Impact of food system interventions to increase fruit and vegetable intake among urban adults in Nigeria and Vietnam
Fruit and vegetable consumption is below the WHO recommendations, globally, in Southeast Asia, and in West Africa. Affordability, accessibility, and acceptability are the main drivers of consumption. Nutrition-sensitive food system interventions that address these drivers may be effective in increas...
| Autores principales: | , , , , , , , , , , , , , , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Springer
2025
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| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/175044 |
| _version_ | 1855515437872185344 |
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| author | Pastori, Giulia Talsma, Elise F. Feskens, Edith J. M. Huong, Le Thi Samuel, Folake O. Shittu, Oluyemisi F. Eyinla, Toluwalope E. de Brauw, Alan Ambler, Kate Wertheim-Heck, Sigrid Hernandez, Ricardo Even, Brice Meldrum, Gennifer De Filippo, Amanda Xuan, Le Thi Thanh Phuong, Ngo Thi Ha Mai, Truong Tuyet Lundy, Mark Brouwer, Inge D. |
| author_browse | Ambler, Kate Brouwer, Inge D. De Filippo, Amanda Even, Brice Eyinla, Toluwalope E. Feskens, Edith J. M. Hernandez, Ricardo Huong, Le Thi Lundy, Mark Mai, Truong Tuyet Meldrum, Gennifer Pastori, Giulia Phuong, Ngo Thi Ha Samuel, Folake O. Shittu, Oluyemisi F. Talsma, Elise F. Wertheim-Heck, Sigrid Xuan, Le Thi Thanh de Brauw, Alan |
| author_facet | Pastori, Giulia Talsma, Elise F. Feskens, Edith J. M. Huong, Le Thi Samuel, Folake O. Shittu, Oluyemisi F. Eyinla, Toluwalope E. de Brauw, Alan Ambler, Kate Wertheim-Heck, Sigrid Hernandez, Ricardo Even, Brice Meldrum, Gennifer De Filippo, Amanda Xuan, Le Thi Thanh Phuong, Ngo Thi Ha Mai, Truong Tuyet Lundy, Mark Brouwer, Inge D. |
| author_sort | Pastori, Giulia |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Fruit and vegetable consumption is below the WHO recommendations, globally, in Southeast Asia, and in West Africa. Affordability, accessibility, and acceptability are the main drivers of consumption. Nutrition-sensitive food system interventions that address these drivers may be effective in increasing fruit and vegetable consumption. This study evaluates the effect of an integrated nutrition-sensitive program that aimed to increase fruit and vegetable consumption in low-income urban adults in Hanoi, Vietnam (n = 582), and Ibadan, Nigeria (n = 626), through the simultaneous implementation of three interventions at the market and consumer levels. Fruit and vegetable intake data were collected after eight months of exposure to the program with repeated quantitative 24-hour recalls and exposure effect was estimated with inverse probability weighting with regression adjustment, adjusting for potential confounders. The impact size on total fruits and vegetables (144 g/d, 95%CI 93, 196), fruits (137 g/d, 95%CI 93, 183) and vegetables (6 g/d, 95%CI -12, 24) showed that intake was higher in the exposed Nigerian population than the control group. In Vietnam, intakes of fruits and vegetables in the exposed group did not statistically differ from the control group when controlling for differences between groups with propensity scores. Participants exposed to all three interventions reported slightly higher intakes compared to those who were exposed to fewer interventions, but these differences were not statistically significant. Integrated approaches of nutrition-sensitive food system interventions need to be implemented to increase fruit and vegetable consumption. Co-creation of interventions provides the possibility to address the different drivers and barriers of healthy diets specific of the context. |
| format | Journal Article |
| id | CGSpace175044 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Springer |
| publisherStr | Springer |
| record_format | dspace |
