the use of epidemiological modelling for the estimation of health effects of behaviour change interventions, using the example of computer-tailored nutrition education aimed at fruit and vegetable consumption in The Netherlands.DesignThe effects of the intervention on changes in consumption were obtained from an earlier evaluation study. The effect on health outcomes was estimated using an epidemiological multi-state life table model. Input data for the model consisted of relative risk estimates for cardiovascular disease and cancers, data on disease occurrence and mortality, and survey data on the consumption of fruits and vegetables.ResultsIf the computer-tailored nutrition education reached the entire adult population and the effects were sustained, it could result in a mortality decrease of 0.4 to 0.7% and save 72 to 115 life-years per 100 000 persons aged 25 years or older. Healthy life expectancy is estimated to increase by 32.7 days for men and 25.3 days for women. The true effect is likely to lie between this theoretical maximum and zero effect, depending mostly on durability of behaviour change and reach of the intervention.ConclusionEpidemiological models can be used to estimate the health impact of health promotion interventions.

scholarly journals Take Five, a nutrition education intervention to increase fruit and vegetable intakes: impact on attitudes towards dietary change

1998 ◽  
Vol 80 (2) ◽  
pp. 133-140 ◽  
Author(s):  
Annie S. Anderson ◽  
David N. Cox ◽  
Susan McKellar ◽  
Joanna Reynolds ◽  
M. E. J. Lean ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Fruit And Vegetables ◽  
Education Intervention ◽  
Health Campaigns ◽  
Fruit And Vegetable ◽  
Intervention Programme ◽  
Situational Barriers ◽  
Public Health Campaigns

To assess the response of low consumers of fruit and vegetables to a nutrition education intervention programme, data were collected from 104 adults on attitudinal variables related to ‘eating more fruit, vegetables and vegetable dishes’. Questionnaires (based on the theory of planned behaviour) assessing perceived barriers to increasing fruit and vegetable consumption were administered before an action-orientated intervention programme and at the end of the intervention period (8 weeks). Questionnaire scores for belief-evaluations in the intervention groups pre- and post-study indicated that support of family and friends, food costs, time constraints and shopping practicalities (in order to increase intake of fruit, vegetable and vegetable dishes) were barriers to greater consumption of these foodstuffs. Perceived situational barriers to increasing intakes of fruits and vegetables were: limited availability of vegetables, salads and fruit at work canteens, take-aways, friends' houses and at work generally. Following the intervention the number of visits to the shops was perceived as a greater barrier for increasing intakes of fruit and vegetables. Perceived practical opportunities for increasing intakes highlighted drinking fruit juice, taking fruit as a dessert, having fruit as a between-meal snack and eating two portions of vegetables with a meal. About two-thirds of intervention subjects achieved the recommended fruit and vegetable target, but it is concluded that practical issues and situational barriers need to be addressed for the success of future public health campaigns.

Psychosocial Factors Associated with Fruit and Vegetable Consumption

1995 ◽  
Vol 10 (2) ◽  
pp. 98-104 ◽  
Author(s):  
Susan M. Krebs-Smith ◽  
Jerianne Heimendinger ◽  
Blossom H. Patterson ◽  
Amy F. Subar ◽  
Ronald Kessler ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Psychosocial Factors ◽  
Fruits And Vegetables ◽  
Vegetable Intake ◽  
Vegetable Consumption ◽  
Good Health ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable Intake ◽  
Baseline Survey ◽  
Fruit And Vegetable

Purpose. This study examined the relationship between various psychosocial factors and fruit and vegetable consumption. Design. The 5 A Day Baseline Survey, conducted in August 1991, just before the initiation of the 5 A Day for Better Health Program, obtained data on adults' intakes of, and their knowledge, perceptions, and attitudes regarding, fruits and vegetables. Setting. The survey was conducted by telephone. Subjects. Subjects were 2811 adults (response rate, 43%) aged 18 years and older in the 48 coterminous United States. Measures. Fruit and vegetable intake was measured as self-reported frequency of use; most of the psychosocial variables were measured using Likert scales. Results. This study estimates that only 8% of American adults thought that five or more servings of fruits and vegetables were needed for good health. Of the factors studied, the most important in determining someone's fruit and vegetable intake were the number of servings they thought they should have in a day, whether they liked the taste, and whether they had been in the habit of eating many fruits and vegetables since childhood. These few factors accounted for 15% more of the variation in fruit and vegetable consumption than did demographic variables alone (8%). Conclusions. Nutrition education should stress the need to eat five or more servings of fruits and vegetables per day because few adults are aware of this recommendation and such knowledge is strongly associated with increased intake. Furthermore, efforts to increase the palatability of fruits and vegetables, especially among children, should be promoted.

