scholarly journals Three-Year Intervention Effects on Food and Beverage Intake—Results from the Quasi-Experimental Copenhagen School Child Intervention Study (CoSCIS)

2021 ◽  
Vol 18 (19) ◽  
pp. 10543
Author(s):  
Xuan Ren ◽  
Britt Wang Jensen ◽  
Sofus Christian Larsen ◽  
Jeanett Friis Rohde ◽  
Ina Olmer Specht ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Physical Activity Intervention ◽  
Comparison Group ◽  
Intervention Group ◽  
Dietary Factors ◽  
Dietary Guidelines ◽  
Fruit Intake ◽  
Low Ses ◽  
Whole Grain ◽  
Intervention Effects

The diet of Danish children is often not in accordance with dietary guidelines. We aimed to evaluate changes in the intake of selected foods and beverages during a multi-component school-based physical activity intervention, and to investigate if changes were modified by socioeconomic status (SES). The study included 307 children (intervention group: 184; comparison group: 123) with information on dietary intake pre- and post-intervention as well as on SES. Linear regression models were conducted to assess the effect of the intervention on changes in dietary factors. Children from the intervention group increased their intake of whole-grain bread during the intervention (group means: 6.1 g/d (95% CI: 2.2 to 10.0) vs. 0.3 g/d (95% CI: −3.1 to 3.7) in the comparison group, p = 0.04). A significant interaction between SES and group allocation was observed to change in fruit intake (p = 0.01). Among children from low SES families, only those from the comparison group decreased their fruit intake (group means: −40.0 g/d (95% CI: −56.0 to −23.9) vs. 9.3 g/d (95% CI: −16.1 to 94) in the intervention group, p = 0.006). The present study found no convincing effect of introducing a multi-component intervention on dietary intake except a small beneficial effect on whole-grain bread consumption. However, beneficial intervention effects in fruit intake were found particularly among children from low SES families.

scholarly journals Dietary Pattern Influences Breast Cancer Prognosis in Women Without Hot Flashes: The Women's Healthy Eating and Living Trial

2009 ◽  
Vol 27 (3) ◽  
pp. 352-359 ◽  
Author(s):  
Ellen B. Gold ◽  
John P. Pierce ◽  
Loki Natarajan ◽  
Marcia L. Stefanick ◽  
Gail A. Laughlin ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Dietary Intervention ◽  
Comparison Group ◽  
Controlled Trial ◽  
Hot Flashes ◽  
Intervention Group ◽  
Dietary Guidelines ◽  
Cancer Prognosis

Purpose To determine whether a low-fat diet high in vegetables, fruit, and fiber differentially affects prognosis in breast cancer survivors with hot flashes (HF) or without HF after treatment. Patients and Methods A secondary analysis was conducted on 2,967 breast cancer survivors, age 18 to 70 years, who were randomly assigned between 1995 and 2000 in a multicenter, controlled trial of a dietary intervention to prevent additional breast cancer events and observed through June 1, 2006. We compared the dietary intervention group with a group who received five-a-day dietary guidelines. Results Independent of HF status, a substantial between-group difference among those who did and did not receive dietary guidelines was achieved and maintained at 4 years in intake of vegetable/fruit servings per day (54% higher; 10 v 6.5 servings/d, respectively), fiber (31% higher; 25.5 v 19.4 g/d, respectively), and percent energy from fat (14% lower; 26.9% v 31.3%, respectively). Adjusting for tumor characteristics and antiestrogen treatment, HF-negative women assigned to the intervention had 31% fewer events than HF-negative women assigned to the comparison group (hazard ratio [HR] = 0.69; 95% CI, 0.51 to 0.93; P = .02). The intervention did not affect prognosis in the women with baseline HFs. Furthermore, compared with HF-negative women assigned to the comparison group, HF-positive women had significantly fewer events in both the intervention (HR = 0.77; 95% CI, 0.59 to 1.00; P = .05) and comparison groups (HR = 0.65; 95% CI, 0.49 to 0.85; P = .002). Conclusion A diet with higher vegetable, fruit, and fiber and lower fat intakes than the five-a-day diet may reduce risk of additional events in HF-negative breast cancer survivors. This suggestive finding needs confirmation in a trial in which it is the primary hypothesis.

scholarly journals Multi-Level, Multi-Component Intervention Improves Dietary Intake in Native American Adults

