Fruit and Vegetable Intake and Non-Communicable Diseases among Adults Aged ≥50 Years in Low- and Middle-Income Countries.

Fruit and Vegetable Intake and Non-Communicable Diseases among Adults Aged ≥50 Years in Low- and Middle-Income Countries.
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低收入和中等收入国家 50 岁以下成年人的水果和蔬菜摄入量与非传染性疾病。

DOI:
10.1007/s12603-022-1855-z
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发表时间:
2022
期刊:
The journal of nutrition, health & aging
影响因子:
--
通讯作者:
Koyanagi,A
Koyanagi,A
中科院分区:
--
文献类型:
--
作者:
Smith,L;LópezSánchez,GF;Veronese,N;Soysal,P;Oh,H;Barnett,Y;Keyes,H;Butler,L;Allen,P;Kostev,K;Jacob,L;Shin,JI;Koyanagi,A

文献摘要

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ObjectivesThe relationship between consuming ≥2 servings of fruits and ≥3 servings of vegetables a day, which has been identified as optimal for health (i.e., adequate fruit/vegetable consumption), and non-communicable diseases (NCDs) in low- and middle-income countries (LMICs) is largely unknown. Therefore, using data from six LMICs, we investigated the independent association between inadequate fruit/vegetable consumption and 12 NCDs, and estimated the prevalence of inadequate fruit/vegetable consumption among people with NCDs.Design and SettingCross-sectional, nationally representative data from the WHO Study on global AGEing and adult health (SAGE) were analyzed.ParticipantsData on 34129 individuals aged ≥50 years were analyzed [mean (SD) age 62.4 (16.0); maximum age 114 years; 52.1% females].MeasurementsInformation on the number of servings of fruits and vegetables consumed on a typical day was self-reported. Twelve NCDs were assessed. Multivariable logistic regression analysis was conducted.ResultsOverall, 67.2% had inadequate fruit/vegetable consumption. Inadequate fruit/vegetable consumption was independently associated with significantly higher odds for chronic lung disease (OR=1.25), diabetes (OR=1.45), hearing problems (OR=1.75), and visual impairment (OR=2.50). The prevalence of inadequate fruit/vegetable consumption was particularly high among people with visual impairment (92.5%), depression (90.5%), asthma (79.8%), and hearing problems (78.4%).ConclusionPromotion of fruit and vegetable consumption (≥2 servings of fruits and ≥3 servings of vegetables a day) in LMICs may lead to prevention of some NCDs (e.g., diabetes, chronic lung disease). Furthermore, people with certain NCDs (e.g., visual impairment, depression) had particularly high prevalence of inadequate fruit/vegetable consumption, and it is thus important to target this population to increase fruit/vegetable consumption.