scholarly journals Fruit and Vegetable Consumption and Incident Prefrailty and Frailty in Community-Dwelling Older People: The English Longitudinal Study of Ageing

Nutrients ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3882
Author(s):  
Gotaro Kojima ◽  
Steve Iliffe ◽  
Stephen Jivraj ◽  
Kate Walters

Background: There is limited evidence in the literature regarding associations between fruit and vegetable consumption and risk of frailty. Objective: To examine associations between fruit and vegetable consumption and risk of incident frailty and incident prefrailty/frailty. Design: A prospective panel study. Setting and Subjects: 2634 non-frail community-dwelling men and women aged 60 years or older from the English Longitudinal Study of Ageing (ELSA). Methods: Fruit and vegetable consumption/day was measured using a self-completion questionnaire at baseline. Frailty status was measured at baseline and follow-up was based on modified frailty phenotype criteria. Four-year incident frailty was examined among 2634 robust or prefrail participants, and incident prefrailty/frailty was measured among 1577 robust participants. Results: Multivariable logistic regression models adjusted for age, gender, and other confounders showed that fruit and vegetable consumption was not associated with incident frailty risks among robust or prefrail participants. However, robust participants consuming 5–7.5 portions of 80 g per day (odds ratio (OR) = 0.56, 95% confidence interval (CI) = 0.37–0.85, p < 0.01) and 7.5–10 portions per day (OR = 0.46, 95%CI = 0.27–0.77, p < 0.01) had significantly lower risk of incident prefrailty/frailty compared with those consuming 0–2.5 portions/day, whereas those consuming 10 or more portions/day did not (OR = 1.10, 95%CI = 0.54–2.26, p = 0.79). Analysis repeated with fruit and vegetable separately showed overall similar results. Conclusions: Robust older adults without frailty who eat current U.K. government recommendations for fruit and vegetable consumption (5–10 portions/day) had significantly reduced risks of incident prefrailty/frailty compared with those who only eat small amount (0–2.5 portions/day). Older people can be advised that eating sufficient amounts of fruit and vegetable may be beneficial for frailty prevention.

2018 ◽  
Vol 26 (2) ◽  
pp. 84-91 ◽  
Author(s):  
Claire Stevens ◽  
Samuel G Smith ◽  
Charlotte Vrinten ◽  
Jo Waller ◽  
Rebecca J Beeken

Objectives Population-based cancer screening has been described as a teachable moment for behaviour change. This research examined the effect of faecal occult blood testing (FOBT) participation on smoking, alcohol consumption, fruit and vegetable consumption and physical activity. Setting Data were from screening-naïve men within the English Longitudinal Study of Ageing, receiving their first FOBT invitation (n = 774). Four waves of data were included in analyses (wave 4, 2008/2009 – wave 7, 2014/2015). Baseline data were from the wave prior to FOBT invitation, and follow-up data were from the next consecutive wave (two years later). Methods The effects of FOBT participation, time and group-by-time interactions on health behaviours were investigated using generalised estimating equations. Almost two-thirds of the sample (62.5%; n = 484) had participated in FOBT. Results Screening participants were less likely to smoke (odds ratio (OR): 0.45, 95% confidence interval (CI): 0.29–0.68) and more likely to meet fruit and vegetable consumption guidelines (OR: 1.70, 95% CI: 1.14–2.55). Smoking decreased over time (OR: 0.74, 95% CI: 0.62–0.89), but adherence to alcohol guidelines also decreased (OR: 0.71, 95% CI: 0.53–0.91). A group-by-time interaction was found for vigorous physical activity; the odds of taking part in vigorous physical activity increased for FOBT participants, but decreased for non-participants (OR: 1.40, 95% CI: 1.01–1.95). Conclusions This research provides tentative support for FOBT as a teachable moment for increasing vigorous physical activity. However, overall, there was limited evidence for spontaneous improvement in multiple health behaviours following participation.


