Vegetable Consumption Behavior Research Articles

First insights in children’s health literacy in the Netherlands–results in a sample of 8-11 year olds

Abstract Background There are few valid, age-appropriate tools to assess children’s HL. The German-language European Health Literacy Survey Questionnaire Adapted for Children (HLS-Child-Q15-DE) is a self-report questionnaire adapted from the adult European Health Literacy Survey Questionnaire. In 2021, this instrument was translated and validated in the Netherlands. In this presentation, we will describe the distribution of Health literacy in a sample of Dutch children, and relate their Health literacy level to certain aspects of their health behaviour such as food intake and physical activity. Methods The HLS-Child-Q15-DE was translated following WHO guidelines and administered digitally to 209 Dutch schoolchildren (eight-to-eleven-year-olds). Its psychometric properties were assessed and the sample’s HL distribution was explored by demographic characteristics. Associations with food intake and physical activity were computed. Results Of the sample, 17.2% had a low health literacy score (first quintile), 61.1% medium (second to fourth quintile) and 21.7% high (fifth quintile). Higher HL scores were observed for ten-to-eleven-year-olds (compared with eight-to-nine-year-olds; p = 0.021) and fourth-grade students (compared with third-grade; p = 0.019). A positive association between children’s HL and their vegetable consumption and PA behaviour was observed. Conclusions Children’s health literacy can have an impact on some aspects of their lifestyle. This supports the idea that health literacy evolves throughout life and stresses the importance of both parents and schools in this process.

Description of knowledge, Behavior of Vegetable and Fruit Consumption, and Nutritional Status in Class X Students in Public High School 1 Porong Sidoarjo

In Indonesia, according to the 2018 Basic Health Research report, the majority of the population above the age of 5, which is around 95.5%, still consumes vegetables and fruits below the recommend levels. When a person's knowledge and behavior are not optimal, then they will have difficulty maintaining the balance of food intake they consume. The purpose of the study was to determine the description of knowledge, fruit vegetable consumption behavior and nutritional status in class X students at SMA Negeri 1 Porong. This was a descriptive study. The Sampling method used was simple random sampling with a total samples size of 40 people. The results showed that the knowledge level of respondents in the poor category was 18 adolescents and in the good category was 11 adolescents. Most adolescents (34) exhibited poor vegetable consumption behavior, while the majority (21) demonstrated good fruit consumption behavior. The nutritional status of most respondents had good nutritional status as many as 25 adolescents. In Conclusion, adolescents in SMA Negeri 1 Porong have knowledge about vegetables and fruits in the poor category, poor vegetable consumption behavior, good fruit consumption behavior and good nutritional status.

Correction: Wiriyasirikul et al. The Effectiveness of Promoting a Vegetable and Fruit Consumption Behavior Program among Preschool Children in Nakhon Si Thammarat Province, Thailand. Sustainability 2023, 15, 14350

The authors would like to make the following corrections about the published paper [...]

Knowledge, availability, and parental support on fruit and vegetable consumption behavior in adolescents: A systematic review and meta-analysis

Knowledge, availability, and parental support on fruit and vegetable consumption behavior in adolescents: A systematic review and meta-analysis

Knowledge, Health, and Social Drivers of Frozen Vegetable Consumption Practices Relevant to Listeriosis in Women of Childbearing Age

In recent years, there have been numerous recalls of frozen vegetable products due to Listeria monocytogenes contamination, which causes listeriosis. In pregnant women, listeriosis can cause miscarriage, stillbirth, and other serious complications. Manufacturing guidelines are created with the intention that frozen vegetables will be cooked prior to consumption. However, consumers may prepare and eat frozen vegetables without prior cooking. Therefore, it is necessary to assess behaviors that could be risky for L. monocytogenes exposure. A 10-question online survey was distributed to women between the ages of 18–54 to investigate frozen vegetable consumption behaviors. The prevalence of uncooked frozen vegetable consumption, reading preparation instructions, and listeriosis knowledge was assessed. Data were analyzed using logistic and ordered logit regression. Of 1,001 complete responses, 531 (53%) indicated that they consumed frozen vegetables in the past week, and of those 35.6% (n = 189) indicated that they consumed frozen vegetables without prior heating. Women who had not heard of listeriosis and had not read preparation instructions had significantly higher odds of uncooked frozen vegetable consumption (Odds Ratio (OR): 2.30, 95% Confidence Interval (CI): 1.48, 3.55; OR: 1.85, 95% CI: 1.13, 3.01, respectively). These results will guide future research on safe food handling practices for frozen vegetable products. The findings support the need for updating public health guidelines to include frozen vegetables as foods that are risky for listeriosis in pregnancy. Additionally, these findings have implications for future research to inform food policy governing labeling regulation on frozen vegetable products to reflect current consumer behavior.

