Vegetable Consumption Research Articles

Sex-Specific Associations Between Lifestyle Factors and Sick Leave in the Serbian Working Population: Findings from the National Health Survey

Background/Objectives: Sick leave is influenced by various modifiable lifestyle factors and sex differences. This study investigates the associations between body mass index, fruit and vegetable consumption, physical activity, smoking, and alcohol consumption and sick leave among Serbia’s working population, with emphasis on sex differences. Methods: Data from the 2019 National Health Survey of Serbia were analyzed, involving a sample of 4652 individuals. Chi-square tests and logistic regression models assessed the relationships between lifestyle factors and sick leave. Results: Among the participants, 15.8% reported sick leave in the past 12 months, with higher rates among women in both short-term (13.9% vs. 10.6%) and long-term (3.4% vs. 2.2%) sick leave. This study identifies obesity (OR = 2.6), poor dietary habits (fruit OR = 2.1; vegetables OR = 2.8), smoking (OR = 1.9), and risky alcohol consumption (OR = 4.1) as key predictors of sick leave in men, while smoking (OR = 1.8) and risky alcohol consumption (OR = 3.1) are major predictors in women. The inconsistent association between diet, physical activity, and sick leave may be attributed to differences in reporting accuracy, differing definitions of healthy intake, or the influence of unmeasured lifestyle factors. Conclusions: Smoking and risky alcohol consumption increase the odds of sick leave for both sexes. Interventions targeting smoking cessation and mitigating risky alcohol consumption could significantly decrease sick leave rates. While fruit and vegetable consumption, along with physical activity, showed inconsistent effects in both sexes, further studies are warranted to elucidate their roles.

Molecular and Environmental Determinants of Addictive Substances

Knowledge about determinants of addiction in people taking addictive substances is poor and needs to be supplemented. The novelty of this paper consists in the analysis of innovative aspects of current research about relationships between determinants of addiction in Polish patients taking addictive substances and rare available data regarding the relationships between these factors from studies from recent years from other environments, mainly in Europe, and on the development of genetic determinants of physiological responses. We try to explain the role of the microelements Mn, Fe, Cu, Co, Zn, Cr, Ni, Tl, Se, Al, B, Mo, V, Sn, Sb, Ag, Sr, and Ba, the toxic metals Cd, Hg, As, and Pb, and the rare earth elements Sc, La, Ce, Pr, Eu, Gd, and Nd as factors that may shape the development of addiction to addictive substances or drugs. The interactions between factors (gene polymorphism, especially ANKK1 (TaqI A), ANKK1 (Taq1 A-CT), DRD2 (TaqI B, DRD2 Taq1 B-GA, DRD2 Taq1 B-AA, DRD2-141C Ins/Del), and OPRM1 (A118G)) in patients addicted to addictive substances and consumption of vegetables, consumption of dairy products, exposure to harmful factors, and their relationships with physiological responses, which confirm the importance of internal factors as determinants of addiction, are analyzed, taking into account gender and region. The innovation of this review is to show that the homozygous TT mutant of the ANKK1 TaqI A polymorphism rs 1800497 may be a factor in increased risk of opioid dependence. We identify a variation in the functioning of the immune system in addicted patients from different environments as a result of the interaction of polymorphisms.

Biological activities of quercetin and other flavonols: A mini-review

There are countless benefits arising from the consumption of vegetables, which can present significant levels of compounds with bioactive properties, effectively acting in the promotion of human health. Bioactive compounds that play an antioxidant role have been widely studied since most of the diseases that affect humans can be derived from the presence of free radicals in the body, leading to a series of metabolic disorders. Quercetin has several pharmacological activities and antioxidant, anti-inflammatory, vasodilator, and anticancer effects. Despite the efficacy and safety of its consumption, the limited bioavailability of this phenol continues to be highlighted as a main concern, where factors such as solubility, absorption, and metabolism have a direct influence on this process and its beneficial effects. Among the compounds with antioxidant activity are flavonoids, such as quercetin, which have shown great effectiveness and are even associated with very positive responses against some types of tumor cells. Quercetin is shown to be a powerful ally in promoting health and a better quality of life. However, further studies are needed to be able to accurately state the benefits resulting from the consumption of this compound.

