Longitudinal associations between psychological well-being and the consumption of fruits and vegetables.
Open accessAbstract
BACKGROUND: Psychological well-being is associated with longevity and reduced risk of disease, but possible mechanisms are understudied. Health behaviors like eating fruits and vegetables may link psychological well-being with better health; however, most evidence is cross-sectional. PURPOSE: This study investigated psychological well-being's longitudinal association with fruit and vegetable consumption across as many as 7 years. METHOD: Participants were 6,565 older adults from the English Longitudinal Study of Ageing, which includes men and women aged 50 years or older. Psychological well-being was assessed with 17 items from the Control, Autonomy, Satisfaction, Pleasure Scale. Fruit and vegetable consumption was initially assessed during 2006-2007 and then approximately every 2 years through 2012-2013. Covariates included sociodemographic factors, health status, and other health behaviors. RESULTS: Mixed linear models showed that higher baseline levels of psychological well-being were associated with more fruit and vegetable consumption at baseline (β = 0.05, 95% confidence interval [CI] [0.02, 0.08]) and that fruit and vegetable consumption declined across time (β = -0.01, 95% CI [-0.02, -0.004]). Psychological well-being interacted significantly with time such that individuals with higher baseline psychological well-being had slower declines in fruit and vegetable consumption (β = 0.01, 95% CI [0.01, 0.02]). Among individuals who initially met recommendations to consume 5 or more servings of fruits and vegetables (N = 1,719), higher baseline psychological well-being was associated with 11% reduced risk of falling below recommended levels during follow-up (hazard ratio = 0.89, 95% CI [0.83, 0.95]). CONCLUSIONS: Findings suggest that psychological well-being may be a precursor to healthy behaviors such as eating a diet rich in fruits and vegetables. (PsycINFO Database Record
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Longitudinal studies suggest that it is the presence of positive psychological states that contributes to better future lifestyle practices.
“Although the issue of bidirectionality has been raised, longitudinal studies suggest that it is the presence of positive psychological states that contributes to better future lifestyle practices. 56,144-146”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [144]
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- Authors
- Boehm, J. K., Soo, J., Zevon, E. S., Chen, Y., Kim, E. S., & Kubzansky, L. D.
- Affiliations
- Chapman University (US)
- Harvard University (US)
- Venue
- Health Psychology
- Published
- 2018-10
- Volume
- 37
- Issue
- 10
- Pages
- 959-967
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- PMC
- PMC6154391
- OpenAlex
- W2892241348
- Cited by
- 76
- References
- 38
- Citations by year
- 2026: 11 · 2025: 7 · 2024: 7 · 2023: 9 · 2022: 14 · 2021: 13 · 2020: 9 · 2019: 4 · 2018: 2
- FWCI
- 6.67
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Health Psychology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Chapman University Digital Commons (Chapman University) (submittedVersion)
- Funders
- National Institutes of Health (R03AG046342)
- 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
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- psychological well-being, fruit and vegetable intake, older adults, dietary behavior, health behavior, English Longitudinal Study of Ageing, healthy aging
- MeSH terms
- Aged, Aged, 80 and over, Cross-Sectional Studies, Feeding Behavior, Female, Fruit, Health Status, Humans, Longitudinal Studies, Male, Mental Health, Middle Aged, Vegetables, Health Behavior
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