scholarly journals What is the Validity of Questionnaires Assessing Fruit and Vegetable Consumption in Children when Compared with Blood Biomarkers? A Meta-Analysis

Nutrients ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1396 ◽  
Author(s):  
Tatiana Collese ◽  
Gabriela Vatavuk-Serrati ◽  
Marcus Nascimento-Ferreira ◽  
Augusto De Moraes ◽  
Heráclito Carvalho

Fruit and vegetable consumption has been associated with improved health outcomes in children. As an extensive number of questionnaires are currently used to assess fruit and vegetable consumption, we performed a systematic review of the criterion validity of questionnaires used to estimate fruit and vegetable consumption in children, considering blood biomarkers as the reference method. Five electronic databases (MEDLINE, CINAHL, Scopus, PsycINFO, Web of Science) were searched from database inception to 23 July 2018. The search strategy used the following sets of descriptors: children; fruits and vegetables; dietary questionnaires; blood biomarkers; and validation coefficient. The search terms were adapted for use with other databases in combination with database-specific filters. Potentially eligible articles were selected independently by two reviewers, separately, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Two articles meeting the inclusion criteria were included. The main reason for study exclusion was the sample age range, which included adolescents. The pooled correlation coefficient was 0.32 (95% confidence interval: 0.24–0.40).This review provided insights into assessment methods of fruit and vegetable consumption in children. Although further studies are required, questionnaires for assessing fruit and vegetable consumption have fair criterion validity in children.


2017 ◽  
Vol 21 (4) ◽  
pp. 756-765 ◽  
Author(s):  
Yue Tian ◽  
Lijun Su ◽  
Jiantao Wang ◽  
Xiaolin Duan ◽  
Xiubo Jiang

AbstractObjectiveSeveral epidemiological studies have been performed to evaluate the association of fruit and vegetable consumption with risk of the metabolic syndrome (MetS), but the results remain controversial. Thus, we conducted a systematic meta-analysis to assess the associations of fruit or/and vegetable consumption with risk of MetS, separately.DesignWe searched PubMed, EMBASE and Web of Science databases up to July 2017 for relevant available articles. Pooled OR with 95 % CI were calculated with the fixed- or random-effects model.ResultsA total of nine studies for fruit consumption, nine studies for vegetable consumption and seven studies for fruit and vegetable consumption were identified as eligible for the present meta-analysis. The pooled OR (95 % CI) of MetS for the highest v. lowest category were 0·87 (0·82, 0·92; I2=46·7 %) for fruit consumption, 0·85 (0·80, 0·91; I2=0·0 %) for vegetable consumption and 0·76 (0·62, 0·93; I2=83·5 %) for fruit and vegetable consumption. In subgroup analyses stratified by continent where the study was conducted, the inverse association of fruit consumption (0·86 (0·77, 0·96)) and vegetable consumption (0·86 (0·80, 0·92)) with risk of MetS remained significant in Asia. There was no evidence of small-study effect.ConclusionsOur meta-analysis indicates that fruit or/and vegetable consumption may be inversely associated with risk of MetS. It suggests that people should consume more fruits and vegetables to decrease the risk of MetS.



2021 ◽  
pp. 1-3
Author(s):  
Joreintje Dingena Mackenbach

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.



2006 ◽  
Vol 83 (5) ◽  
pp. 1126-1134 ◽  
Author(s):  
Maria Pavia ◽  
Claudia Pileggi ◽  
Carmelo GA Nobile ◽  
Italo F Angelillo


Author(s):  
Irma Nuraeni ◽  
Hamam Hadi ◽  
Yhona Paratmanitya

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



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.



Medicina ◽  
2019 ◽  
Vol 55 (7) ◽  
pp. 397 ◽  
Author(s):  
Łuszczki ◽  
Sobek ◽  
Bartosiewicz ◽  
Baran ◽  
Weres ◽  
...  

Background and Objectives: Eating habits acquired or changed during childhood are likely to track into adulthood. Due to the fact that nutritional behaviours are not so strongly formed among children, it is easier to change and develop them in children than in adults. The aim of this study was to assess the impact of selected sociodemographic factors affecting fruit and vegetable consumption (i.e., age, parents’ body mass index, parents’ level education, duration of breastfeeding, child’s time spent in front of computer/television) among children in school canteens. Materials and Methods: The sample consisted of 106 participants (52 girls, 54 boys) aged 6–12. The frequency of consuming fruits and vegetables at a school canteen was assessed using bar code cards for two weeks. Body composition estimates were obtained using a foot-to-foot bioelectrical impedance analysis, body height was measured using a stadiometer Seca 213. The questionnaire contained questions about selected factors which can have an influence on fruit and vegetable consumption. In the study group, 13.2% of participants were overweight and 17.9% were obese. Results: Our results showed a statistically significant relationship between age and fruit and vegetable consumption, and it increased with age in both sexes. Conclusions: Bearing in mind the various conditions discussed when shaping the eating habits of pre-school- and early-school-aged children, the importance of proper nutritional education should be stressed both among children and parents.



2014 ◽  
Vol 112 (6) ◽  
pp. 1004-1018 ◽  
Author(s):  
Mary M. Murphy ◽  
Leila M. Barraj ◽  
Judith H. Spungen ◽  
Dena R. Herman ◽  
R. Keith Randolph

Despite dietary recommendations that have repeatedly underscored the importance of increasing consumption of fruits and vegetables, intakes worldwide are lower than recommended levels. Consequently, the diets of many individuals may be lacking in nutrients and phytonutrients typical of a diet rich in a variety of fruits and vegetables. In the present study, we estimated phytonutrient intakes by adults categorised by sex, level of fruit and vegetable consumption ( < 5v.≥ 5 servings/d), and geographic diet cluster. Intakes of nine select phytonutrients were estimated from the 2002–4 World Health Survey fruit and vegetable servings intake data (n198 637), the FAO supply utilisation accounts data, and phytonutrient concentration data obtained from the US Department of Agriculture databases and the published literature. Percentage contributions to each phytonutrient intake from fruit and vegetable sources were also estimated. Estimated intakes of phytonutrients from fruits and vegetables varied across the thirteen geographic diet clusters, reflecting regional differences in both numbers and proportions of fruit and vegetable servings consumed, and the specific types of fruits and vegetables available in the diet. The mean phytonutrient intakes by adults consuming ≥ 5 servings/d of fruits and vegetables were approximately 2- to 6-fold the mean phytonutrient intakes by adults with low fruit and vegetable consumption ( < 5 servings/d). In some cases, phytonutrient intakes by adults consuming ≥ 5 servings/d of fruits and vegetables in one geographic diet cluster were lower than the intakes by adults reporting < 5 servings/d in another cluster. The findings from this assessment provide important information regarding the major dietary patterns of phytonutrient intakes across geographic diet clusters.



2020 ◽  
Vol 14 (6) ◽  
pp. 1791-1800
Author(s):  
Ranil Jayawardena ◽  
Dhanushya T. Jeyakumar ◽  
Manoja Gamage ◽  
Piumika Sooriyaarachchi ◽  
Andrew P. Hills


The Lancet ◽  
2006 ◽  
Vol 367 (9507) ◽  
pp. 320-326 ◽  
Author(s):  
Feng J He ◽  
Caryl A Nowson ◽  
Graham A MacGregor


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