Baseline Fruit and Vegetable Intake among Adults in Seven 5 A Day Study Centers Located in Diverse Geographic Areas

Thompson, Beti; Demark‐Wahnefried, Wendy; Taylor, Gretchen; McClelland, Jacquelyn W.; Stables, Gloria; Havas, Steve; Feng, Ziding; Topor, Marie; Heimendinger, Jerianne; Reynolds, Kim D.; Cohen, Nancy L.

doi:10.1016/s0002-8223(99)00306-5

Cited by 125 publications

(87 citation statements)

References 21 publications

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“…Increasing age had a positive association with the intake of all the foods mentioned. Studies describing the intake of fruit and vegetables generally suggest that increasing age is associated with an increased intake of fruit and vegetables (Wandel, 1995;Johansson & Andersen, 1998;Johansson et al, 1999;Thompson et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic differences in dietary habits described by food frequency questions — results from Denmark

Dynesen

Haraldsdóttir²,

Holm

et al. 2003

Eur J Clin Nutr

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Objectives: To investigate whether a modest number of food frequency questions are sufficient to describe sociodemographic differences in dietary habits, and to identify sociodemographic characteristics of subjects adhering to food-based dietary guidelines operationalised in a 'healthy-diet index'. Design: Cross-sectional population survey. Subjects: A total of 480 men, 515 women, aged 15-90 y. Random sample of private telephone numbers drawn from regional telephone records, geographically stratified. Participation rate 62%. Methods: Computer-assisted telephone interviews, including six food frequency questions, a question on type of fat spreads used on bread, questions on seven sociodemographic variables. Results: The summary of the healthy-diet index showed that the subjects who adhered to food-based dietary guidelines (top quintile) compared to those who did not (bottom quintile) were most often women (odds ratio (OR) ¼ 6.07; confidence interval (CI): 3.91-9.43, women vs men), of older age (OR ¼ 9.72; CI: 3.02-31.31, old age vs young), highly educated (OR ¼ 3.69; CI: 1.53-8.92, high education vs low) and living in multiperson households including children (OR ¼ 4.66; CI: 2.47-8.80, multiperson household vs single household). The results also showed that gender difference in dietary habits is associated with other sociodemographic variables. Conclusions: The selected food frequency questions proved sufficient to describe sociodemographic differences in dietary habits, and this method may be a valuable supplement to traditional quantitative dietary surveys in monitoring sociodemographic changes in eating patterns. The results also underline the influence of sociodemographic status on dietary habits.

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Section: Discussionmentioning

confidence: 99%

Sociodemographic differences in dietary habits described by food frequency questions — results from Denmark

Dynesen

Haraldsdóttir²,

Holm

et al. 2003

Eur J Clin Nutr

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“…To address participants that may not prefer or be able to walk, miles were operationalized as either miles walked or run or any 15-min block of any moderate or higher intensity PA (e.g., biking, swimming, resistance training). Participants also received weekly newsletters that consisted of evidence-based strategies, recipes, and a 5-a day social cognitive theory-derived fruit and vegetable promotion message [33].…”

Section: Designmentioning

confidence: 99%

Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation trial

Harden

Johnson

Almeida

et al. 2016

Behav. Med. Pract. Policy Res.

