Fruit and vegetable intake: Issues with definition and measurement

Roark, Randall A; Niederhauser, Victoria P

doi:10.1017/s1368980012000985

Cited by 77Nutritional Studies and DietNutrition, Health and Food BehaviorNutrition and Health Studies

Fruit and vegetable intake: Issues with definition and measurement

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Roark, Randall A, Niederhauser, Victoria P·2013·Public Health Nutrition

DOI 10.1017/s1368980012000985PMC PMC10271534

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Abstract

Accurate determination of fruit and vegetable consumption is essential for research that seeks to determine current fruit and vegetable intake patterns, what type and amount of fruit and vegetable consumption is optimal for human health and for evaluating interventions developed to increase such consumption. However, there are many issues that make accurate determination of fruit and vegetable consumption quite difficult. There are many methods used to measure fruit and vegetable intake, but all have limitations. Also, what foods individuals consider to be or to not be fruits or vegetables appear to be quite variable, with such variability often associated with the individual's racial/ethnic background. Researchers and governmental agencies vary with respect to what foods they include and do not include when calculating fruit and vegetable intake. These differences make it difficult to conduct, evaluate and compare studies in this area. The current paper reviews some of the major issues with measuring and determining fruit and vegetable intake.

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Self-reported dietary data are subject to measurement error, such that some individuals may over-report perceived healthy foods and under-report perceived unhealthy foods.
“self-reported dietary data are subject to measurement error, such that some individuals may over-report consumption of perceived healthy foods and under-report consumption of perceived unhealthy foods.[48, 49]”
From Relationship between food waste, diet quality, and environmental sustainability (2018) · cites this paper as [48]

