Barriers to increasing fruit and vegetable intakes in the older population of Northern Ireland: low levels of liking and low awareness of current recommendations

Appleton, Katherine; McGill, Rory; Neville, Charlotte; Woodside, Jayne V.

doi:10.1017/s1368980009991790

Cited by 48 publications

(58 citation statements)

References 33 publications

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“…A dislike for the taste or texture of vegetables is a barrier to achieving recommended vegetable intakes for many Americans (7)(8)(9). The incorporation of puréed vegetables into foods may be one way to help individuals overcome this barrier.…”

Section: Discussionmentioning

confidence: 99%

“…Research has shown that this strategy has multiple benefits because it reduces energy intakes (3)(4)(5) and increases vegetable intakes (6); it may be difficult, however, for some adults to implement. One barrier that prevents individuals from meeting recommendations to increase vegetable intakes is a dislike for the taste of vegetables (7)(8)(9). Puréeing vegetables and covertly adding them to foods while maintaining palatability could be an effective strategy to help individuals overcome this barrier.…”

Section: Introductionmentioning

confidence: 99%

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Hidden vegetables: an effective strategy to reduce energy intake and increase vegetable intake in adults

Blatt¹,

Roe²,

Rolls³

2011

The American Journal of Clinical Nutrition

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Background: The overconsumption of energy-dense foods leads to excessive energy intakes. The substitution of low-energy-dense vegetables for foods higher in energy density can help decrease energy intakes but may be difficult to implement if individuals dislike the taste of vegetables. Objective: We investigated whether incorporating puréed vegetables to decrease the energy density of entrées at multiple meals reduced daily energy intakes and increased daily vegetable intakes. Design: In this crossover study, 20 men and 21 women ate ad libitum breakfast, lunch, and dinner in the laboratory once a week for 3 wk. Across conditions, entrées at meals varied in energy density from standard versions (100% condition) to reduced versions (85% and 75% conditions) by the covert incorporation of 3 or 4.5 times the amount of puréed vegetables. Entrées were accompanied by unmanipulated side dishes. Participants rated their hunger and fullness before and after meals. Results: Subjects consumed a consistent weight of foods across conditions of energy density; thus, the daily energy intake significantly decreased by 202 6 60 kcal in the 85% condition (P , 0.001) and by 357 6 47 kcal in the 75% condition (P , 0.0001). Daily vegetable consumption significantly increased from 270 6 17 g of vegetables in the 100% condition to 487 6 25 g of vegetables in the 75% condition (P , 0.0001). Despite the decreased energy intake, ratings of hunger and fullness did not significantly differ across conditions. Entrées were rated as similar in palatability across conditions. Conclusions: Large amounts of puréed vegetables can be incorporated into various foods to decrease the energy density. This strategy can lead to substantial reductions in energy intakes and increases in vegetable intakes. This trial was registered at clinicaltrials.gov as NCT01165086.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Hidden vegetables: an effective strategy to reduce energy intake and increase vegetable intake in adults

Blatt¹,

Roe²,

Rolls³

2011

The American Journal of Clinical Nutrition

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show abstract

“…Demographic and lifestyle characteristics assessed were: gender, age, marital status, living status, region of residence, number of years of education, smoking habits, alcoholic drinking habits, dietary supplement taking habits, height and weight (used to calculate body mas index) and month of questionnaire completion. These characteristics have all previously been associated with FV consumption and dietary knowledge. The complete questionnaire is provided in Appendix S1.…”

Section: Methodsmentioning

confidence: 99%

Low fruit and vegetable consumption is associated with low knowledge of the details of the 5‐a‐day fruit and vegetable message in the UK: findings from two cross‐sectional questionnaire studies

Appleton

Krumplevska

Smith

et al. 2017

J Human Nutrition Diet

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These findings suggest that, although most of the UK population sampled were aware of the 5-a-day FV message and could recount this correctly, details of the 5-a-day FV message were not well known, and that FV consumption was related to this knowledge. These findings suggest that strategies to increase FV consumption will benefit from increasing UK consumers' knowledge of the details of the 5-a-day FV message.

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“…At the first clinic visit a baseline questionnaire was administered with the intent of focusing participants on their motivations for this behaviour change and how they would overcome common barriers to dietary change [46] and how they would incorporate the vegetables, fruit and herb increase required into their daily dietary intake. The final study questionnaire assessed the participant’s experience of the dietary change, both positive and negative aspects, including financial costs and lifestyle changes they made.…”

Section: Methodsmentioning

confidence: 99%

Midlife women, bone health, vegetables, herbs and fruit study. The Scarborough Fair study protocol

2013

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BackgroundBone loss is accelerated in middle aged women but increased fruit/vegetable intake positively affects bone health by provision of micronutrients essential for bone formation, buffer precursors which reduce acid load and phytochemicals affecting inflammation and oxidative stress. Animal studies demonstrated bone resorption inhibiting properties of specific vegetables, fruit and herbs a decade ago.Objective: To increase fruit/vegetable intake in post menopausal women to 9 servings/day using a food specific approach to significantly reduce dietary acid load and include specific vegetables, fruit and herbs with bone resorbing inhibiting properties to assess effect on bone turnover, metabolic and inflammatory markers.Methods/DesignThe Scarborough Fair Study is a randomised active comparator controlled multi centre trial. It aimed to increase fruit and vegetable intake in 100 post menopausal women from ≤ 5 servings/day to ≥ 9 servings/day for 3 months. The women in the dietary intervention were randomly assigned to one of the two arms of the study. Both groups consumed ≥ 9 servings/day of fruit/vegetables and selected herbs but the diet of each group emphasised different fruit/vegetables/herbs with one group (B) selecting from a range of vegetables, fruit and culinary herbs with bone resorbing inhibiting properties. 50 women formed a negative control group (Group C usual diet).Primary outcome variables were plasma bone markers assessed at baseline, 6 weeks and 12 weeks. Secondary outcome variables were plasma inflammation and metabolic markers and urinary electrolytes (calcium, magnesium, potassium and sodium) assessed at baseline and 12 weeks. Dietary intake and urine pH change also were outcome variables. The dietary change was calculated with 3 day diet diaries and a 24 hour recall. Intervention participants kept a twice weekly record of fruit, vegetable and herb intake and urine pH.DiscussionThis study will provide information on midlife women’s bone health and how a dietary intervention increasing fruit and vegetable/herb intake affects bone, inflammatory and metabolic markers and urinary electrolyte excretion. It assesses changes in nutrient intake, estimated dietary acid load and sodium: potassium ratios. The study also explores whether specific fruit/vegetables and herbs with bone resorbing properties has an effect on bone markers.Trial registrationACTRN 12611000763943

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Barriers to increasing fruit and vegetable intakes in the older population of Northern Ireland: low levels of liking and low awareness of current recommendations

Abstract: Objective: To investigate barriers to increasing fruit and vegetable (f 1 v) intakes in a large sample of the older population of Northern Ireland (NI), in relation to current intakes.

Cited by 48 publications

References 33 publications

Hidden vegetables: an effective strategy to reduce energy intake and increase vegetable intake in adults

Hidden vegetables: an effective strategy to reduce energy intake and increase vegetable intake in adults

Low fruit and vegetable consumption is associated with low knowledge of the details of the 5‐a‐day fruit and vegetable message in the UK: findings from two cross‐sectional questionnaire studies

Midlife women, bone health, vegetables, herbs and fruit study. The Scarborough Fair study protocol

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