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 989-989
Author(s):  
Leslie Redmond ◽  
Michelle Estrade ◽  
Caroline Wensel ◽  
Brittany Jock ◽  
Tara Maudrie ◽  
...  
Keyword(s):  
Native American ◽  
Dietary Intake ◽  
Daily Intake ◽  
Intervention Group ◽  
Dietary Guidelines ◽  
Control Group ◽  
Food Groups ◽  
Total N ◽  
Multi Level ◽  
Group 1

Abstract Objectives To assess impact of a multi-level, multi-component (MLMC) intervention on dietary intake in Native American adults. Methods A MLMC obesity intervention ([blinded for review]) was implemented among Native American adults in six rural tribal communities in the US Southwest and Midwest. [Blinded for review] included institutional level components, demonstrations, and distribution of educational media/materials in food stores, worksites, and schools. Communities were randomized to intervention (Group 1; n = 3) or control (Group 2; n = 3). Data collection surveys included a semi-quantitative Block food frequency questionnaire and an Adult Impact Questionnaire for demographics and anthropometrics. This analysis assessed change in daily energy and macronutrient intake from baseline to follow-up, daily intake of types of dietary fat, and daily servings of food groups as defined by the 2015–2020 Dietary Guidelines for Americans using multilevel mixed-effects linear regression with clustering at the community level. All models were adjusted for age, gender, education, Material Style of Life score (proxy for socio-economic status), smoking, and baseline dependent variable of interest. Results 492 participants completed both baseline and post-intervention surveys: 31 were excluded due to reports of daily caloric intake outside of established cut-offs (<500 kcal or >7000 kcal per day), and 15 were excluded due to incomplete data, for a total n = 446 for this analysis. The between group effect was significant for change in energy intake (−188.21 kcal; P = 0.050), total grams of carbohydrate (−22.48 g; P = 0.047), total grams of fat (−8.82 g; P = 0.044), and total grams of saturated fat (−3.19 g; P = 0.031), with greater decreases observed in Group 1. Change in total grams of sugar trended towards significance (−12.06 g; P = 0.057); similarly, greater decreases were observed in Group 1. Change in daily servings of fats and sweets was also significantly different between groups (−0.39 servings; P = 0.036), with greater decreases observed in Group 1. Conclusions MLMC interventions can significantly impact dietary intake among rural Native American adults. This is especially important given the high risk of obesity and other diet-related chronic diseases among Native American adults. Funding Sources National Heart, Lung, and Blood Institute

scholarly journals Effect of a free healthy school meal on fruit, vegetables and unhealthy snacks intake in Norwegian 10- to 12-year-old children

2020 ◽  
Author(s):  
Frøydis Nordgård Vik ◽  
Kaia Elisabeth Paulsen Heslien ◽  
Wendy Van Lippevelde ◽  
Nina Cecilie Øverby
Keyword(s):  
School Children ◽  
Intervention Group ◽  
Dietary Guidelines ◽  
Fruit And Vegetables ◽  
Control Group ◽  
Intervention Effects ◽  
School Meal ◽  
Weekly Intake ◽  
One Year ◽  
Unhealthy Snacks

Abstract Background Norwegian children have a lower intake of fruit, vegetables, and a higher intake of unhealthy snacks compared to dietary guidelines. Such dietary inadequacies may be detrimental for their current and future health. Schools are favorable settings to establish healthy eating practices. Still, no school meal arrangement is provided in Norway, and most children typically bring packed lunches from home. The aim of this study was to investigate whether serving a free healthy school meal for one year resulted in a higher intake of fruit and vegetables and a lower intake of unhealthy snacks in total among 10-12-year-olds in Norway.Methods The School Meal Project in Southern Norway was a non-randomized trial in two elementary schools in rural areas in the school year 2014/2015. The study sample consisted of 10- to 12-year-old children; an intervention group (N=55) and a control group (N=109) resulting in a total of 164 school children at baseline. A food frequency questionnaire was completed by the children at baseline, at five months follow-up and after one year to assess fruit, vegetable and snacks intake. Multiple linear regression analyses were performed to assess intervention effects on overall intake of fruit and vegetables and unhealthy snacks.Results Serving of a free healthy school meal for one year resulted in a higher weekly intake of vegetables on sandwiches in the intervention group compared to the control group, adjusted for baseline intake (B: 1.11 (95% CI: .38, 1.85)) at the end of the intervention. No other significant intervention effects were found for the remaining fruit and vegetables measures. Serving of a free healthy school meal did not result in a lower weekly intake of unhealthy snacks (i.e. potato chips, candy and sugar sweetened beverages) in the intervention group compared to the control group.Conclusions A free healthy school meal resulted in a higher weekly intake of vegetables on sandwiches but did not significantly change any other investigated dietary behaviors. However, given the inadequate intake of vegetables among children and that even moderate improvements have public health relevance, a free healthy school meal for all school children could be beneficial.

