Vegetable Intake Research Articles

Benefits of using both the Hunger Vital Sign and brief nutrition security screener in health-related social needs screening.

Food security is a commonly screened for health-related social need at hospitals and community settings, and until recently, there were no tools to additionally screen for nutrition security. The purpose of this study was to assess the potential advantage of including a one-item brief nutrition security screener (BNSS) alongside the commonly used two-item Hunger Vital Sign (HVS) food security screener for identifying individuals with diet-related health risks. Cross-sectional survey data were collected from April to June 2021. Generalized linear mixed models were used to assess associations between screening status and dietary and health variables. Recruitment was done across five states (California, Florida, Maryland, North Carolina, and Washington) from community-based organizations. Participants (n = 435) were, on average, 44.7 years old (SD = 14.5), predominantly women (77%), and racially/ethnically diverse. In adjusted analyses, being in the food insecure and nutrition insecure group (but not the food insecure and nutrition secure or food secure and nutrition insecure groups) was associated with significantly increased odds for self-reported "fair" or "poor" general health [OR = 2.914 (95% CI = 1.521-5.581)], reporting at least one chronic condition [2.028 (1.024-4.018)], and "low" fruit and vegetable intake [2.421 (1.258-4.660)], compared with the food secure and nutrition secure group. These findings support using both the HVS and BNSS simultaneously in health-related social needs screening to identify participants at the highest risk for poor dietary and health outcomes and warrant further investigation into applying these screeners to clinical and community settings.

Development, validity, and reliability assessment of the Canadian Food Literacy Measure.

Food literacy is a growing area of interest given its potential to support healthy and sustainable diets. Most existing food literacy measures focus on nutrition and food skills but fail to address food systems and socio-environmental aspects of food literacy. Further, measures developed and tested in the Canadian context are lacking. The objective of this project was to develop and test the validity and reliability of a brief self-administered measure, in French and English, designed to assess multiple dimensions of food literacy among adults living in Canada. The 23-item Canadian Food Literacy Measure was developed through an iterative process that included assessment of face and content validity through expert review (n=20) and cognitive interviews (n=20) and construct validity and reliability, i.e., internal consistency through an online survey (n=154). The results indicate that the measure is well understood by both English- and French-speaking adults. The measure's construct validity is demonstrated by the observed differences in total scores in hypothesized directions by gender (p=0.003), age (p=0.007), education level (p=0.002), health literacy (p<0.001) and smoking status (p=0.001), and the significant positive correlation (r=0.29; p=0.002) between total scores and fruit and vegetable intake. The measure also has high internal consistency with a Cronbach's coefficient alpha of 0.80. This measure can be used in surveillance studies to provide insight into the food literacy of adults living in Canada and in epidemiologic research that aims to explore how food literacy is associated with a variety of health outcomes.

Social Support, Diet, and Physical Activity among Latina/Hispanic Women Breast Cancer Survivors.

Diet and physical activity guidelines for cancer survivorship are less likely to be followed by populations of minority cancer survivors, such as Latina/Hispanic women, compared to non-Hispanic White women. It is important to understand psychosocial mechanisms that may increase adherence to healthy lifestyle habits, especially in populations at risk for poorer cancer outcomes. This cross-sectional study examined the relationships between overall social support (SS) and SS from three sources (family, friends, and significant other) with diet (fruit and vegetables, fat, energy density, and diet quality), and moderate-to-vigorous physical activity (MVPA) behaviors in Latina/Hispanic women with a history of breast cancer (n = 85; M age = 55.2; SD = 9.2). Linear regression models and odds ratios were used to examine associations and adjusted for age, income, and acculturation. Family, significant other, and total SS were positively related to total fruit and vegetable intake but SS from friends was not. Higher levels of SS from all sources were each related to a low energy density diet. A higher quality diet was only related to SS from family. SS was not related to fat intake or MVPA. Higher SS from family and a significant other were associated with higher odds of meeting the fruit/vegetable guidelines; (family, OR = 3.72, 95% CI [1.21, 11.39]; significant other, OR = 3.32, 95% CI [1.08, 10.30]). Having more SS from family or a significant other may contribute to Latina/Hispanic women breast cancer survivors meeting national guidelines for a diet high in fruits and vegetables and low in energy density.

