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 chronic diseases, including stroke and perhaps other cardiovascular diseases, and certain cancers^1^. Fruits and vegetables 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 two cups of fruit per day for a standard 2,000 calorie diet, with recommendations based on an individual's age, gender, and activity level^3^.
1. CDC. ''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][[br]]
2. World Cancer Research Fund, American Institute for Cancer Research. ''Food, nutrition, physical activity and the prevention of cancer: a global perspective.'' November 2007. [Online Access] [http://www.dietandcancerreport.org] [[br]]
3. Dietary Guidelines for Americans, 2015-2020 [https://health.gov/dietaryguidelines/2015/guidelines/]
Fruit Consumed Two or More Times per Day Utah and U.S., 2011-2017
Due to changes in both sampling and the fruit consumption question format, 2011 data should not be compared to previous years. In 2012, Utah added the question on fruit consumption. This question was not available in the U.S. data set for 2012, thus, there is no value for U.S. in 2012.
- Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
- U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services
Data NotesU.S. data do not include U.S. territories, but do include District of Columbia.
Age-adjusted to U.S. 2000 standard population.
Risk FactorsThere is some evidence that people who form the habit of eating fruits and vegetables early in life are likely to maintain the behavior as adults^1^.[[br]]
1. CDC. ''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]
How Are We Doing?Please note that the fruit consumption questions were changed in 2011 and results cannot be compared with years prior to 2011.
In 2017, about one of three (34.7%) Utah adults reported eating fruit two or more times each day (age-adjusted rate).
Women report higher fruit consumption than men (38.6% vs. 29.9%, crude rate). Consumption increased with education. More college graduates (42.6%) and those with some post high school education (36.2%) reported eating fruit at least two times per day than those with lower levels of education (2017 data).
Consumption also increased with income, with higher consumption in households earning $75,000 or more (39.6%) than those earning less than $25,000 (28.2%).
Fruit consumption varied by local health district (LHD) in 2017, with TriCounty and Tooele LHDs having significantly lower rates (27.0% and 27.6%) than the state rate. Utah County LHD at 39.4% was significantly higher than the state. None of the other LHDs had rates statistically significantly different from the state.
Fruit consumption varied by Utah Small Areas for years 2015 and 2017. Seven small areas had rates of fruit consumption significantly higher than the state: Millcreek (East), West Jordan (Southeast), Daybreak, American Fork, Alpine, Provo/BYU, and San Juan (Other). Six small areas were identified with significantly lower rates than the state rate: Box Elder County (Other) V2, Ogden (Downtown), Salt Lake City (Downtown) V2, Tooele County (Other), Daggett and Uintah County, and Carbon County.
What Is Being Done?The Healthy Living through Environment, Policy, and Improved Clinical Care Program (EPICC) was established through funding from the Centers for Disease Control and Prevention (CDC).
EPICC focuses on Environmental Approaches that Promote Health, specifically promoting policies around healthy eating and active living. EPICC works:
1) Schools are encouraged to adopt the Comprehensive School Physical Activity Program. This framework encourages students to be physically active for 60 minutes a day through school, home and community activities.[[br]]
2) Height and weight trends are being tracked in a sample of elementary students to monitor Utah students.[[br]]
3) Action for Healthy Kids brings partners together to improve nutrition and physical activity environments in Utah's schools by implementing the school-based state plan strategies, working with local school boards to improve or develop policies for nutritious foods in schools. This includes recommendations for healthy vending options.
1) The Utah Health Improvement Plan--a public and private partnership--has selected worksites as their priority for the goal of Preventing Obesity and Related Chronic Conditions. A smaller workgroup, UHIP-O, works to create a Culture of Health within businesses in the state of Utah.
2) The Utah Council for Worksite Health Promotion recognizes businesses that offer employee fitness and health promotion programs.[[br]]
3) EPICC partners with local health departments to encourage worksites to complete the CDC Scorecard and participate in yearly health risk assessment for their employees. EPICC provides toolkits and other resources for employers interested in implementing wellness programs through the [http://choosehealth.utah.gov choosehealth.utah.gov] website: [http://choosehealth.utah.gov/worksites/why-worksite-wellness.php]
1) Local health departments (LHDs) receive federal funding to partner with schools, worksites, and other community based organizations to increase access to fresh fruits and vegetables through food service guidelines, farmers markets and retail stores. LHDs also work with cities within their jurisdictions to create a built environment that encourages physical activity.
1) EPICC works with health care systems to establish community clinical linkages to support individuals at risk for or diagnosed with diabetes or hypertension to engage in lifestyle change programs such as chronic disease self-management and diabetes prevention programs.
1) Ten local health departments statewide have implemented the TOP Star program, which aims to improve the nutrition, physical activity, and breastfeeding environments and achieve best practice in child care centers and homes.[[br]]
2) EPICC works with state and local partners through the Childcare Obesity Prevention workgroup to implement policy and systems changes in early care and education across agencies statewide.
Healthy People Objective: Increase the contribution of fruits to the diets of the population aged 2 years and olderU.S. Target: 0.90 cup equivalent per 1,000 calories
Date Indicator Content Last Updated: 10/26/2018
- Utah and U.S., 2011-2017
- by Race, Utah Adults Age 18+, 2017
- by Ethnicity, Utah Adults Age 18+, 2017
- by Age and Sex, Utah, 2017
- by Local Health District, Utah, 2017
- by Utah Small Area, Adults Age 18+, 2015 and 2017
- by Income, Utah, 2017
- by Education, Utah, 2017