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Fruit and vegetable availability among ten European countries:how does it compare with the ‘five-a-day’ recommendation?*

Published online by Cambridge University Press:  09 March 2007

Androniki Naska ,
Vassilis G. S. Vasdekis ,
Antonia Trichopoulou ,
Sharon Friel ,
Ingrid U. Leonhäuser ,
Olga Moreiras ,
Michael Nelson ,
Anne M. Remaut ,
Anette Schmitt  and
Wlodzimierz Sekula
...Show all authors
Androniki Naska
Affiliation:
Department of Hygiene and Epidemiology, School of Medicine, National Kapodistrian University of Athens, Athens, Greece
Vassilis G. S. Vasdekis
Affiliation:
Department of Statistics, Athens University of Economics and Business, Athens, Greece
Antonia Trichopoulou*
Affiliation:
Department of Hygiene and Epidemiology, School of Medicine, National Kapodistrian University of Athens, Athens, Greece
Sharon Friel
Affiliation:
National Nutrition Surveillance Centre, Department of Health Promotion, Clinical Science Institute, University College, Galway, Republic of Ireland
Ingrid U. Leonhäuser
Affiliation:
JL University Giessen, Ernährungsberatung & Verbraucherverhalten, Institut für Ernährungswissenschaft, Giessen, Germany
Olga Moreiras
Affiliation:
Departamento de Nutricion y Bromatologia Facultat de Farmacia, Universidad Complutense de Madrid, Madrid, Spain
Michael Nelson
Affiliation:
Department of Nutrition and Dietetics King's College London, London, SE1 8WA, UK
Anne M. Remaut
Affiliation:
Department of Food Technology and Nutrition Faculty of Agricultural and Applied Biological Sciences, University of Gent, Gent, Belgium
Anette Schmitt
Affiliation:
Interdisciplinary Nutrition Policy Group, Luxembourg
Wlodzimierz Sekula
Affiliation:
National Food and Nutrition Institute, Warsaw, Poland
Kerstin U. Trygg
Affiliation:
Institute of Nutrition Research, University of Oslo, Oslo, Norway
Gábor Zajkás
Affiliation:
National Institute of Food Hygiene and Nutrition, Budapest, Hungary
*
†Corresponding author: Dr Antonia Trichopoulou, fax +30 1 7488 902, email [email protected]
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Abstract

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Recasting the role of fruit and vegetables (F&V) in the diet, and planning national and international campaigns to enhance their consumption are major public health service objectives. The present study seeks to describe F&V availability patterns in ten European countries and examine compliance with current recommendations. The mean and median F&V availability (g/person per d) was estimated based on household budget survey data retrieved from the Data Food Networking (DAFNE) databank. Low F&V consumers were identified based on WHO international recommendations (minimum combined F&V intake of about 400 g/person per d) and current conservative guidelines of a minimum daily intake of three portions of vegetables and two portions of fruit. Considerable disparities in F&V availability were found among the surveyed European populations. Only in Mediterranean countries did the mean daily population intake clearly exceed combined F&V recommendations. Dietary patterns were positively skewed in all populations studied, on account of the presence of exceptionally high values among segments of the populations. Moreover, the correlation was unexpectedly weak between the proportion of low fruit and low vegetable consumers (Spearman's correlation coefficient +0·18). More than 50 % of the households in the surveyed populations are likely to consume less than the recommended daily vegetable intake of three portions, and this applies even to the two Mediterranean populations. The efficiency of F&V promoting strategies may be enhanced if F&V are addressed separately; furthermore, interventions that would specifically focus on vegetables are probably needed.

Keywords

Nutrition policyHousehold budget surveysFruit and vegetable availability
Type
Research Article
Information
British Journal of Nutrition , Volume 84 , Issue 4 , October 2000 , pp. 549 - 556
Copyright
Copyright © The Nutrition Society 2000

Footnotes

*

The German household budget survey data used in the DAFNE project (German contract database) do not necessarily correspond to the non-anonymised statistical microdata from which the contract database was prepared. The British household budget survey data is Crown copyright. It has been made available by the Office for National Statistics (ONS) through the Data Archive, based at the University of Essex. Neither the ONS nor the Data Archive bear any responsibility for the analysis or interpretation of the data reported here.

