Abstract

Adults meeting fruit and vegetable intake recommendations – 49 states and district of Columbia, 2019

Seung Hee Lee, PhD, Latetia Moore, PhD, MSPH, Sohyun Park, PhD, Diane Harris, PhD MPH CHES and Heidi Blanck, PhD
Centers for Disease Control and Prevention, Atlanta, GA

APHA 2021 Annual Meeting and Expo

Background: The 2020–2025 Dietary Guidelines for Americans advise more fruits and vegetables (FV) in Americans’ diet as an overall healthy dietary pattern and the recommended amount for adults range from 1.5–2 cup equivalents for fruits and 2–3 cup equivalents for vegetables per day.

Objectives: CDC used the 2019 BRFSS to provide an update on the estimated percentage of each state’s adult population meeting FV intake recommendation for the U.S.

Methods: The module assessed how many times a day, week, or month a respondent consumed whole fruit, 100% fruit juice, salads, fried potatoes, other potatoes, and other vegetables in the past 30 days. Previously developed scoring algorithms were used to estimate the percentage of each state’s population meeting FV intake recommendations based on the frequency of FV intake and their demographic characteristics. In 2019, New Jersey data did not meet the minimum requirements, thus excluded. Exclusion criteria were Guam or Puerto Rico residents, missing or implausible intake values, or didn’t report income or race. The final analytic sample was 294,566. Statistical analyses accounted for the complex survey design. Balanced repeated replication, replicate weights, and Taylor linearization were used to calculate standard errors and confidence intervals.

Results: Overall, 12.3% of adults met fruit recommendations, ranging from 8.4% in West Virginia to 16.1% in Connecticut, and 10.0% met vegetable recommendations, ranging from 5.6% in Kentucky to 16.0% in Vermont.

Conclusion: Additional policies and programs that address barriers to fruit and vegetable consumption may be needed to increase low consumption and thus improve health.

Chronic disease management and prevention Epidemiology Public health or related education