scholarly journals Effect of a free healthy school meal on fruit, vegetables and unhealthy snacks intake in Norwegian 10- to 12-year-old children

2020 ◽  
Author(s):  
Frøydis Nordgård Vik ◽  
Kaia Elisabeth Paulsen Heslien ◽  
Wendy Van Lippevelde ◽  
Nina Cecilie Øverby
Keyword(s):  
School Children ◽  
Intervention Group ◽  
Dietary Guidelines ◽  
Fruit And Vegetables ◽  
Control Group ◽  
Intervention Effects ◽  
School Meal ◽  
Weekly Intake ◽  
One Year ◽  
Unhealthy Snacks

Abstract Background: Norwegian children have a lower intake of fruit, vegetables, and a higher intake of unhealthy snacks compared to dietary guidelines. Such dietary inadequacies may be detrimental for their current and future health. Schools are favorable settings to establish healthy eating practices. Still, no school meal arrangement is provided in Norway, and most children typically bring packed lunches from home. The aim of this study was to investigate whether serving a free healthy school meal for one year resulted in a higher intake of fruit and vegetables and a lower intake of unhealthy snacks in total among 10-12-year-olds in Norway.Methods: The School Meal Project in Southern Norway was a non-randomized trial in two elementary schools in rural areas in the school year 2014/2015. The study sample consisted of 10- to 12-year-old children; an intervention group (N=55) and a control group (N=109) resulting in a total of 164 school children at baseline. A food frequency questionnaire was completed by the children at baseline, at five months follow-up and after one year to assess fruit, vegetable and snacks intake. Multiple linear regression analyses were performed to assess intervention effects on overall intake of fruit and vegetables and unhealthy snacks.Results: Serving of a free healthy school meal for one year was associated with a higher weekly intake of vegetables on sandwiches in the intervention group compared to the control group, adjusted for baseline intake (B: 1.11 (95% CI: .38, 1.85)) at the end of the intervention. No other significant intervention effects were found for the remaining fruit and vegetables measures. Serving of a free healthy school meal was not associated with a lower weekly intake of unhealthy snacks (i.e. potato chips, candy, sugar sweetened beverages) in the intervention group compared to the control group. Conclusions: A free healthy school meal was associated with a higher weekly intake of vegetables on sandwiches but did not significantly change any other investigated dietary behaviors. However, given the inadequate intake of vegetables among children and that even moderate improvements have public health relevance, a free healthy school meal for all school children could be beneficial. Trial registration: ISRCTN61703361 Date of registration: December 3rd, 2018 Retrospectively registered

scholarly journals The role of improved social support for healthy eating in a lifestyle intervention: Texercise Select

2020 ◽  
Vol 24 (1) ◽  
pp. 146-156
Author(s):  
Aya Yoshikawa ◽  
Matthew Lee Smith ◽  
Shinduk Lee ◽  
Samuel D Towne ◽  
Marcia G Ory
Keyword(s):  
Social Support ◽  
Dietary Intake ◽  
Healthy Eating ◽  
Chronic Conditions ◽  
Structural Equation ◽  
Comparison Group ◽  
Intervention Group ◽  
Community Dwelling ◽  
Future Research

