Have Americans Increased Their Fruit and Vegetable Intake?The Trends Between 1988 and 2002

Casagrande, Sarah Stark; Wang, Youfa; Anderson, Cheryl A.M.; Gary, Tiffany L.

doi:10.1016/j.amepre.2006.12.002

Cited by 328 publications

(256 citation statements)

References 35 publications

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“…The overall score was also inversely related to absolute and relative AFHFE. The important public health implications include that nutrition and health education remains very important to help promote healthy eating among Americans, although some previous studies indicate that broad national nutrition education campaigns have resulted in limited improvement in Americans' VF and dairy consumption in the past decades (19,20) . One may argue that, without these campaigns, Americans' eating patterns might be worse.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, the CSFII/DHKS data are 10 years old and one may be concerned about the relevance of these findings for future research and interventions. To our knowledge, restaurant offerings or consumer behaviours over the past decade were not altered dramatically as indicated by the limited improvement in American adults' VF and dairy consumption (19)(20)(21)(22) . This supports the important pubic health implications of the association we found between the three variables (i.e.…”

Section: Discussionmentioning

confidence: 99%

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Reduced away-from-home food expenditure and better nutrition knowledge and belief can improve quality of dietary intake among US adults

Beydoun

Powell

Wang

2008

PHN

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Objective: To test whether reduced away-from-home food expenditure (AFHFE) and better nutrition knowledge and beliefs (NKB) are associated with dietary quality among US adults. Design and subjects: The dietary intake data (average of two 24 h recalls) used were collected from US adults (20-65 years) participating in two cross-sectional surveys, the 1994-96 Continuing Survey of Food Intake by Individuals (CSFII; n 7148) and the CSFII/Diet and Health Knowledge Survey (DHKS; n 4252). Outcome measures: Dietary quality was assessed using selected nutrients and food groups and the 2005 revised US Department of Agriculture Healthy Eating Index (HEI). Exposure variables: (i) Absolute AFHFE (weekly, per capita) and proportion of this exposure out of total food expenditure (relative expenditure); (ii) NKB score using a composite of an eleven-item scale elicited among the CSFII/DHKS subgroup. Statistical analyses performed: We used t tests, x 2 tests, Wilcoxon rank-sum tests and multivariate linear regression models adjusting standard errors for sample design complexity. We utilized a change-in-estimate approach to assess mediation. For effect modification, we tested the significance of interaction terms (NKB 3 AFHFE). Results: Absolute AFHFE was positively associated with grams of fat (b 5 0?14 (SE 0?06)) and saturated fat (b 5 0?02 (SE 0?01)) and negatively associated with fibre (b 5 20?02 (SE 0?01)) and HEI (b 5 20?08 (SE 0?01)). Relative AFHFE mediated NKB effects on intakes such as fat, saturated fat, cholesterol, Na, and fruits and vegetables (change in estimate .10 %). Among subjects with a poor NKB score, higher AFHFE resulted in lower diet quality, particularly Na and cholesterol intakes. Conclusions: Higher AFHFE was associated with a lower dietary quality and interacted antagonistically with NKB in some instances, while mediating the relationship between NKB and dietary quality in others.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Reduced away-from-home food expenditure and better nutrition knowledge and belief can improve quality of dietary intake among US adults

Beydoun

Powell

Wang

2008

PHN

Self Cite

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“…7 For example, although the majority of Americans do not consume recommended amounts of fruits and vegetables, risk for underconsumption is significantly greater for ethnic minorities, persons living in poverty, and those with less than a high school education. 8 Dietary behavior change campaigns often focus on a single behavior-such as the well-known "Five-a-Day for Better Health," promoting five servings of fruits and vegetables. 9 There is incomplete understanding, however, of how single dietary messages are incorporated into daily food routines or how best to help at-risk populations change their overall eating patterns.…”

Section: Introductionmentioning

confidence: 99%

Mixed Method Approaches to Understanding Cancer-Related Dietary Risk Reduction among Public Housing Residents

et al. 2009

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Improving diet is one important pathway for addressing cancer disparities. We conducted mixed-method analyses of 468 24-h dietary recalls from 156 AfricanAmerican women residents of Washington DC public housing to better understand dietary patterns. Recalls were rated for five cancer-related preventive characteristics (adequate fruits/vegetables, moderate fat, moderate calories, no alcohol, and adequate Healthy Eating Index score), combined as a scale. Bivariate and multivariate analyses identified psychosocial and dietary characteristics associated with scale scores. Qualitative analyses of dietary records identified contextual aspects of food patterns within and across score groups. Sixty-one percent of respondents met zero or one dietary goal; alcohol abstention was most common (64%). Only 12% achieve either three (6%), four (4%), or all five (G1%) goals; five fruit and vegetable servings were least common (15%). The underlying scalar structure of responses suggests that fruit and vegetable consumption is seldom achieved in this population without other scale components. Poorer scores were associated with younger age, depressive symptoms, stressful life events, smoking, and food-purchasing practices. Qualitative analyses identified eight themes related to differences between dietary patterns. Findings reinforce the value of nonreductionist approaches to cancer-related nutrition intervention.

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“…Accordingly, the 2010 Dietary Guidelines for Americans provide recommendations for consuming adequate amounts and variety of fruits and vegetables. Yet, despite an ongoing national programme to improve consumption habits (10) , the proportion of Americans meeting these guidelines remains low (11)(12)(13)(14) . Marked differences in consumption patterns have been observed across race/ ethnic groups (15,16) as well as regions of residence (12) and, importantly, some evidence suggests that race/ethnicity and region of residence may synergistically influence consumption patterns (17)(18)(19) .…”

mentioning

confidence: 99%

Inter- and independent effects of region and race/ethnicity on variety of fruit and vegetable consumption in the USA: 2011 Behavioral Risk Factor Surveillance System (BRFSS)

Tichenor

Conrad

2015

Public Health Nutr.

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Objective: (i) To estimate the independent and combined effects of race/ethnicity and region on the variety of fruits and vegetables consumed in the USA in 2011; and (ii) to assess whether and to what extent race/ethnicity and region may synergistically influence variety of fruit and vegetable consumption. Design: Cross-sectional analysis. Multivariate logistic regression predicted the likelihood of meeting fruit and vegetable variety indicators independently and in combination for each race/ethnicity and region. Interaction effects models were used to test for interaction effects between race/ethnicity and region on fruit and vegetable variety.

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Have Americans Increased Their Fruit and Vegetable Intake?The Trends Between 1988 and 2002

Cited by 328 publications

References 35 publications

Reduced away-from-home food expenditure and better nutrition knowledge and belief can improve quality of dietary intake among US adults

Reduced away-from-home food expenditure and better nutrition knowledge and belief can improve quality of dietary intake among US adults

Mixed Method Approaches to Understanding Cancer-Related Dietary Risk Reduction among Public Housing Residents

Inter- and independent effects of region and race/ethnicity on variety of fruit and vegetable consumption in the USA: 2011 Behavioral Risk Factor Surveillance System (BRFSS)

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