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Complete Health Indicator Report of Nutrition - Adult Fruit and Vegetable Consumption

Definition

Percentage of adults who report consuming fruits and vegetables five or more times per day.

Numerator

Number of adults who report consuming fruits and vegetables five or more times per day

Denominator

Number of adults in the survey sample

Data Interpretation Issues

Data for this indicator report are from the Behavioral Risk Factor Surveillance System (BRFSS), an ongoing survey of adults regarding their health-related behaviors, health conditions, and preventive services. Data are collected in all 50 states, D.C., and U.S. territories. Responses have been weighted to reflect the New Mexico adult population by age, sex, ethnicity, geographic region, marital status, education level, home ownership and type of phone ownership. The survey is conducted using scientific telephone survey methods for landline and cellular phones (with cellular since 2011). The landline phone portion of the survey excludes adults living in group quarters such as college dormitories, nursing homes, military barracks, and prisons. The cellular phone portion of the survey includes adult students living in college dormitories but excludes other group quarters. Beginning with 2011, the BRFSS updated its surveillance methods by adding in calls to cell phones and changing its weighting methods. These changes improve BRFSS' ability to take into account the increasing proportion of U.S. adults using only cellular telephones as well as to adjust survey data to improve the representativeness of the estimates generated from the survey. Results have been adjusted for the probability of selection of the respondent, and have been weighted to the adult population by age, gender, phone type, detailed race/ethnicity, renter/owner, education, marital status, and geographic area. Lastly and importantly, these changes mean that the data from years prior to 2011 are not directly comparable to data from 2011 and beyond. Please see the [https://ibis.health.state.nm.us/view/docs/Query/BRFSS/BRFSS_fact_sheet_Aug2012.pdf BRFSS Method Change Factsheet]. The "missing" and "don't know" responses are removed before calculating a percentage.

Why Is This Important?

Fruits and vegetables contain essential vitamins, minerals, fiber, and other compounds that may help prevent many chronic diseases. Compared with people who consume a diet with only small amounts of fruits and vegetables, those who eat more generous amounts as part of a healthful diet are likely to have reduced risk of heart attack, stroke, type 2 diabetes, and certain cancers (1). Eating vegetables and fruits rich in potassium may lower blood pressure, and may also reduce the risk of developing kidney stones and help to decrease bone loss (1). Fruits and vegetables can also help people to achieve and maintain a healthy weight, because they are relatively low in energy density (2). To promote health and prevent chronic diseases, the 2015-2020 Dietary Guidelines for Americans recommend that adults eat 2 cups of fruit and 2.5 cups of vegetables per day for a standard 2,000 calorie diet, with varying recommendations based on an individual's age, gender, and activity level (3).

Healthy People Objective: NWS-15, Increase the variety and contribution of vegetables to the diets of the population aged 2 years and older

U.S. Target: Not applicable, see subobjectives in this category

Other Objectives

Additional relevant HP2020 objectives: NWS-14: Increase the contribution of fruits to the diets of the population aged 2 years and older NWS-15.1: Increase the contribution of total vegetables to the diets of the population aged 2 years and older NWS-15.2: Increase the contribution of dark green vegetables, orange vegetables, and legumes to the diets of the population aged 2 years and older New Mexico Community Health Status Indicator (CHSI)

How Are We Doing?

The majority of New Mexico adults do not consume 5+ servings of fruits and vegetables a day. American Indians were significantly more likely to consume 5+ servings per day than Hispanics and Whites, and women were significantly more likely to consume 5+ servings per day than men.

What Is Being Done?

The NM Department of Health (NMDOH) Obesity, Nutrition, and Physical Activity Program; the NMDOH Women, Infants, and Children (WIC) program; the Eight Northern Indian Pueblos Food Distribution Program on Indian Reservations (FDIPR), and NM State University are coordinating efforts to provide monthly scheduled nutrition education through food tastings and cooking demonstrations for WIC and FDIPR recipients using fruits, vegetables, and whole grains.

