Consumption of fruits and vegetables and associations with risk factors for non-communicable diseases in the Yangon region of Myanmar: a cross-sectional study

BMJ Open. 2016 Aug 26;6(8):e011649. doi: 10.1136/bmjopen-2016-011649.

Abstract

Objectives: To explore the intake of fruits and vegetables in the Yangon region, Myanmar, and to describe associations between intake of fruits and vegetables (FV) and established risk factors for non-communicable diseases.

Design: 2 cross-sectional studies, using the STEPs methodology.

Setting: Urban and rural areas of the Yangon region of Myanmar.

Participants: 1486, men and women, 25-74 years, were recruited through a multistage cluster sampling method. Institutionalised people, military personnel, Buddhist monks and nuns were not invited. Physically and mentally ill people were excluded.

Results: Mean intake of fruit was 0.8 (SE 0.1) and 0.6 (0.0) servings/day and of vegetables 2.2 (0.1) and 1.2 (0.1) servings/day, in urban and rural areas, respectively. Adjusted for included confounders (age, sex, location, income, education, smoking and low physical activity), men and women eating ≥2 servings of fruits and vegetables/day had lower odds than others of hypertriglyceridaemia (OR 0.72 (95% CI 0.56 to 0.94)). On average, women eating at least 2 servings of fruits and vegetables per day had cholesterol levels 0.28 mmol/L lower than the levels of other women. When only adjusted for sex and age, men eating at least 2 servings of fruits and vegetables per day had cholesterol levels 0.27 mmol/L higher than other men.

Conclusions: A high intake of FV was associated with lower odds of hypertriglyceridaemia among men and women. It was also associated with cholesterol levels, negatively among women and positively among men.

Keywords: DIABETES & ENDOCRINOLOGY; EPIDEMIOLOGY.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Body Mass Index
  • Cholesterol / blood
  • Cross-Sectional Studies
  • Diet*
  • Female
  • Fruit*
  • Humans
  • Hypertriglyceridemia / epidemiology
  • Income
  • Linear Models
  • Logistic Models
  • Male
  • Middle Aged
  • Myanmar / epidemiology
  • Noncommunicable Diseases / epidemiology*
  • Risk Factors
  • Rural Population
  • Surveys and Questionnaires
  • Urban Population
  • Vegetables*

Substances

  • Cholesterol