Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell
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Non-communicable diseases (NCDs) present a global epidemic largely driven by unhealthy lifestyles, influenced by factors such as food marketing and urbanization. The document emphasizes the effectiveness of lifestyle interventions in preventing type 2 diabetes and the importance of increasing fruit and vegetable consumption to enhance health. It concludes that healthier lifestyles can significantly reduce the threat posed by NCDs, with a focus on early-life interventions and addressing systemic barriers.
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Fruits and Vegetables in a Healthy Diet by Prof Jaap Seidell
- 1. NCD’s the global epidemic and how to control it by diet Prof. Jaap Seidell Vrije Universiteit, Amsterdam
- 4. New York, 14 November 2013 – UN Secretary-General's message on World Diabetes Day • While many people are genetically at greater risk of diabetes, the condition is largely driven by unhealthy lifestyles (obesity, poor diet and lack of exercise) which are due to: • the globalization of marketing and trade of unhealthy food, • rapid urbanization with reduced opportunity to be physically active, • population ageing.
- 6. Food: nutrition, and health: Global Issues
- 8. Leefstijlinterventies effectief bij preventie t2 diabetes bij hoog risico.
- 11. Adjusted Hazard Ratios for Major Cardiovascular Events According to the Level of Fresh Fruit Consumption. Du H et al. N Engl J Med 2016;374:1332-1343.
- 13. Prevention of Type 2 diabetes (Predimed study).
- 14. Fig 3 Hazard ratios for incidence in diabetes type 2 for highest versus lowest intake of fruit. Patrice Carter et al. BMJ 2010;341:bmj.c4229 ©2010 by British Medical Journal Publishing Group
- 15. Prevalence of any remission by intervention and year. Katherine Esposito et al. Dia Care 2014;37:1824-1830 ©2014 by American Diabetes Association
- 16. From: Association of an Intensive Lifestyle Intervention With Remission of Type 2 Diabetes JAMA. 2012;308(23):2489-2496. doi:10.1001/jama.2012.67929 Figure Legend: Data are prevalence and 95% CIs for any remission (partial or complete). Estimates are based on sample with multiple imputation (n = 4503). In complete case analysis (year 1: n = 4327; year 2: n = 4191; year 3: n = 4168; year 4: n = 4098), prevalence estimates with raw cases/denominators were as follows: for intensive lifestyle intervention, year 1: 11.5% (95% CI, 10.1%-12.8%) (247/2157); year 2: 10.4% (95% CI, 9.1%-11.7%) (218/2090); year 3: 8.7% (95% CI, 7.5%-9.9%) (181/2083); and year 4: 7.3% (95% CI, 6.2%- 9.4%) (150/2056); for diabetes support and education, year 1: 2.0% (95% CI, 1.4%-2.6%) (43/2170); year 2: 2.3% (95% CI, 1.6%- 2.9%) (48/2101); year 3: 2.2% (95% CI, 1.6%-2.8%) (46/2085); and year 4: 2.0% (95% CI, 1.5%-2.7%) (41/2042).
- 17. From: Association of an Intensive Lifestyle Intervention With Remission of Type 2 Diabetes JAMA. 2012;308(23):2489-2496. doi:10.1001/jama.2012.67929 Figure Legend: Data are estimates and 95% CIs based on sample with multiple imputation (n = 4503). Estimates from complete case analysis of persons with no missing data element at any single year (n = 3713) were as follows: for intensive lifestyle intervention, year 1: 14.6% (95% CI, 13.0%-16.2%) (271/1852); year 2: 8.2% (95% CI, 6.8%-9.2%) (148/1852); year 3: 5.8% (95% CI, 4.7%-6.8%) (107/1852); and year 4: 3.4% (95% CI, 2.6%-4.2%) (63/1852); for diabetes support and education, year 1: 4.3% (95% CI, 3.4%- 5.2%) (80/1861); year 2: 1.6% (95% CI, 1.0%-2.1%) (29/1861); year 3: 1.2% (95% CI, 0.7%-1.7%) (22/1861); and year 4: 0.4% (95% CI, 0.1%-0.7%) (8/1861).
- 20. The Diabetes Food Pyramid
- 21. Dahlgren and Whitehead 1991
- 23. Evolution of daily energy intakes, dietary energy density, and daily intakes of selected vitamins per quartile of energy cost (EC) of diets of adults living in France. Nicole Darmon, and Adam Drewnowski Am J Clin Nutr 2008;87:1107-1117 ©2008 by American Society for Nutrition
- 25. More fruit less fruit juice
- 26. Schoolfruit (EU)
- 27. Urban gardens and farms: linking children to food
- 30. Childhood obesity in Amsterdam
- 34. Increase in fruit and vegetables for NCD prevention • Increase availability and affordability of fresh fruit and vegetables • Start in early life (first 1000 days after conception) • Involve producers, retail, parents and schools. • Culturally appropriate interventions. • Discourage unhealthy choices (including fruit juice).
- 35. Conclusions • NCD’s are a global threat. • Much of NCD’s can be prevented or postponed by healthier lifestyles. • Increased intake of fruit and vegetables are a crucial part of healthier lifestyles. • Address upstream barriers to fruit and vegetable intake.