scholarly journals The meaning of ‘fruits’ and ‘vegetables’

2011 ◽  
Vol 14 (7) ◽  
pp. 1222-1228 ◽  
Author(s):  
Frances E Thompson ◽  
Gordon B Willis ◽  
Olivia M Thompson ◽  
Amy L Yaroch
Keyword(s):  
Nutrition Education ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Spanish Speakers ◽  
English Speakers ◽  
Survey Respondent ◽  
Fruit And Vegetable ◽  
Cross Sectional ◽  
Chinese Speakers ◽  
Black Beans

AbstractObjectiveFruit and vegetable consumption is a focus of research and nutrition education; yet, there is no universal agreement on the meaning of ‘fruits’ and ‘vegetables’. Our objective was to describe survey respondent perceptions about a set of foods with regard to whether the food is a fruit, vegetable or something else.DesignThree cross-sectional studies.SettingTwo small studies involving cognitive interviewing sessions; and one large self-administered population survey.SubjectsUS adults in two small studies (n 55 and 80) and one large survey (n 3312), all with multiple race/ethnicities.ResultsPerceptions varied. In the survey, rice was considered a vegetable by about 20 % of respondents. In one small study, Spanish speakers were more likely to consider rice a vegetable, and Chinese speakers less likely, than were English speakers. Black beans were frequently classified as something other than vegetable or fruit. Among Hispanics, Spanish speakers were less likely than English speakers to consider beans a vegetable. Overall, tomatoes were classified as both fruit and vegetable, and these perceptions varied by race/ethnicity.ConclusionsSubstantial disagreement among the fruit, vegetable and other food domains highlights the importance of clearly defining the desired constructs. Foods that require specific instruction include rice, dried beans, potatoes, tomatoes and fruits and vegetables in mixtures and condiments. For measurement, additional questions or explanations may be needed to clarify which foods are of interest. For communication, the global message to increase consumption of fruit and vegetables should be reinforced with specific guidance.

A Pilot Fruit and Vegetable Prescription (FVRx) Program Improves Local Fruit and Vegetable Consumption, Nutrition Knowledge, and Food Purchasing Practices

2021 ◽  
pp. 152483992110181
Author(s):  
Nicholas Slagel ◽  
Taylor Newman ◽  
Laurel Sanville ◽  
Jennifer Jo Thompson ◽  
Jackie Dallas ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Low Income ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Safety Net ◽  
Nutrition Knowledge ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Farmers Market ◽  
Food Purchasing

Fruit and Vegetable Prescription (FVRx) programs rely on diverse community and clinic partnerships to improve food security and fruit and vegetable consumption among medically underserved patient populations. Despite the growth in these programs, little is known about the feasibility or effectiveness of the unique partnerships developed to implement FVRx programs conducted in both community and free safety-net clinic settings. A 6-month nonrandomized controlled trial of an FVRx program was pilot tested with 54 Supplemental Nutrition Assistance Program (SNAP)–eligible adults with diet-related chronic conditions. The intervention combined monthly produce prescriptions for local produce at a farmers market, SNAP-Ed direct nutrition education, and health screenings for low-income adults. Process and outcome evaluations were conducted with respective samples using administrative program data (recruitment, retention, and prescription redemption) and self-administered pre- and postintervention surveys with validated measures on dietary intake, nutrition knowledge and behavior, and food purchasing practices. Descriptive statistical analyses were conducted. The FVRx program retained 77.3% of participants who spent nearly 90% of their prescription dollars. After the intervention, the FVRx group reported significantly increased total intake of fruits and vegetables, knowledge of fresh fruit and vegetable preparation, purchase of fresh fruits and vegetables from a farmers market, and significantly altered food purchasing practices compared with the control group. Community-based nutrition education organizations enhance the feasibility and effectiveness of community and clinic-based FVRx programs for improving low-income adults’ ability to enhance food and nutrition-related behaviors.

