scholarly journals Fruit and Vegetable Prescriptions for Pediatric Patients Living in Flint, Michigan: A Cross-Sectional Study of Food Security and Dietary Patterns at Baseline

Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1423 ◽  
Author(s):  
Amy Saxe-Custack ◽  
Jenny LaChance ◽  
Mona Hanna-Attisha ◽  
Tiffany Ceja
Keyword(s):  
Food Security ◽  
Low Income ◽  
Dietary Patterns ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Daily Intake ◽  
Fruit And Vegetable ◽  
Dietary Recommendations ◽  
Cross Sectional ◽  
Health Maintenance

Though fruit and vegetable consumption is essential for disease prevention and health maintenance, intake among children fails to meet dietary recommendations. Limited access to and the affordability of fresh produce, particularly among low-income youth, are barriers to adequate intake. To address these challenges, researchers and pediatricians in Flint, Michigan, expanded a successful fruit and vegetable prescription program that provides one $15 prescription for fresh fruits and vegetables to every child at every office visit. Vendors include the downtown farmers’ market and a local mobile market. This study describes baseline characteristics, dietary patterns, food access, and food security among 261 caregiver–child dyads enrolled August 2018–March 2019. The child-reported mean daily intake of vegetables (0.72 cups ± 0.77), dairy products (1.33 cups ± 1.22), and whole grains (0.51 ounces ± 0.49) were well below recommendations. Furthermore, 53% of children and 49% of caregivers who completed the food security module indicated low or very low food security. However, there were no statistically significant differences in the child consumption of fruits and vegetables between households that reported high versus low food security (p > 0.05). Results validate and raise deep concerns about poor dietary patterns and food insecurity issues facing Flint children, many of whom continue to battle with an ongoing drinking water crisis. Additional poverty-mitigating efforts, such as fruit and vegetable prescription programs, are necessary to address these gaps.

scholarly journals Influence of a Pediatric Fruit and Vegetable Prescription Program on Child Dietary Patterns and Food Security

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2619
Author(s):  
Amy Saxe-Custack ◽  
Jenny LaChance ◽  
Jennifer Jess ◽  
Mona Hanna-Attisha
Keyword(s):  
Food Security ◽  
Low Income ◽  
Dietary Patterns ◽  
Fruits And Vegetables ◽  
Household Food Security ◽  
Office Visits ◽  
Fruit And Vegetable ◽  
Pediatric Clinic ◽  
Central Hypothesis ◽  
Fresh Foods

Limited access to fresh foods is a barrier to adequate consumption of fruits and vegetables among youth, particularly in low-income communities. The current study sought to examine preliminary effectiveness of a fruit and vegetable prescription program (FVPP), which provided one USD 15 prescription to pediatric patients during office visits. The central hypothesis was that exposure to this FVPP is associated with improvements in dietary patterns and food security. This non-controlled longitudinal intervention trial included a sample of caregiver–child dyads at one urban pediatric clinic who were exposed to the FVPP for 1 year. Patients received one USD 15 prescription for fresh produce during appointments. A consecutive sample of caregivers whose children were 8–18 years of age were invited to participate in the study. Dyads separately completed surveys that evaluated food security and dietary behaviors prior to receipt of their first prescription and again at 12 months. A total of 122 dyads completed surveys at baseline and 12-month follow-up. Approximately half of youth were female (52%), and most were African American (63%). Mean caregiver-reported household food security improved from baseline to 12 months (p < 0.001), as did mean child-reported food security (p = 0.01). Additionally, child-reported intake of vegetables (p = 0.001), whole grains (p = 0.001), fiber (p = 0.008), and dairy (p < 0.001) improved after 12 months of exposure to the FVPP. This study provides evidence that pediatric FVPPs may positively influence food security and the dietary patterns of children.

Incentive Programs to Address the Challenges of Hunger, Undernutrition, and Obesity in the United States

2018 ◽  
pp. 205-223
Author(s):  
Gus Schumacher ◽  
Emily Nink
Keyword(s):  
United States ◽  
Food Security ◽  
Low Income ◽  
Dietary Patterns ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
The United States ◽  
Farmers Markets ◽  
Incentive Programs ◽  
Food Security And Nutrition

Across the world, many people remain food insecure, and unhealthy dietary patterns are driving up health costs. Solutions to these problems will impact food production and water scarcity. This chapter reviews the history of government interventions to improve food security and nutrition in the United States, which have enjoyed a “broad coalition” of support over seven decades. More recently, nutrition incentive programs have emerged, aiming to increase purchases and consumption of fresh fruits and vegetables by low-income consumers who benefit from the federal nutrition programs. This chapter explores the development and programmatic success of nutrition incentives, impacts on consumers’ food security and nutrition, impacts on farmers and farmers’ markets, and potential contributions to shifting dietary patterns. As they mature, evolve, and scale, nutrition interventions may deliver shorter supply chains, increase fruit and vegetable consumption, and contribute to a shift toward more sustainable and nutritious foods.

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 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.

Nutritional value and health benefits of horticulture.

