Vegetable and Fruit Consumption among Chinese Adults and Associated Factors: A Nationally Representative Study of 170,847 Adults.

Yi Chong LI; Bo Jiang; Mei Zhang; Zheng Jing Huang; Qian Deng; Mai Geng Zhou; Zhen Ping Zhao; You Fa Wang; Li Min Wang

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Vegetable and Fruit Consumption among Chinese Adults and Associated Factors: A Nationally Representative Study of 170,847 Adults.

Author: Yi Chong LI ^{1
,

2} ; Bo JIANG ³ ; Mei ZHANG ⁴ ; Zheng Jing HUANG ⁴ ; Qian DENG ⁴ ; Mai Geng ZHOU ⁴ ; Zhen Ping ZHAO ⁴ ; You Fa WANG ⁵ ; Li Min WANG ⁴
Author Information

1. National Center for Chronic Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China
2. Peking University Clinical Research Institute, Beijing 100191, China.
3. Beijing Center for Disease Prevention and Control, Beijing 100191, China.
4. National Center for Chronic Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
5. Global Health Institute, Health Science Center, Xi'an Jiaotong University, Xi'an 710049, Shanxi, China
Publication Type:Journal Article
Keywords: China; China Noncommunicable and Chronic Disease Surveillance survey; Fruit; Vegetables
From: Biomedical and Environmental Sciences 2017;30(12):863-874
CountryChina
Language:English
Abstract:
OBJECTIVEThis study examined vegetable and fruit (VF) consumption rate and its associated factors among Chinese adults.
METHODSNationally representative data from the 2013 China Chronic Disease Surveillance survey were used. Dietary intake data, including VF consumption during the last 12 months, were collected. All analyses were weighted to obtain nationally representative estimates. Associations between VF consumption and other factors (e.g., meal frequency and physical activity) were examined through logistic regression analysis.
RESULTSThe average fruit consumption was 102.3 g/day (95% CI: 97.0-107.6) and the average vegetable consumption was 350.6 g/day (95% CI: 339.3-361.8). Over half (53.2%, 95% CI: 50.9-55.4) of Chinese adults met the VF consumption of 400 g/day recommended by the World Health Organization (WHO). Rural residents had a higher prevalence of low VF consumption rate than urban residents [49.20% (95% CI: 46.2%-52.2%) vs. 44.0% (95% CI: 41.7%-46.3%) P < 0.01]. Old age (OR = 1.01, 95% CI: 1.00-1.01), low educational level, low income, minority ethnicity (OR = 1.41, 95% CI: 1.15-1.74), underweight (OR = 1.17, 95% CI: 1.03-1.33), single marital status (OR = 1.20, 95% CI: 1.08-1.33), low health literacy, irregular breakfast (OR = 1.20, 95% CI: 1.04-1.38) or lunch (OR = 1.58, 95% CI: 1.26-1.99) habits, and no leisure-time physical activity were associated with low VF consumption.
CONCLUSIONOnly half of Chinese adults met the VF consumption recommended by the WHO. Low socio-economic status, irregular diet, and poor health literacy were likely associated with low VF consumption. National efforts and programs are needed to promote VF consumption.