Author:
Smith L.,López Sánchez Guillermo F.,Veronese N.,Soysal P.,Oh H.,Barnett Y.,Keyes H.,Butler L.,Allen P.,Kostev K.,Jacob L.,Shin J. I.,Koyanagi A.
Abstract
Abstract
Objectives
The 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 Setting
Cross-sectional, nationally representative data from the WHO Study on global AGEing and adult health (SAGE) were analyzed.
Participants
Data on 34129 individuals aged ≥50 years were analyzed [mean (SD) age 62.4 (16.0); maximum age 114 years; 52.1% females].
Measurements
Information 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.
Results
Overall, 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%).
Conclusion
Promotion 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.
Publisher
Springer Science and Business Media LLC
Subject
Geriatrics and Gerontology,Nutrition and Dietetics,Medicine (miscellaneous)
Reference37 articles.
1. World Health Organization 2021.Noncommunicable diseases. Available at: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases. Accessed October 4, 2022.
2. United Nations 2019. World Population Ageing 2019 Highlights. World Popul ageing.
3. Boeing H, Bechthold A, Bub A, Ellinger S, Haller D, Kroke A, Leschik-Bonnet E, Müller MJ, Oberritter H, Schulze M. Critical review: vegetables and fruit in the prevention of chronic diseases. Eur J Nutr 2012;51:637–663; https://doi.org/10.1007/s00394-012-0380-y.
4. Sánchez GFL, Hernández MRV, Casas PL, Zauder R, Jastrzębska J, Skalska M, RadzimiNski L, Jastrzebski Z, Pardhan S. Impact of physical activity, BMI and sociodemographic and lifestyle factors on the risk of diabetes in 9511 Ghanaian adults. Sport TK Rev Euroam ciencias del Deport 2022;11:271–283; https://doi.org/10.6018/sportk.518091.
5. González-Carcelén CM, López JN, Sánchez GFL. Levels of physical activity in people with diabetes residing in Spain. Atena J Public Heal 2020;2:2.
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