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Environmental determinants of fruit and vegetable consumption among adults: a systematic review

  • Carlijn B. M. Kamphuis (a1), Katrina Giskes (a1), Gert-Jan de Bruijn (a2), Wanda Wendel-Vos (a3), Johannes Brug (a1) and Frank J. van Lenthe (a1)
  • DOI: http://dx.doi.org/10.1079/BJN20061896
  • Published online: 01 March 2007
Abstract

The current ecological approach in health behaviour research recognises that health behaviour needs to be understood in a broad environmental context. This has led to an exponential increase in the number of studies on this topic. It is the aim of this systematic review to summarise the existing empirical evidence pertaining to environmental influences on fruit and vegetable (FV) consumption. The environment was defined as ‘all factors external to the individual’. Scientific databases and reference lists of selected papers were systematically searched for observational studies among adults (18–60 years old), published in English between 1 January 1980 and 31 December 2004, with environmental factor(s) as independent factor(s), and fruit intake, vegetable intake or FV intake combined as one outcome measure as dependent factor(s). Findings showed there was a great diversity in the environmental factors studied, but that the number of replicated studies for each determinant was limited. Most evidence was found for household income, as people with lower household incomes consistently had a lower FV consumption. Married people had higher intakes than those who were single, whereas having children showed mixed results. Good local availability (e.g. access to one's own vegetable garden, having low food insecurity) seemed to exert a positive influence on intake. Regarding the development of interventions, improved opportunities for sufficient FV consumption among low-income households are likely to lead to improved intakes. For all other environmental factors, more replicated studies are required to examine their influence on FV intake.

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Corresponding author
*Corresponding author: Carlijn B. M. Kamphuis, fax +31 10 4089455, email c.kamphuis@erasmusmc.nl
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A Agudo , P Amiano & A Barcos , (1999) Dietary intake of vegetables and fruits among adults in five regions of Spain. EPIC Group of Spain. European Prospective Investigation into Cancer and Nutrition. Eur J Clin Nutr 53, 174180.

M Angell (1989) Negative studies. N Engl J Med 321, 464466.

H Billson , JA Pryer & R Nichols (1999) Variation in fruit and vegetable consumption among adults in Britain. An analysis from the dietary and nutritional survey of British adults. Eur J Clin Nutr 53, 946952.

R Cervero & M Duncan (2003) Walking, bicycling, and urban landscapes: evidence from the San Francisco Bay Area. Am J Public Health 93, 14781483.

DA Cohen , RA Scribner & TA Farley (2000) A structural model of health behavior: a pragmatic approach to explain and influence health behaviors at the population level. Prev Med 30, 146154.

S Cummins & S Macintyre (2002) A systematic study of an urban foodscape: the price and availability of food in greater Glasgow. Urban Stud 39, 21152130.

S Cummins & S Macintyre (2006) Food environments and obesity – neighbourhood or nation? Int J Epidemiol 35, 100104.

G Danaei , S Vander Hoorn , AD Lopez , CJ Murray & M Ezzati (2005) Causes of cancer in the world: comparative risk assessment of nine behavioural and environmental risk factors. Lancet 366, 17841793.

GJ De Bruijn , SP Kremers , W van Mechelen & J Brug (2005) Is personality related to fruit and vegetable intake and physical activity in adolescents? Health Educ Res 20, 635644.

CM Devine , WS Wolfe , EA Frongillo Jr & CA Bisogni (1999) Life-course events and experiences: association with fruit and vegetable consumption in 3 ethnic groups. J Am Diet Assoc 99, 309314.

LA Dibsdall , N Lambert , RF Bobbin & LJ Frewer (2003) Low-income consumers' attitudes and behaviour towards access, availability and motivation to eat fruit and vegetables. Public Health Nutr 6, 159168.

AV Diez-Roux , FJ Nieto , L Caulfield , HA Tyroler , RL Watson & M Szklo (1999) Neighbourhood differences in diet: the Atherosclerosis Risk in Communities (ARIC) Study. J Epidemiol Community Health 53, 5563.

A Forsyth , S Macintyre & A Anderson (1994) Diets for disease? Intraurban variation in reported food consumption in Glasgow. Appetite 22, 259274.

M Gibney & P Lee (1993) Patterns of food and nutrient intake in a suburb of Dublin with chronically high unemployment. J Hum Nutr Diet 6, 1322.

B Giles-Corti & RJ Donovan (2002) The relative influence of individual, social and physical environment determinants of physical activity. Soc Sci Med 54, 17931812.

B Giles-Corti & RJ Donovan (2003) Relative influences of individual, social environmental, and physical environmental correlates of walking. Am J Public Health 93, 15831589.

K Giskes , G Turrell , C Patterson & B Newman (2002 a) Socioeconomic differences among Australian adults in consumption of fruit and vegetables and intakes of vitamins A, C and folate. J Hum Nutr Diet 15 375–385 discussion 387390.

K Giskes , G Turrell , C Patterson & B Newman (2002 b) Socio-economic differences in fruit and vegetable consumption among Australian adolescents and adults. Public Health Nutr 5, 663669.

K Glanz & D Hoelscher (2004) Increasing fruit and vegetable intake by changing environments, policy and pricing: restaurant-based research, strategies, and recommendations. Prev Med 39 Suppl. 2, S88S93.

K Glanz , JF Sallis , BE Saelens & LD Frank (2005) Healthy nutrition environments: concepts and measures. Am J Health Promot 19, 330333.

