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Adult Intake of Minimally Processed Fruits and Vegetables: Associations with Cardiometabolic Disease Risk Factors.
J Acad Nutr Diet. 2016 09; 116(9):1387-1394.JA

Abstract

BACKGROUND

The US Department of Agriculture launched ChooseMyPlate.gov nutrition recommendations designed to encourage increased fruit and vegetable intake, in part, as a strategy for improving weight control through the consumption of high-satiation foods.

OBJECTIVE

The purpose of this cross-sectional study was to assess the relationship between adults' reported daily intake of fruits and nonstarchy vegetables (ie, those thought to have the lowest energy density) expressed as a proportion of their total daily food intake and objectively measured cardiovascular and metabolic disease risk factors using data from the 2009-2010 National Health and Nutrition Examination Survey (NHANES). Physical activity was included as a moderator variable.

DESIGN

This study employed a cross-sectional examination of 2009-2010 NHANES data to assess how daily fruit and nonstarchy vegetable intake was associated with anthropometric measures and cardiometabolic blood chemistry markers.

PARTICIPANTS/SETTING

Adults free of cardiac or metabolic disease (n=1,197) participated in 24-hour dietary recalls; a variety of cardiometabolic biomarkers and anthropometric measures were also collected from participants.

MAIN OUTCOME MEASURES

Among participants with complete data on all variables, the ratio of the combined cup-equivalents of fruit and nonstarchy vegetable intake to the total gram weight of all foods consumed daily (F/V ratio) served as the primary independent variable. Main dependent measures included fasting glucose, insulin, glycosylated hemoglobin, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides, total cholesterol, waist circumference, and body mass index.

STATISTICAL ANALYSES PERFORMED

Demographic and behavioral predictors of the F/V ratio and the association between the F/V ratio and cardiometabolic disease risk factors were examined using multivariate regression.

RESULTS

Body mass index (β=-2.58; 95% CI -3.88 to -1.28), waist circumference (β=-6.33; 95% CI -9.81 to -2.84), and insulin (β=-0.21; 95% CI -0.37 to -0.05) were inversely associated with the F/V ratio. These associations were weakened for the subset that adhered to federal physical activity recommendations. No other statistically significant associations were found between F/V ratio and main dependent measures.

CONCLUSIONS

In this nationally representative sample, predicted inverse associations between the proportion of daily fruit and nonstarchy vegetable intake relative to total intake and measures reflective of body fat composition and fasting insulin were confirmed. Future research should examine whether a similar association is observed for other sources of resistant starch, such as whole grains, which are arguably more strongly linked with satiety and host insulin levels.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

27174619

Citation

Cavallo, David N., et al. "Adult Intake of Minimally Processed Fruits and Vegetables: Associations With Cardiometabolic Disease Risk Factors." Journal of the Academy of Nutrition and Dietetics, vol. 116, no. 9, 2016, pp. 1387-1394.
Cavallo DN, Horino M, McCarthy WJ. Adult Intake of Minimally Processed Fruits and Vegetables: Associations with Cardiometabolic Disease Risk Factors. J Acad Nutr Diet. 2016;116(9):1387-1394.
Cavallo, D. N., Horino, M., & McCarthy, W. J. (2016). Adult Intake of Minimally Processed Fruits and Vegetables: Associations with Cardiometabolic Disease Risk Factors. Journal of the Academy of Nutrition and Dietetics, 116(9), 1387-1394. https://doi.org/10.1016/j.jand.2016.03.019
Cavallo DN, Horino M, McCarthy WJ. Adult Intake of Minimally Processed Fruits and Vegetables: Associations With Cardiometabolic Disease Risk Factors. J Acad Nutr Diet. 2016;116(9):1387-1394. PubMed PMID: 27174619.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adult Intake of Minimally Processed Fruits and Vegetables: Associations with Cardiometabolic Disease Risk Factors. AU - Cavallo,David N, AU - Horino,Masako, AU - McCarthy,William J, Y1 - 2016/05/10/ PY - 2015/03/31/received PY - 2016/03/21/accepted PY - 2016/5/14/entrez PY - 2016/5/14/pubmed PY - 2017/6/9/medline KW - Cardiovascular disease KW - Dietary guidelines KW - Fruit and vegetable intake KW - Health disparities KW - Physical activity SP - 1387 EP - 1394 JF - Journal of the Academy of Nutrition and Dietetics JO - J Acad Nutr Diet VL - 116 IS - 9 N2 - BACKGROUND: The US Department of Agriculture launched ChooseMyPlate.gov nutrition recommendations designed to encourage increased fruit and vegetable intake, in part, as a strategy for improving weight control through the consumption of high-satiation foods. OBJECTIVE: The purpose of this cross-sectional study was to assess the relationship between adults' reported daily intake of fruits and nonstarchy vegetables (ie, those thought to have the lowest energy density) expressed as a proportion of their total daily food intake and objectively measured cardiovascular and metabolic disease risk factors using data from the 2009-2010 National Health and Nutrition Examination Survey (NHANES). Physical activity was included as a moderator variable. DESIGN: This study employed a cross-sectional examination of 2009-2010 NHANES data to assess how daily fruit and nonstarchy vegetable intake was associated with anthropometric measures and cardiometabolic blood chemistry markers. PARTICIPANTS/SETTING: Adults free of cardiac or metabolic disease (n=1,197) participated in 24-hour dietary recalls; a variety of cardiometabolic biomarkers and anthropometric measures were also collected from participants. MAIN OUTCOME MEASURES: Among participants with complete data on all variables, the ratio of the combined cup-equivalents of fruit and nonstarchy vegetable intake to the total gram weight of all foods consumed daily (F/V ratio) served as the primary independent variable. Main dependent measures included fasting glucose, insulin, glycosylated hemoglobin, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides, total cholesterol, waist circumference, and body mass index. STATISTICAL ANALYSES PERFORMED: Demographic and behavioral predictors of the F/V ratio and the association between the F/V ratio and cardiometabolic disease risk factors were examined using multivariate regression. RESULTS: Body mass index (β=-2.58; 95% CI -3.88 to -1.28), waist circumference (β=-6.33; 95% CI -9.81 to -2.84), and insulin (β=-0.21; 95% CI -0.37 to -0.05) were inversely associated with the F/V ratio. These associations were weakened for the subset that adhered to federal physical activity recommendations. No other statistically significant associations were found between F/V ratio and main dependent measures. CONCLUSIONS: In this nationally representative sample, predicted inverse associations between the proportion of daily fruit and nonstarchy vegetable intake relative to total intake and measures reflective of body fat composition and fasting insulin were confirmed. Future research should examine whether a similar association is observed for other sources of resistant starch, such as whole grains, which are arguably more strongly linked with satiety and host insulin levels. SN - 2212-2672 UR - https://www.unboundmedicine.com/medline/citation/27174619/Adult_Intake_of_Minimally_Processed_Fruits_and_Vegetables:_Associations_with_Cardiometabolic_Disease_Risk_Factors_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2212-2672(16)30108-3 DB - PRIME DP - Unbound Medicine ER -