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Complete Health Indicator Report of Daily Fruit Consumption

Definition

The percentage of adults who reported consuming fruit two or more times a day

Numerator

The number of survey respondents who reported consuming fruit two or more times a day.

Denominator

The total number of survey respondents.

Data Interpretation Issues

To reduce bias and more accurately represent population data, the BRFSS has changed survey methodology. In 2010, it began conducting surveys by cellular phone in addition to landline phones. It also adopted "iterative proportional fitting" (raking) as its weighting method. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf] Respondents are asked to think about number of times they ate fruit in the last 30 days, yet the numerator is based on "daily" basis.

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^. [[br]][[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][[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/]

Healthy People Objective NWS-14:

Increase the contribution of fruits to the diets of the population aged 2 years and older
U.S. Target: 0.90 cup equivalent per 1,000 calories

Other Objectives

Increase the proportion of persons aged 18 years and older who consume fruit two or more times each day. [[br]] '''Utah Target:''' 34%

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 2019, about one of three (30.6%) Utah adults reported eating fruit two or more times each day

How Do We Compare With the U.S.?

In 2019, 30.6% of Utah adults reported eating fruit two or more times each day, which is greater than than the U.S. rate of 30.1% (age-adjusted rates).

What Is Being Done?

The Utah Department of Health's, Healthy Environments Active Living program plays a key role in improving the health of residents in the state of Utah. The program was formed in July 2013 (as EPICC), through a new funding opportunity from the Centers of Disease Control and Prevention (CDC) that allowed for the merging of three previously existing programs: the Heart Disease and Stroke Prevention Program, the Diabetes Prevention and Control Program, and the Physical Activity, Nutrition and Obesity Program, as well as the addition of a school health program. The Healthy Environments Active Living Program was recently restructured as part of this strategic planning process and the new program model focuses on working together with staff and partners to address the social determinants of health while advancing health equity and increasing policy, systems and environment changes. HEAL works: In Schools:[[br]] 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. In Worksites:[[br]] 1) The Utah Council for Worksite Health Promotion recognizes businesses that offer employee fitness and health promotion programs.[[br]] 2) HEAL offers a training on developing worksite wellness programs called Work@Health. HEAL also partners with local health departments to encourage worksites to complete the CDC Scorecard and participate in yearly health risk assessment for their employees. HEAL provides toolkits and other resources for employers interested in implementing wellness programs through the [http://heal.health.utah.gov heal.health.utah.gov] website: [https://heal.health.utah.gov/worksite-wellness/] In Communities:[[br]] 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 Eat Well Utah, farmers markets and retail stores. LHDs also work with cities within their jurisdictions to create a built environment that encourages physical activity. In Healthcare:[[br]] 1) HEAL 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. In Childcare:[[br]] 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) HEAL 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.

Evidence-based Practices

HEAL promotes evidence-based practices collected by the Center TRT. The Center for Training and Research Translation (Center TRT) bridges the gap between research and practice and supports the efforts of public health practitioners working in nutrition, physical activity, and obesity prevention by: *Reviewing evidence of public health impact and disseminating population-level interventions; *Designing and providing practice-relevant training both in-person and web-based; *Addressing social determinants of health and health equity through training and translation efforts; and *Providing guidance on evaluating policies and programs aimed at impacting healthy eating and physical activity.[[br]] [[br]] Appropriate evidence-based interventions can be found at: [[br]] [http://www.centertrt.org/?p=interventions_interventions_overview]

Available Services

Visit [http://heal.health.utah.gov] for more information. The [http://www.choosemyplate.gov/ MyPlate] food guidance system provides consumer tools in English and Spanish to meet the Dietary Guidelines for Americans, including individualized plans, tools to track intake, and plans for early childhood, pregnancy, and lactation. The [https://www.uspm.com/fruits-and-veggies-more-matters/ Fruits & Veggies--More Matters] and [http://www.pbhfoundation.org/ Produce for Better Health] websites include a kids' site, educational brochures, recipes, and consumer tips for selecting, storing, and preparing vegetables..

Health Program Information

Overarching Goals: Healthy People: Increase access to resources that empower all people in Utah to reach their full health potential. Healthy Communities: Increase the capacity of communities to support and promote healthy living for all individuals. Equitable Society: Increase opportunities for people who are under-resourced and under-represented in Utah to live healthy and thriving lives.


