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Instituto Nacional de Salud Pública

2023, Number 6

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salud publica mex 2023; 65 (6)

Changes in fruits, vegetables and legumes consumption in Mexican under 20 years of age, Ensanut 2012 to 2022

Valenzuela-Bravo DG, Gaona-Pineda EB, Arango-Angarita A, Medina-Zacarías MC, Rodríguez-Ramírez S, Martinez-Tapia B, Shamah-Levy T

Language: Spanish
References: 45
Page: 581-591
PDF size: 308.98 Kb.


ABSTRACT

Objective. To estimate the changes in fruits, vegetables and legumes consumption and their compliance with international recommendations in Mexican population under 20 years old. Materials and methods. In a sample of 31 083 Mexicans under 20 years old with dietary data from a food frequency questionnaire from the 2012, 2016, 2018 and 2020-2022 National Health and Nutrition Surveys, and through quantile regression and logit models, the change in adjusted consumption of fruits, vegetables and legumes was estimated, as well as their compliance to EAT-Lancet and the World Health Organization intake recommendations. Results. Between 2012 and 2020-2022 an increase of 15.0% in fruits and 23.5% in vegetables consumption was observed. The probability of compliance of the intake recommendations reached by 2020- 2022 was 42.6% for fruits and 13.6% for vegetables. Legumes consumption diminished 17.4% in ten years. Conclusion. Mexican population under 20 is far from reaching the intake recommendation for a planetary health, despite modest increases in fruits and vegetables consumption. Special attention should be paid to the consumption of legumes, which has alarmingly decreased in this group. Further research on this topic is urgently needed.


REFERENCES

  1. Slavin JL, Lloyd B. Health benefits of fruits and vegetables. Advances inNutrition. 2012;3(4):506-16. https://doi.org/10.3945/an.112.002154

  2. Rebello CJ, Greenway FL, Finley JW. A review of the nutritional value oflegumes and their effects on obesity and its related co-morbidities. ObesityReviews. 2014;15(5):392-407. https://doi.org/10.1111/obr.12144

  3. Mendes V, Niforou A, Kasdagli MI, Ververis E, Naska A. Intake of legumesand cardiovascular disease: A systematic review and dose–responsemeta-analysis. Nutr Metab Cardiovasc Dis. 2023;33(1):22-37. https://doi.org/10.1016/j.numecd.2022.10.006

  4. Aune D, Giovannucci E, Boffetta P, Fadnes LT, Keum N, Norat T, et al.Fruit and vegetable intake and the risk of cardiovascular disease, totalcancer and all-cause mortality—a systematic review and dose-responsemeta-analysis of prospective studies. Int J Epidemiol. 2017;46(3):1029-56.https://doi.org/10.1093/ije/dyw319

  5. Afshin A, Micha R, Khatibzadeh S, Mozaffarian D. Consumption ofnuts and legumes and risk of incident ischemic heart disease, stroke,and diabetes: a systematic review and meta-analysis. Am J Clin Nutr.2014;100(1):278-88. https://doi.org/10.3945/ajcn.113.076901

  6. Halvorsen RE, Elvestad M, Molin M, Aune D. Fruit and vegetable consumptionand the risk of type 2 diabetes: a systematic review and dose–response meta-analysis of prospective studies. BMJ Nutr Prev Health.2021;4(2):519-31. https://doi.org/10.1136/bmjnph-2020-000218

  7. Hollis JL, Collins CE, DeClerck F, Chai LK, McColl K, Demaio AR.Defining healthy and sustainable diets for infants, children and adolescents.Glob Food Sec. 2020;27:100401. https://doi.org/10.1016/j.gfs.2020.100401

  8. Yngve A, Wolf A, Poortvliet E, Elmadfa I, Brug J, Ehrenblad B, et al. Fruitand vegetable intake in a sample of 11-year-old children in 9 Europeancountries: The Pro Children Cross-Sectional Survey. Ann Nutr Metab.2005;49(4):236-45. https://doi.org/10.1159/000087247