Association between dietary patterns and the risk of all-cause mortality among old adults with obstructive sleep apnea

BackgroundObstructive sleep apnea (OSA) was associated with the increased cardiovascular events and all-cause mortality. And anti-inflammatory dietary has potential to improve the prognosis of OSA. This study aimed to investigate the association of anti-inflammatory dietary patterns with all-cause mortality among individuals with OSA.MethodsThis retrospective cohort study involved 1522 older adults with OSA from 2005 to 2008 in the National Health and Nutrition Examinations Survey (NHANES). Mortality status was determined by routine follow-up through December 31, 2019, using the National Death Index. Anti-inflammatory dietary patterns included Alternate Mediterranean Diet Score (aMED), Healthy Eating Index-2015 (HEI-2015), and Alternate Healthy Eating Index-2010 (AHEI-2010). Weighted Cox proportional hazard regression models were performed to investigate the association between anti-inflammatory dietary pattern and all-cause mortality.ResultsAfter a median follow-up of 131 months, 604 participants were recorded all-cause mortality. The mean age of OSA patients was 68.99 years old, of whom 859 were male (52.34%). Higher adherence of aMED (HR = 0.61, 95%CI: 0.48 to 0.78) and HEI-2015 (HR = 0.75, 95%CI: 0.60 to 0.95) were associated with lower all-cause mortality risk in the elderly with OSA. Conversely, no association was found between AHEI-2010 dietary pattern and all-cause mortality in individuals with OSA. In the component analysis of aMED, it was found that a higher intake of vegetables and olive oil potentially contributes to the reduction all-cause mortality risk in the elderly with OSA (HR = 0.60, 95%CI: 0.48 to 0.76; HR = 0.67, 95%CI: 0.63 to 0.71).ConclusionHigher adherence to the aMED and the HEI-2015 was associated with a lower risk of all-cause mortality in OSA. Future interventions in the elderly with OSA should considering adopting anti-inflammatory dietary patterns.

Associations of Pesticide Residue Exposure From Fruit and Vegetable Intake With Ovarian Reserve

Associations of Pesticide Residue Exposure From Fruit and Vegetable Intake With Ovarian Reserve

Associations Between Fruit and Vegetable Intake and Hypertension: Results From 143,091 Participants in the South Asia Biobank

Associations Between Fruit and Vegetable Intake and Hypertension: Results From 143,091 Participants in the South Asia Biobank

Fruit and Vegetable Intake Among US Children Aged 1–5 Years Old and Associations With Food Assistance Program Participation and Food Sufficiency, 2021–2022

Fruit and Vegetable Intake Among US Children Aged 1–5 Years Old and Associations With Food Assistance Program Participation and Food Sufficiency, 2021–2022

Evaluation of Potential Indicators of Fruit and Vegetable Intake Among U.S. Adults From NHANES 1988-1994 and 2001-2006

Evaluation of Potential Indicators of Fruit and Vegetable Intake Among U.S. Adults From NHANES 1988-1994 and 2001-2006

Fruit and Vegetable Intake and Supplemental Nutrition Assistance Program Participation Status Among Older Adults Living in Rhode Island

Fruit and Vegetable Intake and Supplemental Nutrition Assistance Program Participation Status Among Older Adults Living in Rhode Island

Examining Associations Between Skin Carotenoids, Self-Reported Fruit and Vegetable Intake, and Diet Quality Among Predominantly Hispanic/Latinx Food Pantry Clients

Examining Associations Between Skin Carotenoids, Self-Reported Fruit and Vegetable Intake, and Diet Quality Among Predominantly Hispanic/Latinx Food Pantry Clients

An Intermittent Fasting Intervention for Black Adults Can Be Feasibly Implemented in Black Churches: A Cluster Randomized Controlled Pilot Study