scholarly journals The Effect of Nutritional Education Using Cognitive Approaches and Psychomotor Approaches on Fruit and Vegetable Consumption Behavior in Children

2021 ◽  
Vol 9 (E) ◽  
pp. 1161-1165
Author(s):  
Fritria Dwi Anggraini ◽  
Fauziyatun Nisa ◽  
Siti Nur Hasina ◽  
Annif Munjidah
Keyword(s):  
Nutrition Education ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Test Group ◽  
Simple Random Sampling ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Nutritional Education ◽  
Consumption Behavior ◽  
Cognitive Approaches

BACKGROUND: One of the problems related to eating behavior in children less than 5 years is the lack of consumption of fruits and vegetables. With this problem, an approach is needed to better consume it. AIM: This study aims to determine the effect of nutritional education using cognitive approaches (using illustrated storybooks and puppet shows) and psychomotor approaches (using puzzle and fruit and vegetable cards) on fruit and vegetable consumption behavior in children in the An-Nur Surabaya Kindergarten. METHODS: This study used a quasi-experimental study with a pre- and post-test group. The population is 48 respondents. Sampling uses the Probability sampling method with simple random sampling. The independent variable was nutrition education using media illustrated storybooks media, puppet shows, puzzles, and fruit and vegetable cards, meanwhile the dependent variable is consumption behavior of fruits and vegetables. The intervention was carried out 4 times. FFQ form was used to assess fruit and vegetables consumption behavior. RESULTS: The results showed that the average consumption of fruits and vegetables before the intervention was 168 g or equivalent to 1 portion, and the average after intervention was 304 g or equivalent to 3 servings. There is a significant influence (p = 0.000) on fruit and vegetable consumption through nutritional education. CONCLUSION: Nutritional education using media should be accompanied by a commitment to increase children’s motivation in eating fruits and vegetables.

scholarly journals Can Exercising and Eating Healthy Be Fun and Indulgent Instead of Boring and Depriving? Targeting Mindsets About the Process of Engaging in Healthy Behaviors

2021 ◽  
Vol 12 ◽  
Author(s):  
Danielle Z. Boles ◽  
Maysa DeSousa ◽  
Bradley P. Turnwald ◽  
Rina I. Horii ◽  
Taylor Duarte ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Behaviors ◽  
Nutrition Education ◽  
Healthy Eating ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Future Health ◽  
Healthy Behaviors ◽  
Behavior Study

This paper investigates mindsets about the process of health behaviors—the extent to which people associate physical activity and healthy eating with appealing (pleasurable, fun, indulgent) versus unappealing (unpleasant, boring, depriving) qualities—to promote greater engagement. Study 1 (N = 536) examined how mindsets about physical activity and healthy eating relate to current and future health behavior. Study 2 (N = 149) intervened in actual fitness classes to compare the effects of brief appeal-focused and health-focused interventions on mindsets about physical activity and class engagement. Study 3 (N = 140) designed nutrition education classes that emphasized either the appeal or the importance of fruits and vegetables for health and compared its effects on mindsets about healthy eating and actual fruit and vegetable consumption. Holding more appealing mindsets about health behaviors predicts subsequent physical activity and healthy eating (Study 1). An intervention targeting mindsets about the appeal of physical activity promotes greater participation in fitness classes than emphasizing the importance of meeting activity guidelines (Study 2). Proposed version 2: Meanwhile, interventions targeting mindsets about the appeal of healthy eating increases in-class fruit and vegetable selection more than emphasizing the importance of eating nutritious foods (Study 3), however additional work is needed to sustain such changes in eating behavior. These studies suggest mindsets about the process of health behaviors can be influential and changeable factors in motivating physical activity and healthy eating.

scholarly journals Healthy eating: a matter of prioritisation by households or policymakers?

