Fruit and vegetable consumption among adults - United States, 2005

Article · March 2007
    • "Furthermore, physical activity and nutrition programmes can result in, respectively, increased physical activity and positive nutrition-related outcomes [3, 45]. The promotion of physical activity and fruit and vegetable intake is an important aspect of enhancing the health of older adults, however, research shows that the fruit and vegetable intake and physical activity pattern of many older European adults could be improved [13, 14, 22, 47]. Home health care (HHC) could prove an important setting for interventions here. "
    [Show abstract] [Hide abstract] ABSTRACT: Lifestyle is an important aspect in maintaining good health in older adults, and home health care (HHC) workers can play an important role in promoting a healthy lifestyle. However, there is limited evidence in the literature regarding how to develop an effective training programme to improve the physical activity level and fruit and vegetable consumption of older adults within a HHC setting. The aim of this paper is to describe how Intervention Mapping (IM) was used to develop a training programme to promote preventive activities of HHC workers relating to the physical activity and fruit and vegetable intake of older adults living at home. IM, a systematic theory and evidence-based approach was used to develop, implement and evaluate the training programme. This entailed a literature search, a survey, semi-structured interviews and consultation with HHC workers and various field experts, and a pilot training session. The determinants associated with the provision of preventive activities were identified, and an overview was created of those objectives, matching methods and practical applications that could influence these determinants. The performance objectives for the HHC workers were early detection and monitoring, promoting a healthy lifestyle, informing colleagues, continuing allocated preventive activities and referring to other experts and facilities. Findings were translated into a comprehensive training programme for HHC workers focused on motivating older adults to adopt and maintain a healthier lifestyle. IM was a useful tool in the development of a theory-based training programme to promote preventive activities by HHC workers relating to fruit and vegetable intake and physical activity of older adults.
    Full-text · Article · Dec 2015
    • "Six survey items from the BRFSS asked respondents about frequency (per day, week, or month) of intake of green salad, nonfried potatoes, carrots, other vegetables, fruit juice and whole fruits (Blanck et al., 2007). From these responses, we created an index of fruit and vegetables consumption by summing the frequency of consumption of these six items (times/day). "
    [Show abstract] [Hide abstract] ABSTRACT: Rationale: The social, emotional, and mental health benefits associated with gardening have been well documented. However, the processes underlying the relationship between garden participation and improvements in health status have not been sufficiently studied. Methods: Using population-based survey data (n = 469 urban residents), objective street environment data, and area-level measures, this research used a path analytic framework to examine several theoretically based constructs as mediators between gardening history and self-reported health. Results: The results showed that garden participation influenced health status indirectly through social involvement with one's community, perceived aesthetic appeal of the neighborhood, and perceived collective efficacy. Gardeners, compared to non-gardeners, reported higher ratings of neighborhood aesthetics and more involvement in social activities, whereas aesthetics and involvement were associated with higher ratings of collective efficacy and neighborhood attachment. Collective efficacy, but not neighborhood attachment, predicted self-rated health. Gardening also directly influenced improved fruit and vegetable intake. The physical and social qualities of garden participation may therefore stimulate a range of interpersonal and social responses that are supportive of positive ratings of health. Conclusion: This research suggests that community planners and health professionals should aim to strengthen the social and aesthetic relationships while designing environments and policies as a way to ignite intermediate processes that may lead to improved health status.
    Full-text · Article · Oct 2015
    • "Encourage More Fruit and Veggie Availability and Intake. [46] Americans eat too few fruit and vegetable servings [148,149]. Children and teens from limited resource families are least likely to eat these foods150151152. Diets consistently rich in fruits and vegetables are linked with reduced risk for Nutrients 2015, 7 many chronic diseases, including obesity [50,125,139,153]. "
    [Show abstract] [Hide abstract] ABSTRACT: Home environment is key to the development of obesity-preventing behaviors during childhood, yet few resources help preschool parents address factors at home associated with obesity risk. This paper describes creation of materials for an in-home intervention (HomeStyles) with this population. An advisory group of stakeholders and target audience members determined salient factors affecting childhood obesity to address in-home and developed program materials. The Social Cognitive Theory, Faith's Core Behavior Change Strategies to Treat Childhood Obesity, Adult Learning Theory and motivational interviewing techniques guided development of 12 guides targeting strategies parents can use to shape the home environment. Interviews were conducted to determine effectiveness of the guides. Cognitive testing of guide design (n = 251) and content (n = 261) occurred in English and Spanish in New Jersey and Arizona with parents and home visitation staff who would present the guides. Interviews investigated perceptions of content usefulness and parent comprehension. Findings were also examined in light of theoretical underpinnings. Both home visitation staff and parents felt the guides were very readable and useful. Parents appreciated use of motivational interviewing techniques and Adult Learning Theory. Current research is testing these guides through an in-home, randomized control trial.
    Full-text · Article · Aug 2015
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