BackgroundIntensive lifestyle interventions, including modest reductions in daily caloric intake (ie, continuous calorie energy reduction [CER]), are recommended by US national professional health organizations (eg, American Heart Association). However, they are less effective in Black communities. A burgeoning literature has reported the promise of intermittent fasting (IF) as an alternative strategy for weight loss. However, IF studies have been conducted with White participants predominately and provided participant resources not readily available in real-world situations. ObjectiveWeight-loss and weight-related outcomes of a scalable (ie, able to be widely disseminated and implemented) IF intervention developed with and for Black adults were compared with a CER intervention for the purpose of determining IF’s feasibility (ie, initial effectiveness, adherence, and acceptance) in a Black community. DesignA cluster randomized controlled pilot study was conducted. Participants/settingA total of 42 Black adults with a body mass index (calculated as kg / m2) ≥25 were recruited from 5 Black churches (3 IF and 2 CER) in Western New York State from September 2021 to May 2022. Participants were free of medical conditions that might have contraindicated participation in a weight-reduction program and other factors that might affect weight loss. InterventionsCommunity health workers delivered the 6-month, 16-session, faith-based IF and CER interventions. Main outcome measuresThe primary outcome was feasibility, consisting of initial effectiveness on body weight (ie, percent body weight lost from baseline to 6-month follow-up), adherence, and acceptability. Statistical analyses performedDescriptive statistics and linear mixed models accounting for within-church clustering were used. A baseline covariate corresponding to the outcome variable was included in the model. Intent-to-treat analysis was used. ResultsThere was statistically significant weight loss within both arms (IF: –3.5 kg; 95% CI –6 to –0.9 kg, CER: –2.9 kg; 95% CI –5.1 to –0.8 kg) from baseline to 6-month follow-up. Compared with CER, IF led to significantly lower daily energy intake (414.2 kcal; 95% CI 55.2 to 773.2 kcal) and fat intake (16.1 g; 95% CI 2.4 to 29.8 g). IF may result in lower fruit and vegetable intake (–103.2 g; 95% CI –200.9 to –5.5 g) and fiber intake –5.4 g; 95% CI –8.7 to –2 g) compared with CER. Participants in the IF arm completed a mean (SE) of 3.8 (1.4) more self-monitoring booklets compared with those in the CER arm (P = .02). Participants reported high levels of satisfaction with the program. ConclusionsAn IF intervention developed with and for Black adults can be feasibly implemented in Black churches. Larger studies need to be conducted to ascertain the extent IF can serve as a viable weight-loss alternative to CER interventions in Black communities.

Skin Carotenoids Measured by Reflection Spectroscopy Correlate With Vegetable Intake in Diverse Adolescents in Houston, TX

Skin Carotenoids Measured by Reflection Spectroscopy Correlate With Vegetable Intake in Diverse Adolescents in Houston, TX

Nutrition Security and Related Measures Mediate Association Between Food Security and Fruit and Vegetable Intake Among Low-Income Households

Nutrition Security and Related Measures Mediate Association Between Food Security and Fruit and Vegetable Intake Among Low-Income Households

Comparison of Dietary Patterns and Daily Food Intake Across Kidney Disease Stages in England: An A-Posteriori Cluster Analysis

ObjectiveDietary patterns are rapidly becoming a major focus of medical nutrition therapy in CKD and the analysis of dietary patterns has emerged as a practical approach to evaluate qualitative as well as quantitative aspects of overall diet. In an a-posteriori data-driven approach, dietary patterns are based on the actual food intake of the population evaluated. Investigation of dietary patterns in CKD are not well described, and, to our knowledge, have not been conducted in a UK-based cohort. MethodsAdult participants with a diagnosed kidney condition (CKD 1-5 not requiring dialysis) were recruited into a multi-centre observational cross-sectional study. Dietary intake was assessed using the European Prospective Investigation of Cancer in Norfolk Food Frequency Questionnaire. Logistic Principal Components Analysis was used to identify food group clusters. Differences between groups were assessed using univariate general linear modelling. ResultsIn total, 696 patients were included. The mean age was 64.7 (±14.0) years, 61% of the cohort were male. Most participants were White British (89%). The mean eGFR was 36.6 (±20.9) ml/min/1.732. We found differences in food group intake across stages (e.g., greater intake of nuts and seeds intake in CKD 1-2 versus CKD 4) and across sex (e.g., females had a higher intake of fruit and vegetables versus males). Comparison with the reference cohort revealed that, overall, the CKD cohort had reduced intakes of food stuffs such as cereals and cereal products, but higher intakes of groups such as meat and meat products. There were limited differences in micronutrients, although Vitamin B2 and calcium were higher in earlier stages. ConclusionOverall, the findings from a novel a-posteriori approach underline the complex diversity of food patterns in CKD. The findings from our study may inform dieticians and other healthcare providers about the need to consider treatment modalities and stages when giving dietary recommendations.