References

Bean, A (1993) 5-a-day Eating Plans. London: Fresh Fruit and Vegetable Information Bureau.Google Scholar
Bingham, SA (1987) The dietary assessment of individuals: methods, accuracy, new techniques and recommendations. Nutrition Abstract Reviews 57, 705–736.Google Scholar
Block, G (1991) Dietary guidelines and the results of food consumption surveys. American Journal of Clinical Nutrition 53, 356S–357S.CrossRefGoogle ScholarPubMed
Block, G, Patterson, B and Subar, A (1992) Fruit, vegetables, and cancer prevention: a review of the epidemiologic evidence. Nutrition and Cancer 18, 1–29.Google Scholar
Cox, DN, Anderson, AS, Lean, MEJ and Mela, DJ (1998) UK consumer attitudes, beliefs and barriers to increasing fruit and vegetable consumption. Public Health Nutrition 1, 61–68.CrossRefGoogle ScholarPubMed
Department of Health (1994) Nutritional Aspects of Cardiovascular Disease. Report on Health and Social Subjects no. 46. London: H.M. Stationery Office.Google Scholar
Europe Against Cancer (1994) A Key to Health: Eat Five Fruit and Vegetables Every Day? Brussels: Cancer Education Coordinating Group, European Union Against Cancer Program.Google Scholar
European Commission (1998) Success Stories from the Agro-industrial Research Programmes. Luxembourg: Office for Official Publications of the European Communities.Google Scholar
Health Education Authority (1992) Enjoy Fruit and Vegetables Campaign. London: HEA.Google Scholar
Heimendinger, J and Van Duyn, MAS (1995) Dietary behavior change: the challenge of recasting the role of fruit and vegetables in the American diet. American Journal of Clinical Nutrition 61, 1397S–1401S.CrossRefGoogle ScholarPubMed
Institute of European Food Studies (1998) The Effect of Survey Duration on the Estimation of Food Chemical Intakes. Report no. 3. Dublin: Trinity College.Google Scholar
Johansson, L and Andersen, LF (1998) Who eats 5 a day?: Intake of fruits and vegetables among Norwegians in relation to gender and lifestyle. Journal of the American Dietetic Association 98, 689–691.CrossRefGoogle Scholar
Lagiou, P, Trichopoulou, A, Henderickx, HK, Kelleher, C, Leonhäuser, IU, Moreiras, O, Nelson, M, Schmitt, A, Sekula, W, Trygg, K and Zajkas, G (1999) Household budget survey nutritional data in relation to mortality from coronary heart disease, colorectal cancer and female breast cancer in European countries. European Journal of Clinical Nutrition 53, 328–332.Google Scholar
Lechner, L and Brug, J (1997) Consumption of fruit and vegetables: how to motivate the population to change their behavior. Cancer Letters 19, 335–336.CrossRefGoogle Scholar
Ministry of Health and Welfare, Supreme Scientific Health Council (1999), –. Dietary guidelines for adults in Greece. Archives of Hellenic Medicine 16, 516–524.Google Scholar
Organization for Economic Co-operation and Development-Agricultural Statistics (1991) Food Consumption Statistics. 1979–1988. Paris: Organization of Economic Co-operation and Development.Google Scholar
Steinmetz, KA and Potter, JD (1991) Vegetables, fruits and cancer. I. Epidemiology. Cancer Causes and Control 2, 325–357.CrossRefGoogle ScholarPubMed
Steinmetz, KA and Potter, JD (1991) Vegetables, fruits and cancer. II. Mechanisms. Cancer Causes and Control 2, 427–442.CrossRefGoogle ScholarPubMed
Steinmetz, KA and Potter, JD (1996) Vegetables, fruit and cancer prevention: a review. Journal of the American Dietetic Association 96, 1027–1039.CrossRefGoogle ScholarPubMed
Stuart, A & Ord, K (1994) Kendall's Advanced Theory of Statistics, vol. 1. London: E. Arnold.Google Scholar
Trichopoulos, D and Willett, WC (1996) Nutrition and cancer. Cancer Causes and Control 7, 3–180.Google Scholar
Trichopoulou, A (1992) Methodology and public health aspects of dietary surveillance in Europe: The use of Household Budget Surveys. European Journal of Clinical Nutrition 46(Suppl. 5), S1–S153.Google Scholar
Trichopoulou, A, Kanellou, A, Lagiou, P and Zintzaras, E (1996) Integration of nutritional data on household budget surveys in European countries. Proceedings of the Nutrition Society 55, 699–704.CrossRefGoogle ScholarPubMed
Trichopoulou, A & Lagiou, P (1997) Methodology for the Exploitation of HBS Food Data and Results on Food Availability in 5 European Countries. Luxembourg: Office for Official Publications of the European Communities.Google Scholar
Trichopoulou, A & Lagiou, P (1998) Methodology for the Exploitation of HBS Food Data and Results on Food Availability in 6 European Countries. Luxembourg: Office for Official Publications of the European Communities.Google Scholar
Trichopoulou, A, Lagiou, P, Nelson, M, Remaut-De Winter, AM, Kelleher, C, Leonhauser, IU, Moreiras, O, Schmitt, A, Sekula, W, Trygg, K and Zaykas, G (1999) Food disparities in 10 European countries: Their detection using household budget survey data — The DAta Food NEtworking (DAFNE) initiative. Nutrition Today 34, 129–139.CrossRefGoogle Scholar
Trudeau, E, Kristal, AR, Li, S and Patterson, RE (1998) Demographic and psychosocial predictors of fruit and vegetable intakes differ: Implications for dietary interventions. Journal of the American Dietetic Association 98, 1412–1417.CrossRefGoogle ScholarPubMed
US Department of Agriculture (1995) Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans. Washington, DC: US Department of Agriculture.Google Scholar
US Department of Agriculture and US Department of Health and Human Services (1980) Nutrition and Your Health: Dietary Guidelines for Americans. Home and Garden Bulletin no. 232. Washington, DC: Government Printing Office.Google Scholar
Willett, WC (1994) Diet and health: What should we eat?. Science 264, 532–537.Google Scholar
Williams, C (1995) Healthy eating: clarifying advice about fruit and vegetables. British Medical Journal 310, 1453–1455.CrossRefGoogle ScholarPubMed
World Cancer Research Fund/American Institute for Cancer Research (1997) Goals for populations, advice for individuals. In Food Nutrition and the Prevention of Cancer, pp.508–522. Washington, DC: World Cancer Research Fund and American Institute for Cancer Research.Google Scholar
World Health Organization (1990) Diet, Nutrition and the Prevention of Chronic Diseases. Technical Report Series no. 797. Geneva: WHO.Google Scholar
Zino, S, Skeaff, M, Williams, S and Mann, J (1997) Randomised controlled trial of effect of fruit and vegetable consumption on plasma concentrations of lipids and antioxidants. British Medical Journal 314, 1787–1791.CrossRefGoogle ScholarPubMed