| spelling | CGSpace1750442025-10-26T12:55:29Z Impact of food system interventions to increase fruit and vegetable intake among urban adults in Nigeria and Vietnam Pastori, Giulia Talsma, Elise F. Feskens, Edith J. M. Huong, Le Thi Samuel, Folake O. Shittu, Oluyemisi F. Eyinla, Toluwalope E. de Brauw, Alan Ambler, Kate Wertheim-Heck, Sigrid Hernandez, Ricardo Even, Brice Meldrum, Gennifer De Filippo, Amanda Xuan, Le Thi Thanh Phuong, Ngo Thi Ha Mai, Truong Tuyet Lundy, Mark Brouwer, Inge D. adults diet food systems fruits vegetables Fruit and vegetable consumption is below the WHO recommendations, globally, in Southeast Asia, and in West Africa. Affordability, accessibility, and acceptability are the main drivers of consumption. Nutrition-sensitive food system interventions that address these drivers may be effective in increasing fruit and vegetable consumption. This study evaluates the effect of an integrated nutrition-sensitive program that aimed to increase fruit and vegetable consumption in low-income urban adults in Hanoi, Vietnam (n = 582), and Ibadan, Nigeria (n = 626), through the simultaneous implementation of three interventions at the market and consumer levels. Fruit and vegetable intake data were collected after eight months of exposure to the program with repeated quantitative 24-hour recalls and exposure effect was estimated with inverse probability weighting with regression adjustment, adjusting for potential confounders. The impact size on total fruits and vegetables (144 g/d, 95%CI 93, 196), fruits (137 g/d, 95%CI 93, 183) and vegetables (6 g/d, 95%CI -12, 24) showed that intake was higher in the exposed Nigerian population than the control group. In Vietnam, intakes of fruits and vegetables in the exposed group did not statistically differ from the control group when controlling for differences between groups with propensity scores. Participants exposed to all three interventions reported slightly higher intakes compared to those who were exposed to fewer interventions, but these differences were not statistically significant. Integrated approaches of nutrition-sensitive food system interventions need to be implemented to increase fruit and vegetable consumption. Co-creation of interventions provides the possibility to address the different drivers and barriers of healthy diets specific of the context. 2025-06 2025-06-10T15:17:28Z 2025-06-10T15:17:28Z Journal Article https://hdl.handle.net/10568/175044 en Open Access Springer Pastori, Giulia; Talsma, Elise F.; Feskens, Edith J. M.; Huong, Le Thi; Samuel, Folake O.; Shittu, Oluyemisi F.; et al. 2025. Impact of food system interventions to increase fruit and vegetable intake among urban adults in Nigeria and Vietnam. Food Security 17(3): 641–655. https://doi.org/10.1007/s12571-025-01529-5 |
| spellingShingle | adults diet food systems fruits vegetables Pastori, Giulia Talsma, Elise F. Feskens, Edith J. M. Huong, Le Thi Samuel, Folake O. Shittu, Oluyemisi F. Eyinla, Toluwalope E. de Brauw, Alan Ambler, Kate Wertheim-Heck, Sigrid Hernandez, Ricardo Even, Brice Meldrum, Gennifer De Filippo, Amanda Xuan, Le Thi Thanh Phuong, Ngo Thi Ha Mai, Truong Tuyet Lundy, Mark Brouwer, Inge D. Impact of food system interventions to increase fruit and vegetable intake among urban adults in Nigeria and Vietnam |
| title | Impact of food system interventions to increase fruit and vegetable intake among urban adults in Nigeria and Vietnam |
| title_full | Impact of food system interventions to increase fruit and vegetable intake among urban adults in Nigeria and Vietnam |
| title_fullStr | Impact of food system interventions to increase fruit and vegetable intake among urban adults in Nigeria and Vietnam |
| title_full_unstemmed | Impact of food system interventions to increase fruit and vegetable intake among urban adults in Nigeria and Vietnam |
| title_short | Impact of food system interventions to increase fruit and vegetable intake among urban adults in Nigeria and Vietnam |
| title_sort | impact of food system interventions to increase fruit and vegetable intake among urban adults in nigeria and vietnam |
| topic | adults diet food systems fruits vegetables |
| url | https://hdl.handle.net/10568/175044 |
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