DefinitionThe percentage of adults who reported consuming fruit two or more times a day
NumeratorThe number of survey respondents who reported consuming fruit two or more times a day.
DenominatorThe total number of survey respondents.
Data Interpretation IssuesTo 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^.
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 ObjectivesIncrease 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.
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 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/]
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.
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.
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 PracticesHEAL 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]]
Appropriate evidence-based interventions can be found at: [[br]]
Health Program InformationOverarching 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.