Related Indicators

Relevant Population Characteristics

Overall, more women than men reported eating fruit two or more times daily, and the rate increased with age, education, and income. Some regional differences were also seen.

Related Relevant Population Characteristics Indicators:


Risk Factors

There 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]] [[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]

Related Risk Factors Indicators:


Health Status Outcomes

People who eat few fruits and vegetables are at higher risk for developing several types of cancer, heart disease, stroke, and other chronic diseases.

Related Health Status Outcomes Indicators:




Graphical Data Views

Fruit Consumed Two or More Times per Day Utah and U.S., 2011-2019

::chart - missing::
confidence limits

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.
BRFSS Utah vs. U.S.YearAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 11
UT New Methodology201133.9%32.8%34.9%
UT New Methodology201225.0%23.0%27.1%
UT New Methodology201334.2%33.2%35.3%
UT New Methodology201529.8%28.8%30.9%
UT New Methodology201734.7%33.5%35.9%
UT New Methodology201930.6%29.6%31.7%
US New Methodology201130.8%30.6%31.1%
US New Methodology201330.1%29.8%30.4%
US New Methodology201528.8%28.5%29.1%
US New Methodology201733.2%32.9%33.5%
US New Methodology201930.1%29.8%30.5%

Data Notes

U.S. data do not include U.S. territories, but do include District of Columbia. Age-adjusted to U.S. 2000 standard population.

Data Sources

  • 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


Fruit Consumed Two or More Times per Day by Race, Utah Adults Age 18+, 2017, 2019

::chart - missing::
confidence limits

For combined years 2017 and 2019, Black/African American adults had the highest rate (35.2%) of consuming fruit two or more times a day
Race/EthnicityAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 7
American Indian, Alaskan Native29.9%23.3%37.3%
Asian32.2%25.0%40.3%
Black, African American35.2%26.3%45.2%
Native Hawaiian, Pacific Islander39.1%28.2%51.2%
White32.6%31.7%33.4%
Other32.0%28.5%35.7%
All Races/Ethnicities32.6%31.8%33.4%

Data Notes

Age-adjusted to U.S. 2000 standard population based on 3 age groups: 18-34, 35-49, and 50+..

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Fruit Consumed Two or More Times per Day by Ethnicity, Utah Adults Age 18+, 2019

::chart - missing::
confidence limits

There is little difference in the rates of fruit consumption by ethnicity.
Hispanic EthnicityAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 3
Hispanic33.0%29.1%37.1%
Non-Hispanic30.3%29.2%31.5%
All Utahns30.6%29.6%31.7%

Data Notes

Age-adjusted to U.S. 2000 standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Fruit Consumed Two or More Times per Day by Age and Sex, Utah, 2019

::chart - missing::
confidence limits

Rates shown are crude rates. Women have higher rates of consuming fruit two or more times a day compared to men across every age group.
Males vs. FemalesAge GroupPercentage of AdultsLower LimitUpper Limit
Record Count: 12
Male18-3423.8%21.2%26.5%
Male35-4927.5%24.7%30.5%
Male50-6425.2%22.4%28.2%
Male65+29.5%26.6%32.5%
Female18-3431.4%28.3%34.7%
Female35-4936.8%33.8%39.9%
Female50-6434.9%31.8%38.1%
Female65+38.7%35.8%41.7%
Total18-3427.5%25.5%29.6%
Total35-4932.2%30.1%34.3%
Total50-6430.0%27.9%32.2%
Total65+34.3%32.3%36.5%

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Fruit Consumed Two or More Times per Day by Local Health District, Utah, 2019

::chart - missing::
confidence limits

Fruit consumption varied by local health district (LHD) in 2019. The rate for Utah County Local Health Department was statistically significantly higher than the state rate.
Local Health DistrictAge-adjusted Percentage of Adults 18+Lower LimitUpper LimitNote
Record Count: 14
Bear River31.7%27.6%36.1%
Central31.5%26.3%37.2%
Davis County29.3%26.1%32.6%
Salt Lake County30.0%28.1%32.0%
San Juan30.4%21.5%41.1%
Southeast34.3%27.7%41.5%
Southwest30.6%26.9%34.7%
Summit28.3%21.2%36.6%
Tooele31.0%25.4%37.3%
TriCounty29.0%24.2%34.3%
Utah County34.0%31.6%36.5%Significantly higher than the state
Wasatch37.1%28.8%46.3%
Weber-Morgan28.9%25.3%32.9%
State of Utah30.6%29.6%31.7%

Data Notes

Age-adjusted to U.S. 2000 standard population.

