撒哈拉以南非洲部分人群中与水果和蔬菜消费频率相关的因素：来自心血管病H3非洲创新资源项目的证据。

Factors associated with frequency of fruit and vegetable consumption among selected sub-Saharan African populations: evidence from the Cardiovascular H3Africa Innovation Resource Project.

作者信息

Okekunle Akinkunmi Paul, Asowata Osahon Jeffery, Akpa Onoja Matthew, Fakunle Adekunle Gregory, Chikowore Tinashe, Mohamed Shukri F, Obiako Reginald, Komolafe Morenikeji, Osaigbovo Godwin O, Ogbole Godwin, Arulogun Oyedunni, Sarfo Fred Stephen, Wahab Kolawole, Owolabi Lukman, Akinyemi Joshua, Akpalu Albert, Uvere Ezinne, Akinyemi Rufus, Jenkins Carolyn, Arnett Donna K, Lackland Daniel, Ovbiagele Bruce, Ramsay Michèle, Owolabi Mayowa

机构信息

Department of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria.

Department of Food and Nutrition, Seoul National University, Seoul, Korea.

出版信息

Int J Epidemiol. 2024 Feb 1;53(1). doi: 10.1093/ije/dyad171.

DOI:10.1093/ije/dyad171

PMID:38199785

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10859155/

Abstract

BACKGROUND

Frequent fruit and vegetable consumption is considered a promising dietary behaviour that protects health. However, most existing studies about the factors associated with this phenomenon among Africans are based on single-country reports, apart from one meta-regression combining smaller studies. This study harmonized large datasets and assessed factors associated with the frequency of fruit and vegetable consumption in this population.

METHODS

Individual-level data on sociodemographics, lifestyle and diet from 20 443 participants across five African countries (Burkina Faso, Ghana, Kenya, South Africa and Nigeria), from the Stroke Investigative Research and Educational Network (SIREN) and Africa Wits-INDEPTH partnership for Genomic Research (AWI-Gen) studies, were harmonized. Total frequency of fruit and vegetable consumption (in portions/week) was classified as 'low' (≤6), 'moderate' (7-14) and 'high' (≥15). Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) of factors associated with the total frequency of fruit and vegetable consumption (using 'low' consumption as the reference) were estimated using multinomial regression models.

RESULTS

Mean age of participants was 54.3 ± 11.8 years, 10 641 (52.1%) were female, and the median (interquartile range) frequency of total fruit and vegetable consumption was 10.0 (4.0, 21.0) portions/week. Participants with a family history of cardiovascular disease [moderate (aOR, 0.92; 95% CI, 0.85, 1.00) and high (aOR, 0.85; 95% CI, 0.78, 0.92)], current smokers [moderate (aOR, 0.83; 95% CI, 0.74, 0.94) and high (aOR, 0.78; 95% CI, 0.69, 0.88)], current alcohol users [moderate (aOR, 0.92; 95% CI, 0.85, 1.00) and high (aOR, 0.82; 95% CI, 0.76, 0.89)] and physically inactive participants [moderate (aOR, 0.85; 95% CI, 0.75, 0.96) and high (aOR, 0.80; 95% CI, 0.70, 0.90)] were less likely to consume fruits and vegetables frequently.

CONCLUSION

Africans with lifestyle risk factors for cardiovascular disease were less likely to consume fruit and vegetables frequently.

摘要

背景

经常食用水果和蔬菜被认为是一种有益健康的饮食行为。然而，除了一项整合较小规模研究的meta回归分析外，大多数关于非洲人群中与这一现象相关因素的现有研究都是基于单一国家报告。本研究整合了大型数据集，并评估了该人群中与水果和蔬菜消费频率相关的因素。

方法

对来自五个非洲国家（布基纳法索、加纳、肯尼亚、南非和尼日利亚）的20443名参与者的社会人口统计学、生活方式和饮食的个体层面数据进行了整合，这些数据来自中风调查研究与教育网络（SIREN）和非洲维特沃特斯兰德大学-深入基因组研究伙伴关系（AWI-Gen）研究。水果和蔬菜消费的总频率（以每周份数计）被分类为“低”（≤6）、“中”（7-14）和“高”（≥15）。使用多项回归模型估计与水果和蔬菜消费总频率相关因素的调整比值比（aORs）和95%置信区间（CIs）（以“低”消费为参照）。

结果

参与者的平均年龄为54.3±11.8岁，10641名（52.1%）为女性，水果和蔬菜消费的总频率中位数（四分位间距）为每周10.0（4.0，21.0）份。有心血管疾病家族史的参与者[中（aOR，0.92；95%CI，0.85，1.00）和高（aOR，0.85；95%CI，0.78，0.92）]、当前吸烟者[中（aOR，0.83；95%CI，0.74，0.94）和高（aOR，0.78；95%CI，0.69，0.88）]、当前饮酒者[中（aOR，0.92；95%CI，0.85，1.00）和高（aOR，0.82；95%CI，0.76，0.89）]以及身体活动不足的参与者[中（aOR，0.85；95%CI，0.75，0.96）和高（aOR，0.80；95%CI，0.70，0.90）]更不太可能经常食用水果和蔬菜。