Weight loss maintenance in primary health care: a randomised controlled trial.

This study evaluates the maintenance of a clinically meaningful weight loss (≥ 5 %) after 12 and 36 months of participation in an intervention to promote fruit and vegetable (FV) consumption. A randomised controlled trial was conducted in a primary health care service. For 7 months, participants in the control group (CG) and in the intervention group (IG) performed guided physical exercise three times/week; the IG also participated in collective activities to promote FV consumption. This study selected participants (n 267) who showed clinically meaningful weight loss after nutritional intervention. Sociodemographic, health and body weight data were collected in a face-to-face interview at baseline (T0) and after intervention (T1). Participants were reassessed after 12 (T2) and 36 months (T3) by telephone interview, and the self-reported weight was corrected. The outcome measures weight changes at three time points: M1, comparing T2 with T1; M2, comparing T3 with T2; and M3, comparing T3 with T1. The generalised estimating equation, adjusted for individual characteristics, was used. Participants in the CG showed an increase of 4·2 kg (P < 0·001) at M1 and 4·6 kg (P < 0·001) at M3, while IG individuals showed an increase of 3·6 kg (P < 0·001) at M1 and 3·8 kg (P < 0·001) at M3. The between-group analyses show the effect of nutritional intervention on the maintenance of weight loss at M2 (P = 0·033). Although CG and IG participants increased in weight, the nutritional intervention was associated with maintenance over the long term. This reveals the importance of the promotion of FV consumption for body weight maintenance.

Test-Retest Reproducibility of the WebCas Electronic Questionnaire for Assessing Health-Related Behaviors in Adolescents

Purpose: The goal of the study was to evaluate the reproducibility between the application-replication of the electronic version of the WebCas questionnaire. Methods: The sample consisted of 152 students (10 to 15 years old) of both sexes, enrolled in a public school in the city of Curitiba (PR). Anthropometric data (weight and height) were collected to calculate the body mass index. The reproducibility of the questionnaire was assessed by means of concordance between the repeated measures obtained by applying the WebCas, with a 7-day interval between applications. Results: Most of the variables showed percentages of reproducibility above 50% (7/12 variables). Eight variables presented Kappa values considered “very good”: commuting to school (K=0.95); alcohol intake in the last 30 days (K=0.92); alcohol intake in doses (K=0.92); smoking (K=0.93); intoxication (K=0.92), nap (K=0.83), illness (K=0.94) and medication use (K=0.90). Daytime sleepiness, frequency of consumption of fruits, vegetables, sweets, snacks and soft drinks showed “moderate” Kappa values (0.41 to 0.65). Regarding accuracy, the variables hours of sleep, time to wake up on weekdays and bedtime on weekdays showed substantial values (&gt;0.95 to &lt;0.99). For the other variables, the values were almost perfect (≥0.99), with the exception of the variable “bedtime the night before” which showed low accuracy (Cb=0.90). Conclusion: The results showed that the WebCas questionnaire showed satisfactory evidence of reproducibility.

Factors associated with zero vegetable and fruit consumption among Tanzanian children

BackgroundProper nutrition during early childhood is essential for healthy growth and development, yet many children, particularly in low and middle-income countries, fail to meet recommended intake levels of fruits and vegetables. This study aims to assess the factors associated with zero vegetable and fruit (ZVF) consumption among children aged 6–23 months in Tanzania, using data from the 2022 Tanzania Demographic and Health Survey (DHS).MethodsA weighted sample of 4582 children aged between 6 and 23 months were included in the study. Data cleaning, coding, and analysis were performed using STATA version 17 software. To address the hierarchical nature of the DHS data and the binary outcome variable, a multilevel mixed-effect binary logistic regression model was used. The deviance value served as a guide for determining the best-fitting model. In the subsequent multivariable multilevel binary logistic regression analysis, adjusted odds ratios were computed alongside their respective 95% confidence intervals to evaluate the strength of association, with statistical significance set at a p-value below 0.05.ResultThe overall proportion of ZVF consumption among children aged 6–23 months in Tanzania was 48.34% (95% CI: 46.87, 49.81). Current breastfeeding status, maternal educational status, household wealth index, sex of the household head, and community poverty level were associated with higher odds of ZVF consumption. Meanwhile, child age, maternal employment status, father’s educational status, and media exposure were associated with lower odds of ZVF consumption.ConclusionChild age, current breastfeeding status, maternal educational status, maternal employment status, father’s educational status, household wealth index, sex of household, media exposure, and community poverty level were significantly associated with ZVF consumption. Efforts should focus on educating mothers about the early introduction of fruits and vegetables in children’s diets, alongside supporting breastfeeding. Tailored economic empowerment initiatives are needed in impoverished communities to improve access to nutritious foods.