Data Sources

  • 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


Fruit Consumed Two or More Times per Day by Utah Small Area, Adults Age 18+, 2017, 2019

::chart - missing::
confidence limits

Utah Small AreasAge-adjusted Percentage of AdultsLower LimitUpper LimitNote
Record Count: 100
Brigham City25.1%18.5%33.1%
Box Elder Co (Other) V234.3%23.3%47.4%
Tremonton32.7%24.1%42.6%
Logan V233.2%27.7%39.2%
North Logan35.4%26.9%44.9%
Cache (Other)/Rich (All) V238.5%28.9%49.1%
Hyrum27.7%17.0%41.7%
Smithfield35.2%25.4%46.5%
Ben Lomond32.3%26.7%38.6%
Weber County (East)26.9%20.7%34.2%
Morgan County45.5%31.1%60.7%
Ogden (Downtown)23.8%18.0%30.8%Lower than the state
South Ogden33.2%26.7%40.4%
Roy/Hooper29.7%23.5%36.8%
Riverdale37.5%28.9%47.0%
Clearfield Area/Hooper34.5%28.8%40.7%
Layton/South Weber31.3%26.5%36.6%
Kaysville/Fruit Heights39.3%32.1%47.1%
Syracuse31.0%23.2%40.0%
Centerville29.4%19.8%41.3%
Farmington24.2%16.7%33.7%
North Salt Lake30.9%21.7%41.8%
Woods Cross/West Bountiful28.7%19.5%40.1%
Bountiful36.7%30.0%43.8%
SLC (Rose Park)30.3%22.3%39.6%
SLC (Avenues)38.4%29.1%48.7%
SLC (Foothill/East Bench)39.7%29.8%50.6%
Magna29.7%21.8%39.1%
SLC (Glendale) V224.4%15.5%36.2%
West Valley (Center)30.5%23.9%37.9%
West Valley (West) V232.8%23.5%43.6%
West Valley (East) V227.1%20.4%35.1%
SLC (Downtown) V221.5%15.8%28.5%Lower than the state
SLC (Southeast Liberty)43.5%32.6%55.0%
South Salt Lake23.5%15.1%34.5%
SLC (Sugar House)28.9%22.1%36.7%
Millcreek (South)39.6%30.5%49.5%
Millcreek (East)41.2%31.8%51.2%
Holladay V232.3%24.1%41.8%
Cottonwood39.2%31.2%47.9%
Kearns V227.9%20.5%36.6%
Taylorsville (E)/Murray (W)29.1%22.9%36.2%
Taylorsville (West)29.6%22.6%37.6%
Murray30.4%23.0%39.1%
Midvale30.5%22.6%39.8%
West Jordan (Northeast) V225.2%18.9%32.9%
West Jordan (Southeast)31.6%25.1%38.8%
West Jordan (W)/Copperton24.9%17.6%34.1%
South Jordan V233.1%26.0%41.1%
Daybreak39.3%30.8%48.5%
Sandy (West)38.0%28.9%48.0%
Sandy (Center) V237.5%29.3%46.4%
Sandy (Northeast)38.8%28.0%50.8%
Sandy (Southeast)36.7%27.7%46.7%
Draper38.9%30.5%48.0%
Riverton/Bluffdale29.3%23.2%36.3%
Herriman32.4%25.6%40.1%
Tooele County (Other)27.2%20.2%35.4%
Tooele Valley30.1%25.5%35.2%
Eagle Mountain/Cedar Valley32.4%24.2%41.8%
Lehi33.6%27.8%39.9%
Saratoga Springs31.9%23.8%41.3%
American Fork41.2%34.6%48.2%Higher than the state
Alpine49.9%37.6%62.3%Higher than the state
Pleasant Grove/Lindon37.9%32.4%43.7%
Orem (North)42.3%34.8%50.1%Higher than the state
Orem (West)33.0%25.7%41.2%
Orem (East)43.6%34.3%53.4%Higher than the staet
Provo/BYU41.0%34.2%48.1%Higher than the state
Provo (West City Center)38.7%29.8%48.5%
Provo (East City Center)34.6%24.9%45.9%
Salem City28.4%18.2%41.6%
Spanish Fork33.9%27.5%41.0%
Springville29.9%23.3%37.5%
Mapleton38.6%27.9%50.6%
Utah County (South) V238.2%25.9%52.2%
Payson37.3%29.0%46.4%
Park City31.8%24.9%39.4%
Summit County (East)31.1%23.8%39.5%
Wasatch County38.1%31.8%44.8%
Daggett and Uintah County27.2%23.3%31.4%Lower than the state
Duchesne County28.4%22.0%35.8%
Nephi/Mona45.1%33.2%57.5%Higher than the sate
Delta/Fillmore38.0%28.2%48.9%
Sanpete Valley34.2%27.1%42.1%
Central (Other)29.5%23.6%36.2%
Richfield/Monroe/Salina27.0%19.9%35.5%
Carbon County27.7%22.2%34.1%
Emery County37.8%28.6%47.9%
Grand County41.3%30.7%52.8%
Blanding/Monticello30.7%23.0%39.8%
San Juan County (Other)29.2%18.3%43.2%
St. George31.6%26.9%36.8%
Washington Co (Other) V234.1%23.3%46.8%
Washington City35.5%26.4%45.9%
Hurricane/La Verkin34.6%24.8%46.1%
Ivins/Santa Clara23.6%15.1%35.0%
Cedar City35.0%28.7%41.9%
Southwest LHD (Other)28.2%21.6%35.8%
State of Utah32.6%31.8%33.4%

