Correlates of healthy fruit and vegetable diet in students in low, middle and high income countries
Tóm tắt
The aim of this study was to assess the prevalence of fruits and vegetable consumption and associated factors among university students from 26 low, middle and high income countries. Using anonymous questionnaires, data were collected in a cross-sectional survey from 17,789 undergraduate university students (mean age 20.8, SD = 2.8) from 27 universities in 26 countries across Asia, Africa and the Americas. Overall, 82.8 % of the university students consumed less than the recommended five servings of fruits and/or vegetables. The mean fruit and vegetable consumption varied by country, ranging from ≤2.5 mean daily servings in Jamaica, Philippines and Barbados to ≥3.9 mean daily servings in Mauritius, Tunisia and Ivory Coast. In multivariate logistic regression analysis, sociodemographic factors, psychosocial factors, and behavioural factors (inadequate dietary behaviours, binge drinking and physical inactivity) were associated with low prevalence of fruit and vegetable intake. Findings stress the need for intervention programmes aiming at increased consumption of fruit and vegetables considering the identified sociodemographic, psychosocial and behavioural risk factors.
Tài liệu tham khảo
Andresen EM, Malmgren JA, Carter WB, Patrick DL (1994) Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). Am J Prev Med 10(2):77–84
Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro M (2001) AUDIT: The Alcohol Use Disorder Identification Test. World Health Organization, Geneva
Beech BM, Rice R, Myers L, Johnson C, Nicklas TA (1999) Knowledge, attitudes, and practices related to fruit and vegetable consumption of high school students. J Adolesc Health 24(4):244–250
Bertsias G, Linardakis M, Mammas I, Kafatos A (2005) Fruit and vegetables consumption in relation to health and diet of medical students in Crete, Greece. Int J Vitam Nutr Res 75(2):107–117
Brock D, Sarason I, Sarason B, Pierce G (1996) Simultaneous assessment of perceived global and relationship-specific support. J Soc Pers Relationships 13:143–152
CDC (2013) State indicator report on fruits and vegetables. Retrieved at http://www.cdc.gov/nutrition/downloads/state-indicator-report-fruits-vegetables-2013.pdf. Accessed 10 Oct 2014
Colón-López V, Banerjee G, Gertz AM, Ortiz AP, Calo W, Finney-Rutten LJ, Colón-Ramos U, Hesse BW, Tortolero G (2013) Behavioral correlates of fruit and vegetable intake in Puerto Rico: results from the Health Information National Trends Survey. P R Health Sci J 32:194–199
Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE et al (2003) International physical activity questionnaire: 12-Country reliability and validity. Med Sci Sports Exerc 35:1381–1395
Dodd LJ, Al-Nakeeb Y, Nevill A, Forshaw MJ (2010) Lifestyle risk factors of students: a cluster analytical approach. Prev Med 51(1):73–77
Doku D, Koivusilta L, Raisamo S, Rimpelä A (2013) Socio-economic differences in adolescents’ breakfast eating, fruit and vegetable consumption and physical activity in Ghana. Public Health Nutr 16(5):864–872
El Ansari W, Stock C (2012) Mikolajczyk RT (2012) Relationships between food consumption and living arrangements among university students in four European countries–a cross-sectional study. Nutr J 11:28. doi:10.1186/1475-2891-11-28
Elsoadaa SS, Abdelhafez AM, Rabeh NM, Zahran SE, Osfor MMH (2013) Consumption of fruits and vegetables among UmmAl-Qura university students in Makkah, Saudi Arabia: a cross-sectional study. Life Sci J 10(4):223–231
Hall JN, Moore S, Harper SB, Lynch JW (2009) Global variability in fruit and vegetable consumption. Am J Prev Med 36(5):402–409
Hankonen N, Kinnunen M, Absetz P, Jallinoja P (2014) Why do people high in self-control eat more healthily? Social cognitions as mediators. Ann Behav Med 47:242–248
International Physical Activity Questionnaire (IPAQ). IPAQ Scoring Protocol. Available online: https://sites.google.com/site/theipaq/. Accessed on 5 April 2014
Kanungsukkasem U, Ng N, Van Minh H, Razzaque A, Ashraf A, Juvekar S, Masud Ahmed S, Huu Bich T (2009) Fruit and vegetable consumption in rural adults population in INDEPTH HDSS sites in Asia. Glob Health Action Sep 28;2. doi: 10.3402/gha.v2i0.1988
Keller S, Maddock JE, Hannöver W, Thyrian JR, Basler HD (2008) Multiple health risk behaviors in German first year university students. Prev Med 46(3):189–195
Koenig HG, Parkerson GR Jr, Meador KG (1997) Religion index for psychiatric research. Am J Psychiatry 154:885–886
Larson NI, Neumark-Sztainer DR, Harnack LJ, Wall MM, Story MT, Eisenberg ME (2008) Fruit and vegetable intake correlates during the transition to young adulthood. Am J Prev Med 35(1):33–37
Lazzeri G, Pammolli A, Azzolini E, Simi R, Meoni V, de Wet DR, Giacchi MV (2013) Association between fruits and vegetables intake and frequency of breakfast and snacks consumption: a cross-sectional study. Nutr J 12:123. doi:10.1186/1475-2891-12-123