JO Hill , HR Wyatt , GW Reed & JC Peters (2003) Obesity and the environment: where do we go from here? Science 299, 853855.

N Humpel , N Owen & E Leslie (2002) Environmental factors associated with adults' participation in physical activity: a review. Am J Prev Med 22, 188199.

L Johannson & L Andersen (1998) Who eats 5 a day?: intake of fruits and vegetables among Norwegians in relation to gender and lifestyle. J Am Diet Assoc 98, 689691.

L Johansson , DS Thelle , K Solvoll , GE Bjorneboe & CA Drevon (1999) Healthy dietary habits in relation to social determinants and lifestyle factors. Br J Nutr 81, 211220.

M Kintner , P Boss & P Johnson (1981) The relationship between dysfunctional family environments and family member food intake. J Marriage Fam 43, 633641.

SM Krebs-Smith , J Heimendinger , BH Patterson , AF Subar , R Kessler & E Pivonka (1995) Psychosocial factors associated with fruit and vegetable consumption. Am J Health Promot 10, 98104.

M Laaksonen , R Prattala , V Helasoja , A Uutela & E Lahelma (2003) Income and health behaviours. Evidence from monitoring surveys among Finnish adults. J Epidemiol Community Health 57, 711717.

L McAuley , B Pham , P Tugwell & D Moher (2000) Does the inclusion of grey literature influence estimates of intervention effectiveness reported in meta-analyses? Lancet 356, 12281231.

C Mooney (1990) Cost and availability of healthy food choices in a London health district. J Hum Nutr Diet 3, 111120.

K Morland , S Wing & A Diez Roux (2002) The contextual effect of the local food environment on residents' diets: the atherosclerosis risk in communities study. Am J Public Health 92, 17611767.

CJ Murray & AD Lopez (1997) Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet 349, 12691276.

AR Ness & JW Powles (1997) Fruit and vegetables, and cardiovascular disease: a review. Int J Epidemiol 26, 113.

Y Pan , Z Dixon , S Humburg & F Huffman (1999) Asian students change their eating patterns after living in the United States. J Am Diet Assoc 99, 5457.

A Papadaki & JA Scott (2002) The impact on eating habits of temporary translocation from a Mediterranean to a Northern European environment. Eur J Clin Nutr 56, 455461.

J Pollard , D Greenwood , S Kirk & J Cade (2001) Lifestyle factors affecting fruit and vegetable consumption in the UK Women's Cohort Study. Appetite 37, 7179.

J Pollard , SFL Kirk & JE Cade (2002) Factors affecting food choice in relation to fruit and vegetable intake: a review. Nutr Res Rev 15, 373387.

BM Popkin , K Duffey & P Gordon-Larsen (2005) Environmental influences on food choice, physical activity and energy balance. Physiol Behav 86, 603613.

JA Satia , AR Kristal , RE Patterson , ML Neuhouser & E Trudeau (2002) Psychosocial factors and dietary habits associated with vegetable consumption. Nutrition 18, 247254.

S Shohaimi , A Welch , S Bingham , R Luben , N Day , N Wareham & KT Khaw (2004) Residential area deprivation predicts fruit and vegetable consumption independently of individual educational level and occupational social class: a cross sectional population study in the Norfolk cohort of the European Prospective Investigation into Cancer (EPIC-Norfolk). J Epidemiol Community Health 58, 686691.

KA Steinmetz & JD Potter (1996) Vegetables, fruit, and cancer prevention: a review. J Am Diet Assoc 96, 10271039.

A Steptoe , L Perkins Porras , E Rink , S Hilton & FP Cappuccio (2004) Psychological and social predictors of changes in fruit and vegetable consumption over 12 months following behavioral and nutrition education counseling. Health Psychol 23, 574581.

D Stokols , JG Grzywacz , S McMahan & K Phillips (2003) Increasing the health promotive capacity of human environments. Am J Health Promot 18, 413.

AF Subar , CM Frey , LC Harlan & L Kahle (1994) Differences in reported food frequency by season of questionnaire administration: the 1987 National Health Interview Survey. Epidemiology 5, 226233.

B Swinburn , G Egger & F Raza (1999) Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med 29, 563570.

RS Tingay , CJ Tan , NC Tan , S Tang , PF Teoh , R Wong & MC Gulliford (2003) Food insecurity and low income in an English inner city. J Public Health Med 25, 156159.

MA Van Duyn , AR Kristal , K Dodd , MK Campbell , AF Subar , G Stables , L Nebeling & K Glanz (2001) Association of awareness, intrapersonal and interpersonal factors, and stage of dietary change with fruit and vegetable consumption: a national survey. Am J Health Promot 16, 6978.

MA Van Duyn & E Pivonka (2000) Overview of the health benefits of fruit and vegetable consumption for the dietetics professional: selected literature. J Am Diet Assoc 100, 15111521.

FJ van Lenthe , J Brug & JP Mackenbach (2005) Neighbourhood inequalities in physical inactivity: the role of neighbourhood attractiveness, proximity to local facilities and safety in the Netherlands. Soc Sci Med 60, 763775.

M Wandel (1995) Dietary intake of fruits and vegetables in Norway: influence of life phase and socio-economic factors. Int J Food Sci Nutr 46, 291301.

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British Journal of Nutrition
  • ISSN: 0007-1145
  • EISSN: 1475-2662
  • URL: /core/journals/british-journal-of-nutrition
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