ArticleRevista de saude publica2019
Monotony in the consumption of fruits and vegetables and food environment characteristics.
Article in Revista de saude publica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The influence of the urban food environment on diet, nutrition and health outcomes in low-income and middle-income countries: a systematic review.BMJ global health · 2021Pooled it
- Evaluation of Nutrient Consumption for the Prevention of Chronic Diseases in Health Promotion Services: A Controlled and Randomized Community Trial to Promote Fruits and Vegetables.International journal of environmental research and public health · 2023Trial
- Intervention for promoting intake of fruits and vegetables in Brazilians: a randomised controlled trial.Public health nutrition · 2022Trial
- Health and Environmental Impacts of Major Foods Consumed in Regional Food Systems of Brazil.International journal of environmental research and public health · 2025Article
- Consumer food environments change over a 5-year period.Public health nutrition · 2024Article
- Food Consumption Inequalities in Primary Care in a Large Metropolis.International journal of environmental research and public health · 2024Article
- "Academia da Saúde" program: mapping evidence from the largest health promotion community program in Brazil.Frontiers in public health · 2023Review
- Higher fruit and vegetable variety associated with lower risk of cognitive impairment in Chinese community-dwelling older men: a 4-year cohort study.European journal of nutrition · 2022Article
- Dietary and nutrient intake among participants of a Brazilian health promotion programme: a cross-sectional study.Public health nutrition · 2021Article
- Consumption of ultra-processed foods and nutritional profile in a health promotion service of primary care.Public health nutrition · 2021Article
- Comparison of food and beverage products' availability, variety, price and quality in German and US supermarkets.Public health nutrition · 2020Article
- Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo analyze the quantity and diversity in the consumption fruits and vegetables, as well as its relationship with the consumer's purchase characteristics and food environment.
methodsBaseline study stemming from a controlled and randomized community trial investigating a sample representative of Primary Health Care services (Health Academy Program) of Belo Horizonte, state of Minas Gerais. The intake of fruits and vegetables was analyzed in servings/day, whereas diversity was assessed by the Food Frequency Questionnaire. Users were also questioned on the frequency, purchase location and availability of these foods at their households. To assess the consumer's food environment, commercial establishments within a 1.6 km radius around the program unit sampled were audited.
results3,414 adults and older adults (88.1% women) were investigated, as well as 336 commercial establishments, in 18 units of the Health Academy Program. The average consumption of fruits and vegetables was adequate [5.4 (SD = 2.1) servings/day] but monotonous, with average daily intake of two different types. In the establishments audited, a good diversity (77.7% and 85.0%) and variety (74.5% and 81.4%) of fruits and vegetables was observed, although with lower quality of vegetables (60.4%). After adjusting for sociodemographic variables, we identified that knowledge on food crops (p = 0.006), increased monthly availability of fruits at households (p < 0.001), and greater variety of fruits (p = 0.03) and quality of vegetables (p = 0.05) in commercial establishments could improve the quantitative intake of fruits and vegetables, whereas a greater variety of fruits (p = 0.008) would increase consumption diversity.
conclusionsThe intake of fruits and vegetables was quantitatively adequate but monotonous, being influences by the consumer environment. Such results highlight the need for improving educational actions in health services and programs, in addition to acting on the consumer environment, aiming to promote and maintain the adequate and diversified consumption, as recommended by Brazilian guidelines for proper and healthy eating.
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