Fruit and vegetable consumption and all-cause, cancer and CVD mortality: analysis of Health Survey for England data

2015 ◽  
Vol 25 (1) ◽  
pp. 16-16
Author(s):  
Sue Davies
2012 ◽  
Vol 16 (1) ◽  
pp. 156-163 ◽  
Author(s):  
Thomas Volken ◽  
Peter Rüesch ◽  
Jürg Guggisberg

AbstractObjectiveTo assess the relative risk of low daily fruit and vegetable consumption for six large migrant groups in Switzerland.DesignCross-sectional health survey carried out 2007 (Swiss Health Survey) and 2010 (Swiss Migrant Health Survey) in Switzerland. Multinomial logistic regression models were used to estimate relative risk rates (RRR) of migrants relative to Swiss nationals.SettingData obtained from representative samples of Swiss and foreign nationals living in Switzerland.SubjectsA random sample (n14637) of the Portuguese, German, Italian, Turkish, Serbian, Kosovan and Swiss permanent resident adult population (17–64 years old) was interviewed.ResultsThe proportion of participants who adhered to the recommended fruit and vegetable consumption was below one-third in all study populations. Compared with Swiss nationals, the relative risk of low daily fruit and vegetable intake relative to recommended intake was higher in Turkish nationals (RRR = 2·92, 95 % CI 1·91, 4·48;P= 0·0000) and Kosovan nationals (RRR = 4·76, 95 % CI 3·01, 7·55;P= 0·0000). The respective relative risks of Portuguese, Serbian, German and Italian nationals were not significantly different from the Swiss reference group.ConclusionsInitiatives for the promotion of fruit and vegetable consumption should continue to address the population at large. At the same time, programmes that are tailored to the specific needs of migrants from Turkey and Kosovo should be considered.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Victoria Miller ◽  
Frederick Cudhea ◽  
Gitanjali Singh ◽  
Renata Micha ◽  
Peilin Shi ◽  
...  

Abstract Objectives Inadequate fruit and vegetable intake contributes to cardiovascular diseases (CVD), and the impacts of fruits and vegetables on CVD risk worldwide has not been well established by country, age, and sex. Our objective was to derive comprehensive and accurate estimates of the burdens of CVD attributable to fruit and vegetable consumption using the largest standardized global dietary database currently available. Methods National intakes of fruit and vegetables (including legumes) were estimated using a Bayesian hierarchical model using individual-level intake data from nationally and sub-nationally representative diet surveys and country-level availability data (266 surveys representing 1630,069 individuals from 113 of 187 countries─ 82% of the world's population). The effects of fruits and vegetables on coronary heart disease (CHD) and stroke mortality, collectively referred to as CVD mortality, were derived from the most recent meta-analyses of prospective cohorts. Disease specific mortality data were obtained from the Global Burden of Diseases study. A comparative risk assessment framework was used to estimate the proportional attributable fraction (PAF) and number of disease-specific deaths. Results In 2010, suboptimal intakes of fruit were estimated to result in 521,395 (95% uncertainty interval [UI] 498,254–542,808) CHD deaths (PAF: 7.5%; 7.2–7.8%) and 1255,978 (1187,716–1325,879) stroke deaths (PAF: 21.7%; 20.5–22.9%) globally per year. Suboptimal intakes of vegetables were estimated to result in 809,425 (783,362–836,687) CHD deaths (PAF: 11.6%; 11.3–12.0%) and 210,849 (196,297–226,577) stroke deaths (PAF: 3.6%; 3.4–3.9%). The proportion of CVD deaths from suboptimal fruit and vegetable intake was higher in males and younger adults. Among the 20 most populous countries, China (541,564; 482,709–608,314; PAF: 20.3%) had the largest absolute CVD deaths from suboptimal fruit intake and India (199,364; 176,961–222,688; PAF: 11.6%) from vegetables. Results for the global burden of fruits and vegetables on CVD in 1990 and 2015 will be presented at the meeting. Conclusions Suboptimal fruit and vegetable intake each contribute to significant CVD mortality, demonstrating a pressing need for public health and policy priorities to increase intake. Funding Sources Gates Foundation. Supporting Tables, Images and/or Graphs


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Victoria Miller ◽  
Frederick Cudhea ◽  
Gitanjali Singh ◽  
Renata Micha ◽  
Peilin Shi ◽  
...  

Abstract Objectives Inadequate fruit and vegetable intake contributes to cardiovascular diseases (CVD), and the impacts of fruits and vegetables on CVD risk worldwide has not been well established by country, age, and sex. Our objective was to derive comprehensive and accurate estimates of the burdens of CVD attributable to fruit and vegetable consumption using the largest standardized global dietary database currently available. Methods National intakes of fruit and vegetables (including legumes) were estimated using a Bayesian hierarchical model using individual-level intake data from nationally and sub-nationally representative diet surveys and country-level availability data (266 surveys representing 1,630,069 individuals from 113 of 187 countries─82% of the world's population). The effects of fruits and vegetables on coronary heart disease (CHD) and stroke mortality, collectively referred to as CVD mortality, were derived from the most recent meta-analyses of prospective cohorts. Disease specific mortality data were obtained from the Global Burden of Diseases study. A comparative risk assessment framework was used to estimate the proportional attributable fraction (PAF) and number of disease-specific deaths. Results In 2010, suboptimal intakes of fruit were estimated to result in 521,395 (95% uncertainty interval [UI] 498,254-542,808) CHD deaths (PAF: 7.5%; 7.2–7.8%) and 1,255,978 (1187,716–1325,879) stroke deaths (PAF: 21.7%; 20.5–22.9%) globally per year. Suboptimal intakes of vegetables were estimated to result in 809,425 (783,362–836,687) CHD deaths (PAF: 11.6%; 11.3–12.0%) and 210,849 (196,297–226,577) stroke deaths (PAF: 3.6%; 3.4–3.9%). The proportion of CVD deaths from suboptimal fruit and vegetable intake was higher in males and younger adults. Among the 20 most populous countries, China (541,564; 482,709–608,314; PAF: 20.3%) had the largest absolute CVD deaths from suboptimal fruit intake and India (199,364; 176,961–222,688; PAF: 11.6%) from vegetables. Results for the global burden of fruits and vegetables on CVD in 1990 and 2015 will be presented at the meeting. Conclusions Suboptimal fruit and vegetable intake each contribute to significant CVD mortality, demonstrating a pressing need for public health and policy priorities to increase intake. Funding Sources Gates Foundation. Supporting Tables, Images and/or Graphs


2019 ◽  
Vol 51 (7) ◽  
pp. S18-S19
Author(s):  
Michele Polacsek ◽  
Alyssa Moran ◽  
Anne Thorndike ◽  
Rebecca Franckle ◽  
Rebecca Boulos ◽  
...  

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.


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