Beyond the family's cooking frequency: The Influence of Cooking Techniques on Vegetable and Fruit Consumption among the U.S. population.

Despite the well-established health benefits of fruits and vegetables, U.S. consumption remains far below the WHO's recommended 400 grams per day. Understanding how culinary techniques influence intake could elucidate strategies for improving dietary habits. To explore whether the use of cooking techniques for fruits and vegetables is associated with increased consumption of these foods and the corresponding variation in total fiber intake among the U.S. Data from the National Health and Nutrition Examination Survey (NHANES) 2009-2010, participants (n=9,754) were categorized into groups based on their self-reported cooking frequency. Cooking techniques were classified into types. The mean consumption of fruits and vegetables was segmented into quartiles. Cooking frequency was evaluated, and differences between groups were assessed using chi-square tests and mean comparison tests. The study also assessed the prevalence of cooking techniques for different food groups. Additionally, linear regression analyses were conducted to adjust the mean daily per capita consumption of fruits, vegetables, and dietary fiber, considering cooking frequency and other socioeconomic variables as predictors. The studied population's mean consumption of fruits and vegetables was 302.9 grams, with half of this amount consisting of fruits. Individuals from households with frequent cooking practices (≥5x a week) consumed, on average, 48.2 grams more fruits and vegetables daily than those from households with less frequent cooking (<5x a week). The use of diverse cooking techniques significantly improved vegetable intake, showing a fivefold increase in consumption among those employing multiple techniques. Moreover, frequent home cooking was associated with a 1.0-gram increase in daily fiber intake. Public policies aimed at improving fruit and vegetable intake among the U.S. population should consider, in addition to cooking frequency, the role of cooking techniques in influencing the consumption of these food groups.

Consumer Safety and Pesticide Residues: Evaluating Mitigation Protocols for Greengrocery

The application of pesticides remains a necessary measure for pest management in agriculture, particularly in the cultivation of fruits and vegetables. After harvest, the presence of pesticide residues in greengrocery (fruits and vegetables) is significantly influenced by various factors, including storage conditions, handling practices, and subsequent processing methods. The mitigation of these residues to levels compliant with regulated maximum thresholds ensures the safety of raw and processed fruits and vegetables for consumption. A contemporary survey of pesticide residues in greengrocery has gathered considerable attention from consumers, driven by concerns over the potential health risk of pesticide exposure. Consequently, consumers want to be extensively informed about household processing techniques to minimize associated risks. Meanwhile, a critical question arises: does household processing effectively eliminate pesticide residues? A comprehensive review of the literature reveals that conventional methods, such as washing and soaking, offer only limited reduction in residue levels, while emerging treatments, suitable both at household and industrial scale, demonstrate increased efficiency in residues mitigation. This study aims to emphasise the ubiquitous use of pesticides in crop cultivation while providing recommendations for the implementation of efficient treatment protocols to address residue concerns. Following upon available evidence and database mining, the worldwide purpose must be to outline agriculturally and economically viable strategies that prioritize both the health and safety of consumers, as well as the green cultivation and processing of fruits and vegetables.

Diet changes and colorectal cancer risk in the UK Biobank.