Xeropthalmia and optic neuropathy secondary to ARFID: a case report

BackgroundPatients with avoidant/restrictive food intake disorder (ARFID) commonly present with loss of weight or faltering growth in the setting of poor nutrition. However, patients with ARFID can present with micronutrient deficiencies without weight loss. In patients with ARFID, clinicians should be vigilant for micronutrient deficiencies and their presentations.Case presentationWe report a unique case of ARFID in a twelve-year-old girl, who developed micronutrient deficiencies and presented with acute visual loss with a preceding history of impaired night vision. Ophthalmic examination revealed xerophthalmia and bilateral optic neuropathy. Investigations showed severe Vitamin A and folate deficiencies which accounted for her clinical findings. In addition, she was also found to have low Vitamin B12, copper, and Vitamin D levels. She had a history of selective eating from a young age with a diet consisting largely of carbohydrates, with no regular intake of meat, dairy, fruit and vegetables. This was not driven by weight or body image concerns. The patient’s symptoms improved significantly with appropriate vitamin replacement and continued multidisciplinary care.ConclusionsThis report describes a patient with ARFID presenting with visual complaints. In this case, the selective eating behaviours resulted in xeropthalmia and optic neuropathy. Micronutrient deficiencies are uncommon in developed countries. When these deficiencies are suspected, eating disorders, such as ARFID, should be considered. Similarly, clinicians caring for patients with restrictive eating disorders including ARFID should be familiar with the clinical presentations of various micronutrient deficiencies and consider evaluation and treatment for micronutrient deficiencies when clinically indicated.

Relationship between dietary risk factors and sedentary recreational screen time among school-age children in grades 4-6 in Baise City from 2018 to 2019

To explore the relationship between dietary risk factors and sedentary recreational screen time of adolescents. A total of 6363 pupils of Grades 4-6 from 6 primary schools in Baise were recruited with cluster-sampling method from Sep.2018 to Nov.2019. Participants were asked to report the average duration of watching television, digital devices use, intakes of sugar-sweetened beverage(SSB), snacks, fast-food, soymilk/milk product, skipping breakfast, and frequency of fruit/vegetable. We performed multivariable logistic regression to estimate OR and 95%CI for the relations between duration of sedentary recreational screen time and dietary risk factors, accounting for complex survey sampling and adjusting for potential confounders. (1)Both prolonged watching television and leisure-time digital devices use were associated with high intakes of SSBs, snacks, and low intakes of fruits and vegetables. And compared with &lt;2 h/d, two kinds of screen-time(&gt;4 h/d) was associated with significantly higher odds for intakes of fast food(watching television: OR=2.551;leisure-time digital devices use: OR=3.024), and frequent breakfast skipping(watching television: OR=1.646;leisure-time digital devices use: OR=1.674). (2)Compared with the reference groups(&lt;2 h/d), participants spending more time per day on sedentary recreational screen time were more likely to drink sugar-sweetened beverages(OR=1.717-3.272), consume snacks(OR=1.626-3.154)and less likely to consume fruit/vegetable(OR=1.526-2.251). Compared to ≤2 h/d, estimated ORs of high intakes of fast food were 2.118 for&gt;3 h/d of screen time, and 2.357 for &gt;4 h/d. Increased television viewing and digital devices use in adolescence of Grades 4-6 is associated with higher odds of consumption of sweetened beverages, snacks and lower odds of fruit consumption in Baise.

Characteristics of the Diet, Food Preferences, and Perceptions of Healthy Eating in 11–12-Year-Old Schoolchildren