Understanding the Factors Influencing Fruit and Vegetable Consumption Behavior of Office Workers: Intervention Strategies Using Social Marketing Techniques Based on Pender’s Health Promotion Model

Understanding the Factors Influencing Fruit and Vegetable Consumption Behavior of Office Workers: Intervention Strategies Using Social Marketing Techniques Based on Pender’s Health Promotion Model

Perubahan Tingkat Konsumsi Sayur dan Buah pada Remaja Melalui Intervensi Media Audio Visual

The benefits of consuming fruit and vegetables include reducing hypertension, preventing coronary heart disease, stroke, cancer, weight gain and Alzheimer's. This research aims to determine the influence of audiovisual media and lecture methods on changes in fruit and vegetable consumption behavior among teenagers in Gorontalo Regency. This type of research is quantitative with a quasi-experimental research design with a Nonequivalent Control Group Design research design. The respondents used were 76 respondents consisting of 38 respondents for intervention and 38 respondents as controls obtained by purposive sampling. The instruments used were questionnaires, leaflets and audiovisual. Data analysis used univariate analysis. Univariate analysis of food consumption frequency before the intervention showed that 14 people (36.8%) consumed bananas, 24 people (63.2%), 24 people (63.2%) consumed bananas, 26 people (68.4%) and tomatoes (42.1%). %), and after the intervention, bananas were 21 people (55.3%), papaya 31 people (81.6%), kale 30 people (78.9%), and tomatoes 25 people (65.8%). The results of the study used the Wilcoxon test which showed that there was an influence of counseling on behavior change. The results of the Mann-Whitney Test showed differences in behavior in the intervention group and the control group.

The Effectiveness of Promoting a Vegetable and Fruit Consumption Behavior Program among Preschool Children in Nakhon Si Thammarat Province, Thailand

This study aimed to design a program for promoting fruit and vegetable consumption behaviors among preschool children based on a domestic social support framework, with the goal of increasing their fruit and vegetable intake. This quasi-experimental study involved a set sample of preschool children and their caregivers who were randomly selected based on specific inclusion criteria. The study included 96 pairs of preschool-aged children and their caregivers, divided into experimental and control groups. The experimental group received the program, while the control group continued with their regular activities. The program development drew inspiration from the caregiving practices in Muang District, Nakhon Si Thammarat. The assessment tools included a preschooler’s eating behavior evaluation and a knowledge test for caregivers regarding children’s fruit and vegetable consumption and the ways to enhance it. Furthermore, experts approved the fruit and vegetable eating behavior assessment among the preschoolers, and a handbook for nurses and primary caregivers affirmed their suitability within the caregiver support framework. The developmental findings suggested that a 10-week program was appropriate and showed a promise in increasing fruit and vegetable consumption among the preschoolers. The findings, notably in the experimental group, demonstrate that caregivers should increase their knowledge of, and exhibit behavioral support in, fruit and vegetable consumption among preschoolers, and that this will eventually reflect a positive impact on preschoolers’ dietary habits.

Green consumption behavior prediction based on fan-shaped search mechanism fruit fly algorithm optimized neural network