Modifying dietary behaviors into healthier habits may attenuate the risk of colorectal cancer (CRC) risk. This study aimed to investigate the association between dietary changes and the risk of CRC. Following dietary recommendations for red and processed meat, fruit and vegetables, and alcohol consumption, we classified 50,640 participants into poor and good adherence groups in the UK Biobank. Changes in dietary habits were defined as stable poor, poor to good, good to poor, and stable to good adherence. A Cox proportional hazard model was used to examine the association between dietary changes and CRC risk. Women were more likely to follow dietary recommendations than men. After a median of 3.3 years from the latest follow-up, 8,328 (16.4%) participants followed an improved dietary habit and 5,808 (11.5%) participants had a worsened diet. Compared to men who stably consumed fruit and vegetables <5 servings/day, those who increased their consumption to ≥5 servings/day were related to CRC risk reduction (hazard ratio: 0.24, [0.09-0.63]). However, the beneficial associations of increased fruit and vegetable consumption were not statistically significant in women (hazard ratio: 0.41, [0.11-1.56]). Our findings support the evidence that increasing fruit and vegetable intake could serve as a beneficial strategy to mitigate CRC risk in men. Participants from the UK Biobank significantly changes their adherence to dietary recommendations during the follow-up. Increasing fruit and vegetable consumption was inversely associated with CRC risk among men.

A Delphi consensus project to capture experts' opinion on hyperkalaemia management across the cardiorenal spectrum.

The main purpose of this project was to capture experts' opinion on hyperkalaemia management and form best practice recommendations for cardiorenal patients in Greece. A steering committee of nephrologists and cardiologists developed 37 statements. An online questionnaire completed by 32 experts in cardiorenal management in Greece. Median score used to determine the level of agreement and disagreement index (DI) used to determine the level of consensus for each statement. Statements divided in four sectors: hyperkalaemia risk management, preventative measures, treatment and collaboration between specialties. The rate of the first round of the consensus was 94.6%. Median score was >7 for 36 of 37 statements and DI≤1 for 35 of 37. Among other statements, consensus reached for recognizing levels K+>5.0mEq/L as associated with elevated mortality risk; retaining renin-angiotensin-aldosterone system inhibitors (RAASi) on maximum recommended dose for cardiorenal patients; and using novel K+ binders to help enabling guideline-recommended doses of RAASi therapy. Cardiologists compared to nephrologists showed higher reluctance to discontinue down-titrate RAASi and MRA in patients with K+ levels above 5mEq/L. Additionally, 88.9% of nephrologists and 71.4% of cardiologists agreed that cross-specialty alignment on a serum K+ concentration level (K>5.5mEq/L) is needed to initiate hyperkalaemia treatment. Both cardiologists and nephrologists showed disagreement with the statement on keeping titration in cardiorenal patients with K+>5.5mEq/L or preserving fruit and vegetable consumption when moderate or severe hyperkalaemia exhibits. This Delphi project pointed out nephrologists' and cardiologists' agreement on hyperkalaemia management in cardiorenal patients; thus, it can help a cross-specialty optimal management of cardiorenal patients, with hyperkalaemia not being an obstacle for disease-optimizing therapy. Novel potassium binding agents can enable guideline-recommended doses of potassium-sparing medication.

Investigating the types of eating behavior among shift workers in the machine-building industry

Introduction: Shift work has become the norm and an absolute necessity in various sectors of public life. Different production processes, technologies, and the nature of certain jobs lead to various health risks. Unhealthy eating behaviors remain common among shift workers across all economic sectors. Aim: This study aims to compare the eating habits and dietary patterns of shift workers and fixed daytime workers in the Bulgarian machine-building industry, focusing on identifying differences that may influence health outcomes. Materials and methods: A cross-sectional study was conducted at three work sites of a machine-building enterprise in Bulgaria, involving 309 workers (149 shift workers and 160 fixed daytime workers). Data on eating habits were collected using a 54-item Food Frequency Questionnaire (54-FFQ) adapted for the local population. Descriptive statistics were used to summarize the demographic and dietary data. Group comparisons between shift workers and fixed daytime workers were made using the Mann-Whitney U test for non-normally distributed continuous variables. A p-value of less than 0.05 was considered statistically significant. Results: The study found significant differences in eating habits between shift workers and fixed daytime workers. Shift workers were more likely to consume white bread (p=0.003), fast food (p=0.045), margarine (p=0.001), fried potatoes (p=0.041), and processed meats (p=0.021) than fixed-daytime workers were. In contrast, fixed-daytime workers had a higher consumption of fruits (p=0.034), vegetables (p=0.047), and alcoholic beverages like beer (p=0.008), wine, and spirits (p=0.005) than shift workers. These differences suggest that work schedules may significantly influence dietary choices and impact workers’ health outcomes. Conclusion: Shift work disrupts the natural daily rhythm and leads to changes in eating behavior, such as irregular meals, skipping breakfast, and eating late in the evening and at night. Our study highlights how these behaviors are associated with the regular consumption of processed, energy-dense foods rich in carbohydrates and fats but low in fiber and essential nutrients. The eating habits observed in our research are a significant risk factor for developing cardiometabolic diseases.