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Kearney, P. M., Whelton, M., Reynolds, K., Muntner, P., Whelton, P. K., & He, J. (2005) · The Lancet · doi:10.1016/s0140-6736(05)17741-1 · Cited by 8,578 · see citing works
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(2005) · doi:10.1016/s0140-6736(05)70151-3 · Cited by 3,289 · see citing works
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Hung, H.-C., Joshipura, K. J., Jiang, R., Hu, F. B., Hunter, D., Smith-Warner, S. A., Colditz, G. A., Rosner, B., Spiegelman, D., & Willett, W. C. (2004) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djh296 · Cited by 1,327 · see citing works
Fruit and vegetable consumption and stroke: meta-analysis of cohort studies
He, F. J., Nowson, C. A., & MacGregor, G. A. (2006) · The Lancet · doi:10.1016/s0140-6736(06)68069-0 · Cited by 1,108 · see citing works
Fruit and vegetable intake and risk of cardiovascular disease in US adults: the first National Health and Nutrition Examination Survey Epidemiologic Follow-up Study,,
Bazzano, L. A., He, J., Ogden, L. G., Loria, C. M., Vupputuri, S., Myers, L., & Whelton, P. K. (2002) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/76.1.93 · Cited by 1,035 · see citing works
Overview of the Health Benefits of Fruit and Vegetable Consumption for the Dietetics Professional
Duyn, M. A. V., & Pivonka, E. (2000) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(00)00420-x · Cited by 814 · see citing works
Fruit and vegetable intake and incidence of type 2 diabetes mellitus: systematic review and meta-analysis
Carter, P., Gray, L. J., Troughton, J., Khunti, K., & Davies, M. J. (2010) · BMJ · doi:10.1136/bmj.c4229 · Cited by 728 · see citing works
Americans Do Not Meet Federal Dietary Recommendations
Krebs-Smith, S. M., Guenther, P. M., Subar, A. F., Kirkpatrick, S. I., & Dodd, K. W. (2010) · The Journal of Nutrition · doi:10.3945/jn.110.124826 · Cited by 711 · see citing works
Most Americans Eat Much Less than Recommended Amounts of Fruits and Vegetables
Guenther, P. M., Dodd, K. W., Reedy, J., & Krebs‐Smith, S. M. (2006) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2006.06.002 · Cited by 629 · see citing works
Vegetables, fruits, legumes and prostate cancer: a multiethnic case-control study.
Kolonel, L. N., Hankin, J. H., Whittemore, A. S., Wu, A. H., Gallagher, R. P., Wilkens, L. R., John, E. M., Howe, G. R., Dreon, D. M., West, D. W., et al. (2000) · PubMed · Cited by 473 · see citing works
Fruit and Vegetable Assessment
Thompson, F. E., Subar, A. F., Smith, A. F., Midthune, D., Radimer, K. L., Kahle, L., & Kipnis, V. (2002) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(02)90379-2 · Cited by 393 · see citing works
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Casagrande, S. S., Wang, Y., Anderson, C., & Gary, T. L. (2007) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2006.12.002 · Cited by 372 · see citing works
Fruit and Vegetable Consumption and Diabetes Mellitus Incidence among U.S. Adults
Ford, E. S., & Mokdad, A. H. (2001) · Preventive Medicine · doi:10.1006/pmed.2000.0772 · Cited by 342 · see citing works
Fruit and vegetable intake among adolescents and adults in the United States: percentage meeting individualized recommendations.
Kimmons, J. E., Gillespie, C., Seymour, J. D., Serdula, M. K., & Blanck, H. M. (2009) · PubMed Central · Cited by 336 · see citing works
US adults' fruit and vegetable intakes, 1989 to 1991: a revised baseline for the Healthy People 2000 objective.
Krebs-Smith, S. M., Cook, A., Subar, A. F., Cleveland, L., & Friday, J. (1995) · American Journal of Public Health · doi:10.2105/ajph.85.12.1623 · Cited by 235 · see citing works
Low-Fat Dietary Pattern and Cancer Incidence in the Women's Health Initiative Dietary Modification Randomized Controlled Trial
Prentice, R. L., Thomson, C. A., Caan, B. J., Hubbell, F. A., Anderson, G. L., Beresford, S. A. A., Pettinger, M. B., Lane, D. S., Lessin, L. S., Yasmeen, S., et al. (2007) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djm159 · Cited by 212 · see citing works
Plasma carotenoids as biomarkers of intake of fruits and vegetables: ecological-level correlations in the European Prospective Investigation into Cancer and Nutrition (EPIC)
Al‐Delaimy, W. K., Slimani, N., Ferrari, P., Key, T. J., Spencer, E. A., Johansson, I., Johansson, G., Mattisson, I., Wirfält, E., Sieri, S., et al. (2005) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602253 · Cited by 212 · see citing works
Reproducibility, Validity, and Responsiveness to Change of a Short Questionnaire for Measuring Fruit and Vegetable Intake
Bogers, R. P. (2004) · American Journal of Epidemiology · doi:10.1093/aje/kwh123 · Cited by 184 · see citing works
Dietary Patterns Using the Food Guide Pyramid Groups Are Associated with Sociodemographic and Lifestyle Factors: The Multiethnic Cohort Study ,
Park, S., Murphy, S. P., Wilkens, L. R., Yamamoto, J. F., Sharma, S., Hankin, J. H., Henderson, B. E., & Kolonel, L. N. (2005) · Journal of Nutrition · doi:10.1093/jn/135.4.843 · Cited by 178 · see citing works
Plasma carotenoids as biomarkers of intake of fruits and vegetables: individual-level correlations in the European Prospective Investigation into Cancer and Nutrition (EPIC)
Al-Delaimy, W. K., Ferrari, P., Slimani, N., Pala, V, Johansson, I., Nilsson, S., Mattisson, I., Wirfalt, E., Galasso, R., Palli, D., et al. (2005) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602252 · Cited by 176 · see citing works
The High Cost of Not Consuming Fruits and Vegetables
Bazzano, L. (2006) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2006.06.021 · Cited by 175 · see citing works
Formative Research of a Quick List for an Automated Self-Administered 24-Hour Dietary Recall
Subar, A. F., Thompson, F. E., Potischman, N. A., Forsyth, B., Buday, R., Richards, D., McNutt, S., Hull, S. G., Guenther, P. M., Schatzkin, A. G., et al. (2007) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2007.03.007 · Cited by 142 · see citing works
Development of culturally competent food-frequency questionnaires
Teufel‐Shone, N. I. (1997) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/65.4.1173s · Cited by 124 · see citing works
