Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Vitamins and plant ingredients

Sources of vegetables, fruits and vitamins A, C and E among five ethnic groups: Results from a multiethnic cohort study

Abstract

Objectives:

Data are limited on how dietary sources of food and nutrients differ among ethnic groups. The objective of this study was to determine the main sources of fruit, vegetables and vitamins A, C and E for five ethnic groups.

Subjects/methods:

Dietary data were collected using a validated quantitative food frequency questionnaire from participants in a multiethnic cohort in Hawaii and Los Angeles county between 1993 and 1996. Data were analyzed for 186 916 participants representing five ethnic groups: African-Americans, Japanese-Americans, native Hawaiians, Latinos and Caucasians.

Results:

Lettuce was the most consumed vegetable (6.0–9.9%) in all ethnic–sex groups, except among African-American women and Mexican-born Latino men and women. Oranges and bananas contributed more than one-quarter to total fruit intake among all groups. Overall, more ethnic variation in food choices was observed for the top 10 vegetables than for fruits. The top sources of vitamins A, C and E were carrots, orange/grapefruit/pomelo and combined dishes, respectively. Among the micronutrients studied, the greatest ethnic variation in foods consumed was observed for the top 10 food sources of vitamin A.

Conclusions:

This is the first study providing data on the main types of fruit and vegetables consumed and the major sources of vitamins A, C and E among these ethnic groups in the U.S. Such data are valuable for developing and implementing public health strategies to meet the USDA dietary recommendations and for guiding ethnicity-specific nutrition education and intervention programs.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5

Similar content being viewed by others

References

  1. Eyre H, Kahn R, Robertson RM . Preventing cancer, cardiovascular disease, and diabetes: a common agenda for the American cancer society, the American diabetes association and the American heart association. CA Cancer J Clin 2004; 54: 190–207.

    Article  Google Scholar 

  2. U.S. Department of Health And Human Services, U.S. Department of Agriculture. Dietary Guidelines for Americans. U.S. Government Printing Office: Washington, DC, USA, 2005.

  3. Lichtenstein AH, Appel LJ, Brands M, Carnethon M, Daniels S, Franch HA et al. Diet and lifestyle recommendations revision 2006: a scientific statement from the american heart association nutrition committee. Circulation 2006 114: 82–96.

  4. Kushi LH, Byers T, Doyle C, Bandera EV, McCullough M, Gansler T et al. American cancer society guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin 2006; 56: 254–281.

    Article  Google Scholar 

  5. Bantle JP, Wylie-Rosett J, Albright AL, Apovian CM, Clark NG, Franz MJ et al. Nutrition recommendations and interventions for diabetes-2006: a position statement of the American Diabetes Association. Diabetes Care 2006; 29: 2140–2157.

    Article  Google Scholar 

  6. Sharma S, Murphy SP, Wilkens LR, Shen L, Hankin JH, Henderson B et al. Adherence to the food guide pyramid recommendations among Japanese Americans, Native Hawaiians, and whites: results from the multiethnic cohort study. J Am Diet Assoc 2003; 103: 1195–1198.

    Article  Google Scholar 

  7. Sharma S, Murphy SP, Wilkens LR, Shen L, Hankin JH, Monroe KR et al. Adherence to the Food Guide Pyramid recommendations among African Americans and Latinos: results from the Multiethnic Cohort. J Am Diet Assoc 2004; 104: 1873–1877.

    Article  Google Scholar 

  8. Van Duyn MA, Pivonka E . Overview of the health benefits of fruit and vegetable consumption for the dietetics professional: selected literature. J Am Diet Assoc 2000; 100: 1511–1521.

    Article  CAS  Google Scholar 

  9. Genkinger JM, Platz EA, Hoffman SC, Comstock GW, Fruit Helzlsouer KJ . vegetable, and antioxidant intake and all-cause, cancer, and cardiovascular disease mortality in a community-dwelling population in Washington County, Maryland. Am J Epidemiol 2004; 160: 1223–1233.

    Article  Google Scholar 

  10. Dauchet L, Ferrieres J, Arveiler D, Yarnell JW, Gey F, Ducimetiere P et al. Frequency of fruit and vegetable consumption and coronary heart disease in France and Northern Ireland: the PRIME study. Br J Nutr 2004; 92: 963–972.

    Article  CAS  Google Scholar 

  11. Dauchet L, Amouyel P, Hercberg S, Dallongeville J . Fruit and vegetable consumption and risk of coronary heart disease: a meta-analysis of cohort studies. J Nutr 2006; 136: 2588–2593.

    Article  CAS  Google Scholar 

  12. He FJ, Nowson CA, MacGregor GA . Fruit and vegetable consumption and stroke: meta-analysis of cohort studies. Lancet 2006; 367: 320–326.

    Article  Google Scholar 

  13. Demark-Wahnefried W, Rock CL, Patrick K, Byers T . Lifestyle interventions to reduce cancer risk and improve outcomes. Am Fam Physician 2008; 77: 1573–1578.

    PubMed  Google Scholar 

  14. Anand P, Kunnumakkara AB, Sundaram C, Harikumar KB, Tharakan ST, Lai OS et al. Cancer is a preventable disease that requires major lifestyle changes. Pharm Res 2008; 25: 2097–2116.

    Article  CAS  Google Scholar 

  15. Galimanis A, Mono ML, Arnold M, Nedeltchev K, Mattle HP . Lifestyle and stroke risk: a review. Curr Opin Neurol 2009; 22: 60–68.