Predicting consumption behavior is very important for adjusting supplier production plans and enterprise marketing activities. Conventional statistical methods are unable to accurately predict green consumption behavior because it is characterized by multivariate nonlinear interactions. The paper proposes an optimized fruit fly algorithm (FOA) and extreme learning machine (ELM) model for consumption behavior prediction. First, to address the problem of uneven search direction of FOA leading to insufficient search ability and low efficiency, the paper proposes a sector search mechanism instead of a random search mechanism to improve the global search ability and convergence speed of FOA. Second, to address the issue that the initial weights and hidden layer bias values of the ELM are randomly generated, which affects the learning efficiency and generalization of the ELM, the paper uses an improved FOA to optimize the weights and bias values of ELM for improving the prediction accuracy. Taking the green vegetable consumption behavior of Beijing residents as an example, the results show the optimization of the initial weight and threshold of ELM by the GA, PSO, FOA, and SFOA, the prediction accuracy of the GA-ELM, PSO-ELM, FOA-ELM, and SFOA-ELM models all surpass those of ELM. Compared with BPNN, GRNN, ELM, GA-ELM, PSO-ELM, and FOA-ELM models, the RMSE value of SFOA-ELM was decreased by 9.45%, 8.40%, 11.89%, 5.84%, 2.22%, and 2.69%, respectively. These findings demonstrate the effectiveness of the SFOA-ELM model in green consumption behavior prediction and provide new ideas for the accurate prediction of consumption behaviors of other green products with similar characteristics.

LOFIT (Lifestyle front Office For Integrating lifestyle medicine in the Treatment of patients): a novel care model towards community-based options for lifestyle change—study protocol

BackgroundA healthy lifestyle is indispensable for the prevention of noncommunicable diseases. However, lifestyle medicine is hampered by time constraints and competing priorities of treating physicians. A dedicated lifestyle front office (LFO) in secondary/tertiary care may provide an important contribution to optimize patient-centred lifestyle care and connect to lifestyle initiatives from the community. The LOFIT study aims to gain insight into the (cost-)effectiveness of the LFO.MethodsTwo parallel pragmatic randomized controlled trials will be conducted for (cardio)vascular disorders (i.e. (at risk of) (cardio)vascular disease, diabetes) and musculoskeletal disorders (i.e. osteoarthritis, hip or knee prosthesis). Patients from three outpatient clinics in the Netherlands will be invited to participate in the study. Inclusion criteria are body mass index (BMI) ≥25 (kg/m2) and/or smoking. Participants will be randomly allocated to either the intervention group or a usual care control group. In total, we aim to include 552 patients, 276 in each trial divided over both treatment arms. Patients allocated to the intervention group will participate in a face-to-face motivational interviewing (MI) coaching session with a so-called lifestyle broker. The patient will be supported and guided towards suitable community-based lifestyle initiatives. A network communication platform will be used to communicate between the lifestyle broker, patient, referred community-based lifestyle initiative and/or other relevant stakeholders (e.g. general practitioner). The primary outcome measure is the adapted Fuster-BEWAT, a composite health risk and lifestyle score consisting of resting systolic and diastolic blood pressure, objectively measured physical activity and sitting time, BMI, fruit and vegetable consumption and smoking behaviour. Secondary outcomes include cardiometabolic markers, anthropometrics, health behaviours, psychological factors, patient-reported outcome measures (PROMs), cost-effectiveness measures and a mixed-method process evaluation. Data collection will be conducted at baseline, 3, 6, 9 and 12 months follow-up.DiscussionThis study will gain insight into the (cost-)effectiveness of a novel care model in which patients under treatment in secondary or tertiary care are referred to community-based lifestyle initiatives to change their lifestyle.Trial registrationISRCTN ISRCTN13046877. Registered 21 April 2022.

Exploring children’s health literacy in the Netherlands – results in a sample of 8-11 year olds

Abstract Background There are few valid, age-appropriate tools to assess children's HL. The German-language European Health Literacy Survey Questionnaire Adapted for Children (HLS-Child-Q15-DE) is a self-report questionnaire adapted from the adult European Health Literacy Survey Questionnaire. In 2021, this instrument was translated and validated in the Netherlands. In this presentation, we will describe the distribution of Health literacy in a sample of Dutch children, and relate their Health literacy level to certain aspects of their health behaviour such as food intake and physical activity. Methods The HLS-Child-Q15-DE was translated following WHO guidelines and administered digitally to 209 Dutch schoolchildren (eight-to-eleven-year-olds). Its psychometric properties were assessed and the sample's HL distribution was explored by demographic characteristics. Associations with food intake and physical activity were computed. Results Of the sample, 17.2% had a low health literacy score (first quintile), 61.1% medium (second to fourth quintile) and 21.7% high (fifth quintile). Higher HL scores were observed for ten-to-eleven-year-olds (compared with eight-to-nine-year-olds; p = 0.021) and fourth-grade students (compared with third-grade; p = 0.019). A positive association between children's HL and their vegetable consumption and PA behaviour was observed. Conclusions Children's health literacy can have an impact on some aspects of their lifestyle. This supports the idea that health literacy evolves throughout life and stresses the importance of both parents and schools in this process.

