Availability, affordability, and consumption of fruits and vegetables in 18 countries across income levels : Findings from the Prospective Urban Rural Epidemiology (PURE) study

9 p.

Autores:
Lopez-Jaramillo, Patricio
Mente, Andrew
Teo, Koon
Xiulin, Bai
Xu, Liu
Hui, Chen
Jian, Bo
Wei, Li
Poirier, Paul P.
Zatonska, Katarzyna
Ariffin, Farnaza
Martinez Oakley, Solange
Chifamba, Jephat
Iqbal, Romaina
Karsidag, Kubilay
Yusufali, Afzalhussein
Ismail, Noorhassim
Orlandini, Andres
Avezum, Alvaro
Rosengren, Annika
Rahman, Omar
Mohammadifard, Noushin
Tsolekile, Lungiswa P.
Kruger, Annamarie
Gupta, Rajeev
Vijayakumar, Krishnapillai
Mohan, Viswanathan
Kaur, Manmeet
Mony, Prem
Lear, Scott A.
Khatib, Rasha
Rangarajan, Sumathy
Popkin, Barry
Lock, Karen
Corsi, Daniel J.
Dehghan, Mahshid
Chow, Clara K.
Yusuf, Salim
Miller, Victoria
Tipo de recurso:
Article of journal
Fecha de publicación:
2016
Institución:
Universidad de Santander
Repositorio:
Repositorio Universidad de Santander
Idioma:
eng
OAI Identifier:
oai:repositorio.udes.edu.co:001/3227
Acceso en línea:
https://repositorio.udes.edu.co/handle/001/3227
Palabra clave:
Availability
Aff ordability
Consumption
Rights
openAccess
License
Derechos Reservados - The Lancet Global Health, 2016
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dc.title.eng.fl_str_mv Availability, affordability, and consumption of fruits and vegetables in 18 countries across income levels : Findings from the Prospective Urban Rural Epidemiology (PURE) study
title Availability, affordability, and consumption of fruits and vegetables in 18 countries across income levels : Findings from the Prospective Urban Rural Epidemiology (PURE) study
spellingShingle Availability, affordability, and consumption of fruits and vegetables in 18 countries across income levels : Findings from the Prospective Urban Rural Epidemiology (PURE) study
Availability
Aff ordability
Consumption
title_short Availability, affordability, and consumption of fruits and vegetables in 18 countries across income levels : Findings from the Prospective Urban Rural Epidemiology (PURE) study
title_full Availability, affordability, and consumption of fruits and vegetables in 18 countries across income levels : Findings from the Prospective Urban Rural Epidemiology (PURE) study
title_fullStr Availability, affordability, and consumption of fruits and vegetables in 18 countries across income levels : Findings from the Prospective Urban Rural Epidemiology (PURE) study
title_full_unstemmed Availability, affordability, and consumption of fruits and vegetables in 18 countries across income levels : Findings from the Prospective Urban Rural Epidemiology (PURE) study
title_sort Availability, affordability, and consumption of fruits and vegetables in 18 countries across income levels : Findings from the Prospective Urban Rural Epidemiology (PURE) study
dc.creator.fl_str_mv Lopez-Jaramillo, Patricio
Mente, Andrew
Teo, Koon
Xiulin, Bai
Xu, Liu
Hui, Chen
Jian, Bo
Wei, Li
Poirier, Paul P.
Zatonska, Katarzyna
Ariffin, Farnaza
Martinez Oakley, Solange
Chifamba, Jephat
Iqbal, Romaina
Karsidag, Kubilay
Yusufali, Afzalhussein
Ismail, Noorhassim
Orlandini, Andres
Avezum, Alvaro
Rosengren, Annika
Rahman, Omar
Mohammadifard, Noushin
Tsolekile, Lungiswa P.
Kruger, Annamarie
Gupta, Rajeev
Vijayakumar, Krishnapillai
Mohan, Viswanathan
Kaur, Manmeet
Mony, Prem
Lear, Scott A.
Khatib, Rasha
Rangarajan, Sumathy
Popkin, Barry
Lock, Karen
Corsi, Daniel J.
Dehghan, Mahshid
Chow, Clara K.
Yusuf, Salim
Miller, Victoria
dc.contributor.author.spa.fl_str_mv Lopez-Jaramillo, Patricio
Mente, Andrew
Teo, Koon
Xiulin, Bai
Xu, Liu
Hui, Chen
Jian, Bo
Wei, Li
Poirier, Paul P.