Evidence-based Practices

For people to make healthy food choices, healthy food options must be available and accessible. Families living in low-income neighborhoods and rural areas of the state often have less access to healthier food and beverage choices than those in more urban, higher-income areas. Below are some strategies communities may use to support healthy eating (4): - Making healthy food choices available and affordable in public venues - Restricting availability of less healthy options in public venues - Improve geographic availability of supermarkets in underserved areas - Provide incentives to food retailers to locate in and/or offer healthier food and beverage choices in underserved areas - Improve availability of mechanisms for purchasing goods from farms - Provide incentives for the production, distribution, and procurement of foods from local farms - Limit advertisements of less healthy foods and beverages

Available Services

Produce for Better Health, Fruits & Veggies--More Matters www.fruitsandveggiesmorematters.org Centers for Disease Control and Prevention www.fruitsandveggiesmatter.gov


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Health Care System Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Percentage of Adults Who Reported Consuming 5+ Fruits and Vegetables Each Day by Year, U.S. 2003-2009 and New Mexico 2003-2017 (odd years)

::chart - missing::
confidence limits

BRFSS by weighting method by NM vs. U.S.YearPercentage Consuming Five a DayLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 12
New Mexico, Old Weighting Method200322.4%21.1%23.7%
New Mexico, Old Weighting Method200521.5%20.1%23.0%1,2925,413
New Mexico, Old Weighting Method200722.4%21.0%23.8%1,4846,408
New Mexico, Old Weighting Method200923.2%21.9%24.5%2,1258,461
New Mexico, New Weighting Method201119.1%18.0%20.3%1,6558,463
New Mexico, New Weighting Method201317.1%15.9%18.3%1,4088,103
New Mexico, New Weighting Method201517.4%15.9%18.9%1,0425,867
New Mexico, New Weighting Method201716.8%14.9%17.6%1,0296,015
U.S., Old Weighting Method200322.6%
U.S., Old Weighting Method200523.2%
U.S., Old Weighting Method200724.4%
U.S., Old Weighting Method200923.4%

Data Notes

The fruit and vegetable (5-a-Day) consumption questions were administered only in odd years.   U.S. value is the median percentage across participating States and the District of Columbia (DC). Estimates for 2011 and forward should not be compared to earlier years (please refer to Data Interpretation Issues, below).

Data Sources

  • Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.
  • U.S. Centers for Disease Control and Prevention (CDC), BRFSS Prevalence and Trends Data, [https://www.cdc.gov/brfss/brfssprevalence].


Percentage of Adults Who Reported Consuming 5+ Fruits and Vegetables Each Day by County, New Mexico, 2013, 2015, 2017

::chart - missing::
confidence limits

CountyPercentage Consuming Five a DayLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 34
Bernalillo16.6%15.1%18.3%5633,071
Catron13.1%7.3%22.4%1485
Chaves15.1%11.9%19.0%94667
Cibola14.7%10.5%20.3%87608
Colfax18.9%12.5%27.5%32184
Curry12.9%9.1%18.0%57460
De Baca18.4%7.8%37.8%1055
Dona Ana17.0%14.9%19.2%3251,897
Eddy12.8%10.1%16.1%94662
Grant15.8%11.5%21.2%60368
Guadalupe**Rate was suppressed due to small sample size.47
Harding**Rate was suppressed due to small sample size.15
Hidalgo26.7%13.9%45.1%1356
Lea15.5%11.9%19.8%78643
Lincoln13.7%10.0%18.4%53389
Los Alamos20.0%14.6%26.7%48206
Luna20.2%14.7%27.2%46242
McKinley21.6%18.2%25.4%2181,091
Mora20.5%7.6%44.7%1162
Otero16.2%12.9%20.1%110669
Quay11.0%6.2%18.7%17136
Rio Arriba16.8%12.6%22.1%85594
Roosevelt15.0%9.4%23.2%31224
Sandoval18.1%14.8%22.1%169858
San Juan16.7%14.9%18.7%5102,753
San Miguel17.3%12.6%23.4%69362
Santa Fe21.2%18.8%23.8%3561,721
Sierra17.5%10.8%27.2%28167
Socorro18.2%11.6%27.3%28154
Taos22.5%16.7%29.6%83390
Torrance8.2%4.0%15.8%1197
Union4.9%1.6%14.1%466
Valencia11.2%8.2%15.2%73526
New Mexico16.9%16.2%17.7%3,4125,962