Dietary Patterns Throughout Adult Life Are Associated with Body Mass Index, Waist Circumference, Blood Pressure, and Red Cell Folate ,2
McNaughton, S. A., Mishra, G. D., Stephen, A. M., & Wadsworth, M. E. J. (2007) · Journal of Nutrition · doi:10.1093/jn/137.1.99 · Cited by 124 · see citing works
Challenges in converting an interviewer-administered food probe database to self-administration in the National Cancer Institute automated self-administered 24-hour recall (ASA24)
Zimmerman, T. P., Hull, S. G., McNutt, S., Mittl, B., Islam, N. G., Guenther, P. M., Thompson, F. E., Potischman, N. A., & Subar, A. F. (2009) · Journal of Food Composition and Analysis · doi:10.1016/j.jfca.2009.02.003 · Cited by 110 · see citing works
Associations between dietary methods and biomarkers, and between fruits and vegetables and risk of ischaemic heart disease, in the EPIC Norfolk Cohort Study
Bingham, S. A., Luben, R., Welch, A. A., Low, Y. L., Khaw, K., Wareham, N. J., & Day, N. (2008) · International Journal of Epidemiology · doi:10.1093/ije/dyn111 · Cited by 110 · see citing works
Rice Consumption in the United States: Recent Evidence from Food Consumption Surveys
Batres-Marquez, S. P., Jensen, H. H., & Upton, J. (2009) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2009.07.010 · Cited by 100 · see citing works
Brief, validated survey instruments for the measurement of fruit and vegetable intakes in adults: a review
Kim, D. J., & Holowaty, E. J. (2003) · Preventive Medicine · doi:10.1016/s0091-7435(02)00040-3 · Cited by 95 · see citing works
The Challenge of Measuring Global Fruit and Vegetable Intake
Pomerleau, J., Lock, K., McKee, M., & Altmann, D. R. (2004) · Journal of Nutrition · doi:10.1093/jn/134.5.1175 · Cited by 94 · see citing works
Reliability and Comparability of Three Dietary Assessment Methods for Estimating Fruit and Vegetable Intakes
Smith‐Warner, S. A., Elmer, P. J., Fosdick, L., Tharp, T. M., & Randall, B. L. (1997) · Epidemiology · doi:10.1097/00001648-199703000-00013 · Cited by 86 · see citing works
Inaccuracies in food and physical activity diaries of obese subjects: complementary evidence from doubly labeled water and co-twin assessments
Pietiläinen, K. H., Korkeila, M., Bogl, L. H., Westerterp, K. R., Yki‐Järvinen, H., Kaprio, J. A., & Rissanen, A. (2009) · International Journal of Obesity · doi:10.1038/ijo.2009.251 · Cited by 86 · see citing works
Dietary patterns in pregnant women: a comparison of food-frequency questionnaires and 4 d prospective diaries
Crozier, S., Inskip, H. M., Godfrey, K. M., & Robinson, S. M. (2007) · British Journal Of Nutrition · doi:10.1017/s0007114507831746 · Cited by 84 · see citing works
Is ‘five-a-day’ an effective way of increasing fruit and vegetable intakes?
Ashfield-Watt, P. A. L., Welch, A., Day, N., et al. (2004) · Public Health Nutrition · doi:10.1079/phn2003524 · Cited by 84 · see citing works
Correspondence of the NCI Fruit and Vegetable Screener to Repeat 24-H Recalls and Serum Carotenoids in Behavioral Intervention Trials
Greene, G. W., Resnicow, K., Thompson, F. E., Peterson, K. E., Hurley, T. G., Hébert, J. R., Toobert, D. J., Williams, G. C., Elliot, D. L., Sher, T. G., et al. (2008) · Journal of Nutrition · doi:10.1093/jn/138.1.200s · Cited by 77 · see citing works
The burden of cardiovascular disease and cancer attributable to low fruit and vegetable intake in the European Union: differences between old and new Member States
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Peterson, K. E., Hébert, J. R., Hurley, T. G., Resnicow, K., Thompson, F. E., Greene, G. W., Shaikh, A. R., Yaroch, A. L., Williams, G. C., Salkeld, J. A., et al. (2008) · Journal of Nutrition · doi:10.1093/jn/138.1.218s · Cited by 68 · see citing works
Biomarker-based evaluation of two 24-h recalls for comparing usual fish, fruit and vegetable intakes across European centers in the EFCOVAL Study
Crispim, S. P., Geelen, A., Souverein, O. W., Hulshof, P. J. M., Ruprich, J., Dofková, M., Huybrechts, I., Keyzer, W. D., Lillegaard, I. T., Andersen, L. F., et al. (2011) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2011.86 · Cited by 50 · see citing works
Evaluating Brief Measures of Fruit and Vegetable Consumption Frequency and Variety
Wolfe, W. S., Frongillo, E. A., & Cassano, P. A. (2001) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(01)00081-5 · Cited by 49 · see citing works
Behavioral or Epidemiologic Coding of Fruit and Vegetable Consumption from 24-Hour Dietary Recalls
Cullen, K. W., Baranowski, T., Baranowski, J. C., et al. (1999) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(99)00201-1 · Cited by 42 · see citing works
The meaning of ‘fruits’ and ‘vegetables’
Thompson, F. E., Willis, G., Thompson, O. M., & Yaroch, A. L. (2011) · Public Health Nutrition · doi:10.1017/s136898001000368x · Cited by 41 · see citing works
A comparison of dietary habits among women in Japan and Hawaii
Takata, Y., Maskarinec, G., Franke, A. A., Nagata, C., & Shimizu, H. (2004) · Public Health Nutrition · doi:10.1079/phn2003531 · Cited by 40 · see citing works
Vegetable and fruit intake and mortality from chronic disease in New Zealand
Tobias, M. I., Turley, M. L., Stefanogiannis, N., Hoorn, S. V., Lawes, C. M. M., Mhurchú, C. N., & Rodgers, A. (2006) · Australian and New Zealand Journal of Public Health · doi:10.1111/j.1467-842x.2006.tb00082.x · Cited by 38 · see citing works
Comparison of plasma biomarkers with dietary assessment methods for fruit and vegetable intake
Pollard, J., Wild, C. P., White, K. L. M., Greenwood, D. C., Cade, J. E., & Kirk, S. (2003) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601634 · Cited by 31 · see citing works
Plasma β-Carotene Is Not a Suitable Biomarker of Fruit and Vegetable Intake in German Subjects with a Long-Term High Consumption of Fruits and Vegetables
García, A. L., Mohan, R., Koebnick, C., et al. (2009) · Annals of Nutrition and Metabolism · doi:10.1159/000262295 · Cited by 13 · see citing works
Food frequency questionnaires vs diet diaries
McNeill, G., Masson, L. F., Macdonald, H., Haggarty, P., Macdiarmid, J. I., Craig, L. C. A., & Kyle, J. (2008) · International Journal of Epidemiology · doi:10.1093/ije/dyn237 · Cited by 5 · see citing works

