Availability, Affordability, and Consumption of Fruits and Vegetables in 18 Countries across Income Levels: Findings from the Prospective Urban Rural Epidemiology (PURE) Study
This Lancet Global Health article features authors from around the world who together assess fruit and vegetable consumption using country-specific, validated semi-quantitative food frequency questionnaires. Their main questions concern the relationship between food cost and consumption; of the approximately 143,000 participants included, higher cost was associated with lower consumption across all regions, with 81 percent of high-income country respondents reporting consumption of >1 serving of fruits per day, compared to 27% among low-income country respondents. In addition, the research showed higher percentage of income was required in rural vs. urban areas to meet dietary guidelines. The authors suggest that affordability is key for fruit and vegetable consumption, and that different food policies are needed to allow families to meet the dietary recommendations within their own countries.