Fruit and Vegetable Intake Among Older Adults: a Scoping Review

Overview

Journal Maturitas

Specialty Geriatrics

Date 2013 Jun 18

PMID 23769545

Citations 83

Authors

Emily J Nicklett

Andria R Kadell

Affiliations

Soon will be listed here.

Abstract

Older adults are the fastest growing segment of the world population. Older adults are also at heightened risk of chronic conditions (such as diabetes, heart disease, and cancer) and specific geriatric conditions (such as cognitive impairment, frailty, and falls). Research studies have examined the relationship between fruit and vegetable intake and subsequent health outcomes and the correlates of fruit and vegetable intake in the U.S. population. However, relatively few studies have specifically examined health impacts and correlates of fruit and vegetable intake among older adults, who have unique biophysical and socioeconomic circumstances. Evidence is reviewed to (1) describe findings related to consumption and chronic, geriatric, and other health outcomes among older adults and (2) describe patterns in fruit and vegetable consumption among older adults and how these patterns vary within and among populations. This review addresses specific barriers faced by older adults in obtaining and consuming fruits and vegetables in community settings. Recommendations for practice and policy are discussed.

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References

Zhang S, Hunter D, Forman M, Rosner B, Speizer F, Colditz G . Dietary carotenoids and vitamins A, C, and E and risk of breast cancer. J Natl Cancer Inst. 1999; 91(6):547-56. DOI: 10.1093/jnci/91.6.547. View

Gibson A, Edgar J, Neville C, Gilchrist S, McKinley M, Patterson C . Effect of fruit and vegetable consumption on immune function in older people: a randomized controlled trial. Am J Clin Nutr. 2012; 96(6):1429-36. DOI: 10.3945/ajcn.112.039057. View

Bazzano L, He J, Ogden L, Loria C, Vupputuri S, Myers L . Fruit and vegetable intake and risk of cardiovascular disease in US adults: the first National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Am J Clin Nutr. 2002; 76(1):93-9. DOI: 10.1093/ajcn/76.1.93. View

Hays N, Roberts S . The anorexia of aging in humans. Physiol Behav. 2006; 88(3):257-66. DOI: 10.1016/j.physbeh.2006.05.029. View

Dubowitz T, Heron M, Bird C, Lurie N, Finch B, Basurto-Davila R . Neighborhood socioeconomic status and fruit and vegetable intake among whites, blacks, and Mexican Americans in the United States. Am J Clin Nutr. 2008; 87(6):1883-91. PMC: 3829689. DOI: 10.1093/ajcn/87.6.1883. View

Khaw K, Wareham N, Bingham S, Welch A, Luben R, Day N . Combined impact of health behaviours and mortality in men and women: the EPIC-Norfolk prospective population study. PLoS Med. 2008; 5(1):e12. PMC: 2174962. DOI: 10.1371/journal.pmed.0050012. View

Tucker K, Chen H, Hannan M, Cupples L, Wilson P, Felson D . Bone mineral density and dietary patterns in older adults: the Framingham Osteoporosis Study. Am J Clin Nutr. 2002; 76(1):245-52. DOI: 10.1093/ajcn/76.1.245. View

Donkin A, Johnson A, Morgan K, Neale R, Page R, Silburn R . Gender and living alone as determinants of fruit and vegetable consumption among the elderly living at home in urban Nottingham. Appetite. 1998; 30(1):39-51. DOI: 10.1006/appe.1997.0110. View

Walls A, Steele J . The relationship between oral health and nutrition in older people. Mech Ageing Dev. 2004; 125(12):853-7. DOI: 10.1016/j.mad.2004.07.011. View

10.

Jetter K, Cassady D . The availability and cost of healthier food alternatives. Am J Prev Med. 2006; 30(1):38-44. DOI: 10.1016/j.amepre.2005.08.039. View

11.

Baker A, Wardle J . Sex differences in fruit and vegetable intake in older adults. Appetite. 2003; 40(3):269-75. DOI: 10.1016/s0195-6663(03)00014-x. View

12.

Locher J, Ritchie C, Roth D, Baker P, Bodner E, Allman R . Social isolation, support, and capital and nutritional risk in an older sample: ethnic and gender differences. Soc Sci Med. 2004; 60(4):747-61. PMC: 2763304. DOI: 10.1016/j.socscimed.2004.06.023. View

13.

Yancey A, Kumanyika S, Ponce N, McCarthy W, Fielding J, Leslie J . Population-based interventions engaging communities of color in healthy eating and active living: a review. Prev Chronic Dis. 2005; 1(1):A09. PMC: 544532. View

14.

Semba R, Bartali B, Zhou J, Blaum C, Ko C, Fried L . Low serum micronutrient concentrations predict frailty among older women living in the community. J Gerontol A Biol Sci Med Sci. 2006; 61(6):594-9. DOI: 10.1093/gerona/61.6.594. View

15.

Keller H . Promoting food intake in older adults living in the community: a review. Appl Physiol Nutr Metab. 2007; 32(6):991-1000. DOI: 10.1139/H07-067. View

16.

Moore L, Hung R, Karami S, Boffetta P, Berndt S, Hsu C . Folate metabolism genes, vegetable intake and renal cancer risk in central Europe. Int J Cancer. 2007; 122(8):1710-5. DOI: 10.1002/ijc.23318. View

17.

Shepherd R, Towler G . Nutrition knowledge, attitudes and fat intake: application of the theory of reasoned action. J Hum Nutr Diet. 2007; 20(3):159-69. DOI: 10.1111/j.1365-277X.2007.00776.x. View

18.

Skeie G, Hjartaker A, Lund E . Diet among breast cancer survivors and healthy women. The Norwegian Women and Cancer Study. Eur J Clin Nutr. 2006; 60(9):1046-54. DOI: 10.1038/sj.ejcn.1602416. View

19.

Davis M, Murphy S, Neuhaus J, Gee L, QUIROGA S . Living arrangements affect dietary quality for U.S. adults aged 50 years and older: NHANES III 1988-1994. J Nutr. 2000; 130(9):2256-64. DOI: 10.1093/jn/130.9.2256. View

20.

Zenk S, Lachance L, Schulz A, Mentz G, Kannan S, Ridella W . Neighborhood retail food environment and fruit and vegetable intake in a multiethnic urban population. Am J Health Promot. 2009; 23(4):255-64. PMC: 3305995. DOI: 10.4278/ajhp.071204127. View