Lock K, Pomerleau J, Causer L, Altmann DR, McKee M (2005) The global burden of disease attributable to low consumption of fruit and vegetables: implications for the global strategy on diet. Bull World Health Organ 83(2):100–108
Lytle LA, Varnell S, Murray DM, Story M, Perry C, Birnbaum AS, Kubik MY (2003) Predicting adolescents’ intake of fruits and vegetables. J Nutr Educ Behav 35(4):170–175
Mardones HMA, Olivares CS, Araneda FJ, Gómez FN (2009) Stages of change related to fruit and vegetables consumption, physical activity, and weight control in Chilean university students. Arch Latinoam Nutr 59(3):304–309
McAloney K, Graham H, Law C, Platt L, Wardle H, Hall J (2014) Fruit and vegetable consumption and sports participation among UK Youth. Int J Public Health 59(1):117–121
McClure JB, Divine G, Alexander G, Tolsma D, Rolnick SJ, Stopponi M, Richards J, Johnson CC (2009) A comparison of smokers’ and nonsmokers’ fruit and vegetable intake and relevant psychosocial factors. Behav Med 35:14–22
Moor I, Lampert T, Rathmann K, Kuntz B, Kolip P, Spallek J, Richter M (2014) Explaining educational inequalities in adolescent life satisfaction: do health behaviour and gender matter? Int J Public Health 59(2):309–317
Nandi BK, Bhattacjarjee L (2005) Why fruits and vegetables? Their contribution to improving nutrition in developing countries. Paper presented at the FAO Sub Regional Workshop on Quality and Safety of Fresh Fruits and Vegetables, 28 February to 4 March 2005
Neumark-Sztainer D, Story M, Resnick MD, Blum RW (1996) Correlates of inadequate fruit and vegetable consumption among adolescents. Prev Med 25:497–505
Papadaki A, Hondros G, Scott JA, Kapsokefalou M (2007) Eating habits of university students living at, or away from home in Greece. Appetite 49:169–176
Pearson N, Biddle SJ, Gorely T (2009) Family correlates of fruit and vegetable consumption in children and adolescents: a systematic review. Public Health Nutr 12(2):267–283
Pedersen TP, Meilstrup C, Holstein BE, Rasmussen M (2012) Fruit and vegetable intake is associated with frequency of breakfast, lunch and evening meal: cross-sectional study of 11-, 13-, and 15-year-olds. Int J Behav Nutr Phys Act 9:9. doi:10.1186/1479-5868-9-9
Peltzer K, Pengpid S (2010) Fruits and vegetables consumption and associated factors among in-school adolescents in seven African countries. Int J Public Health 55(6):669–678
Peltzer K, Pengpid S (2012) Fruits and vegetables consumption and associated factors among in-school adolescents in five Southeast Asian countries. Int J Environ Res Public Health 9(10):3575–3587
Perera T, Madhujith T (2012) The pattern of consumption of fruits and vegetables by undergraduate students: a case study. Tropical Agr Res 23(3):261–271
Pollard J, Kirk SF, Cade JE (2002) Factors affecting food choice in relation to fruit and vegetable intake: a review. Nutr Res Rev 15(2):373–387
Pomerleau J, Lock K, McKee M, Altmann DR (2004) The challenge of measuring global fruit and vegetable intake. J Nutr 134(5):1175–1180
Ramalho AA, Dalamaria T, Souza OF (2012) Regular consumption of fruits and vegetables by university students in Rio Branco, Acre State, Brazil: prevalence and associated factors. Cad Saude Publica 28(7):1405–1413
Rasmussen M, Krolner R, Klepp KI, Lytle L, Brug J et al (2006) Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part I: quantitative studies. Int J Behav Nutr Phys Act 3:22
Shetty PS (2002) Nutrition transition in India. Public Health Nutr 5(1A):175–182
Verhoeven H (2013) Determinants of fruit and vegetable and fat intake in university students: a cross-sectional explanatory study. PhD Thesis, Free University of Brussels
Wardle J, Steptoe A (1991) The European Health and Behaviour Survey: rationale, methods and initial results from the UK. Soc Sci Med 33:925–936
World Bank (2014) Gross enrollment ratio, tertiary education, both sexes. Retrieved at http://data.worldbank.org/indicator/SE.TER.ENRR. Accessed 12 Nov 2014
World Bank (2013) New Country Classifications, 2013. http://data.worldbank.org/news/new-country-classifications
World Health Organization (WHO) (1998) Guidelines for controlling and monitoring the tobacco epidemic. WHO, Geneva
World Health Organization (WHO) (2003) Diet, nutrition and the prevention of chronic diseases: Report of a Joint WHO/FAO Expert Consultation. WHO, Geneva
World Health Organization (WHO) (2005) Patterns and determinants of fruit and vegetable consumption in sub-Saharan Africa: a multicountry comparison. WHO, Kobe
World Health Organization (WHO) (2014) Global Strategy on Diet, Physical Activity and Health. Retrieved at http://www.who.int/dietphysicalactivity/fruit/en/index2.html. Accessed 12 June 2014
Yen ST, Tan AK (2012) Who are eating and not eating fruits and vegetables in Malaysia? Int J Public Health 57(6):945–951