Perception of non-communicable diseases predicts consumption of fruits and vegetables

Main Article Content

Charles Surjadi
Ismoyowati Ismoyowati
Dwidjo Susilo
Hernani Djarir

Abstract

Background
Nutrition has come to the fore as one of the major modifiable determinants of chronic disease. Establishing healthy eating habits during adolescence is important given that fruit and vegetable consumption has long-term health-protective benefits. The objective of this study was to investigate the determinant factors of fruit and vegetable consumption habits among Padang inhabitants

Methods
We conducted a questionnaire-based rapid assessment of 150 respondents who came from different settings: The questionnaire consisted of items on personal characteristics such as age, working status, gender, and personal knowledge of the subjects about the cause of non-communicable diseases (NCDs) and their activities to prevent NCDs. Bivariate analysis was applied to look for variables significantly related to healthy eating (vegetable and fruit consumption). We applied multiple logistic regression to look for the best model to explain factors related to regular fruit and vegetable consumption.

Results
The age range of the subjects was 14 to 76 years, 60% of subjects were women, and 40% were men. The study indicated that 64.7% of the respondents perceived that eating habits relate to NCD, while 67.3% consumed fruits and vegetables regularly. Multivariate logistic regression analysis indicated that gender (O.R.=2.74; 95% C.I. 1.54-5.27) and perception of NCD as being related to healthy eating (O.R.=5.62;95% C.I. 2.93-10.76) were significantly related to regular fruit and vegetable consumption.

Conclusion
This study demonstrated that perception of NCD was the most determinant factor of regular fruit and vegetable consumption. Activities to improve practice of regular fruit and vegetable consumption are part of control of NCD risk factors.

Article Details

How to Cite
Surjadi, C., Ismoyowati, I., Susilo, D., & Djarir, H. (2012). Perception of non-communicable diseases predicts consumption of fruits and vegetables. Universa Medicina, 31(3), 175–183. https://doi.org/10.18051/UnivMed.2012.v31.175-183
Section
Review Article

References

National Institute of Health Research and Development. Report of basic health research 2007. Jakarta: Ministry of Health Republic of Indonesia;2008.

World Health Organization. Global status report on non communicable diseases 2010. Geneva: World Health Organization;2011.

World Health Organization. Diet, nutrition and the prevention of chronic diseases: report of a joint WHO/FAO Expert Consultation. WHO Technical Report Series no. 916. Geneva: WHO;2003.

Pearson N, Ball K, Crawford D. Predictors of changes in adolescents’ consumption of fruits, vegetables and energy-dense snacks. Br J Nutr 2011;105:795–803.

World Health Organization. Global strategy on diet. Physical examination and health. Geneva: World Health Organization;2006.

Padang Panjang Municipality. Regulation of mayor on local health insurance 10/2009; Padang Panjang;2009.

Surjadi C, Ismoyowati, Susilo D. Changing lifestyle movement and non communicable disease: a case study in Padang Panjang municipality: final report to WHO SEARO;2011.

Kanungsukkasem U, Ng N, Van Minh H, Razzaque A, Ashraf A, Juvekar S, et al. Fruit and vegetable consumption in rural adults population in INDEPTH HDSS sites in Asia. Global Health Action Suppl 2009;1:35-43. DOI: 10.3402/gha.v2i0.1988

Narain JP, Garg R, Fric A. Non-communicable diseases in the South-East Asia region: burden, strategies and opportunities. Nat Med J India 2011;24:280-7.

Unwin N, Alberti KG. Chronic non-communicable diseases. Ann Trop Med Parasitol 2006;5:455-64.

Paquette MC. Perception of healthy eating: state of knowledge and research gaps. Can J Public Health 2005;96 Suppl 3:S15-9.

Ikeda N, Inoue M, Iso H, Ikeda S, Satoh T, Node M, et al. Adult mortality attributable to preventable risk factors for non-communicable diseases and injuries in Japan: a comparative risk assessment. PloS Med 2012;9:e1001160. Doi:10.1371/journal.pmed.1001160.

Msyamboza KP, Ngwira B, Dzowela T, Mvula C, Kathyola D, Harries AD, et al. The burden of selected chronic non-communicable diseases and their risk factors in Malawi: nationwide STEPS survey. PLOS One 2011;6:e20316. doi:10.1371/journal.pone.0020316.

Singh K, Reddy K, Prabhakaran D. What are the evidence based public health interventions for prevention and control of NCDs in relation to India. Indian J Comm Med 2011;36 Suppl 1:S23–31.

Mathur P, B Shah B. Research priorities for prevention and control of non communicable diseases in India. Indian J Com Med 2011;36 Suppl 1: S72–7.

Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJF, Martin BW for the Lancet Physical Activity Series Working Group. Correlates of physical activity: why are some people physically active and others not? Lancet 2012;380:258-71.

Popkin BM, Duffey K, Gordon-Larsen P. Environmental influences on food choice, physical activity and energy balance. Physiol Behav 2005;86:603-13.

Heath GW, Brownson RC, Kruger J, Miles R, Powell KE, Ramsey LT for the Task Force on Community Preventive Services. The effectiveness of urban design and land use and transport policies and practices to increase physical activity: a systematic review. J Phys Activ Health 2006;3 Suppl 1:S55-76.

Pucher J, Dill J, Handy S. Infrastructure, programs, and policies to increase bicycling: An international review. Prev Med 2010;50:S106–25.

Popkin B. Reducing meat consumption has multiple benefit for world health. Arch Intern Med 2009;169:543-5.

Khatib. Non communicable diseases: risk factors and regional strategies for prevention and care. East Mediterrean Health J 2004;10:778-88.

World Health Organization. Six theme of commission social determinant of health. Geneva: World Health Organization; 2011. Available at: http://www.who.int/social _determinants/themes/en/index.html. Accessed May 6, 2012.

Vlassoff C. Gender differences in determinants and consequences of health and illness. J Health Pop Nutr 2007;25:47-61.

Beaglehole R, Bonita R, Horton R, Adams C Alleyne G, Asaria P, et al. for The Lancet NCD action group and the NCD alliance. Priority actions for the non-communicable diseases crisis. Lancet 2011;77:1438-47.

Van Weel C, De Maeseneer J, Roberts R. Integrating personal and community health care. Lancet 2008;372:871-2.

Schultz AJ, Zenk S, Odom-Young A, Hollis-Neely T, Nwankwo R, Lockett M, et al. Healthy eating and exercise to reduce diabetes: exploring the potential of social determinant. Am J Public Health 2005;95:645–51.

Rasanathan K, Krech R. Action on social determinant of health is essential to tackle non communicable diseases. Bull World Health Organ 2011;89:775-76.

Cooper R. Social inequity, ethnicity and cardiovascular disease. Int J Epidemiol 2001;30: S48-52.

May T. Public communication, risk perception and the viability of preventive vaccination against communicable diseases. Bioethics 2005;19:407–21.