AbstractObjective:We examined the measurement and mediating role of social support in dietary intake among participants in Texercise Select, an intervention for improving lifestyle behaviours.Design:Quasi-experimental study. Participants reported their dietary intake, level of social support measured by the new Social Support for Healthy Eating scale, sociodemographics and disease profile. We conducted exploratory factor analysis for scale evaluation and structural equation modelling for mediation analysis to test if changes in dietary-specific social support mediate the relationship between the intervention and changes in dietary intake.Setting:Texas.Participants:Community-dwelling middle-aged and older adults completed a self-reported survey at baseline and 3-month follow-up (intervention group n 211, comparison group n 175).Results:The majority of the sample was aged ≥70 years (mean 74·30, sd 8·54), female (82·1 %) and had at least two chronic conditions (63·5 %). The acceptable levels of reliability and validity of the dietary-specific social support scale were confirmed. Compared with the comparison group, the intervention group reported improved intake of fruit/vegetables and water, and improved dietary-specific social support. Improved dietary-specific social support mediated the association between intervention and change in fruit/vegetable intake, controlling for sociodemographics, number of chronic conditions and geographic residence. About 12 % of intervention effect was mediated by social support.Conclusions:The current study confirms positive intervention effects on healthy eating, and highlights social support relating to dietary behaviours that may be helpful for healthy eating. Future research should investigate additional social support for developing healthy eating behavioural skills.

scholarly journals Effect of a free healthy school meal on fruit, vegetables and unhealthy snacks intake in Norwegian 10- to 12-year-old children

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Frøydis N. Vik ◽  
Kaia E. P. Heslien ◽  
Wendy Van Lippevelde ◽  
Nina C. Øverby
Keyword(s):  
School Children ◽  
Intervention Group ◽  
Dietary Guidelines ◽  
Fruit And Vegetables ◽  
Control Group ◽  
Intervention Effects ◽  
School Meal ◽  
Weekly Intake ◽  
One Year ◽  
Unhealthy Snacks

Abstract Background Norwegian children have a lower intake of fruit, vegetables, and a higher intake of unhealthy snacks compared to dietary guidelines. Such dietary inadequacies may be detrimental for their current and future health. Schools are favorable settings to establish healthy eating practices. Still, no school meal arrangement is provided in Norway, and most children typically bring packed lunches from home. The aim of this study was to investigate whether serving a free healthy school meal for one year resulted in a higher intake of fruit and vegetables and a lower intake of unhealthy snacks in total among 10–12-year-olds in Norway. Methods The School Meal Project in Southern Norway was a non-randomized trial in two elementary schools in rural areas in the school year 2014/2015. The study sample consisted of 10- to 12-year-old children; an intervention group (N = 55) and a control group (N = 109) resulting in a total of 164 school children at baseline. A food frequency questionnaire was completed by the children at baseline, at five months follow-up and after one year to assess fruit, vegetable, and snacks intake. Multiple linear regression analyses were performed to assess intervention effects on overall intake of fruit and vegetables and unhealthy snacks. Results Serving of a free healthy school meal for one year was associated with a higher weekly intake of vegetables on sandwiches in the intervention group compared to the control group, adjusted for baseline intake (B: 1.11 (95% CI: .38, 1.85)) at the end of the intervention. No other significant intervention effects were found for the remaining fruit and vegetables measures. Serving of a free healthy school meal was not associated with a lower weekly intake of unhealthy snacks (i.e. potato chips, candy, sugar sweetened beverages) in the intervention group compared to the control group. Conclusions A free healthy school meal was associated with a higher weekly intake of vegetables on sandwiches but did not significantly change any other investigated dietary behaviors. However, given the inadequate intake of vegetables among children and that even moderate improvements have public health relevance, a free healthy school meal for all school children could be beneficial. Trial registration ISRCTN61703361. Date of registration: December 3rd, 2018. Retrospectively registered.

scholarly journals The Relationship Between Dietary Intake and Parental Support with Child Cooking Involvement in a Youth Population (FS16-03-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Fiona Asigbee ◽  
Annie Markowitz ◽  
Matthew Landry ◽  
Sarvenaz Vandyousefi ◽  
Reem Ghaddar ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Low Income ◽  
Parental Support ◽  
Linear Models ◽  
Physical Activity Intervention ◽  
Vegetable Intake ◽  
Controlled Trial ◽  
Control Group ◽  
Fruit Intake ◽  
Parent Questionnaire

