Overview of the health benefits of fruit and vegetable consumption for the dietetics professional: selected literature.

Epidemiologic evidence of a protective role for fruits and vegetables in cancer prevention is substantial. The strength of this scientific base guides US national policymaking in diet and health issues and facilitates community and local programs that address national dietary goals to increase fruit and vegetable consumption. Current scientific evidence also suggests a protective role for fruits and vegetables in prevention of coronary heart disease, and evidence is accumulating for a protective role in stroke. In addition, a new scientific base is emerging to support a protective role for fruits and vegetables in prevention of cataract formation, chronic obstructive pulmonary disease, diverticulosis, and possibly, hypertension. This article provides an overview of the health benefits associated with fruit and vegetable consumption for each of these conditions, including brief discussions of underlying protective mechanisms, identifies key scientific findings regarding the health benefits of fruit and vegetable consumption, and outlines applications of these findings for dietetics professionals. The evidence reviewed provides additional support for increased consumption of a wide variety of vegetables, in particular, dark-green leafy, cruciferous, and deep-yellow-orange ones, and a wide variety of fruits, in particular, citrus and deep-yellow-orange ones. Continued attention to increasing fruit and vegetable consumption is a practical and important way to optimize nutrition to reduce disease risk and maximize good health.

[1]  N. Painter Diverticular disease of the colon. , 1968, British medical journal.

[2]  D. Strachan,et al.  Ventilatory function and winter fresh fruit consumption in a random sample of British adults. , 1991, Thorax.

[3]  E. Feskens,et al.  Dietary antioxidant flavonoids and risk of coronary heart disease: the Zutphen Elderly Study , 1993, The Lancet.

[4]  C. Hennekens,et al.  The Role of Beta‐Carotene in the Prevention of Cardiovascular Disease , 1993, Annals of the New York Academy of Sciences.

[5]  L. Chylack,et al.  18 – Relationships between Natural Antioxidants and Cataract Formation , 1994 .

[6]  T. Key,et al.  Dietary habits and mortality in 11 000 vegetarians and health conscious people: results of a 17 year follow up , 1996, BMJ.

[7]  E. Feskens,et al.  Dietary Flavonoids, Antioxidant Vitamins, and Incidence of Stroke: The Zutphen Study , 1996 .

[8]  D Spiegelman,et al.  Fruit and vegetable intake in relation to risk of ischemic stroke. , 1999, JAMA.

[9]  E. Susser,et al.  Neurodevelopmental disorders after prenatal famine: The story of the Dutch Famine Study. , 1998, American journal of epidemiology.

[10]  E. Rimm,et al.  Vegetable, fruit, and cereal fiber intake and risk of coronary heart disease among men. , 1996, JAMA.

[11]  J. Heimendinger,et al.  The National 5 A Day for Better Health Program. , 1996, Advances in experimental medicine and biology.

[12]  E. Feskens,et al.  Dietary determinants of long-term incidence of chronic nonspecific lung diseases. The Zutphen Study. , 1993, American journal of epidemiology.

[13]  L. Filer,et al.  The use and abuse of vitamin A. , 1971, Pediatrics.

[14]  S. Foerster,et al.  The national 5 A Day for Better Health Program: a large-scale nutrition intervention. , 1996, Journal of public health management and practice : JPHMP.

[15]  M. Thun,et al.  Guidelines on diet, nutrition, and cancer prevention: Reducing the risk of cancer with healthy food choices and physical activity , 1996, CA: a cancer journal for clinicians.

[16]  G. Bray,et al.  A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. , 1997, The New England journal of medicine.

[17]  A. Brodribb,et al.  Diverticular disease: three studies. Part I--Relation to other disorders and fibre intake. , 1976, British medical journal.

[18]  R. Ballard-Barbash,et al.  Characterizing food intake patterns of American adults. , 1997, The American journal of clinical nutrition.

[19]  L T Chylack,et al.  Epidemiologic evidence of a role for the antioxidant vitamins and carotenoids in cataract prevention. , 1991, The American journal of clinical nutrition.

[20]  R. Klein,et al.  Diet and nuclear lens opacities. , 1995, American journal of epidemiology.

[21]  B Rosner,et al.  Nutrient intake and cataract extraction in women: a prospective study. , 1992, BMJ.

[22]  E. Rimm,et al.  A prospective study of diet and the risk of symptomatic diverticular disease in men. , 1994, The American journal of clinical nutrition.

[23]  P. Jacques,et al.  Relations among aging, antioxidant status, and cataract. , 1995, The American journal of clinical nutrition.

[24]  C. Weinberg,et al.  Vegetable consumption and risk of chronic disease , 1998 .

[25]  D. Albanes,et al.  The effect of vitamin E and beta carotene on the incidence of lung cancer and other cancers in male smokers. , 1994, The New England journal of medicine.

[26]  Patricia M. Marsland,et al.  Developing a Food Guidance System to Implement the Dietary Guidelines , 1987 .

[27]  J. Marlett Content and composition of dietary fiber in 117 frequently consumed foods. , 1992, Journal of the American Dietetic Association.

[28]  J. A. Gregory,et al.  Cereal dietary fiber consumption and diverticular disease: a lifespan study in rats. , 1985, The American journal of clinical nutrition.

[29]  I. Fox,et al.  Ascorbic acid-induced uricosuria. A consequency of megavitamin therapy. , 1976, Annals of internal medicine.

[30]  G. Hatch Asthma, inhaled oxidants, and dietary antioxidants. , 1995, The American journal of clinical nutrition.

[31]  P Whelton,et al.  Prevalence of hypertension in the US adult population. Results from the Third National Health and Nutrition Examination Survey, 1988-1991. , 1995, Hypertension.

[32]  A. Reunanen,et al.  Antioxidant vitamin intake and coronary mortality in a longitudinal population study. , 1994, American journal of epidemiology.

[33]  J. Potter,et al.  Vegetables, fruit, and cancer prevention: a review. , 1996, Journal of the American Dietetic Association.

[34]  B. Frei Natural antioxidants in human health and disease , 1994 .

[35]  D. Cook,et al.  Effect of fresh fruit consumption on lung function and wheeze in children. , 1997, Thorax.

[36]  Roger G. Mazlen,et al.  Nutrition and your health , 1979 .

[37]  E. Barrett-Connor,et al.  Dietary potassium and stroke-associated mortality. A 12-year prospective population study. , 1987, The New England journal of medicine.

[38]  E. Rimm,et al.  A prospective study of dietary fiber types and symptomatic diverticular disease in men. , 1998, The Journal of nutrition.

[39]  E. Feskens,et al.  Dietary factors and pulmonary function: a cross sectional study in middle aged men from three European countries , 1999, Thorax.

[40]  J. Powles,et al.  Fruit and vegetables, and cardiovascular disease: a review. , 1997, International journal of epidemiology.

[41]  F. Kok,et al.  Fruits and Vegetables in chronic disease prevention , 1998 .

[42]  G. Omenn,et al.  The beta-carotene and retinol efficacy trial (CARET) for chemoprevention of lung cancer in high risk populations: smokers and asbestos-exposed workers. , 1994, Cancer research.

[43]  K. Gould,et al.  Intensive lifestyle changes for reversal of coronary heart disease. , 1998, JAMA.

[44]  Burkitt Dp,et al.  Diverticular disease of the colon, a 20th century problem. , 1975 .

[45]  John D. Potter,et al.  Food, nutrition and the prevention of cancer : a global perspective , 2001 .