  9. Lock K, Pomerleau J, Causer L, Altmann DR, McKee M. The globalburden of disease attributable to low consumption of fruit and vegetables:implications for the global strategy on diet. Bull World Health Organ.2005;83(2):100-8 [citado mayo 15, 2023]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/15744402

  10. Afshin A, Sur PJ, Fay KA, Cornaby L, Ferrara G, Salama JS, et al.Health effects of dietary risks in 195 countries, 1990-2017: a systematicanalysis for the Global Burden of Disease Study 2017. The Lancet.2019;393(10184):1958-72. https://doi.org/10.1016/S0140-6736(19)30041-8

  11. Swinburn BA, Kraak VI, Allender S, Atkins VJ, Baker PI, Bogard JR, et al.The global syndemic of obesity, undernutrition, and climate change: TheLancet Commission report. The Lancet. 2019;393(10173):791-846. https://doi.org/10.1016/S0140-6736(18)32822-8

  12. Willett W, Rockström J, Loken B, Springmann M, Lang T, Vermeulen S, etal. Food in the Anthropocene: the EAT – Lancet Commission on healthydiets from sustainable food systems. The Lancet. 2019;393(10170):447-92.https://doi.org/10.1016/S0140-6736(18)31788-4

  13. Ramírez-Silva I, Rivera J, Ponce X, Hernández-Ávila M. Fruit and vegetableintake in the Mexican population: Results from the Mexican NationalHealth and Nutrition Survey 2006. Salud Publica Mex. 2009;51(supl4):S574-85.

  14. Jiménez-Aguilar A, Gaona-Pineda EB, Mejía-Rodríguez F, Gómez-AcostaLM, Méndez-Gómez Humarán I, Flores-Aldana M. Consumption of fruitsand vegetables and health status of Mexican children from the NationalHealth and Nutrition Survey 2012. Salud Publica Mex. 2014;56:103-12.https://doi.org/10.21149/spm.v56s2.5174

  15. Batis C, Aburto TC, Sánchez-Pimienta TG, Pedraza LS, Rivera JA.Adherence to dietary recommendations for food group intakes is lowin the Mexican population. J Nutr. 2016;146(9):1897S-1906S. https://doi.org/10.3945/jn.115.219626

  16. Romero-Martínez M, Shamah-Levy T, Franco-Núñez A. Encuesta Nacionalde Salud y Nutrición 2012: diseño y cobertura. Salud Publica Mex.2013;55(Supl.2):332-40. https://doi.org/10.21149/spm.v55s2.5132

  17. Romero-Martínez M, Shamah-Levy T, Vielma-Orozco E, Heredia-Hernández O, Mojica-Cuevas J, Cuevas-Nasu L, et al. Encuesta Nacionalde Salud y Nutrición (Ensanut 2018): metodología y perspectivas. SaludPublica Mex. 2019;61(6):917-23. https://doi.org/10.21149/11095

  18. Romero-Martínez M, Shamah-Levy T, Cuevas-Nasu L, Méndez Gómez-Humarán I, Gaona-Pineda EB, Gómez-Acosta LM, et al. Diseño metodológicode la Encuesta Nacional de Salud y Nutrición de Medio Camino 2016.Salud Publica Mex. 2017;59(3):299-305. https://doi.org/10.21149/8593

  19. Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero M, Gaona-Pineda EB, et al. Metodología de la EncuestaNacional de Salud y Nutrición 2020 sobre Covid-19. Salud PublicaMex. 2021;63:444-51. https://doi.org/10.21149/12580

  20. Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L,Bautista-Arredondo S, Colchero M, Gaona-Pineda EB, et al. Metodologíade la Encuesta Nacional de Salud y Nutrición 2021. Salud Publica Mex.2021;63:813-8. https://doi.org/10.21149/13348

  21. Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero MA, Gaona-Pineda EB, et al. Design of the EncuestaNacional de Salud y Nutrición 2022 and planning and design of theEnsanut Continua 2020-2024. Salud Publica Mex. 2022;64(5):522-9. https://doi.org/10.21149/14186

