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, Youfa Wang, Li Min WANG

Research output: Contribution to journalArticle

Abstract

Objective: This study examined vegetable and fruit (VF) consumption rate and its associated factors among Chinese adults. Methods: Nationally 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. Results: The 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. Conclusion: Only 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.

Original languageEnglish (US)
Pages (from-to)863-874
Number of pages12
JournalBiomedical and Environmental Sciences
Volume30
Issue number12
DOIs
StatePublished - Dec 1 2017
Externally publishedYes

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Vegetables
Fruit
Health Literacy
Exercise
Lunch
Breakfast
Thinness
Leisure Activities
Marital Status
Habits
Meals
China
Chronic Disease
Logistic Models
Regression Analysis
Economics
Diet

Keywords

  • China
  • China Noncommunicable and Chronic Disease Surveillance survey
  • Fruit
  • Vegetables

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

Vegetable and Fruit Consumption among Chinese Adults and Associated Factors : A Nationally Representative Study of 170,847 Adults. / LI, Yi Chong; JIANG, Bo; ZHANG, Mei; HUANG, Zheng Jing; DENG, Qian; ZHOU, Mai Geng; ZHAO, Zhen Ping; Wang, Youfa; WANG, Li Min.

In: Biomedical and Environmental Sciences, Vol. 30, No. 12, 01.12.2017, p. 863-874.

Research output: Contribution to journalArticle

LI, Yi Chong ; JIANG, Bo ; ZHANG, Mei ; HUANG, Zheng Jing ; DENG, Qian ; ZHOU, Mai Geng ; ZHAO, Zhen Ping ; Wang, Youfa ; WANG, Li Min. / Vegetable and Fruit Consumption among Chinese Adults and Associated Factors : A Nationally Representative Study of 170,847 Adults. In: Biomedical and Environmental Sciences. 2017 ; Vol. 30, No. 12. pp. 863-874.
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title = "Vegetable and Fruit Consumption among Chinese Adults and Associated Factors: A Nationally Representative Study of 170,847 Adults",
abstract = "Objective: This study examined vegetable and fruit (VF) consumption rate and its associated factors among Chinese adults. Methods: Nationally 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. Results: The 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. Conclusion: Only 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.",
keywords = "China, China Noncommunicable and Chronic Disease Surveillance survey, Fruit, Vegetables",
author = "LI, {Yi Chong} and Bo JIANG and Mei ZHANG and HUANG, {Zheng Jing} and Qian DENG and ZHOU, {Mai Geng} and ZHAO, {Zhen Ping} and Youfa Wang and WANG, {Li Min}",
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T1 - Vegetable and Fruit Consumption among Chinese Adults and Associated Factors

T2 - A Nationally Representative Study of 170,847 Adults

AU - LI, Yi Chong

AU - JIANG, Bo

AU - ZHANG, Mei

AU - HUANG, Zheng Jing

AU - DENG, Qian

AU - ZHOU, Mai Geng

AU - ZHAO, Zhen Ping

AU - Wang, Youfa

AU - WANG, Li Min

PY - 2017/12/1

Y1 - 2017/12/1

N2 - Objective: This study examined vegetable and fruit (VF) consumption rate and its associated factors among Chinese adults. Methods: Nationally 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. Results: The 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. Conclusion: Only 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.

AB - Objective: This study examined vegetable and fruit (VF) consumption rate and its associated factors among Chinese adults. Methods: Nationally 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. Results: The 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. Conclusion: Only 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.

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