Fruit and Vegetable Intake and All-Cause Mortality in a Chinese Population: The China Health and Nutrition Survey

Gu, Yuxuan; He, Yansu; Ali, Shahmir H.; Harper, Kaitlyn; Dong, Hengjin; Gittelsohn, Joel

doi:10.3390/ijerph18010342

Cited by 10 publications

(5 citation statements)

References 24 publications

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“…Considering F&V intake associating health status, this study was consistent with the early findings. For instance, higher F&V intake was associated with a lower risk of frailty in this cohort of US women aged ≥60 years [ 87 ] and a reduced risk of total mortality for Chinese adults [ 88 ]. In this study, higher F&V intake was related to a lower likelihood of poor SRH.…”

Section: Discussionmentioning

confidence: 99%

Associations of fruit & vegetable intake and physical activity with poor self-rated health among Chinese older adults

Guan

2022

BMC Geriatr

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Background Despite the existing literature highlights the central roles of sociodemographic factors, fruit & vegetable (F&V) intake, and physical activities for maintaining good health, less is known about the associations in the Chinese context. This study attempted to explore the associations of servings of F&V intake and levels of physical activities with poor self-rated health (SRH) among Chinese older adults. Methods Data were drawn from the Study on Global Ageing and Adult Health-China (SAGE-China) issued by the World Health Organization and included 7560 respondents aged ≥60 years in China. After screening out the potential confounding factors, multiple logistic regression models were adopted to explore the associations of sociodemographic factors, servings of F&V intake, and levels of physical activities with poor SRH. Results Among the sample, nearly a quarter reported poor health status. There were significant gender differences in the case of servings of F&V intake and levels of physical activities. Logistic regressions indicated that higher fruit intake was associated with lower likelihood of vigorous level of physical activity as compared to zero intake. Likewise, higher vegetable intake (≥10 servings) was associated with a higher likelihood of vigorous & moderate level of physical activity when compared to lower intake (≤ 4 servings). Higher fruit intake was associated with a lower likelihood of poor SRH. Similarly, vegetable intake (5 servings: AOR = 0.69, 95%CI: 0.58–0.83; 6–9 servings: AOR = 0.72, 95%CI: 0.59–0.87) was significantly associated with poor SRH. Additionally, vigorous level of physical activity (AOR = 0.79, 95%CI: 0.65–0.97) and vigorous fitness/leisure (AOR = 0.57, 95%CI: 0.39–0.84) were significantly associated with poor SRH. Conclusion This study suggested that older adults with high fruit intake had lower probability of performing vigorous & moderate level of physical activity, while those with high vegetable intake had higher probability of performing vigorous & moderate level of physical activity. Likewise, the older adults with high F&V intake and higher probability of performing vigorous level of physical activity, walk/bike activity, and vigorous/moderate fitness/leisure had less likelihood to face the risk for poor SRH outcomes. The appropriate servings of F&V intake and levels of physical activity should be highlighted.

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Section: Discussionmentioning

confidence: 99%

Associations of fruit & vegetable intake and physical activity with poor self-rated health among Chinese older adults

Guan

2022

BMC Geriatr

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“…The average daily PA was 103.68 (95% CI: 100.66 to 106.70) minutes for MVPA and 1189.26 (95% CI: 1142.38 to 1236) cpm for TPA. Based on the recommended daily vegetable (300-500 g) and fruit (200-350 g) intake for Chinese people (Gu et al, 2021), most participants failed to meet the minimum daily vegetable and fruit intake (64.96% for vegetable and 53.85% for fruit). The average daily vegetable and fruit intake were 263.85 (95% CI: 241.97 to 285.72) g and 202.83 (95%CI: 181.28 to 224.37) g, respectively.…”

Section: Descriptive Statisticsmentioning

confidence: 99%

The effect of Tabata-style functional high-intensity interval training on cardiometabolic health and physical activity in female university students

Wiltshire

Baker

et al. 2023

Front. Physiol.