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Relationship between food waste, diet quality, and environmental sustainability
Conrad, Z., Niles, M. T., Neher, D. A., Roy, E. D., Tichenor, N. E., & Jahns, L. (2018) · PLOS ONE · doi:10.1371/journal.pone.0195405 · Cited by 360 · see citing works

Authors: Roark, R. A., & Niederhauser, V. P.
Affiliations: University of Hawaiʻi at Mānoa (US)
Corresponding author: Roark, Randall A
ORCID: Niederhauser, Victoria P
Venue: Public Health Nutrition
Publisher: Cambridge University Press (CUP)
Published: 2012-04-04
Volume: 16
Issue: 1
Pages: 2-7
ISSN: 1368-9800 (ISSN-L)
1475-2727
DOI: 10.1017/s1368980012000985
PMC: PMC10271534
OpenAlex: W1995793843
Cited by: 77
References: 46
Citations by year: 2026: 5 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 9 · 2021: 7 · 2020: 14 · 2019: 8 · 2018: 5 · 2017: 6 · 2016: 7 · 2015: 4 · 2014: 2 · 2013: 3 · 2012: 1
FWCI: 0.50
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Public Health Nutrition (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutrition and Health Studies
Keywords: fruit and vegetable intake, dietary assessment, measurement validity, racial and ethnic differences, dietary guidelines, dietary intervention
MeSH terms: Energy Intake, Diet, Ethnicity, Feeding Behavior, Fruit, Health, Humans, Vegetables, Nutrition Assessment, Racial Groups

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Fruit and vegetable intake: Issues with definition and measurement

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