2021 ◽  
Author(s):  
Mary Taylor
Keyword(s):  
Fruits And Vegetables ◽  
Vegetable Intake ◽  
Dietary Diversity ◽  
Vegetable Consumption ◽  
Daily Intake ◽  
Micronutrient Deficiencies ◽  
Fruit And Vegetable ◽  
Daily Consumption ◽  
Bodily Function ◽  
Functional Components

Abstract Daily consumption of fruit and vegetables is encouraged as important for human health and nutrition because the vitamins, minerals, essential micronutrients, fibre, vegetable proteins and bio-functional components they provide are crucial for bodily function. The FAO/WHO expert consultation (2004) on diet, nutrition and the prevention of chronic diseases recommended a daily intake of 400 g (five portions) of fruits and vegetables (excluding potatoes and other starchy tubers) to prevent heart disease, cancer, diabetes and obesity. However, despite this recognition, world-wide per capita consumption of fruits and vegetables is estimated to be 20-50% short of the minimum recommended level. In 2013 an estimated 5.2 million deaths worldwide were attributable to inadequate fruit and vegetable consumption. Adhering to the WHO recommendations for fruit and vegetable intake can prevent morbidity and mortality caused by micronutrient deficiencies, birth defects, mental and physical retardation, weakened immune systems, blindness and even death. Improving the dietary diversity through horticulture-based food intake is an effective and sustainable approach to combating micronutrient malnutrition in both developed and developing countries (Kennedy et al., 2003).

scholarly journals Mother-Related Determinants of Children At-Home Fruit and Vegetable Dietary Patterns in a Polish National Sample

2019 ◽  
Vol 11 (12) ◽  
pp. 3398 ◽  
Author(s):  
Barbara Groele ◽  
Dominika Głąbska ◽  
Krystyna Gutkowska ◽  
Dominika Guzek
Keyword(s):  
Marital Status ◽  
Low Income ◽  
Dietary Patterns ◽  
Fruits And Vegetables ◽  
Vegetable Intake ◽  
National Sample ◽  
Fruit And Vegetable Intake ◽  
Fruit And Vegetable ◽  
Level Of Education ◽  
At Home

Fruit and vegetable intake is indicated among the features of sustainable diets, while children’s intake is strongly associated with the intake of their parents, as well as the availability of food products and their accessibility at home. The aim of the study was to analyze the mother-related determinants of children at-home fruit and vegetable dietary patterns in a Polish national sample of children aged 3–10 years. The random quota sampling (with quotas for age, education, and place of residence) was conducted to recruit the national representative sample of Polish mothers of children aged 3–10 years (n = 1200) who were interviewed using a Computer-Assisted Telephone Interviewing (CATI) method. They were asked about their children’s at-home fruit and vegetable dietary patterns, which were later compared in sub-groups that were stratified for age, educational background, marital status, place of residence, occupational status, and total net income in households. The indicated features, but not marital status, were indicated as determinants of children at-home fruit and vegetable dietary patterns. Children of younger mothers more often than others consumed fruits, whereas those of older mothers consumed vegetables. Children of mothers who had a lower level of education more commonly than others consumed fruits alone as a dish, and they had a higher preference for them, while those of mothers who had a higher level of education had a higher consumption of vegetables than others, although they had a medium preference for them. Children of mothers from villages had a lower consumption of vegetables and fruits than others, although they had a higher preference for fruits. Children of mothers with no professional job had a lower consumption of vegetables than others and more often consumed them processed, although they had a higher preference for fruits and vegetables. Children of mothers with low income had a lower consumption of vegetables than others and more often consumed fruits in a dish with other products, although they had a higher preference for fruits and vegetables. To summarize, an indication of a high preference for fruits and vegetables by mothers is not accompanied by the higher consumption and recommended dietary patterns for fruit and vegetable intake by their children. In particular, the sub-samples of mothers who had a low level of education, were from villages, did not have a professional job, and had low income may either overestimate the fruit and vegetable preference of their children or do not offer them sufficient amount of fruits and vegetables, although they indicate a higher preference. In order to encourage more sustainable diet following, in terms of the fruit and vegetable intake, it is essential to introduce actions toward the properly planned nutritional education for the indicated target groups.

scholarly journals Global assessment of select phytonutrient intakes by level of fruit and vegetable consumption

2014 ◽  
Vol 112 (6) ◽  
pp. 1004-1018 ◽  
Author(s):  
Mary M. Murphy ◽  
Leila M. Barraj ◽  
Judith H. Spungen ◽  
Dena R. Herman ◽  
R. Keith Randolph
Keyword(s):  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
World Health ◽  
Fruit And Vegetable ◽  
Dietary Recommendations ◽  
Department Of Agriculture ◽  
Concentration Data ◽  
World Health Survey ◽  
The Mean

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.

scholarly journals Caregiver perceptions of a fruit and vegetable prescription programme for low-income paediatric patients