Fruits, Spices and Honey Phenolic Compounds: A Comprehensive Review on Their Origin, Methods of Extraction and Beneficial Health Properties

Numerous health benefits have been attributed in the last decades to the regular consumption of fruits, vegetables, herbs and spices, along with honey, in a balanced diet. In this context, the aim of the present review was to provide the literature with the most relevant studies focusing on the determination protocols of these polyphenols and other reducing agents in selected fruits (orange, lemon, grapefruit, prunus, apricot, peach, plum, sweet cherry), spices (oregano, cinnamon, clove, saffron, turmeric) and honey of different botanical origin (nectar or honeydew). In addition, the content and the extraction methods of these compounds, along with their metabolic pathway, have been critically evaluated and discussed. Results showed that all fruits, spices and honey exhibit a considerably high antioxidant activity, which is mainly owed to their phytochemical content. Therefore, a balanced diet consisting of the combination of the foods studied herein may comprise a shield against chronic and other pathophysiological disorders and may be achieved through consecutive educational programs for consumers at an international level.

Lifestyle related health risk factors regarding non-communicable diseases among adults in Morang District

Introduction: Non-communicable diseases are the leading causes of disease burden worldwide. According to World Health Organization estimates, NCDs are responsible for 74% of all deaths globally, with around 77% of premature deaths from NCDs occurring in low- and middle-income countries. This study aims to assess the lifestyle related health risk factors of non-communicable diseases among adults in Nepal, in which two- third of annual deaths are attributable to non-communicable diseases. Methods: A cross sectional study was conducted among adults in Morang district, Nepal. Data collection involved the assessment of the risk factors of obesity, smoking, alcohol consumption, inadequate fruits and vegetable consumption, inadequate physical activity, are raising blood pressure. Ethnical approval was obtained. Results: Two hundred forty participants participated in the study, of which the most prevalent risk factor was obesity (58.3%). Out of total participants, 41.6% had consumed tobacco, 31.2% had consumed alcohol, 41.6% had consumed inadequate fruits and vegetables, 30.4% had inadequate physical activity, and 29.1% had raised blood pressure. Similarly, education is statistically associated with lifestyle risk factors. Male participants of age above 40 years were found to be statistically associated with current tobacco and alcohol consumption. Conclusion: Health related risk factors are causes of non-communicable disease. Most of the participants had two or more risk factors for non-communicable disease. Education is significantly associated with all the risk factors among the participants.