2021 ◽  
pp. 1-3
Author(s):  
Joreintje Dingena Mackenbach
Keyword(s):  
Decision Making ◽  
Healthy Eating ◽  
Low Income ◽  
Fruits And Vegetables ◽  
Food System ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Healthy Foods ◽  
Fruit And Vegetable ◽  
Decision Making Processes

Abstract I reflect upon the potential reasons why American low-income households do not spend an optimal proportion of their food budgets on fruits and vegetables, even though this would allow them to meet the recommended levels of fruit and vegetable consumption. Other priorities than health, automatic decision-making processes and access to healthy foods play a role, but solutions for the persistent socio-economic inequalities in diet should be sought in the wider food system which promotes cheap, mass-produced foods. I argue that, ultimately, healthy eating is not a matter of prioritisation by individual households but by policymakers.

scholarly journals Perbedaan konsumsi buah dan sayur pada anak sekolah dasar yang obes dan tidak obes di Kota Yogyakarta dan Kabupaten Bantul

2016 ◽  
Vol 1 (2) ◽  
pp. 81 ◽  
Author(s):  
Irma Nuraeni ◽  
Hamam Hadi ◽  
Yhona Paratmanitya
Keyword(s):  
Diabetes Mellitus ◽  
School Children ◽  
Elementary School Children ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Case Control ◽  
Statistical Test ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Obese Children

ABSTRACT<br /><br />Background: Curently, Indonesia has double burden problems nutrition, such as malnutrition and over nutrition. Overnutrition or obesity are not just happening in adults only, but also can occur in childhood. If the problem of obesity in children and adolescents cannot be resolved, it can be infl uenced obese in adulthood then potentially to have noncommunicable diseases, such as cardiovascular disease, hypertension and diabetes mellitus. Prevalence of obesity in<br />children at Yogyakarta Province increases year by year (1;2). Obesity was caused by an imbalance in energy intake and<br />energy expenditure. Children tend to consume high energy-dense, sweet  taste meal, high fat foods and less dietary fiber from fruits and vegetables. Several studies showed that there was increasing in risk of obesity from someone who have less consumption of fruits and vegetables.<br /><br />Objective:<br />To determine differences in frequency and amount of fruit and vegetable consumption in elementary school children obese and non-obese at Yogyakarta Municipality and  District of Bantul and to find out the risk of obesity in children who have less consumption of fruits and vegetables. <br /><br />Methods:<br />The study design was a case-control, 244 samples as cases (obese children) and 244 controls (non-obesechildren). The subject of this study was children aged 6-12 years who were seated in class 1 to class 5 elementary schools at Yogyakarta Municipality and District of Bantul. Identity data obtained from a structured questionnaire respondent, frequency and amount of fruit and vegetable consumption were taken from Semi Quantitative Food Frequency Questioner(SQFFQ).Then the results analyzed using statistical test.<br /><br />Results: <br />Statistical test showed that there were significant differences (p&lt;0,05) in the frequency and number of fruit and vegetable consumption in obese and non-obese elementary school children at Yogyakarta Municipality and District of Bantul. Multivariate analysis after controlled by gender and energy intake, showed that obese  children who rarely consuming fruits (&lt;7 times/week) (OR=2,24, 95%CI: 1.53-3.28), rarely consuming vegetables (&lt;7 times/week) (OR=2,52, 95%CI: 1,70-3,73), and consuming fruits and vegetables less than 5 servings/day (equivalent to 400 g/day) (OR= 4,59, 95%CI:2,11-10,00) were greater risk for being obesity.<br /><br />Conclusion:<br />Obese children had rarely and less consume of fruits and vegetables than that did in non-obese children at Yogyakarta Municipality and District of Bantul. The children rarely and less consuming fruits and vegetables increased the risk of obesity.<br /><br />KEYWORDS: children obesity, vegetable, fruit<br /><br />ABSTRAK<br /><br />Latar Belakang: Indonesia saat ini mengalami masalah gizi ganda, yaitu masalah gizi kurang dan gizi lebih. Kelebihan  gizi atau obesitas pada anak dan remaja apabila tidak diatasi maka berdampak menjadi obesitas pada masa dewasa yang berpotensi mengalami penyakit tidak menular, seperti jantung, hipertensi dan diabetes mellitus. Prevalensi obesitas pada anak di Provinsi Daerah Istimewa Yogyakarta mengalami peningkatan dari tahun ke tahun (1; 2). Obesitas disebabkan ketidakseimbangan antara masukan dengan keluaran energi. Anak cenderung mengkonsumsi padat energi yang berasa manis dan berlemak tinggi serta makanan kurang serat dari buah dan sayur. Beberapa penelitian menunjukkan peningkatan risiko obesitas pada orang yang kurang konsumsi buah dan sayur.<br /><br />Tujuan: Untuk mengetahui perbedaan frekuensi dan jumlah konsumsi buah dan sayur pada anak SD obes dan tidak obes di Kota Yogyakarta dan Kabupaten Bantul serta peran konsumsi buah dan sayur terhadap kejadian obesitas. <br /><br />Metode: Rancangan penelitian ini adalah case-control, 244 kasus (anak obes) dan 244 kontrol (anak tidak obes). Subjek penelitian adalah anak usia 6-12 tahun yang duduk di kelas 1 hingga kelas 5 sekolah dasar di Kota Yogyakarta dan di Kabupaten Bantul. Data identitas diperoleh dari kuesioner terstruktur, sedangkan data frekuensi dan jumlah konsumsi buah dan sayur diperoleh dari semikuantitatif FFQ. Hasilnya kemudian dianalisis menggunakan uji statistik.<br /><br />Hasil: Pada anak SD obes dan tidak obes di Kota Yogyakarta dan Kabupaten Bantul terdapat perbedaan yang signifikan(p&lt;0,05) dalam frekuensi dan jumlah konsumsi buah dan sayur. Hasil analisis multivariat setelah dikontrol dengan jenis kelamin dan asupan energi menunjukkan bahwa anak SD obes yang mengkonsumsi buah jarang (&lt; 7 kali/minggu) (OR=2,24, 95%CI:1,53-3,28), frekuensi konsumsi sayur jarang (&lt;7 kali/minggu) (OR=2,52, 95%CI: 1,70-3,73), jumlah konsumsi buah dan sayur kurang dari 5 porsi/hari atau setara dengan 400 gr/hari (OR=4,59, 95%CI: 2,11-10,00) berisiko lebih besar untuk terjadinya obesitas. <br /><br />Kesimpulan: Anak SD yang obes lebih jarang dan lebih sedikit mengkonsumsi buah dan sayur dibandingkan dengan anak SD yang tidak obes di Kota Yogyakarta dan Kabupaten Bantul. Anak yang jarang dan sedikit mengkonsumsi buah dan sayur dapat meningkatkan risiko terjadinya obesitas.<br /><br />KATA KUNCI: obesitas anak, sayur, buah

