Low consumption of fruits and vegetables among adults in Uganda: findings from a countrywide cross-sectional survey
Low consumption of fruits and vegetables among adults in Uganda: findings from a countrywide cross-sectional survey
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DOI：
10.1186/s13690-019-0332-6
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发表时间：
2019-02-07
影响因子：
3.3
通讯作者：
Guwatudde, David
中科院分区：
文献类型：
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作者：
Kabwama, Steven Ndugwa;Bahendeka, Silver K.;Guwatudde, David
简介：摄取足够的水果和蔬菜对预防冠心病、高血压和慢性阻塞性肺病有保护作用。然而，每年约有270万人的死亡可归因于水果和蔬菜消费不足。我们分析了在乌干达的全国范围内的调查数据，估计患病率足够的水果和/或蔬菜消费，并确定相关factors.Methods：数据收集使用世界卫生组织分步监测方法，一个标准的方法来监测非传染性疾病的危险因素。通过询问参与者在典型的一周中吃水果或蔬菜的天数以及其中一天吃的份量来评估水果和蔬菜的消费量。足够的水果和/或蔬菜消费被定义为在一个典型的一周内每天消费5份或更多份水果和/或蔬菜。我们使用修改泊松回归分析，估计患病风险比（PRR），并确定与吃5份或更多的水果和/或蔬菜，每天，每周week.Results的因素：3962名参与者，484（12.2%）消耗5份或更多的水果和/或蔬菜，每天在一个典型的一周。已婚或同居的参与者与从未结婚的参与者相比，在典型的一周内每天至少食用5份水果和/或蔬菜的可能性更大PRR = 1.51 [95%CI 1.07- 2.14]。与来自西部地区的参与者相比，来自中部地区的参与者在典型的一周内每天更有可能食用5份或更多份水果和/或蔬菜，PRR = 3.54 [95%CI 2.46- 5.10]，来自北方的参与者也是如此，PRR = 2.90 [95%CI 2.00- 4.23]和东部地区PRR = 1.60 [95%CI 1.04- 2.47]。结论：乌干达的水果和蔬菜消费量很低，除了婚姻状况和居住的地理区域外，在社会和人口特征方面没有显著差异。有必要制定和加强政策，促进乌干达人民充分消费水果和蔬菜。
Introduction: Adequate consumption of fruits and vegetables has protective benefits against development of coronary heart disease, hypertension and chronic obstructive pulmonary disease. However, approximately 2.7 million deaths annually can be attributed to inadequate fruit and vegetable consumption. We analyzed data from a countrywide survey in Uganda, to estimate the prevalence of adequate fruit and/or vegetable consumption, and identify associated factors.Methods: Data were collected using the World Health Organization STEPwise approach to surveillance, a standard approach to surveillance of risk factors for Non Communicable Diseases. Fruit and vegetable consumption was assessed by asking participants the number of days in a typical week they eat fruits or vegetables and the number of servings eaten in one of those days. Adequate fruit and/or vegetable consumption was defined as consuming 5 or more servings of fruits and/or vegetables per day in a typical week. We used modified Poisson regression analysis to estimate prevalence risk ratios (PRRs) and identify factors associated with eating 5 or more servings of fruits and/or vegetables per day, per week.Results: Of 3962 participants, 484 (12.2%) consumed 5 or more servings of fruits and/or vegetables per day in a typical week. Participants who were married or cohabiting were more likely to consume at least 5 servings of fruits and/or vegetables per day in a typical week compared with those who had never been married PRR = 1.51 [95% CI 1.07- 2.14]. Compared with participants from Western region, those from Central region were more likely to consume 5 or more servings of fruits and/or vegetables per day in a typical week, PRR = 3.54 [95% CI 2.46- 5.10] as were those from Northern, PRR = 2.90 [95% CI 2.00- 4.23] and Eastern regions PRR = 1.60 [95% CI 1.04- 2.47].Conclusions: Fruit and vegetable consumption in Uganda is low and does not differ significantly across social and demographic characteristics, except marital status and geographical region of residence. There is a need to develop and strengthen policies that promote adequate consumption of fruits and vegetables in the Ugandan population.