This study aimed to investigate factors affecting fruit and vegetables (FAVs) intake among Bangladeshi adults. Dietary data of 9275 adults from the Bangladesh Noncommunicable Disease Risk Factor Survey 2010 were analyzed. The mean age of the respondents was 42.4 (±13.5) years. Multistage cluster sampling was applied to identify samples. Demographics, personal habits, physical activity, diet, and anthropometric data were collected using the WHO-STEPs questionnaire. Average daily intake of <5 servings of FAVs combined was considered to be low FAV consumption, and its prevalence was 82.8%. A mixed-effect logistic regression model was fitted to assess association of factors with low FAV intake. Higher educational attainment, greater wealth, female sex, low physical activity, body mass index >25 kg/m2, and smokeless tobacco consumption were significantly associated with higher FAV consumption. Frequency of low FAV intake increased with increasing age and decreased with increasing educational attainment. Programs targeting people at risk of low FAV consumption are needed to promote consumption.
LockKPomerleauJCauserLAltmannDRMcKeeM.The global burden of disease attributable to low consumption of fruit and vegetables: implications for the global strategy on diet. Bull World Health Organ. 2005;83:100-108.
3.
NicklettEJSembaRDXueQ-L. Fruit and vegetable intake, physical activity, and mortality in older community-dwelling women. J Am Geriatr Soc. 2012;60:862-868.
4.
HartleyLIgbinedionEHolmesJ. Increased consumption of fruit and vegetables for the primary prevention of cardiovascular diseases. Cochrane Database Syst Rev. 2013;(6):CD009874.
5.
WuYZhangDJiangXJiangW.Fruit and vegetable consumption and risk of type 2 diabetes mellitus: a dose-response meta-analysis of prospective cohort studies. Nutr Metab Cardiovasc Dis. 2015;25:140-147.
6.
RollsBJEllo-MartinJACarltonTB.What can intervention studies tell us about the relationship between fruit and vegetable consumption and weight management?Nutr Rev. 2004;62:1-17.
7.
BermejoLMAparicioAAndresPLopez-SobalerAMOrtegaRM.The influence of fruit and vegetable intake on the nutritional status and plasma homocysteine levels of institutionalised elderly people. Public Health Nutr. 2007;10:266-272.
8.
HallJNMooreSHarperSBLynchJW.Global variability in fruit and vegetable consumption. Am J Prev Med. 2009;36:402-409.e5.
9.
ViswanathKBondK.Social determinants and nutrition: reflections on the role of communication. J Nutr Educ Behav. 2007;39(2, suppl):S20-S24.
10.
VereeckenCAToddJRobertsCMulvihillCMaesL.Television viewing behaviour and associations with food habits in different countries. Public Health Nutr. 2006;9:244-250.
11.
WardleJParmenterKWallerJ.Nutrition knowledge and food intake. Appetite. 2000;34:269-275.
12.
WattersJLSatiaJAGalankoJA.Associations of psychosocial factors with fruit and vegetable intake among African-Americans. Public Health Nutr. 2007;10:701-711.
13.
DynesenAWHaraldsdottirJHolmLAstrupA.Sociodemographic differences in dietary habits described by food frequency questions—results from Denmark. Eur J Clin Nutr. 2003;57:1586-1597.
14.
ZamanMMChoudhurySRAhmedJTalukderMHRahmanAHMS. Blood glucose and cholesterol levels in adult population of Bangladesh: results from STEPS 2006 survey. Indian Heart J. 2016;68:52-56.
15.
GundgaardJNielsenJOlsenJSorensenJ.Increased intake of fruit and vegetables: estimation of impact in terms of life expectancy and healthcare costs. Public Health Nutr. 2003;6:25-30.
16.
DansANgNVargheseCTaiESFirestoneRBonitaR.The rise of chronic non-communicable diseases in Southeast Asia: time for action. Lancet. 2011;377:680-689.
17.
World Health Organization. STEPwise approach to surveillance (STEPS). http://www.who.int/chp/steps/en/. Accessed January 2, 2015.
18.
ZamanMMRahmanMMRahmanMRBhuiyanMRKarimMNChowdhuryM.Prevalence of risk factors for non-communicable diseases in Bangladesh: results from STEPS survey 2010. Indian J Public Health. 2016;60:17-25.
19.
KishL.A procedure for objective respondent selection within the household. J Am Stat Assoc. 1949;4:380-387.
20.
NaskaAVasdekisVGSTrichopoulouA. Fruit, and vegetable availability among ten European countries: how does it compare with the five-a-day recommendation?Br J Nutr. 2000;84:549-556.
21.
KanungsukkasemUNgNMinhH. Fruit and vegetable consumption in rural adult population in INDEPTH HDSS sites in Asia. Glob Health Action. 2009;2.
22.
BallKCrawfordDMishraG.Socio-economic inequalities in women’s fruit and vegetable intakes: a multilevel study of individual, social and environmental mediators. Public Health Nutr. 2006;9:623-630.
23.
FraserGEWelchALubenRBinghamSADayNE.The effect of age, sex, and education on food consumption of a middle-aged English cohort-EPIC in East Anglia. Prev Med. 2000;3:26-34.
24.
MayenAMarques-vidalPPaccaudFBovetPStringhiniS.Socioeconomic determinants of dietary patterns in low- and middle-income countries: a systematic review. Am J Clin Nutr. 2014;100:1520-1531.
25.
LaaksoneDE.High dietary nut intake: too much of a good thing?Am J Hypertens. 2006;19:637-638.
26.
Bangladesh Bureau of Statistics. Health and Demographic Survey 2002. Dhaka, Bangladesh: Ministry of Planning, Government of Bangladesh; 2002.
27.
UglemSFrolichWSteaTHWandelM.Correlates of vegetable consumption among young men in the Norwegian National Guard. Appetite. 2007;48:46-53.
28.
PoortingaW.The prevalence and clustering of four major lifestyle risk factors in an English adult population. Prev Med. 2007;44:124-128.
29.
CoxDNAndersonASLeanMEMelaDJ.UK consumer attitudes, beliefs and barriers to increasing fruit and vegetable consumption. Public Health Nutr. 1998;1:61-68.
30.
YenSTTanAK.Who are eating and not eating fruits and vegetables in Malaysia?Int J Public Health. 2012;57:945-951.
31.
KamphuisCBMGiskesKde BruijnG-JWendel-VosWBrugJvan LentheFJ. Environmental determinants of fruit and vegetable consumption among adults: a systematic review. Br J Nutr. 2006;96:620-635.
32.
BruntARheeYFiskPSKosel-MiddaughAL.Relationships between income and fruit and vegetable consumption. J Am Diet Assoc. 2011;111:A96.