Mediterranean diet and atrial fibrillation: a case-control study from China

ObjectiveThe aim of this study was to assess the association between adherence to Mediterranean diet and the presence of atrial fibrillation (AF) in a Northern Chinese population.MethodsThis study was a single center, case–control study. A total of 952 low risk participants in Beijing Anzhen Hospital from 2016 to 2021 were collected, including 476 patients with first diagnosed of atrial fibrillation and 476 age and sex matched controls. According to the food frequency questionnaire (FFQ), the alternate Mediterranean diet score (AMED) was calculated, which was 0–9 points, indicating the adherence to the Mediterranean diet from low to high.ResultsThe average age of the participants was 57.6 ± 9.1 years old, and 70.2% were men. After analyzing every component of AMED, vegetable consumption shows a negative correlation with the risk of AF, whereas alcohol consumption demonstrates a positive correlation with it (OR = 0.61, 95% CI 0.44–0.80, p &amp;lt; 0.001; OR = 1.99, 95% CI 1.48–2.58, p &amp;lt; 0.001). All patients were grouped according to AMED score. A significant inverse association between AMED and the risk of AF was observed. Compared with participants with AMED&amp;lt;4, the multivariable-adjusted ORs of AF were 0.75 (95% CI 0.55–1.06) for AMED 4–5 and 0.61 (95% CI 0.43–0.89) for AMED ≥6, with a trend in risk (p = 0.008). Results were consistent in stratified analyses of gender, age, BMI and smoking.ConclusionThe Mediterranean diet was inversely associated with the risk of AF in this Northern Chinese population.

Influence of vegetable knowledge in preschooler’s vegetable consumption: Veggies4myHeart project

Abstract Background Vegetable consumption among children is below recommended. Food rejection, especially vegetables, is common in preschool-aged children. Impoverished food knowledge is associated with this rejection. The Veggies4myHeart project aims to promote vegetable consumption and knowledge among preschoolers’. This study assesses the project’s effectiveness in increasing vegetable knowledge and consumption and whether increased knowledge influences vegetable consumption. Methods Veggies4myHeart is a prospective longitudinal study with children 2-6 years old attending preschools. Two preschools participated in a five-week intervention in the 2023/24 academic year. A distinctive pedagogical tool was tested in each preschool: a storybook and a digital game. Knowledge and vegetable consumption were assessed before and after the intervention. Knowledge was evaluated through a questionnaire with taxonomic categorization. Consumption was assessed by recording the portions of eight vegetables (carrot, lettuce, red cabbage, cucumber, tomato, onion, beetroot, and red bell pepper). Wilcoxon test was applied to compare vegetable knowledge and consumption before and after the intervention. Spearman’s correlation was used to examine the association between knowledge and vegetable consumption before and after the intervention. Results 98 children (55.1% female, mean age 4.15 ± 0.868 years) participated. Statistically significant increases in both knowledge and total vegetable consumption were observed post-intervention in both preschools (p &amp;lt; 0.001). A moderate correlation of 0.412 (p = 0.013) in the storybook group post-intervention suggests that increased knowledge may contribute to increased vegetable consumption. Conclusions This study demonstrates the potential of the Veggies4myHeart project as an effective strategy to promote knowledge about vegetables among preschool children, highlighting the critical role of educational interventions in promoting healthier dietary patterns. Key messages • To increase vegetable knowledge may lead to higher consumption in preschool children. • Veggies4myHeart demonstrated its effectiveness as an educational project for preschool children.

Veggies4myHeart – educational project to promote vegetable knowledge and consumption in preschoolers

Abstract Vegetable consumption among children is below recommended. Given the critical role of vegetable consumption in health promotion, it is essential to identify effective strategies to promote this intake. The Veggies4myHeart project aims to increase vegetable knowledge and consumption in preschool children through nutrition education strategies (NES). Veggies4myHeart is a prospective longitudinal study with children aged 2 to 6 years who attend preschools in the Leiria district. A questionnaire was applied to the parents to characterize the sample. NES were used: children’s story, digital game, vegetable-themed sticker booklet and the food wheel. The intervention consisted of 5 food education sessions, each focusing on one selected vegetable (lettuce, carrot, red cabbage, cucumber, and tomato). Sessions to assess knowledge and consumption of vegetables were held pre-and post-intervention. Knowledge was evaluated through a taxonomic categorization questionnaire. Consumption was assessed by recording the number of portions of each vegetable consumed. Wilcoxon test was used to compare pre-and post-intervention vegetable knowledge and consumption. ANOVA test was used to compare NES. Between 2018 and 2024, 649 children (52,5% female, mean age 4,36 ± 0,942) from 17 preschools participated. After the intervention, there was a statistically significant increase in vegetable knowledge (p &amp;lt; 0,001) and a statistically significant increase in the consumption of vegetables (p &amp;lt; 0,001). There are statistically significant differences between NES, with the digital game having greater vegetable knowledge (p &amp;lt; 0,001) and consumption (p &amp;lt; 0,001) than the others. The Veggies4myHeart project effectively increased vegetable knowledge and consumption in preschoolers. It is essential to continue the intervention to promote consumption and familiarity with vegetables, as well as the involvement of parents and preschool teachers, due to their prominent role as models for acquiring healthy eating habits. Key messages • The NES used proved useful, contributing to increased knowledge and consumption of vegetables. • The Veggies4myHeart project is an asset for preschool-aged children to become familiar with vegetables.

