Low fruit and vegetable (F&V) consumption is linked with poor health and increase risk of non communicable diseases (NCD) such as: type 2 diabetes, ischemic heart disease and stroke. An estimated 6·7 million deaths worldwide were attributed to insufficient fruit and vegetable consumption in 2010(Reference Lim, Vos, Flaxman, Danaei, Shibuya and Adair-Rohani1). NCD (diabetes mellitus, cardiovascular disease, stroke and cancer) are main causes of death in Ecuadorian adults. The average F&V consumption in Ecuadorian population does not accomplish with the World Health Organization (WHO) F&V consumption recommendation of 400 g/day(Reference Freire, Ramírez, Belmont, Mendieta, Silva, Romero, Sáenz, Piñeiros, Gómez and Monge2). Low F&V consumption prevalence and F&V consumption behavior are unknown in Ecuadorian workers.
The purpose of this study is twofold: to determine the prevalence of low F&V consumption and to stablish the relationship between Body Mass Index (BMI), age, sex and education with F&V consumption Stage of Change (SOC) in Ecuadorian workers in 2006.
In order to address the above aims, a medical story with the following information was collected in 917 private employees (663men and 254 women) with 18–64 years: 1. Sociodemographic information; 2. BMI; 3. F&V consumption SOC behaviors were measured according to the Trans Theoretical Model; 4. Descriptive statistics, chi- squared test and factorial analysis of multiple correspondences were used.
Low F&V consumption prevalence was 87·9 %. The 12 % of subjects who accomplish WHO F&V consumption recommendation of 400 g/day ate daily an average of 2·1 fruit and 1·3 vegetable portions. The 83 % of subjects who accomplished WHO F&V consumption recommendation were classified in SOC maintenance. Whereas, the majority of subjects who did not accomplished WHO F&V intake recommendations were classified in low F&V SOC (pre contemplation and contemplation). Women ate more F&V than men. The F&V consumption was higher in subjects with high education levels. Similar findings were reported by WHO and Bandoni R.(3,Reference Bandoni, De Moura, Lobo and Constante4). The F&V consumption was not associated with BMI.
High prevalence of low F&V intake was found in this study. The F&V consumption SOC were associated with F&V consumption. Research findings were used for designing and implementing a life style promotion program at workplace under research, which included counselling for increasing F&V consumption.