Data Notes

The fruit and vegetable (5-a-Day) consumption questions were administered only in odd years.   **Data were not available for some counties due to insufficient numbers of people (fewer than 50) from those counties who were surveyed in the BRFSS. The county-level BRFSS data used for this indicator report were weighted to be representative of the New Mexico Health Region populations. Had the data been weighted to be representative of each county population, the results would likely have been different.

Data Sources

  • Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.
  • U.S. Centers for Disease Control and Prevention (CDC), BRFSS Prevalence and Trends Data, [https://www.cdc.gov/brfss/brfssprevalence].


Percentage of Adults Who Reported Consuming 5+ Fruits and Vegetables Each Day by Race/Ethnicity, New Mexico, 2013, 2015, 2017

::chart - missing::
confidence limits

Race/EthnicityPercentage Consuming Five a DayLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 6
American Indian/Alaska Native22.0%19.3%25.0%3771,748
Asian/Pacific Islander15.0%9.9%22.1%33170
Black/African American19.5%13.9%26.7%47230
Hispanic16.0%14.8%17.3%1,0656,563
White16.9%15.8%17.9%1,87310,801
New Mexico16.9%16.2%17.7%3,47919,512

Data Notes

The fruit and vegetable (5-a-Day) consumption questions were administered only in odd years.

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.


Percentage of Adults Who Reported Consuming 5+ Fruits and Vegetables Each Day by Year and Sex, New Mexico, 2011, 2013, 2015, 2017

::chart - missing::
confidence limits

Sex: Males vs. FemalesYearPercentage Consuming Five a DayLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
Male201115.9%14.2%17.7%5223,395
Male201314.5%12.9%16.2%4703,399
Male201515.1%13.0%17.4%3532,476
Male201713.6%13.6%11.9%3892,649
Female201122.2%20.7%23.8%1,1335,068
Female201319.5%18.0%21.2%9384,704
Female201519.5%17.6%21.7%6893,391
Female201718.7%16.8%20.8%6393,365

Data Notes

The fruit and vegetable (5-a-Day) consumption questions were administered only in odd years.

Data Source

Behavioral Risk Factor Surveillance System Survey Data, U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, together with New Mexico Department of Health, Injury and Behavioral Epidemiology Bureau.

References and Community Resources

1. U.S. Department of Agriculture, My Plate. Why is it important to eat vegetables? January 2016. [Online Access] https://www.choosemyplate.gov/vegetables-nutrients-health. 2. U.S. Centers for Disease Control and Prevention. Can eating fruits and vegetables help people to manage their weight? Research to Practice Series No. 1. [Online Access] http://www.cdc.gov/nccdphp/dnpa/nutrition/pdf/rtp_practitioner_10_07.pdf. 3. U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015 - 2020 Dietary Guidelines for Americans. 8th Edition. December 2015. [Online Access] https://health.gov/dietaryguidelines/2015/guidelines/. 4. Laura Kettel Khan, PhD. Recommended Community Strategies and Measurements to Prevent Obesity in the United States. CDC, MMWR July 24, 2009 / 58(RR07);1-26. [Online Access] http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm?s_cid=rr5807a1_e.

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 12/19/2018, Published on 12/28/2018
The information provided above is from the New Mexico Department of Health's NM-IBIS web site (http://ibis.health.state.nm.us). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Wed, 23 October 2019 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Fri, 28 Dec 2018 17:07:08 MST