Abstract Objectives This study assessed how child cooking involvement (CCI) and parental support in food preparation (PS) are related to vegetable preference (VP), vegetable intake (VI), and fruit intake (FI) in children participating in the Texas, Grow! Eat! Go! (TGEG) randomized controlled trial. Methods Baseline data from the TGEG intervention, conducted in 28 low-income, primarily Hispanic schools across Texas, was used for this study, and included 1325 3rd grade students and their parents. Schools were assigned to: (1) control group; (2) school garden intervention [Learn, Grow, Eat & Go! (LGEG)]; (3) physical activity intervention [Walk Across Texas (WAT)]; or (4) combined group (LGEG plus WAT). Height (via stadiometer), weight (via Tanita scale), dietary intake and CCI (via child questionnaire), and PS (via parent questionnaire) were collected. General Linear Models examined variations in baseline VP, VI, and FI with baseline CCI and PS. A priori covariates for all analyses included: TGEG treatment group, age, sex, and ethnicity. Results Students were 49.2% male and 42.4% Hispanic with a mean age of 8.3 ± 0.6; 78.3% of the population had overweight/obesity. Children who never cooked with their families preferred fewer vegetables than children who sometimes/always cooked with their parents (7.0 ± 0.6 vs. 8.7 ± 0.5 and 9.4 ± 0.5 vegetables, respectively; P < 0.001). Children who never cooked with their families ate less vegetables than children who sometimes/always cooked with their parents (1.9 ± 0.4 vs. 2.6 ± 0.3 and 3.5 ± 0.3 servings/day, respectively; P = 0.003 and P = 0.000, respectively). Children who never cooked with their families ate less fruit than children who sometimes/always cooked with their parents (1.2 ± 0.2 vs. 1.5 ± 0.1 and 2.09 ± 0.1 servings/day, respectively; P < 0.001). Conclusions Interventions including family cooking activities with children may be an effective way to increase vegetable preference and intake, and fruit intake, especially in high-risk, minority children. Funding Sources The research was supported by funding from the USDA Agriculture and Food Research Initiative, (grant 2011-68001-30138).

scholarly journals Methylenetetrahydrofolate Reductase Gene C677T Polymorphism–Dietary Pattern Interaction on Hyperhomocysteinemia in a Chinese Population: A Cross-Sectional Study

2021 ◽  
Vol 8 ◽  
Author(s):  
Song Leng ◽  
Ai Zhao ◽  
Jian Zhang ◽  
Wei Wu ◽  
Qian Wang ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Dietary Patterns ◽  
Chinese Population ◽  
Methylenetetrahydrofolate Reductase ◽  
Synergistic Effects ◽  
Mthfr C677t ◽  
Dietary Factors ◽  
Dietary Guidelines ◽  
Interactive Effects ◽  
Cross Sectional

Background and aim: Hyperhomocysteinemia (Hhcy) has been recognized as a risk factor of several chronic diseases. There is accumulating evidence that both genetic and dietary factors had a notable impact on the risk of Hhcy. The present study aims to investigate the interaction effect on Hhcy between methylenetetrahydrofolate reductase (MTHFR) gene C677T polymorphism and dietary intake.Methods: Data were collected in a cross-sectional survey conducted in China; 3,966 participants with complete information on sociodemographic characteristics, anthropometric measurements, and dietary intake were included in the analyses. Dietary patterns were identified by factor analysis combined with cluster analysis. Blood samples were collected and MTHFR C677T genotypes were tested. Both the multiplicative statistical model and the additive model were conducted to investigate the interactive effects.Results: Proportions of MTHFR C677T genotypes among participants were 29.2% for TT, 47.4% for CT, and 23.4% for CC. Three dietary patterns were identified, namely, the balanced pattern, the snack pattern, and the high-meat pattern. Compared with the balanced pattern, the other two patterns were associated with an elevated risk of Hhcy [the snack pattern: odds ratio (OR) 1.2, 95% confidence interval (CI) 1.0–1.5; the high-meat pattern: OR 1.3, 95% CI 1.1–1.6] after adjustment for age group, gender, residential region, and MTHFR C677T genotypes. A multiplicative interaction between the high-meat pattern and MTHFR 677TT genotype was observed, and synergistic effects between both the snack pattern and the high-meat pattern with MTHFR 677TT were identified.Conclusion: Our results indicated that MTHFR C677T polymorphism and dietary patterns had interactive effects on Hhcy among the Chinese population. Subsequent targeted and appropriate dietary guidelines should be recommended for high-risk populations or patients of Hhcy carrying specific genotypes.

scholarly journals Effect of a free healthy school meal on fruit, vegetables and unhealthy snacks intake in Norwegian 10- to 12-year-old children