Introduction: The issue of healthy eating of schoolchildren as one of the most important factors in maintaining and improving health of the younger generation, as well as preventing non-communicable diseases in the population as a whole, is recognized as a socially significant problem at the international level and in many countries of the world, including Russia. Objective: To establish characteristics of the diet, food preferences, and awareness about the importance of healthy eating among 11–12-year-old schoolchildren in order to determine teaching content promoting healthy eating practices in this age group. Materials and methods: The questionnaire-based survey was conducted from May to August 2023 involving 150 fifth-year schoolchildren from Cherepovets (mean age: 12.3 ± 0.37 years). The questionnaire contained closed-ended questions grouped into three blocks corresponding to the subject of study and the answers were then analyzed using quantitative, qualitative, and generalization methods. Results: Nutritional imbalance in the 11–12-year-old schoolchildren was established. We noted low daily consumption of potable water in 32.0 % of the respondents, the absence of fermented dairy products, cheese or cottage cheese (17.8 % and 18.7 %, respectively), as well as fish (51.3 %), meat (16.7 %), eggs (23.5 %), and porridge (36.2 %) in the diet. At the same time, we observed a high frequency of daily consumption of sausages (28.7 %), mayonnaise or ketchup (19.3 %) accompanied by low daily intake of fresh fruits and vegetables (ca. 58.0 %). Preferring sweet carbonated drinks to juices (41.5 %) and fried foods (52.6 %) indicated unhealthy dietary habits. 42.0 % of the teenagers had certain gaps in knowledge about healthy eating. Conclusions: The established dietary habits, food preferences, and perceptions of healthy eating among 11–12-year-old schoolchildren indicate the need for proper nutrition education at school.

The Global Incident Gastrointestinal Cancers Attributable to Suboptimal Diets From 1990 to 2018

Background and AimsThe contribution of suboptimal diets to gastrointestinal (GI) cancer incidence globally remains unquantified, and we aimed to evaluate it. MethodsComprehensive meta-analyses and rigorous evidence grading assessment identified the associations between suboptimal diets and six GI cancers and their subtypes. A comparative risk assessment model was employed to estimate the proportional attributable burden and attributable rate of GI cancers to suboptimal diets by using the corroborative association estimates. Additionally, correlation assessments with the Sociodemographic Index (SDI) were carried out. ResultsIn 2018, 21.5% (95% Uncertainty Interval (UI): 19.1%, 24.5%) of incident GI cancer cases globally were attributable to suboptimal diets, maintaining a relatively stable proportion since 1990 (22.4% (19.7%, 25.6%)), while the absolute diet-attributable cases doubled from 581 thousands (511 thousands, 664 thousands) in 1990 to 1,040 thousands (923 thousands, 1,187 thousands) in 2018. Excessive processed meat consumption (5.9% (4.2%, 7.9%)), insufficient fruit intake (4.8% (3.8%, 5.9%)), and insufficient whole grain intake (3.6% (2.8%, 5.1%)) were the most significant dietary risk factors in 2018, a shift from 1990 when the third major concern was insufficient non-starchy vegetable intake. Additionally, Central and Eastern Europe, and Central Asia experienced the highest attributable burden across regions in both 1990 (31.6% (27.0%, 37.4%)) and 2018 (31.6% (27.3%, 36.5%)), and a positive correlation (P < .01) between the SDI and the attributable GI cancer incidence was observed. ConclusionsAlthough the proportional attributable GI incidence remains relatively stable, the doubling of absolute cases from 1990 to 2018, along with the discrepancies among urbanicity and countries/regions, informs dietary priorities and more targeted preventive measures.

Assessing the relationship between lifestyle factors and mental health outcomes among Afghan university students

BackgroundLifestyle factors such as physical activity, diet, and sleep can impact university students' mental health. This study examined the associations between lifestyle and mental health among students at Herat University in Afghanistan. MethodsA cross-sectional study was conducted among 677 students selected through stratified random sampling. Participants completed a questionnaire on socio-demographics, physical health, dietary habits, and the Depression Anxiety Stress Scale (DASS-42). Chi-square tests and logistic regression analyzed the relationships between lifestyle factors and DASS-42 scores. ResultsPoor perceived health and irregular breakfast consumption were associated with higher odds of depression and anxiety. Low vegetable intake also increases the odds of depression and anxiety. Studying non-medical fields and irregular sleep patterns were linked to higher stress levels. ConclusionComprehensive health promotion and targeted interventions addressing dietary habits, sleep, and discipline-specific needs may improve the mental well-being of university students. A multidimensional approach is required to foster a healthy campus environment.

Association of Vegetable Intake and Severity of Pemphigus vulgaris: A Cross-Sectional Study

Association of Vegetable Intake and Severity of Pemphigus vulgaris: A Cross-Sectional Study