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Integrated research-practice partnerships (IRPPs) may improve adoption of evidence-based programs. The aim of this study is to compare adoption of an IRPP-developed physical activity (PA) program (Fit Extension, FitEx) to a typical efficacy-effectiveness-dissemination pipeline model program (Active Living Every Day, ALED). Guided by the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework, a randomized controlled trial assigned health educators (HEs) to FitEx (n = 18) or ALED (n = 18). Fourteen HEs adopted FitEx, while two HEs adopted ALED (χ 2 = 21.8; p < 0.05). FitEx HEs took less time to deliver (p < 0.05), stated greater intentions for continued program delivery (p < 0.05), and reached more participants (n = 1097 total; 83 % female; 70 % Caucasian; M age = 44 ± 11.8) per HE than ALED (n = 27 total; 60 % female; 50 % Caucasian; M age = 41 ± 11.3). No significant difference existed in FitEx or ALED participants' increased PA (M increase = 9.12 ±29.09 min/ day; p > 0.05). IRPP-developed programs may improve PA program adoption, implementation, and maintenance and may also result in programs that have higher reach-without reducing effectiveness. KeywordsTranslation, Physical activity, RE-AIM, Researchpractice Regular physical activity plays an important role in the prevention, onset, and management of many adverse chronic health conditions [1]. Conversely, physical inactivity is one of the primary behavioral causes of death in the USA [2] and contributes to the 483.8 billion dollars spent each year for the management and treatment of cardiovascular diseases and diabetes [3]. Unfortunately, less than half of the adult population is active at a recommended level [4] of moderate intensity for at least 30 min/day, 5 days or more per week [5]. While interventions (programs, policy, and practice) exist that aim to increase physical activity, there is a lack of translation of effective evidence-based programs into practice [6].Reasons for this lack of translation are related to both research and practice. First, using research reporting guidelines that are predominantly focused on internal validity (e.g., CONSORT Statement [7]) results in a body of literature that values the strong internal validity but attributes only a passing focus on issues of external validity [8]. In fact, a series of reviews of intervention studies published in leading journals that targeted physical activity (as well as nutrition and smoking) bears this out, showing that external validity (e.g., participant's representativeness, organizational adoption, and program sustainability) was rarely reported [9][10][11]. Second, a linear (or top down) model of dissemination, which highlights the researcher as the expert and developer of products, and the delivery system as a simple receptor of evidence-based programs are a common depiction of translation of research to practice [12]. A linear model has a number of drawbacks for translation of research to practice: (1) it fails to address the organizational and community ca...

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“…However, fruit and vegetable consumption falls substantially below recommended levels in many developed Western countries (Gregory et al, 1990;Li et al, 2000;Steinmetz & Potter, 1996;Thompson et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

Modifying children's food preferences: the effects of exposure and reward on acceptance of an unfamiliar vegetable

et al. 2003

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Objective: The aim of this study was to evaluate two interventions (one reward-based and one exposure-based) for increasing children's acceptance of an unfamiliar vegetable compared with a no-treatment control. It was predicted that the exposure condition would increase liking for, and consumption of, the vegetable relative to either the reward or control group. Design: Using a randomized controlled design, participants were assigned to one of two intervention groups (exposure or reward) or to a no-treatment control condition, for a 2 week period. Liking for, and consumption of, red pepper was assessed before and after the treatment period. Setting: The study was conducted in three primary schools in London. Subjects: Parental consent was obtained for 49 out of a possible 72 children. Interventions: Interventions comprised eight daily sessions during which participants in the exposure group were offered a taste of sweet red pepper and told that they could eat as much as they liked. Participants in the reward group were shown a sheet of cartoon stickers and told that they could choose one of them on condition that they ate at least one piece of the pepper. Results: The exposure-based intervention significantly increased both liking (P ¼ 0.006) and consumption (P ¼ 0.03) compared with the control group. The outcome of the reward intervention was intermediate and did not differ significantly from the exposure or control conditions. Conclusions: Repeated exposure to the taste of unfamiliar foods is a promising strategy for promoting liking of previously rejected foods in children.

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Baseline Fruit and Vegetable Intake among Adults in Seven 5 A Day Study Centers Located in Diverse Geographic Areas

Cited by 125 publications

References 21 publications

Sociodemographic differences in dietary habits described by food frequency questions — results from Denmark

Sociodemographic differences in dietary habits described by food frequency questions — results from Denmark

Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation trial

Modifying children's food preferences: the effects of exposure and reward on acceptance of an unfamiliar vegetable

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