Nutr Res Pract.  2017 Apr;11(2):130-138. 10.4162/nrp.2017.11.2.130.

Prevalence and determinants of sufficient fruit and vegetable consumption among primary school children in Nakhon Pathom, Thailand

Affiliations
  • 1ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand. seoah.hon@mahidol.ac.th
  • 2Institute for Health and Society, Hanyang University, 222, Wangsimni-ro, Seongdong-gu, Seoul 04763, Korea.
  • 3Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.

Abstract

BACKGROUND/OBJECTIVES
Low consumption of fruit and vegetable is frequently viewed as an important contributor to obesity risk. With increasing childhood obesity and relatively low fruit and vegetable consumption among Thai children, there is a need to identify the determinants of the intake to promote fruit and vegetable consumption effectively.
SUBJECTS/METHODS
This cross-sectional study was conducted at two conveniently selected primary schools in Nakhon Pathom. A total of 609 students (grade 4-6) completed questionnaires on personal and environmental factors. Adequate fruit and vegetable intakes were defined as a minimum of three servings of fruit or vegetable daily, and adequate total intake as at least 6 serves of fruit and vegetable daily. Data were analyzed using descriptive statistics, the chi-square test, and multiple logistic regression.
RESULTS
The proportion of children with a sufficient fruit and/or vegetable intakes was low. Covariates of child's personal and environmental factors showed significant associations with sufficient intakes of fruit and/or vegetable (P < 0.05). Logistic regression analyses showed that the following factors were positively related to sufficient intake of vegetable; lower grade, a positive attitude toward vegetable, and fruit availability at home; and that greater maternal education, a positive child's attitude toward vegetable, and fruit availability at home were significantly associated with sufficient consumption of fruits and total fruit and vegetable intake.
CONCLUSIONS
The present study showed that personal factors like attitude toward vegetables and socio-environmental factors, such as, greater availability of fruits were significantly associated with sufficient fruit and vegetable consumption. The importance of environmental and personal factors to successful nutrition highlights the importance of involving parents and schools.

Keyword

Fruit; vegetables; self efficacy; child

MeSH Terms

Asian Continental Ancestry Group
Child*
Cross-Sectional Studies
Education
Fruit*
Humans
Logistic Models
Obesity
Parents
Pediatric Obesity
Prevalence*
Self Efficacy
Thailand*
Vegetables*
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