Breastfeeding duration, children’s diet and physical activity in immigrant children living in Lisbon

Abstract Background In 2023, 25% of children born in the Lisbon metropolitan area were from foreign mothers. Children of immigrant parents often face an unbalanced diet and unhealthy lifestyle, preventing them from reaching their full potential. The aim of this study was to analyse the associations between migrant status and breastfeeding duration, fruit and vegetable consumption and physical activity in children living in the Lisbon metropolitan area, Portugal. Methods Cross-sequential cohort study in Lisbon Region. Between May 2022 and April 2024, 729 children (49.4% immigrants) born in 2018 and 2020 were enrolled in the study. Data were collected in a face-to-face interview with the parents using a structured questionnaire with information on children’s diet (fruit and vegetable consumption) and physical activity. We used X2, Mann-Whitney U and t-tests to compare immigrant and non-immigrant children. Adjusted odds ratios (aOR) with a 5% level were estimated by logistic regression. Results Immigrant children (49.4%) live in socio-economically disadvantaged families. Breastfeeding practices are more common among migrant mothers with a higher median duration of exclusive breastfeeding (6 versus 4 months, p &amp;lt; 0.001) and a higher median duration of breastfeeding (14 versus 8 months, p &amp;lt; 0.001). Parental migration background is associated with the frequency of fruit (p = 0.039) and vegetable (p &amp;lt; 0.01) consumption and with the practice of physical activity (p &amp;lt; 0.01). The odds of consuming three or more portions of fruit are 1.37 times higher for non-immigrant children, and the odds of consuming two portions of vegetables are higher for non-immigrants than immigrants (aOR=2.04, p &amp;lt; 0.01). Practicing sports is most frequent in non-immigrants (aOR =2.25; p &amp;lt; 0.01). Conclusions Migrant status was associated with a less healthy lifestyle in childhood for children living in the Lisbon metropolitan area. Key messages • Breastfeeding is an essential source of nutrition for children, especially in socio-economically disadvantaged families. • The migrant status is often associated with inequalities in childhood, challenging immigrant children to achieve their full potential.

Loneliness and low fruit and vegetable consumption among adults in Japan

BackgroundLoneliness is the distressing feeling that arises when a person's network of social relations is perceived as being inadequate in some way. Research has linked loneliness to a number of detrimental health outcomes. There is also some evidence that lonely individuals are more likely to engage in poorer health behaviors. However, as yet, there has been comparatively little attention paid to the relation between loneliness and dietary behavior. In particular, there has been little focus on the association between loneliness and fruit and vegetable intake.ObjectiveThe aim of this cross-sectional study was to examine the association between loneliness and low fruit and vegetable consumption in the Japanese general population.MethodsData were analyzed from 3,410 Japanese adults collected in an online survey in early 2023. Information was obtained on past-week fruit and vegetable consumption with a single-item measure, while loneliness was assessed with the Three-Item Loneliness Scale. Information was also collected on sociodemographic characteristics, physical health status, health-risk behaviors and depressive symptoms. Logistic regression was used to assess associations.ResultsOne in twenty (5.3%) adults reported low fruit and vegetable consumption. In a fully adjusted analysis loneliness was associated with higher odds for low fruit and vegetable consumption (OR: 1.14, 95%CI: 1.04–1.26). In sex- and age-stratified analyses loneliness was significantly associated with low fruit and vegetable consumption in both women and middle-aged adults, although confidence intervals overlapped for this association across all of the sex and age groups in the fully adjusted analyses.ConclusionsLoneliness is associated with low fruit and vegetable consumption among adults in Japan. As loneliness and inadequate fruit and vegetable intake have both been linked to poorer health outcomes, the results of this study underscore the potential importance and public health benefits of reducing loneliness in Japan.