Zatonska, Katarzyna
Ariffin, Farnaza
Martinez Oakley, Solange
Chifamba, Jephat
Iqbal, Romaina
Karsidag, Kubilay
Yusufali, Afzalhussein
Ismail, Noorhassim
Orlandini, Andres
Avezum, Alvaro
Rosengren, Annika
Rahman, Omar
Mohammadifard, Noushin
Tsolekile, Lungiswa P.
Kruger, Annamarie
Gupta, Rajeev
Vijayakumar, Krishnapillai
Mohan, Viswanathan
Kaur, Manmeet
Mony, Prem
Lear, Scott A.
Khatib, Rasha
Rangarajan, Sumathy
Popkin, Barry
Lock, Karen
Corsi, Daniel J.
Dehghan, Mahshid
Chow, Clara K.
Yusuf, Salim
Miller, Victoria
dc.subject.proposal.eng.fl_str_mv Availability
Aff ordability
Consumption
topic Availability
Aff ordability
Consumption
description 9 p.
publishDate 2016
dc.date.issued.spa.fl_str_mv 2016-08-23
dc.date.accessioned.spa.fl_str_mv 2019-06-28T16:31:18Z
dc.date.available.spa.fl_str_mv 2019-06-28T16:31:18Z
dc.type.spa.fl_str_mv Artículo de revista
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dc.identifier.doi.spa.fl_str_mv 10.1016/S2214-109X(16)30186-3
dc.identifier.isbn.spa.fl_str_mv 2214-109X
dc.identifier.uri.spa.fl_str_mv https://repositorio.udes.edu.co/handle/001/3227
identifier_str_mv 10.1016/S2214-109X(16)30186-3
2214-109X
url https://repositorio.udes.edu.co/handle/001/3227
dc.language.iso.spa.fl_str_mv eng
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dc.relation.ispartof.eng.fl_str_mv The Lancet Global Health
dc.rights.spa.fl_str_mv Derechos Reservados - The Lancet Global Health, 2016
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dc.rights.uri.spa.fl_str_mv https://creativecommons.org/licenses/by-nc/4.0/
rights_invalid_str_mv Derechos Reservados - The Lancet Global Health, 2016
Atribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)
https://creativecommons.org/licenses/by-nc/4.0/
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spelling Lopez-Jaramillo, Patricio9a71267b-dcb0-4d31-b37d-2d30be58d4d2-1Mente, Andrew9a80b664-b49e-4fce-961e-b7dd6e07a3ab-1Teo, Koon60475883-56ab-4acc-833d-b027ad828534-1Xiulin, Bai962cf1ec-b766-4f0e-ac87-7d27f827c74f-1Xu, Liu6e4c44a1-6efa-4640-b130-b00b78547a28-1Hui, Chen68d6c59e-ce75-47ad-9111-5e51e9328604-1Jian, Bo2d43d627-fedf-4d03-889c-d85a280d0709-1Wei, Li9ce9792c-a35b-44fd-9eff-3b6b86002adb-1Poirier, Paul P.36c363be-796a-4ead-87a9-6516e24a0d44-1Zatonska, Katarzyna6d84170f-b69c-462b-9d93-3f363491580a-1Ariffin, Farnazad2d95ed7-bc7d-431b-b7a5-134c24d6f3fa-1Martinez Oakley, Solangee0c3c05c-3dd5-4341-9988-200a9e45b241-1Chifamba, Jephatf2496279-e934-40b8-8f61-0039a09f03f8-1Iqbal, Romaina015cbc16-dd01-4e26-adff-257bb8827f50-1Karsidag, Kubilay9030ea3d-7c87-4efc-b74b-c43dad8021fc-1Yusufali, Afzalhussein2c177fd9-b761-4f07-b754-1e05fe659a48-1Ismail, Noorhassim1101b3a5-610e-458d-87ec-bde747adae7c-1Orlandini, Andrescbafea09-3a82-4064-a22f-d34a0e7583d4-1Avezum, Alvaro8b920360-abb2-4ec8-b5ee-4e3f4e0b11eb-1Rosengren, Annika923779f9-3a92-4086-b3d9-9d78974926d9-1Rahman, Omar2fdf224c-97c9-4fb0-b7a9-ea79427bc631-1Mohammadifard, Noushin24262688-da4b-4bdf-9ced-4eb264282354-1Tsolekile, Lungiswa P.9f7eaff8-4ee8-4acf-8f6d-39d6de0a947b-1Kruger, Annamarie1253e46a-fa0d-4d1e-9ef7-0e9daf520039-1Gupta, Rajeevde1826df-aac8-4d9f-9b84-f21ba704686c-1Vijayakumar, Krishnapillaicced3ba4-c2d6-43c5-957b-88b0fd90887f-1Mohan, Viswanathane7246d73-7de3-4d86-9c7b-b9ca011e618b-1Kaur, Manmeet857257e4-cebb-4bea-8d9b-e134b46dc72b-1Mony, Premab6dbf82-20a0-4744-abfd-8a723db46c4d-1Lear, Scott A.19eb29a4-5987-41b9-a400-130692ec0232-1Khatib, Rasha7beae0a6-cfd5-4272-bf8c-1b5896fed8e5-1Rangarajan, Sumathy5466c363-e515-4bd2-8537-eb839320f385-1Popkin, Barryf2072c76-7791-49dc-b1bc-6ba061d166f8-1Lock, Karen4f77fe3b-5421-45e0-82d1-0d9f1cb78360-1Corsi, Daniel J.5e1a0c0f-1fa6-4ecf-8082-dec009546c69-1Dehghan, Mahshid24c90dd8-52a1-41e0-8c9a-52ee9ce29532-1Chow, Clara