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

Smith L., Lopez Sanchez G. F., Veronese N., Soysal P., Oh H., Barnett Y., ...Daha Fazla

The journal of nutrition, health & aging, cilt.26, sa.11, ss.1003-1009, 2022 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 11
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1007/s12603-022-1855-z
  • Dergi Adı: The journal of nutrition, health & aging
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, PASCAL, Abstracts in Social Gerontology, AgeLine, CAB Abstracts, CINAHL, EMBASE, Food Science & Technology Abstracts, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.1003-1009
  • Anahtar Kelimeler: Fruit and vegetable, non-communicable disease, low- and middle-income countries, adults, epidemiology, WORLD-HEALTH-ORGANIZATION, OXIDATIVE STRESS, CONSUMPTION, RISK, PREVENTION
  • Bezmiâlem Vakıf Üniversitesi Adresli: Evet

Özet

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.