Observational study: determinants for vegetable consumption among elementary school students in Indonesia

Background: The prevalence of obesity in school children has been increasing worldwide, including in developing countries such as Indonesia. Childhood obesity is associated with an unbalanced diet, especially the lack of fruit and vegetable consumption. This study aimed to determine the factors that influence vegetable consumption behavior in school children in Indonesia. Methods: The cross-sectional study was conducted in eight public elementary schools in a suburban area of Bogor Regency involving 433 students from the fifth grade. Data collection was conducted from November to December 2018. Data on the students’ characteristics, knowledge, and attitude as well as availability of vegetables at home and at school were collected using a structured questionnaire. While, a 24-hour food recall was utilized to obtain information on vegetable consumption and overall diet. Data analysis was done using Chi-squared test and logistic regression. Results: The average daily intake of vegetables was 47.11 g, far below the recommend amount (250 g). Female students had significantly better vegetables intake compared with their male counterparts. The availability of vegetables at home and students’ positive attitude toward vegetables were also significantly associated with better vegetable intake. Logistic regression analysis showed that availability of vegetables at home almost tripled the likelihood of better vegetable consumption (OR 2.822, 95% CI 1.822–4.372). Additionally, availability of vegetables at school and positive attitude toward vegetables doubled the odd for better vegetable consumption, OR 2.2 and 2.1 respectively (p<0.005). Conclusions: Vegetable consumption among schoolchildren was very low compared with the recommended portion. Better vegetable consumption was significantly associated with sex, availability, and students’ attitudes. Vegetable availability at home was the strongest determinant influencing vegetable consumption among elementary school students involved in the study. Hence, parental support or home food environment is key in improving their diet quality to prevent obesity.

The effect of a school-based fruit and vegetable promotion program on adolescents' fruit and vegetable consumption behavior in Turkey

PurposeThe aim of this study was to analyze the effect of a school-based F&V promotion program developed in line with the transtheoretical model (TTM) on the consumption behavior of middle school students. Design and methodsThe study was designed as semi-experimental research with pre−/post- and follow-up tests and a control group. It was conducted at a total of six middle schools in the district of Fethiye/Muğla, Turkey. Three of the schools were selected with the random clustering method as an intervention group and the others as the control group. The F&V promotion program was executed in the intervention group for a period of 24 weeks. ResultsIt was found in the 6th and 12th months after the intervention that the daily number of portions of fruits (p<.01) and vegetables (p<.01) consumed by the students in the intervention group was significantly more compared to the control group. The perception of the pros of F&V consumption and self-efficacy in the intervention group were higher than in the controls (p<.01). ConclusionsThe school-based F&V consumption promotion program was effective in increasing the number of portions of fruits and vegetables students consumed and in improving their behaviors in this regard. Application to practiceThe study indicates that the interventions described may be recommended to school nurses for use in their efforts to increase levels of F&V consumption.

Medicare and Fruit and Vegetable Consumption in Hypertensive Adults Aged 55–75: A Regression Discontinuity Study