  22. Denova-Gutiérrez E, Tucker KL, Salmerón J, Flores M, Barquera S. Relativevalidity of a food frequency questionnaire to identify dietary patternsin an adult Mexican population. Salud Publica Mex. 2016;58(6):608. https://doi.org/10.21149/spm.v58i6.7842

  23. Denova-Gutiérrez E, Ramírez-Silva I, Rodríguez-Ramírez S, Jiménez-Aguilar A, Shamah-Levy T, Rivera-Dommarco JA. Validity of a foodfrequency questionnaire to assess food intake in Mexican adolescentand adult population. Salud Publica Mex. 2016;58(6):617-28. https://doi.org/10.21149/spm.v58i6.7862

  24. Haytowitz DB, Ahuja JKC, Showell B, Somanchi M, Nickle M,Nguyen QA, et al. Composition of foods raw, processed, preparedUSDA National Nutrient Database for Standard Reference, release 28.Estados Unidos: Nutrient Data Laboratory, Beltsville Human NutritionResearch Center, ARS, USDA, 2015 [citado mayo 15, 2023]. Disponibleen: https://data.nal.usda.gov/dataset/composition-foods-raw-processedprepared-usda-national-nutrient-database-standard-reference-release-28-0

  25. Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán.Tablas de composición de alimentos y productos alimenticios. México: INMNSZ,2015 [citado mayo 15, 2023]. Disponible en: https://www.incmnsz.mx/2019/TABLAS_ALIMENTOS.pdf

  26. Ramírez-Silva I, Jiménez-Aguilar A, Valenzuela-Bravo D, Martinez-TapiaB, Rodríguez-Ramírez S, Gaona-Pineda EB, et al. Methodology for estimatingdietary data from the semi-quantitative food frequency questionnaireof the Mexican National Health and Nutrition Survey 2012. Salud PublicaMex. 2016;58(6):629. https://doi.org/10.21149/spm.v58i6.7974

  27. Institute of Medicine. Dietary reference intakes for energy, carbohydrate,fiber, fat, fatty acids, cholesterol, protein, and amino acids. WashingtonDC: National Academy Press, 2005 [citado mayo 15, 2023]. Disponibleen: https://nap.nationalacademies.org/catalog/10490/dietary-referenceintakes-for-energy-carbohydrate-fiber-fat-fatty-acids-cholesterol-proteinand-amino-acids

  28. Ministerio de Salud de Perú. Tabla de factores de conversión de pesode alimentos cocidos a crudos. Lima: Ministerio de Salud, 2014 [citadomayo 15, 2023]. Disponible en: https://web.ins.gob.pe/sites/default/files/Archivos/cenan/deprydan/tablasAuxiliares/2014/7_TAFERA_2_compressed.pdf

  29. Organización Mundial de la Salud. Alimentación Sana. Nota descriptiva.OMS, 2015 [citado mayo 16, 2023]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/healthy-diet

  30. Shamah-Levy T, Rivera-Dommarco J, Kuri-Morales P, Cuevas-Nasu L,Jiménez-Corona M, Romero-Martínez M, et al. Encuesta Nacional de Saludy Nutrición de Medio Camino 2016 (Ensanut 2016). Informe final deresultados. Cuernavaca: Instituto Nacional de Salud Pública, 2016 [citadomayo 20, 2023]. Disponible en: https://ensanut.insp.mx/encuestas/ensanut2016/doctos/informes/ENSANUT2016ResultadosNacionales.pdf

  31. Vyas S, Kumaranayake L. Constructing socio-economic statusindices: how to use principal components analysis. Health Policy Plan.2006;21(6):459-68. https://doi.org/10.1093/heapol/czl029

  32. Rosi A, Paolella G, Biasini B, Scazzina F, Alicante P, De Blasio F, et al.Dietary habits of adolescents living in North America, Europe or Oceania:A review on fruit, vegetable and legume consumption, sodium intake,and adherence to the Mediterranean Diet. Nutr Metab Cardiovasc Dis.2019;29(6):544-60. https://doi.org/10.1016/j.numecd.2019.03.003