2009 ◽  
Vol 12 (11) ◽  
pp. 2192-2198 ◽  
Author(s):  
Warapone Satheannoppakao ◽  
Wichai Aekplakorn ◽  
Mandhana Pradipasen

AbstractObjectiveTo examine the fruit and vegetable consumption in Thailand, the percentage of Thais meeting recommended intakes and the association with sociodemographic factors.DesignCross-sectional survey with a stratified, three-stage, cluster probability sampling design.SettingCommunity-dwelling men and women participating in the Thailand National Health Examination Survey III.SubjectsA total of 39 290 individuals aged ≥15 years were interviewed using a questionnaire to obtain information on sociodemographic characteristics and fruit and vegetable consumption. Daily fruit and vegetable consumption was estimated through the use of a short semi-qualitative FFQ.ResultsOverall, participants had average frequencies of fruit and vegetable consumption equal to 4·56 and 5·97 d/week, respectively. Average daily number of servings of fruit, vegetables and fruit plus vegetables were 1·46, 1·78 and 3·24, respectively. Intake amounts of fruit, vegetables and fruit plus vegetables varied by marital status and region, and were lower among males (except for vegetable intake), those of older age, those with low educational attainment, those with low monthly household income and those living in a rural area. Only 1/3, 1/4 and 1/4 of the population consumed the recommended ≥2, ≥3 and ≥5 servings/d for fruit, vegetables and fruit plus vegetables. Sociodemographic factors related to meeting the recommended intake of ≥5 servings/d for fruit plus vegetables included being female (OR = 1·13) and household income ≥50 000 Baht/month (OR = 1·66).ConclusionsThe amounts of fruit and vegetables consumed by Thai participants were far below the level of current recommendations. Public education and campaigns on adequate consumption of fruits and vegetables should be targeted more towards low socio-economic groups.


2020 ◽  
Author(s):  
Yang Bai ◽  
William E Copeland ◽  
Ryan Burns ◽  
Hilary Nardone ◽  
Vinay Devadanam ◽  
...  

BACKGROUND The Wellness Environment App Study is a longitudinal study focused on promoting health in college students. OBJECTIVE The two aims of this study are: 1) to assess physical activity (PA) variation across days of the week and throughout the academic year and 2) to explore the correlates that were associated with PA concurrently and longitudinally. METHODS Participants were asked to report their wellness and risk behaviors on a 14-item daily survey through a smartphone app. Each student was provided an Apple Watch to track their real-time PA. Data were collected from 805 college students from Sept 2017 to early May 2018. Data was analyzed in 2020. RESULTS Females were significantly more active than male college students. Students were significantly more active during the weekday than weekend. Temporal patterns were also revealed that students were less active during Thanksgiving, Winter, and Spring breaks. Strong concurrent positive correlations were found between higher PA and self-reported happy mood, 8+h sleep, ≥ 1 fruit, and vegetable consumption, ≥ 4 bottles of water intake, and ≤2h screen time (p<.0001). Similar longitudinal associations were found that the previous day wellness behaviors independently predicted the next day higher PA except for mood. Conversely, the higher previous day PA levels were associated with better mood, more fruit and vegetable consumption, less screen time but higher liquor consumption the next day. CONCLUSIONS The study provides comprehensive surveillance on a longitudinal PA pattern and its independent association with a variety of wellness and risk behaviors in college students.


2019 ◽  
Vol 23 (2) ◽  
pp. 286-294 ◽  
Author(s):  
Jacob P Beckerman ◽  
Emily Slade ◽  
Alison K Ventura

AbstractObjective:Children breast-fed during infancy consume more fruits and vegetables than formula-fed children. This pattern is likely due, in part, to infant learning from flavours of the mother’s diet transmitted through breast milk, but more research is needed to understand associations between early flavour exposures and later dietary patterns. We examined whether breast-feeding and maternal fruit and vegetable consumption during nursing were synergistically associated with higher child fruit and vegetable consumption.Design:Prospective cohort study of breast-feeding duration, maternal diet postpartum and child diet. Complete breast-feeding and maternal diet data were available for 1396 mother–child dyads; multiple imputation was used for missing data in other variables. In separate multivariable logistic regression models, we estimated the adjusted odds of high child fruit or vegetable consumption at 12 months or 6 years as a function of breast-feeding duration, maternal fruit or vegetable consumption during nursing, and their interaction.Setting:The Infant Feeding Practices Study II and Year 6 Follow-Up.Participants:Mother–child dyads followed from birth to 6 years during 2005–2012 in the USA.Results:Longer breast-feeding duration was associated with high child fruit and vegetable consumption at 12 months. At 6 years, the interaction between breast-feeding duration and maternal vegetable consumption was associated with high child vegetable consumption.Conclusions:Higher maternal vegetable consumption and longer breast-feeding duration were synergistically associated with high child vegetable consumption at 6 years, independent of sociodemographic characteristics and fruit and vegetable availability. Exposures to vegetable flavours through breast milk may promote later child vegetable consumption.


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