ObjectivesHypertension affects nearly 75% of U.S. adults 65 or older. Along with medical care, lifestyle interventions such as diet and physical activity have been recommended to treat hypertension. Medicare, a federal health insurance program for people 65 or older, increases health care utilization among beneficiaries with chronic conditions. However, the effect of Medicare on lifestyle behaviors is yet to be understood. Whereas Medicare could alleviate the out-of-pocket health care expenses and allow increased spending on healthy foods, the coverage might disincentivize adherence to a healthy diet in some individuals. The objective is to assess the effects of Medicare on fruit and vegetable consumption in a nationally representative sample of US hypertensive adults aged 55–75. MethodsData from the 2013–2018 National Health and Nutrition Examination Survey (NHANES), were used. The current study included 2,806 respondents 55–75 years of age diagnosed with hypertension who completed the first-day diet recall. Because age is the determining factor for Medicare eligibility, a regression discontinuity design (RDD) was used to assess the effect of Medicare on the number of daily servings of fruit and vegetables consumed. Demographic variables namely sex, race, education, income level, marital status, health insurance status, and medical conditions were covariates. ResultsThe mean ± SD age was 64.61 y ± 5.62 and 51.82% were female. 82% of those aged 65–75 had Medicare. On average, the respondents consumed 3.63 servings of fruits and 7.14 servings of vegetables. In the RDD, Medicare did not lead to a statistically significant reduction in fruit consumption (bandwidth of 55–75: B = –0.604; p-value = 0.710; bandwidth of 59–71: B = –0.593; p-value = 0.516) or vegetable consumption (bandwidth of 55–75: B = 0.260; p-value = 0.829; bandwidth of 59–71: B = 0.261; p-value = 0.829) among hypertensive patients. The results did not substantially alter after employing different model specifications. ConclusionsThe findings of this study include key policy implications. Since Medicare has no substantial effect on fruit and vegetable consumption and overall healthy behaviors, policy interventions are needed to complement Medicare with improving healthy behavior programs. Funding SourcesN/A.

FAKTOR - FAKTOR YANG MENYEBABKAN HIPERTENSI DI KELURAHAN MEDAN TENGGARA

Lately, hypertension is still the biggest challenge in Indonesia. How not, hypertension is a condition that is often found in primary health care. This is a health problem with a high prevalence of 25.8%. This study aims to determine the factors that cause hypertension in the kelurahan of Medan Tenggara in 2021. This research method uses quantitative research methods, with a cross sectional study approach. Samples were taken for respondent data using the Slovin formula (1960), and the number of samples obtained was 98 families (family cards). The process of collecting data by looking at medical records recorded in 2020 and 2021 and conducting field observations to 11 neighborhoods in the Southeast Medan village by distributing questionnaires to the public. In conclusion, the factors that cause hypertension in the Medan Tenggara sub-district are tobacco use behavior (smoking), fruit and vegetable consumption behavior, risky foods, flour processed foods and a history of other diseases. Based on the results of the data from the research conducted, it can be concluded that the majority of the highest age affected by hypertension are from the 41-50 year age category occupying the highest number in the Southeast Medan sub-district, namely 28 respondents (28.5%), with the distribution of tobacco use (smoking) ) (23.5%), with the distribution of consuming salty foods (34.7%), sweet foods (67.3%), fatty (39.8%), preservatives (17.3%) and seasonings. (49.0%) and consume instant noodles (29.6%).

The Effect of Online Order Development on Fast Food, Vegetable, and Fruit Consumption Behavior on Students in Surabaya

Technology development causes easy access to various sectors, including ordering food online. Fast food is one of the foods that many people reviewed in online applications that are high in fat with a density of 40% of total calories. Meanwhile, the consumption of vegetables and fruits of Indonesia’s people is still inadequate; only 63.3% consume as recommended. These things will undoubtedly increase the body mass index (BMI) and increase the risk of overweight and obesity. This study aims to analyze the impact of online order development on fast food, vegetables, and fruits consumption behavior on students in Surabaya. This descriptive cross-sectional study enrolled 317 students in Surabaya City, East Java, Indonesia. The online survey collected data through online platforms, SurveyMonkey. Data were analyzed in statistical software SPSS 25.0 using multivariate binomial linear regression test. The significance level was set at p&lt;0.05. Regression analysis shows that the habit of ordering boba drinks with a weekly frequency has a significant relationship with the incidence of overweight/obesity in respondents (p = 0.015; OR = 3.037; 95% CI (1.236-7.462)) when compared to respondents who have the habit of ordering and consuming boba drinks every month. Consumption habits of boba drink are associated with higher body mass index (BMI), increasing the risk of overweight and obesity. A policy from the government and related parties is needed to regulate boba consumption limits for the community.