2020 ◽  
Author(s):  
Frøydis Nordgård Vik ◽  
Kaia Elisabeth Paulsen Heslien ◽  
Wendy Van Lippevelde ◽  
Nina Cecilie Øverby
Keyword(s):  
School Children ◽  
Intervention Group ◽  
Dietary Guidelines ◽  
Fruit And Vegetables ◽  
Control Group ◽  
Intervention Effects ◽  
School Meal ◽  
Weekly Intake ◽  
One Year ◽  
Unhealthy Snacks

Abstract Background: Norwegian children have a lower intake of fruit, vegetables, and a higher intake of unhealthy snacks compared to dietary guidelines. Such dietary inadequacies may be detrimental for their current and future health. Schools are favorable settings to establish healthy eating practices. Still, no school meal arrangement is provided in Norway, and most children typically bring packed lunches from home. The aim of this study was to investigate whether serving a free healthy school meal for one year resulted in a higher intake of fruit and vegetables and a lower intake of unhealthy snacks in total among 10-12-year-olds in Norway.Methods: The School Meal Project in Southern Norway was a non-randomized trial in two elementary schools in rural areas in the school year 2014/2015. The study sample consisted of 10- to 12-year-old children; an intervention group (N=55) and a control group (N=109) resulting in a total of 164 school children at baseline. A food frequency questionnaire was completed by the children at baseline, at five months follow-up and after one year to assess fruit, vegetable and snacks intake. Multiple linear regression analyses were performed to assess intervention effects on overall intake of fruit and vegetables and unhealthy snacks.Results: Serving of a free healthy school meal for one year was associated with a higher weekly intake of vegetables on sandwiches in the intervention group compared to the control group, adjusted for baseline intake (B: 1.11 (95% CI: .38, 1.85)) at the end of the intervention. No other significant intervention effects were found for the remaining fruit and vegetables measures. Serving of a free healthy school meal was not associated with a lower weekly intake of unhealthy snacks (i.e. potato chips, candy and sugar sweetened beverages) in the intervention group compared to the control group. Conclusions: A free healthy school meal was associated with a higher weekly intake of vegetables on sandwiches but did not significantly change any other investigated dietary behaviors. However, given the inadequate intake of vegetables among children and that even moderate improvements have public health relevance, a free healthy school meal for all school children could be beneficial.

Increased vegetable and fruit intake is associated with reduced failure rate of tuberculosis treatment: a hospital-based cohort study in China

2020 ◽  
pp. 1-8
Author(s):  
Lei Xu ◽  
Jinyu Wang ◽  
Shanliang Zhao ◽  
Jianwen Zhang ◽  
Ke Xiong ◽  
...  
Keyword(s):  
Cohort Study ◽  
Dietary Intake ◽  
Failure Rate ◽  
Dietary Guidelines ◽  
Tuberculosis Treatment ◽  
Sputum Smear ◽  
Fruit Intake ◽  
Computerised Tomography ◽  
Tuberculosis Patients ◽  
Vegetables And Fruits

Abstract Increased intake of vegetables and fruits has been associated with reduced risk of tuberculosis infection. Vegetables and fruits exert immunoregulatory effects; however, it is not clear whether vegetables and fruits have an adjuvant treatment effect on tuberculosis. Between 2009 and 2013, a hospital-based cohort study was conducted in Linyi, Shandong Province, China. Treatment outcome was ascertained by sputum smear and chest computerised tomography, and dietary intake was assessed by a semi-quantitative FFQ. The dietary questionnaire was conducted at the end of month 2 of treatment initiation. Participants recalled their dietary intake of the previous 2 months. A total of 2309 patients were enrolled in this study. After 6 months of treatment, 2099 patients were successfully treated and 210 were uncured. In multivariate models, higher intake of total vegetables and fruits (OR 0·70; 95 % CI 0·49, 0·99), total vegetables (OR 0·68; 95 % CI 0·48, 0·97), dark-coloured vegetables (OR 0·61; 95 % CI 0·43, 0·86) and light-coloured vegetables (OR 0·67; 95 % CI 0·48, 0·95) were associated with reduced failure rate of tuberculosis treatment. No association was found between total fruit intake and reduced failure rate of tuberculosis treatment (OR 0·98; 95 % CI 0·70, 1·37). High intake of total vegetables and fruits, especially vegetables, is associated with lower risk of failure of tuberculosis treatment in pulmonary tuberculosis patients. The results provide important information for dietary guidelines during tuberculosis treatment.

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