2018 ◽  
Vol 21 (13) ◽  
pp. 2497-2506 ◽  
Author(s):  
Amy Saxe-Custack ◽  
Heather Claire Lofton ◽  
Mona Hanna-Attisha ◽  
Colleen Victor ◽  
Gwendolyn Reyes ◽  
...  
Keyword(s):  
Food Security ◽  
Low Income ◽  
Fruits And Vegetables ◽  
Good Health ◽  
Social Environments ◽  
Fruit And Vegetable ◽  
Structured Interviews ◽  
Farmers Market ◽  
Data Saturation ◽  
Perceived Impact

AbstractObjectiveThe physical and social environments that surround children should support good health. However, challenges with food security and access prevent many children from consuming a healthy diet, which is critical to proper growth and development. The present study sought to gain a better understanding of primary care initiatives to address these issues in a low-income setting.DesignFollowing the relocation of a paediatric clinic to a farmers’ market building and the implementation of a fruit and vegetable prescription programme, researchers conducted thirty-two semi-structured interviews with caregivers. Researchers elicited caregivers’ perceptions of clinic co-location with the farmers’ market; experiences with the prescription programme; opinions of the farmers’ market; and perceived impact on child consumption of fresh produce. Interview recordings were transcribed for textual analysis. Using thematic analysis, researchers examined qualitative data to identify patterns across transcripts and formulate emerging themes. Researchers concluded when data saturation was reached.SettingFlint, Michigan, USA.SubjectsThe majority of participants were female (91 %) and African American (53 %).ResultsFour recurrent themes emerged during interviews: (i) convenience of relocation; (ii) attitude towards prescription programme; (iii) challenges with implementation; and (iv) perceived impact of combined interventions. Caregivers indicated that the co-location and prescription programme increased family shopping at the farmers’ market, improved access to high-quality produce and improved food security.ConclusionsA fruit and vegetable prescription programme involving a partnership between a farmers’ market and paediatric clinic was perceived as effective in improving food security, food access and child consumption of fresh fruits and vegetables.

scholarly journals Determinants of Fruit and Vegetable Consumption Behavior in Student Elementary School of Pekanbaru

2019 ◽  
Vol 2 (1) ◽  
pp. 36
Author(s):  
Christine Vita Gloria Purba ◽  
Alhidayati Alhidayati ◽  
Riri Maharani ◽  
Lia Indriyani Hutabarat
Keyword(s):  
Elementary School ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Cross Sectional Study ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetables ◽  
P Value ◽  
Fruit And Vegetable ◽  
Cross Sectional ◽  
Role Of Parents

Background; Based on the results of the 2013 Ministry of Health's Basic Health Research in children aged 10 years and above who consumed less fruit and vegetables with a yield of 93.5%. Less fruits and vegetables consumption will inhibit the growth and development of children and increase the risk of disease. Objectives; To determined the determination of fruit and vegetable consumption in students of Elementary School 130 Pekanbaru City in 2018. Material and Method; type of research used analytic survey used cross sectional study. This research was carried out in Elementary School 130 Pekanbaru City. The sample of this study was students of class v and vi in Elementary School 130 Pekanbaru City who were taken by exhaustic sampling with a total of 113 samples. Results; there was a relationship between pleasure with a P value = 0,000 and POR = 9,200 (CI = 2,756-32,853), the role of parents in relation to vegetables with P value = 0.02 and POR = 4.163 (CI = 1.590-10,898), menu variation with P value = 0.003 and POR = 4.218 (CI = 1.549-11,485) with the help of fruit and vegetable consumption. There was no relationship between knowledge with P value = 0.792 and POR = 807 (CI = 340-1199), peer support with P value = 0.410 and POR = 1.479 (CI = 581-3,761). Conclusion; For mothers to pay attention to the intake of fruit and vegetables for children, be more creative to process food for children.

scholarly journals Faktor-Faktor yang Berhubungan dengan Konsumsi Sayur dan Buah pada Siswa Sekolah Dasar

2017 ◽  
Vol 10 (2) ◽  
pp. 75
Author(s):  
Mindo Lupiana ◽  
Sadiman Sadiman
Keyword(s):  
Elementary School ◽  
Elementary School Students ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetables ◽  
Fruit And Vegetable ◽  
School Students ◽  
Cross Sectional ◽  
Factors Associated

<em>Indonesian people's fruit consumption is still relatively low compared to other countries that do not have the resources to produce fruits. <strong>Purpose:</strong> this study was to determine the factors associated with fruit and vegetable consumption in elementary school students. <strong>Method</strong><strong>s:</strong> This research method uses a cross sectional design. The research population was all students in class V totaling 123 students and the study sample was 100 students who were determined using simple random sampling. This research was conducted in Negeri 1 Rajabasa Raya Bandar Lampung City. Data processing in this study was univariate and bivariate using the chi square test. <strong>Results:</strong> The results showed that the factors associated with fruit and vegetable consumption were preference (p = 0.001), knowledge (p = 0,000) and attitude (p = 000). The unrelated variable is the availability at home (p = 0.813). <strong>Conclusion:</strong> Factors that increase consumption of fruit and vegetables in elementary school students are preference, good knowledge, and supportive attitude. Socialization needs to be done to increase knowledge about the benefits and effects of less consumption of fruit and vegetables, put up a poster media about the benefits and effects of less consumption of fruits and vegetables.</em>

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