Sara M Parisi1, Lisa M Bodnar1, Tamara Dubowitz2. 1. 1Department of Epidemiology,Graduate School of Public Health,University of Pittsburgh,130 Desoto Street,3602 Fifth Avenue Office,Pittsburgh,PA 15261,USA. 2. 4RAND Health,RAND Corporation,Pittsburgh,PA,USA.
Abstract
OBJECTIVE: To investigate relationships between weight resilience (maintaining a normal weight in a food desert environment) and fruit and vegetable (F&V) intake, attitudes and barriers. DESIGN: Cross-sectional, in-person surveys collected May-December 2011, including self-reported data on F&V-related psychosocial factors, attitudes and barriers. Two 24 h dietary recalls were completed; weight and height were measured. Multivariable regression models estimated prevalence ratios (95 % CI). SETTING: Two low-income, predominantly African-American food deserts in Pittsburgh, Pennsylvania, USA. SUBJECTS: Women aged 18-49 years (n 279) who were the primary food shopper in a household randomly selected for a parent study. RESULTS: Fifteen per cent were weight resilient, 30 % were overweight and 55 % were obese. Overall, 25 % reported eating ≥5 F&V servings/d. After adjustment for age, education, parity, employment, living alone, physical activity, per capita income and mean daily energy intake, women eating ≥5 F&V servings/d were 94 % more likely to be weight resilient compared with those eating <5 servings/d (1·94; 1·10, 3·43). Across BMI groups, self-efficacy regarding F&V consumption was high and few F&V barriers were reported. The most frequently reported barrier was concern about the cost of F&V (36 %). Of the attitudinal F&V-related factors, only concern about wasting food when serving F&V was associated with weight resilience in adjusted models (0·29; 0·09, 0·94). In a model predicting consuming ≥5 F&V servings/d, driving one's own car to the store was the only attitudinal F&V-related factor associated with consumption (1·50; 1·00, 2·24). CONCLUSIONS: In this population, weight resilience may be encouraged by improving access to affordable and convenient F&V options and providing education on ways to make them palatable to the entire household, rather than by shifting women's F&V perceptions, which are already positive.
OBJECTIVE: To investigate relationships between weight resilience (maintaining a normal weight in a food desert environment) and fruit and vegetable (F&V) intake, attitudes and barriers. DESIGN: Cross-sectional, in-person surveys collected May-December 2011, including self-reported data on F&V-related psychosocial factors, attitudes and barriers. Two 24 h dietary recalls were completed; weight and height were measured. Multivariable regression models estimated prevalence ratios (95 % CI). SETTING: Two low-income, predominantly African-American food deserts in Pittsburgh, Pennsylvania, USA. SUBJECTS:Women aged 18-49 years (n 279) who were the primary food shopper in a household randomly selected for a parent study. RESULTS: Fifteen per cent were weight resilient, 30 % were overweight and 55 % were obese. Overall, 25 % reported eating ≥5 F&V servings/d. After adjustment for age, education, parity, employment, living alone, physical activity, per capita income and mean daily energy intake, women eating ≥5 F&V servings/d were 94 % more likely to be weight resilient compared with those eating <5 servings/d (1·94; 1·10, 3·43). Across BMI groups, self-efficacy regarding F&V consumption was high and few F&V barriers were reported. The most frequently reported barrier was concern about the cost of F&V (36 %). Of the attitudinal F&V-related factors, only concern about wasting food when serving F&V was associated with weight resilience in adjusted models (0·29; 0·09, 0·94). In a model predicting consuming ≥5 F&V servings/d, driving one's own car to the store was the only attitudinal F&V-related factor associated with consumption (1·50; 1·00, 2·24). CONCLUSIONS: In this population, weight resilience may be encouraged by improving access to affordable and convenient F&V options and providing education on ways to make them palatable to the entire household, rather than by shifting women's F&V perceptions, which are already positive.
Entities:
Keywords:
African-American; Fruits and vegetables; Low-income; Obesity; Resilience; Women
Authors: Lisa M Bodnar; Lara L Siminerio; Katherine P Himes; Jennifer A Hutcheon; Timothy L Lash; Sara M Parisi; Barbara Abrams Journal: Obesity (Silver Spring) Date: 2015-11-17 Impact factor: 5.002
Authors: Margaret A Honein; Owen Devine; Andrea J Sharma; Sonja A Rasmussen; Sohyun Park; James E Kucik; Coleen Boyle Journal: Obesity (Silver Spring) Date: 2013-06 Impact factor: 5.002