scholarly journals Parents Attending a Family Weight Management Program Perceive Similar Home Fruit and Vegetable Accessibility, but Greater Child Proxy Agency and Physical Activity Opportunity

2007 ◽  
Vol 5 (2) ◽  
pp. 157-162 ◽  
Author(s):  
Richard R. Rosenkranz ◽  
Karly S. Geller ◽  
David. A. Dzewaltowski
Keyword(s):  
Physical Activity ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Cross Sectional Study ◽  
Management Program ◽  
Fruit And Vegetable ◽  
Cross Sectional ◽  
Parents And Children ◽  
Study Results ◽  
Physical Activity Opportunity

Many children do not meet current guidelines for physical activity and fruit and vegetable consumption, two areas of health-related behavior with links to obesity. Objective: To examine child and parent perceptions of child proxy agency, home physical activity opportunity, and home accessibility of fruits and vegetables. Methods: Dyads (N = 117) of parents and children completed questionnaires for this cross-sectional study. Results: For child proxy agency, fruits and vegetables accessibility, and physical activity opportunity, the parent and child perceptions were significantly related. Parent ratings of physical activity opportunity and child proxy agency were significantly greater than child ratings. Perceptions of both parents and children for proxy agency were associated with fruits and vegetables accessibility and physical activity opportunity. Conclusions: Parents and children hold similar, yet distinct perceptions of physical activity opportunity and child proxy agency. Perceptions of child proxy agency are associated with obesity-related home environmental characteristics.

scholarly journals Fruit and vegetable consumption: marketing data to inform nutrition education and policy

2006 ◽  
Vol 20 (4) ◽  
Author(s):  
Mary Katherine Hoy ◽  
Barbara Berry ◽  
Linda Brugler ◽  
Elizabeth Pivonka
Keyword(s):  
Nutrition Education ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Marketing Data
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