veg fruit presentation

CPHN Presenting Nutrition Series ‘Report on the consumption of vegetables and fruit in NSW : 2003’ Authors: Debra Hector Liz Story Vicki Flood Presenting Nutrition Series Introduction for Users o The presentations are designed to assist professionals throughout NSW disseminate information on public health nutrition o Each presentation is based on an existing CPHN report o Users are requested to provide full acknowledgement of the authors, CPHN and the Department of Health o Notes version of the ppt gives table/figure and page numbers, for easy reference to the report o Further information and explanation of each slide should be sought from the report Visit http://www.cphn.biochem.usyd.edu.au o Users should use Excel to prepare slides with data for other areas, modelled on the sample provided o Any questions can be referred to Lesley King on 02 9351 8015 The Report • • • • • Rationale for the promotion of fruit and vegetable consumption Risks and burden of disease associated with low consumption Recommended levels of consumption Current levels of consumption of V & F in NSW Recommendations for monitoring V & F consumption in NSW Conceptual framework for monitoring vegetables & fruit consumption Dietrelated diseases/ conditions Biomedical risk factors Nutrient intakes Food and supplement consumption habits Food purchasing / acquisition F&N–related ‘literacy’ (knowledge, attitudes, beliefs) Food supply / community access Food / nutrition policy and action Adapted from: Webb K in Marks et al Monitoring food habits in the Australian population using short questions 2001 Association between V & F Intake and Chronic Disease – Evaluation of the Evidence Disease Strength of Evidence Assessment of Evidence Neural Tube Birth Defects Substantial, proven Proven Cancer – number of sites Substantial, growing Extremely convincing Cardiovascular diseases Substantial, growing Very convincing Diverticulosis Strong Convincing Cataracts/Macular Disease Growing Convincing Type Diabetes Mixed, Indirect Convincing Stroke Limited, Building Becoming convincing Hypertension Limited Suggestive COPD New Suggestive Overweight and Obesity Sparse, Indirect Convincing as part of treatment/prevention Source: 5+A Day New Zealand Protective effects of eating vegetables and fruit … the MORE the better the more VARIETY the better consume WHOLE vegetables and fruit the EARLIER the better Recommended Intakes for Protective Effects Quantity and Variety Exposure period Dose-Response ↑intake ↓risk High consumption of V & F should begin in childhood ‘Extra 50g vegs and fruit each day could cut risk of premature death by 20%’ (EPIC) ‘Women consuming at least 2.5 serves daily of V & F as adolescents were 46% less likely to develop ovarian cancer’ (Fairfield et al, 2001) Burden of Disease Burden of disease is the amount of ill health and disability attributable to a given factor ‘Inadequate intake of vegetables and fruit accounts for around 3% of the total burden of disease in Australia*’ (Mathers et al 2000) *compared to 2% from alcohol and 10% from tobacco – note, 3% is very likely to be an underestimate of the true burden of disease related to inadequate vegetable and fruit consumption Burden of disease attributable to inadequate V & F consumption, Australia, 1995 Persons Number Deaths YLL YLD DALYs Per Cent 057 3.2 55 963 4.2 12 114 1.0 98 077 2.7 Source: AIHW 1999(Mathers et al 2000) Most of the burden of disease is attributable to cancers and cardiovascular disease Burden of cancer related to inadequate V & F consumption (in Australia, 1995)     Inadequate V & F consumption accounts for 11% of the total cancer burden Low V intake ([...]... there a trade-off in consumption of vegetables for fruit (or vice versa) in adolescents? NO - those that have low vegetable consumption generally consume small amounts of fruit, those that have high vegetable consumption consume large amounts of fruit Cross-tabulation of V & F serves usually eaten each day* (vegetables as a % of fruit category) Vegetables, serves per day Fruit, serves per day 1 or less... adolescents, adults and older people) ‘Eat plenty of … vegetables (including legumes) and fruit Minimum daily serves: 5 vegetables and 2 fruit Consumption Recommendations Australian Guide to Healthy Eating – how many serves? Vegetables Adults Children (4-7 yrs) Children (8-11yrs) Adolescents (12-18yrs) 4-8 2-4 3-5 4-9 Fruit 2-4 1-2 1-2 3-4 Note - AGHE includes fruit juice and potatoes as part of the recommended... TYPES of VEGETABLES consumed by GIRLS aged 2-18 years in NSW (mean serves/capita/day) (1995 NNS NSW sub-sample) Fruit consumption – Vulnerable Sub-groups Sub-groups likely to consume low or very low amounts of fruit: • • • • Men (most age groups compared to women) Women in the most disadvantaged socioeconomic areas Indigenous women Men, particularly, and women living in very remote areas Vegetable... Vegetable consumption – Vulnerable Sub-groups • For each age group, women consume more vegetables than men • Vegetable consumption is lowest in men 18-44 years and women 18-24 years • Vegetable consumption does not appear to be affected by socioeconomic status, degree of remoteness, or indigenous status (although variety of vegetables consumed might - no data available) ... 24 26 33 *ASSAD – Australian School Students’ Alcohol and Drugs Survey 1996 DIFFERENT TYPES of FRUIT consumed by ADULTS in NSW (mean serves/capita/day) (1995 NNS NSW sub-sample) Mean serves/capita/day 0.30 0.20 Males Females 0.10 0.00 pomme berry citrus stone tropical dried fruit other DIFFERENT TYPES of VEGETABLES consumed by ADULTS in NSW (mean serves/per capita/day) (1995 NNS NSW sub-sample) 1.25... ot 0.00 po ta to es br as si ca e Mean serves/capita/day 1.50 DIFFERENT TYPES of FRUIT consumed by BOYS aged 2-18 years in NSW (mean serves/capita/day) (1995 NNS NSW sub-sample) mean serves/capita/day 0.5 0.4 2-7 years 0.3 8-11 years 0.2 12-18 years 0.1 0.0 pomme citrus stone tropical dried fruit other DIFFERENT TYPES of FRUIT consumed by GIRLS aged 2-18 years in NSW (mean serves/capita/day) (1995 NNS... Girls 10 0 do not 1 or less eat vegs 2-3 4-5 Number of serves 6 or more not stated Serves of fruit usually eaten each day by adolescents in NSW - results of 2 surveys 60 NNS 1995 NSW sub-sample (1219 years) Boys % consuming 50 NNS 1995 NSW sub-sample (1219 years) Girls 40 30 NSW ASSAD survey 1996 (1217 years) Boys 20 10 NSW ASSAD survey 1996 (1217 years) Girls 0 do not eat fruit 1 or less 2-3 4-5 Number... of FRUIT (per day) in NSW, by age (NSW HS 1997/98) 40 All % consuming 35 18-24 30 25-34 25 35-44 20 45-54 15 55-64 10 65-74 5 75+ 0 ... plenty of … vegetables (including legumes) and fruit Minimum daily serves: vegetables and fruit Consumption Recommendations Australian Guide to Healthy Eating – how many serves? Vegetables Adults... Day New Zealand Protective effects of eating vegetables and fruit … the MORE the better the more VARIETY the better consume WHOLE vegetables and fruit the EARLIER the better Recommended Intakes... adolescents? NO - those that have low vegetable consumption generally consume small amounts of fruit, those that have high vegetable consumption consume large amounts of fruit Cross-tabulation of V &