Investigating the predictive power of constructs of extended Pender's health promotion model and some background factors in fruit and vegetable consumption behavior among government employees

BACKGROUND:Daily consumption of fruit and vegetable (F and V) can effectively reduce the risk factors of cardiovascular diseases; therefore it is necessary to identify the factors affecting this behavior. This study aimed to determine the Predictive Power of Pender's Health promotion model (HPM) constructs in F and V consumption behavior and the effects of some background variables on this behavior.MATERIALS AND METHODS:A descriptive-correlation study was conducted on 418 employees working in different offices of Qaemshahr, Mazandaran Province from April 8, 2019, to July 23, 2019. The participants filled out a questionnaire about perceived F and V Consumption behavior based on Pender's HPM Constructs. The data were statistically analyzed by descriptive statistics and parametric tests, including the Pearson correlation, Independent– Sample t-test, One-Way analysis of variance test, and multiple linear regression, in SPSS-22.RESULTS:The mean age of participants was 40.25 ± 7.56 years. The results showed that F and V consumption behavior was positively correlated with some constructs of Pender's HPM including, behavioral outcome (r = 0.51, P < 0.001), previous related behavior (r = 0.48, P < 0.001), commitment to action (r = 0.47, P < 0.001), perceived self-efficacy and behavior-related emotions (r = 0.39, P < 0.001). Behavioral outcome alone explained 26% of the dependent variable changes (F and V consumption behavior). The results also indicated that there was a significant relationship between gender and F and V consumption behavior (P = 0.01).CONCLUSION:The study findings demonstrated that some of Pender's HPM Constructs could predict F and V consumption behavior. Behavioral outcome alone was a strong predictor of this behavior. Therefore, in addition to background variables, these constructs should be taken into account in the development of training interventions and courses.

The Effect of a School-Based Fruit and Vegetable Promotion Program on Adolescents' Fruit and Vegetable Consumption Behavior in Turkey

The Effect of a School-Based Fruit and Vegetable Promotion Program on Adolescents' Fruit and Vegetable Consumption Behavior in Turkey

Promoting fruit and vegetable consumption during the COVID-19 pandemic - SportStudisMoveYou (SSMY): A randomized controlled trial.

The stay-at-home circumstances due to the global coronavirus pandemic have had some negative impacts on people's eating behavior. Therefore, this study attempted to improve fruit and vegetable (FV) consumption intention and behavior through an online video intervention based on the social cognitive theory. Participants were recruited with a promotion video posted on social media channels. After consenting and completing a pre-survey, participants were randomly assigned to either a) the intervention group addressing FV consumption or the b) attention control group addressing physical activity. After two weeks, the participants completed an online post-survey. The participants (N = 82) were 77% female and 50% students; 95% chose German for the survey language, and 84% were from Switzerland. The mean baseline FV consumption intention was 3.05 (standard deviation: 1.03), and FV consumption was 4.64 (standard deviation: 2.06) portions a day. The analysis showed no significant change in FV consumption intention (F = (1, 78) = 0.02, p = 0.88, ηp2 = 0.00) or behavior (F = (1, 78) = 0.019, p = 0.89, ηp2 = 0.03) due to the intervention. Plausible reasons why no significant effect was found were the brief intervention duration, the setting and insufficient tailoring. The lessons learned from this study are to plan better, tailor more to the needs of participants and carefully consider the goals before promoting an intervention.

The Effect of Nutritional Education Using Cognitive Approaches and Psychomotor Approaches on Fruit and Vegetable Consumption Behavior in Children

BACKGROUND: One of the problems related to eating behavior in children less than 5 years is the lack of consumption of fruits and vegetables. With this problem, an approach is needed to better consume it. AIM: This study aims to determine the effect of nutritional education using cognitive approaches (using illustrated storybooks and puppet shows) and psychomotor approaches (using puzzle and fruit and vegetable cards) on fruit and vegetable consumption behavior in children in the An-Nur Surabaya Kindergarten. METHODS: This study used a quasi-experimental study with a pre- and post-test group. The population is 48 respondents. Sampling uses the Probability sampling method with simple random sampling. The independent variable was nutrition education using media illustrated storybooks media, puppet shows, puzzles, and fruit and vegetable cards, meanwhile the dependent variable is consumption behavior of fruits and vegetables. The intervention was carried out 4 times. FFQ form was used to assess fruit and vegetables consumption behavior. RESULTS: The results showed that the average consumption of fruits and vegetables before the intervention was 168 g or equivalent to 1 portion, and the average after intervention was 304 g or equivalent to 3 servings. There is a significant influence (p = 0.000) on fruit and vegetable consumption through nutritional education. CONCLUSION: Nutritional education using media should be accompanied by a commitment to increase children’s motivation in eating fruits and vegetables.