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Introduction: The increasing prevalence of metabolic syndrome and physical inactivity enhances exposure to cardiometabolic risk factors in university students. High-intensity interval training (HIIT) improved cardiometabolic health in clinical adults but the evidence in the university setting is limited. Furthermore, few studies examined the effect of low-volume HIIT on habitual physical activity (PA). Therefore, the primary aim of this study was to evaluate the efficacy of 12-week Tabata-style functional HIIT for improving multiple cardiometabolic health outcomes and habitual PA. We also investigated whether changes in habitual PA over the intervention period had an impact on exercise-induced health outcomes.Methods: 122 female freshmen were randomized into the Tabata group (n = 60) and the control (n = 62). The Tabata training protocol involved 8 × 20 s maximal repeated functional exercises followed by 10 s rest with a frequency of 3 times per week for 12 weeks. Body composition, maximal oxygen uptake (VO2max), blood pressure (BP), blood lipids, fasting glucose and insulin, C-reactive protein and PA were objectively measured using standardized methods. Dietary intake was measured using a valid food frequency questionnaire. All variables were measured pre- and post-intervention.Results: Mixed linear modelling results showed that there were large intervention effects on VO2max (p < 0.001, d = 2.53, 95% CI: 2.03 to 3.00 for relative VO2max; p < 0.001, d = 2.24, 95% CI: 1.76 to 2.68 for absolute VO2max), resting heart rate (p < 0.001, d = −1.82, 95% CI: −2.23 to −1.37), systolic BP (p < 0.001, d = −1.24, 95% CI: −1.63 to −0.84), moderate-to-vigorous intensity physical activity (MVPA) (p < 0.001, d = 2.31, 95% CI: 1.83 to 2.77), total PA (p < 0.001, d = 1.98, 95% CI: 1.53 to 2.41); moderate effects on %BF (p < 0.001, d = -1.15, 95% CI: −1.53 to −0.75), FM (p < 0.001, d = −1.08, 95% CI: −1.46 to −0.69), high-density lipoprotein (HDL) (p < 0.001, d = 1.04, 95% CI: 0.65 to 1.42), total cholesterol (p = 0.001, d = −0.64, 95% CI: −1.00 to −0.26); small effects on BMI (p = 0.011, d = −0.48, 95% CI: −0.84 to 0.11), WC (p = 0.043, d = −0.37, 95% CI: −0.74 to −0.01), low-density lipoprotein (p = 0.003, d = −0.57, 95% CI: −0.93 to −0.19), HOMA-IR (p = 0.026, d = −0.42, 95% CI: −0.78 to −0.05) and fasting insulin (p = 0.035, d = −0.40, 95% CI: −0.76 to −0.03). Regression analysis showed that only the percentage change of HDL was associated with the change of MVPA (b = 0.326, p = 0.015) and TPA (b = 0.480, p = 0.001).Conclusion: From the findings of the study we can conclude that 12-week low-volume Tabata-style functional HIIT was highly effective for university female students to improve cardiorespiratory fitness, body fat, some cardiometabolic health outcomes and habitual PA.

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“…The population in this study had a similar intake of fruit and vegetables with another population-based study in Singapore (40) . We have noted that our study population had a greater intake of fruits but less intake of vegetables compared with the populations in Western countries and other Asian countries (41,42) , including China (43) . Nevertheless, the range of intake was still wide enough for us to make broad contrasts (see Table 2).…”

Section: Discussionmentioning

confidence: 64%

Quantity and variety of fruit and vegetable intake in midlife and cognitive impairment in late life: a prospective cohort study

et al. 2022

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There is limited evidence on fruit and vegetable intake in relation to cognitive function. This study aimed to evaluate the associations of quantity and variety in fruit and vegetable intake in midlife with cognitive impairment in late life. We used data from 16,737 participants of the Singapore Chinese Health Study, a population-based cohort study. The participants provided dietary data at recruitment at median age of 52.5 (range: 45-74) years, and also participated in the third follow-up interview 20 years later at median age of 72.2 (range: 61-96) years. Quantity and variety of fruits and vegetables consumed at baseline were measured using a validated food-frequency-questionnaire. Cognitive impairment at the third follow-up was defined using a Singapore-modified version of Mini-Mental State Examination. About 14.3% participants had cognitive impairment. In multivariable logistic regression models, comparing extreme quartiles for intake of fruits and vegetables combined, the odds ratio (OR) [95% confidence interval (CI)] associated with cognitive impairment was 0.83 (0.73, 0.95; P-trend=0.006) for quantity and 0.76 (0.67, 0.87; P-trend<0.001) for variety scores. Independently, those with increased variety of fruit intake or higher quantity of vegetable intake also had significantly 22% and 15% reduced odds of cognitive impairment, respectively. Finally, compared to those with low intake for both quantity and variety, those with both high quantity and variety scores for fruits and vegetables had 23% reduction in odds of cognitive impairment. In conclusion, increase in quantity and variety of fruits and vegetables in midlife may reduce the risk of cognitive impairment in late life.

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Fruit and Vegetable Intake and All-Cause Mortality in a Chinese Population: The China Health and Nutrition Survey

Cited by 10 publications

References 24 publications

Associations of fruit & vegetable intake and physical activity with poor self-rated health among Chinese older adults

Associations of fruit & vegetable intake and physical activity with poor self-rated health among Chinese older adults

The effect of Tabata-style functional high-intensity interval training on cardiometabolic health and physical activity in female university students

Quantity and variety of fruit and vegetable intake in midlife and cognitive impairment in late life: a prospective cohort study

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