Abstract:
Several epidemiological studies stress the association between a diet based on high fruits and vegetables intake and a better health condition. However, elderly Europeans cannot manage the recommended fruits and vegetables consumption. This systematic review aims to explore the main factors related to fruits and vegetables consumption in elderly Europeans. We conducted literature searches on Medline, Scopus, and Web of Science from inception to May 2022. Published articles including data related to certain fruits and vegetables consumption among elderly Europeans were selected. The New Castle-Ottawa Scale and National Heart, Lung, and Blood Institute tools were used for methodological quality assessment by two authors independently. A total of 60 articles were retrieved, and data from twenty-one high-quality cross-sectional studies and five moderate-to-high-quality cohort studies, including a total of 109,516 participants, were synthesized. Associated factors mostly analyzed were those relating to demographic and socioeconomic status, such as sex, age, marital status, educational level, and income. However, the findings show a high discrepancy. Some evidence suggests a possible positive association, while other evidence shows an inverse or no association at all. The relationship between demographic and socioeconomic factors with fruits and vegetables consumption is not at all clear. More epidemiological studies with an appropriate design and corresponding statistical methods are required.
摘要:
一些流行病学研究强调了基于高水果和蔬菜摄入量的饮食与更好的健康状况之间的关联。然而,老年人欧洲人无法管理推荐的水果和蔬菜消费。本系统综述旨在探讨与欧洲老年人食用水果和蔬菜有关的主要因素。我们在Medline上进行了文献检索,Scopus,和WebofScience从成立到2022年5月。选择了发表的文章,包括与欧洲老年人的某些水果和蔬菜消费有关的数据。新城堡-渥太华规模和国家心脏,肺,和血液研究所工具由两名作者独立用于方法学质量评估。共检索到60篇,以及来自21项高质量横断面研究和5项中到高质量队列研究的数据,共有109,516人参加,是合成的。主要分析的相关因素是与人口统计学和社会经济地位有关的因素,比如性,年龄,婚姻状况,教育水平,和收入。然而,调查结果显示差异很大。一些证据表明可能存在正相关,而其他证据显示有相反或根本没有关联。人口和社会经济因素与水果和蔬菜消费之间的关系尚不清楚。需要更多具有适当设计和相应统计方法的流行病学研究。