Socioeconomic Differences in Fruit and Vegetable Consumption among Middle-Aged French Adults: Adherence to the 5 A Day Recommendation
Socioeconomic Differences in Fruit and Vegetable Consumption among Middle-Aged French Adults: Adherence to the 5 A Day Recommendation
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DOI：
10.1016/j.jada.2008.09.011
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发表时间：
2008-12-01
影响因子：
--
通讯作者：
Bertrais, Sandrine
中科院分区：
文献类型：
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作者：
Estaquio, Carla;Druesne-Pecollo, Nathalie;Bertrais, Sandrine
大量研究支持高水果和蔬菜消费对慢性疾病风险的保护作用，主要是预防癌症和心血管疾病。水果和蔬菜摄入量的增加已成为许多国家公共卫生的优先事项。目的本研究的目的是调查社会经济、人口统计学和行为因素与水果和蔬菜消费量和种类的关系。282名法国受试者（2,373名男性和1,909名女性）参加了一项大型前瞻性研究。统计分析教育水平和职业类别都被用作社会经济指标。应用逻辑回归模型评估与满足每日5份水果和蔬菜推荐相关的因素。协方差分析进行比较水果和蔬菜品种的分数和水果和蔬菜的贡献，每天的饮食总成本在每个sex.Results社会经济指标满足5一天的建议是更有可能在受试者年龄在50岁及以上，教育水平较高，不吸烟，适度饮酒和妇女从事定期的体育活动。男性较低教育水平与较高教育水平的比值比（95%置信区间）为0.70（0.54至0.92），女性为0.65（0.48至0.85）。职业类别之间没有显著差异。蔬菜品种和教育水平之间的正相关关系被发现在男女。水果品种与教育和职业类别呈正相关，但仅限于男性。水果对膳食总费用的贡献随职业的增加而增加（P
Background Numerous studies support the protective effect of high fruit and vegetable consumption on chronic disease risk, mainly against cancer and cardiovascular diseases. The increase of fruit and vegetable intake has become a public health priority in many countriesObjective The aim of the study was to investigate the relationships of socioeconomic, demographic, and behavioral factors with both quantity and variety of fruit and vegetable consumption.Design/subjects Fruit and vegetable intake was assessed using repeated 24-hour dietary records collected during a 2-year period from 4,282 French subjects (2,373 men and 1,909 women), aged 45 to 62 years, who participated in a large prospective study.Statistical analysis Both education level and occupation categories were used as socioeconomic indicators. Logistic regression models were applied to assess factors related to meeting the 5 A Day fruit and vegetable recommendation. Covariance analyses were performed to compare the fruit and vegetable variety scores and the contributions of fruit and vegetables to the total daily diet cost across socioeconomic indicators within each sex.Results Meeting the 5 A Day recommendation was more likely in subjects aged 50 years and older, higher education levels, nonsmokers, moderate alcohol drinkers and in women engaging in regular physical activity. The odds ratio (95% confidence interval) for the lower vs higher education level was 0.70 (0.54 to 0.92) in men and 0.65 (0.48 to 0.85) in women. No significant difference was observed between occupation categories. A positive relationship between vegetable variety and education level was found in both sexes. Fruit variety was positively associated with both education and occupation categories, but only in men. The contribution of fruits to the total daily diet cost increased with occupation (P