Data Notes

Age-adjusted to U.S. 2000 standard population. Note that the total for the state in this view represents two years of data combined (2017 and 2019). A description of the Utah Small Areas may be found on the Methodology and Guidelines page: [https://ibis.health.utah.gov/resource/Guidelines.html].

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Fruit Consumed Two or More Times per Day by Income, Utah, 2019

::chart - missing::
confidence limits

Consumption increased with income, with higher consumption in households earning $75,000 or more than those earning less than $25,000 annually
Income CategoryAge-adjusted Percentage of AdultsLower LimitUpper Limit
Record Count: 5
<$25,00024.5%21.6%27.6%
$25,000-$49,99929.9%27.2%32.8%
$50,000-$74,99930.3%27.6%33.1%
$75,000+32.7%30.9%34.5%
Total30.6%29.6%31.7%

Data Notes

Age-adjusted to U.S. 2000 standard population.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Fruit Consumed Two or More Times per Day by Education, Utah, 2019

::chart - missing::
confidence limits

College graduates and those with some post high school education reported eating fruit at least two times per day more than those with lower levels of education
Education LevelAge-adjusted Percentage of Adults 25 +Lower LimitUpper Limit
Record Count: 5
Less Than High School28.5%23.5%34.0%
H.S. Grad or G.E.D.24.6%22.4%27.1%
Some Post High School30.1%28.2%32.1%
College Graduate37.3%35.6%39.1%
Total31.1%30.0%32.3%

Data Notes

Age-adjusted to U.S. 2000 standard population. Percentages include only adults aged 25 or older.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health

References and Community Resources

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]] World Cancer Research Fund, American Institute for Cancer Research. 'Diet, Nutrition, Physical Activity and Cancer: a Global Perspective" October 2018. [Online Access] [https://www.wcrf.org/dietandcancer/about] [[br]] Dietary Guidelines for Americans, 2020-2025 [hhttps://www.dietaryguidelines.gov/sites/default/files/2020-12/Dietary_Guidelines_for_Americans_2020-2025.pdf Healthy Environments Active Living Program, Utah Department of Health[[br]] [http://heal.health.utah.gov] MyPlate and Super Tracker[[br]] [http://www.choosemyplate.gov] Produce for Better Health, Fruits & Veggies--More Matters [https://www.uspm.com/fruits-and-veggies-more-matters] National Fruit and Vegetable Alliance [https://fruitsandveggies.org/nfva/#:~:text=The%20National%20Fruit%20%26%20Vegetable%20Alliance%20(NFVA)%20is%20a%20national,vegetables%20for%20improved%20public%20health]

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 10/29/2021, Published on 01/14/2022
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Wed, 07 December 2022 9:24:38 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Fri, 14 Jan 2022 08:07:27 MST