Global Variability in Fruit and Vegetable Consumption

Global Variability in Fruit and Vegetable Consumption
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DOI:
10.1016/j.amepre.2009.01.029
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发表时间:
2009-05-01
影响因子:
5.5
通讯作者:
Lynch, John W.
Lynch, John W.
中科院分区:
医学2区
文献类型:
--
作者:
Hall, Justin N.;Moore, Spencer;Lynch, John W.

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背景:水果和蔬菜消费量低是慢性病的一个重要风险因素,但在许多(主要是发展中国家),从未公布过流行率数据。这项研究提供了52个国家以及这些国家的不同社会人口群体和环境中水果和蔬菜摄入量低的流行程度的数据。方法:对2008年夏季参加世界卫生调查(2002-2003)的52个国家196,373名成年人的资料进行分析。低水果和蔬菜摄入量是根据世界卫生组织每天至少五份水果和/或蔬菜的指南定义的。结果:水果和蔬菜消费量低的男性患病率为36.6%(加纳)至99.2%(巴基斯坦),女性为38.0%(加纳)至99.3%(巴基斯坦)。研究发现,15个国家的男性和女性在水果和蔬菜摄入量低的可能性方面存在显著差异。果蔬消费低的流行率随年龄的增长而增加,随收入的增加而减少。尽管城市化总体上与水果和蔬菜消费量低无关,但11个国家的城乡差异显著。结论:总体而言,主要来自低收入和中等收入国家的52个国家中,77.6%的男性和78.4%的女性摄入的水果和蔬菜少于每日推荐的最低5份。本研究获得的关于低水果和蔬菜消费的基线全球信息可以帮助世界各地的政策制定者制定应对全球慢性病流行的干预措施。[J] .中华预防医学杂志;2009;36(5):402-409
Background: Low fruit and vegetable consumption is an important risk factor for chronic diseases, but for many (mainly developing) countries, no prevalence data have ever been published. This study presents data on the prevalence of low fruit and vegetable intake for 52 countries and for various sociodemographic groups and settings across these countries.Methods: Data from 196,373 adult participants from 52 countries taking part in the World Health Survey (2002-2003) were analyzed in the Summer of 2008. Low fruit and vegetable consumption was defined according to the WHO guidelines of a minimum of five servings of fruits and/or vegetables daily.Results: Low fruit and vegetable consumption prevalence ranged from 36.6% (Ghana) to 99.2% (Pakistan) for men and from 38.0% (Ghana) to 99.3% (Pakistan) for women. Significant differences in the likelihood of low fruit and vegetable intake between men and women were found in 15 countries. The prevalence of low fruit and vegetable consumption tended to increase with age and decrease with income. Although urbanicity was not associated overall with low fruit and vegetable consumption, urban and rural differences were significant for 11 countries.Conclusions: Overall, 77.6% of men and 78.4% of women from the 52 mainly low- and middle-income countries consumed less than the minimum recommended five daily servings of fruits and vegetables. Baseline global information on low fruit and vegetable consumption obtained in this study can help policyrnakers worldwide establish interventions for addressing the global chronic disease epidemic. (Am J Prev Med 2009;36(5):402-409) (c) 2009 American journal of Preventive Medicine