Food insecurity and fruit and vegetable consumption in Belgium

Abstract Background Food insecurity is a substantial and growing concern in many high-income countries. Yet, representative data on the extent of the issue in the general Belgian population is lacking. This study aims to assess the extent of food insecurity in Belgium, identify those at risk of food insecurity, and explore the relationship between food insecurity and fruit and vegetable consumption. Methods We used data from the Belgian National Food Consumption Survey 2022-2023, a representative sample of the Belgian population aged 3 years and older (n = 2,800). Food insecurity was assessed using the 3 screening questions derived from the USDA Household Food Security Survey Module. Frequencies of fruit and vegetable consumption were obtained from a food propensity questionnaire. Prevalence of food insecurity was estimated using post-stratification weights. Logistic regression models were used to determine the association between frequency of fruit and vegetable consumption and food insecurity, adjusting for gender, household composition, educational attainment, and income. Results Preliminary results indicate that 12.6% of population experienced some form of food insecurity. Those who experienced food insecurity consumed fruit and vegetables less frequently than others, after adjustment for other socio-economic variables (ORs&amp;gt;4.00, p-values&amp;gt;0.05). Conclusions This study confirms that food insecurity is a substantial concern in Belgium. Food insecurity should be routinely monitored at the national level. Experiencing food insecurity appears to be negatively associated with the consumption of healthy foods such as fruits and vegetables and thus with the overall quality of the diet. Further research should be supported to identify effective strategies to reduce food insecurity in Belgium. Policy attention should be given to ensure financial accessibility to healthy foods and their attractiveness, especially for people experiencing food insecurity. Key messages • Food insecurity is an major concern in Belgium and should be routinely monitored. • Financial accessibility to healthy foods should be improved, especially for those facing food insecurity.

Association of healthy lifestyle on overweight and obesity among adolescents in Luxembourg

Abstract Background Adolescent overweight and obesity are significant public health challenges. Understanding the impact of healthy lifestyle behaviours is crucial for effective intervention strategies. The aim of this study is to analyse the association between healthy lifestyle behaviours with overweight and obesity among adolescents in Luxembourg. Methods The study was based on the HBSC Luxembourg 2022 survey and includes 8415 adolescents aged 11 to 18 years. Adolescents self-reported the frequency of fruit and vegetable consumption, physical activity, height, and body mass. Eating and physical activity behaviours were categorized based on WHO recommendations. Body Mass Index categorization followed International Obesity Task Force criteria. Binomial logistic regression of obesity and overweight with the interaction between healthy diet and physical activity was performed, controlling for age, gender, family affluence, migration background, and family structure. Results The results indicated a significant protective effect of healthy lifestyle behaviours against overweight and obesity. For overweight, adolescents engaging in either fruit and vegetable consumption (OR = 0.829, 95% CI [0.697-0.986]) or physical activity (OR = 0.719, 95% CI [0.566-0.913]) showed reduced odds compared to those with unhealthy behaviours. For obesity, similar associations were observed. Adolescents engaging in physical activity (OR = 0.407, 95% CI [0.235-0.705]) showed reduced odds compared to those with unhealthy behaviours. Combining both behaviours resulted in the lowest risk of obesity (OR = 0.366, 95% CI [0.177-0.760]) and overweight (OR = 0.473, 95% CI [0.340-0.658]). Conclusions Promoting health eating and physical activity behaviours are important strategies for preventing overweight and obesity in youth in Luxembourg. Implementing targeted interventions aimed to promote these behaviours could mitigate the burden of overweight and obesity in this population. Key messages • Healthy lifestyle matters: Fruit and vegetables consumption or regular physical activity significantly reduce the risk of overweight and obesity among adolescents. • Combining behaviours counts: Concurrent engagement in both fruit and vegetables consumption and physical activity offers the greatest protection against overweight and obesity.