Fruit and vegetable consumption and all-cause, cancer and CVD mortality: analysis of Health Survey for England data
2014
E08707
Details
Title
Fruit and vegetable consumption and all-cause, cancer and CVD mortality: analysis of Health Survey for England data
Publication Date
2014
Call Number
E08707
Summary
Background: Governments worldwide recommend daily consumption of fruit and vegetables. We examine whether this benefits health in the general population of England.\n Methods: Cox regression was used to stimate HRs and 95% CI for an association between fruit and vegetable consumption and all-cause, cancer and cardiovascular mortality, adjusting for age, sex, social\n class, education, BMI, alcohol consumption and physical activity, in 65 226 participants aged 35+ years in the 20012008 Health Surveys for England, annual surveys\n of nationally representative random samples of the noninstitutionalised population of England linked to mortality data (median follow-up: 7.7 years). Results: Fruit and vegetable consumption was associated with decreased all-cause mortality (adjusted\n HR for 7+ portions 0.67 (95% CI 0.58 to 0.78),\n reference category <1 portion). This association was more pronounced when excluding deaths within a year of baseline (0.58 (0.46 to 0.71)). Fruit and vegetable\n consumption was associated with reduced cancer (0.75 (0.590.96)) and cardiovascular mortality (0.69 (0.53 to 0.88)). Vegetables may have a stronger association with mortality than fruit (HR for 2 to 3\n portions 0.81 (0.73 to 0.89) and 0.90 (0.82 to 0.98), respectively). Consumption of vegetables (0.85 (0.81 to 0.89) per portion) or salad (0.87 (0.82 to 0.92) per portion) were most protective, while frozen/canned fruit consumption was apparently associated with increased mortality (1.17 (1.07 to 1.28) per portion). Conclusions A robust inverse association exists between fruit and vegetable consumption and mortality, with benefits seen in up to 7+ portions daily. Further investigations into the effects of different types of fruit and vegetables are warranted.\n
Journal Citation
68:856-862, JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH
Contact Information
harvest@worldveg.org
Record Appears in
Research > Published Articles