  33. Liu J, Rehm CD, Onopa J, Mozaffarian D. Trends in diet quality amongyouth in the United States, 1999-2016. JAMA. 2020;323(12):1161-74.https://doi.org/10.1001/jama.2020.0878

  34. Ribeiro GJ, Mendes AEP, Costa E de A, Carvalho D V. Trends in foodconsumption by adults in a Brazilian northeastern state. J Taibah Univ MedSci. 2023;18(6):1261-7. https://doi.org/10.1016/j.jtumed.2023.04.008

  35. Drewnowski A. The cost of US foods as related to their nutritivevalue. Am J Clin Nutr. 2010;92(5):1181-8. https://doi.org/10.3945/ajcn.2010.29300

  36. Instituto Nacional de Estadística y Geografía. Precios. Índice de precios.Consulta de precios promedio. Programas de Información. México:Inegi, 2023 [citado junio 11, 2023]. Disponible en: https://www.inegi.org.mx/app/preciospromedio/?bs=18

  37. López-Olmedo N, Carriquiry AL, Rodríguez-Ramírez S, Ramírez-SilvaI, Espinosa-Montero J, Hernández-Barrera L, et al. Usual intake of addedsugars and saturated fats is high while dietary fiber is low in the Mexicanpopulation. J Nutr. 2016;146(9):1856S-65S. https://doi.org/10.3945/jn.115.218214

  38. Rodríguez-Ramírez S, Gaona-Pineda EB, Martínez-Tapia B, Arango-Angarita A, Kim-Herrera EY, Valdez-Sánchez A, et al. Consumo de gruposde alimentos y su asociación con características sociodemográficas enpoblación mexicana. Ensanut 2018-19. Salud Publica Mex. 2020;62(6):693-703. https://doi.org/10.21149/11529

  39. Shamah-Levy T, Cuevas-Nasu L, Gaona-Pineda EB, Gómez-Acosta LM,Morales-Rúan María, Hernández-Ávila M, et al. Sobrepeso y obesidad enniños y adolescentes en México,actualización de la Encuesta Nacionalde Salud y Nutrición de Medio Camino 2016. Salud Publica Mex.2018;60(3):244-53. https://doi.org/10.21149/8815

  40. Shamah-Levy T, Gaona-Pineda EB, Cuevas-Nasu L, Morales-Ruan C,Valenzuela-Bravo DG, Méndez-Gómez Humarán I, et al. Prevalencias desobrepeso y obesidad en población escolar y adolescente de México. EnsanutContinua 2020-2022. Salud Publica Mex. 2023;65(supl1):S218-S224.https://doi.org/10.21149/14762

  41. Organización Mundial de la Salud. Obesity: preventing and managingthe global epidemic. OMS, 2000 [citado junio 11, 2023]. Disponible en:https://apps.who.int/iris/handle/10665/42330

  42. Pulgarón E. Childhood obesity: a review of increased risk for physicaland psychological comorbidities. Clin Ther. 2013;35(1):A18-32. https://doi.org/10.1016/j.clinthera.2012.12.014

  43. Gibson R. Measuring food consumption for individuals. En: Principles ofNutritional Assessment. Nueva York: Oxford University Press, 2005.

  44. Di Renzo L, Gualtieri P, Pivari F, Soldati L, Attinà A, Cinelli G, et al. Eatinghabits and lifestyle changes during COVID-19 lockdown: An Italian survey. JTransl Med. 2020;18(1). https://doi.org/10.1186/s12967-020-02399-5

  45. Shamah-Levy T, Romero-Martínez M, Barrientos-Gutiérrez T, Cuevas-Nasu L, Bautista-Arredondo S, Colchero MA, et al. Encuesta Nacional deSalud y Nutrición 2020 sobre Covid-19 Resultados nacionales. Cuernavaca:Instituto Nacional de Salud Pública, 2021 [citado junio 5, 2023]Disponible en: https://ensanut.insp.mx/encuestas/ensanutcontinua2020/doctos/informes/ensanutCovid19ResultadosNacionales.pdf




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