K.59b08c93-1afd-49b9-b5bb-12ece84c0bb0-1Yusuf, Salim06a836b5-f5e3-41d9-a516-9cc46e5d7948-1Miller, Victoriafa0d0226-abe8-4517-922c-49798b3d1038-12019-06-28T16:31:18Z2019-06-28T16:31:18Z2016-08-239 p.Background Several international guidelines recommend the consumption of two servings of fruits and three servings of vegetables per day, but their intake is thought to be low worldwide. We aimed to determine the extent to which such low intake is related to availability and aff ordability. Methods We assessed fruit and vegetable consumption using data from country-specific, validated semi-quantitative food frequency questionnaires in the Prospective Urban Rural Epidemiology (PURE) study, which enrolled participants from communities in 18 countries between Jan 1, 2003, and Dec 31, 2013. We documented household income data from participants in these communities; we also recorded the diversity and non-sale prices of fruits and vegetables from grocery stores and market places between Jan 1, 2009, and Dec 31, 2013. We determined the cost of fruits and vegetables relative to income per household member. Linear random eff ects models, adjusting for the clustering of households within communities, were used to assess mean fruit and vegetable intake by their relative cost. Findings Of 143 305 participants who reported plausible energy intake in the food frequency questionnaire, mean fruit and vegetable intake was 3·76 servings (95% CI 3·66–3·86) per day. Mean daily consumption was 2·14 servings (1·93–2·36) in low-income countries (LICs), 3·17 servings (2·99–3·35) in lower-middle-income countries (LMICs), 4·31 servings (4·09–4·53) in upper-middle-income countries (UMICs), and 5·42 servings (5·13–5·71) in highincome countries (HICs). In 130 402 participants who had household income data available, the cost of two servings of fruits and three servings of vegetables per day per individual accounted for 51·97% (95% CI 46·06–57·88) of household income in LICs, 18·10% (14·53–21·68) in LMICs, 15·87% (11·51–20·23) in UMICs, and 1·85% (–3·90 to 7·59) in HICs (ptrend=0·0001). In all regions, a higher percentage of income to meet the guidelines was required in rural areas than in urban areas (p<0·0001 for each pairwise comparison). Fruit and vegetable consumption among individuals decreased as the relative cost increased ptrend=0·00040). Interpretation The consumption of fruit and vegetables is low worldwide, particularly in LICs, and this is associated with low aff ordability. Policies worldwide should enhance the availability and aff ordability of fruits and vegetables. Funding Population Health Research Institute, the Canadian Institutes of Health Research, Heart and Stroke Foundation of Ontario, AstraZeneca (Canada), Sanofi -Aventis (France and Canada), Boehringer Ingelheim (Germany and Canada), Servier, GlaxoSmithKline, Novartis, King Pharma, and national or local organisations in participating countries.application/pdf10.1016/S2214-109X(16)30186-32214-109Xhttps://repositorio.udes.edu.co/handle/001/3227engThe Lancet Global HealthDerechos Reservados - The Lancet Global Health, 2016info:eu-repo/semantics/openAccessAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)https://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2https://www.thelancet.com/action/showPdf?pii=S2214-109X%2816%2930186-3AvailabilityAff ordabilityConsumptionAvailability, affordability, and consumption of fruits and vegetables in 18 countries across income levels : Findings from the Prospective Urban Rural Epidemiology (PURE) studyArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85PublicationTHUMBNAILAvailability, affordability, and consumption of fruits and vegetables in 18 countries across income levels. 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