    Article  Google Scholar 

  16. Nagura J, Iso H, Watanabe Y, Maruyama K, Date C, Toyoshima H et al. Fruit, vegetable and bean intake and mortality from cardiovascular disease among Japanese men and women: the JACC Study. Br J Nutr 2009; 102: 285–292.

    Article  CAS  Google Scholar 

  17. Lane JS, Magno CP, Lane KT, Chan T, Hoyt DB, Greenfield S . Nutrition impacts the prevalence of peripheral arterial disease in the United States. J Vasc Surg 2008; 48: 897–904.

    Article  Google Scholar 

  18. National Center for Health Statistics. Health, United States, 2008. National centre for health statistics: Hyattsville, MD, USA, 2009.

  19. Humes KR, Jones NA, Ramirez RR . Census Briefs: Overview of Race and Hispanic Origin. United States census bureau, 2011.

    Google Scholar 

  20. Sharma S, Wilkens LR, Shen L, Kolonel LN . Dietary sources of five nutrients in ethnic groups represented in the Multiethnic cohort. Br J Nutr 2012; 109: 1479–1489.

    Article  Google Scholar 

  21. Sharma S, Wilkens LR, Kolonel LN . Contribution of meat to vitamin B12, iron and zinc intakes in five ethnic groups in the USA: implications for developing food-based dietary guidelines. J Hum Nutr Diet 2013; 26: 156–168.

    Article  CAS  Google Scholar 

  22. Kolonel LN, Henderson BE, Hankin JH, Nomura AM, Wilkens LR, Pike MC et al. A multiethnic cohort in Hawaii and Los Angeles: baseline characteristics. Am J Epidemiol 2000; 151: 346–357.

    Article  CAS  Google Scholar 

  23. Stram DO, Hankin JH, Wilkens LR, Pike MC, Monroe KR, Park S et al. Calibration of the dietary questionnaire for a multiethnic cohort in Hawaii and Los Angeles. Am J Epidemiol 2000; 151: 358–370.

    Article  CAS  Google Scholar 

  24. U.S Department of Agriculture. Food Guide Pyramid. A Guide to Daily Food Choices 252, US Dept of Agriculture, Human nutrition information service: Washington, DC, USA, 1992, Home garden bulletin.

  25. O'Brien MM, Kiely M, Galvin M, Flynn A . The importance of composite foods for estimates of vegetable and fruit intakes. Public Health Nutr 2003; 6: 711–726.

    Article  CAS  Google Scholar 

  26. Sharma S, Murphy S, Wilkens L, Au D, Shen L, Kolonel L . Extending a multiethnic food composition table to include standardized food group servings. J Food Compost Anal 2003; 16: 485–495.

    Article  Google Scholar 

  27. Census Bureau (US). Projections of the Resident Population by Age, Sex, Race, and Hispanic Origin: 1999 to 2010 (Middle Series). 20 May 2010. Available from: http://www.census.gov/population/projections/data/national/np-d1.html. [cited 2013 Dec 15].

  28. Larsen LJ . The Foreign-Born Population in the United States: 2003. Current population reports. US Census Bureau: Washington, DC, USA, 2003, pp 20–551.

    Google Scholar 

  29. Satia-Abouta J, Patterson RE, Neuhouser ML, Elder J . Dietary acculturation: applications to nutrition research and dietetics. J Am Diet Assoc 2002; 102: 1105–1118.

    Article  Google Scholar 

  30. Murphy SP, White K, Park SY, Sharma S . Multivitamin-multimineral supplements' effect on total nutrient intake. Am J Clin Nutr 2007; 85: S280–S284.

    Google Scholar 

  31. Sharma S, Vik S, Pakseresht M, Shen L, Kolonel LN . Diet impacts mortality from cancer: results from the multiethnic cohort study. Cancer Cause Control 2013; 24: 685–693.

    Article  Google Scholar 

  32. Watters JL, Satia JA, Kupper LL, Swenberg JA, Schroeder JC, Switzer BR . Associations of antioxidant nutrients and oxidative DNA damage in healthy African-American and white adults. Cancer Epidemiol Biomarkers Prev 2007; 16: 1428–1436.

    Article  CAS  Google Scholar 

  33. Dixon LB, Sundquist J, Winkleby M . Differences in energy, nutrient, and food intakes in a US sample of Mexican-American women and men: findings from the third national health and nutrition examination survey, 1988-1994. Am J Epidemiol 2000; 152: 548–557.

    Article  CAS  Google Scholar 

  34. U.S. Department of Agriculture. Agricultural Research Service. 1994-96 Continuing Survey of Food Intakes by Individuals. US Department of Agriculture: Riverdale, MD, USA, 2000.

  35. U.S Department of Agriculture. Dietary Guidelines for Americans 5th edn. Department of health and human services: U.S., 2000.

  36. Marks GC, Hughes MC, van der Pols JC . Relative validity of food intake estimates using a food frequency questionnaire is associated with sex, age, and other personal characteristics. J Nutr 2006; 136: 459–465.

    Article  CAS  Google Scholar 

  37. Carithers TC, Talegawkar SA, Rowser ML, Henry OR, Dubbert PM, Bogle ML et al. Validity and calibration of food frequency questionnaires used with African-American adults in the Jackson heart study. J Am Diet Assoc 2009; 109: 1184–1193.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We thank Thomas Brown for his assistance with data analysis. We also thank Jennifer Ruehl for assisting with the writing of the manuscript. Finally we are grateful to Eva Erber, Dr Mohammadreza Pakseresht and Dr Sara Schaefer for reviewing and editing the manuscript. This research was funded by the National Cancer Institute (grant number R37 CA54821), The United States Department of Agriculture (USDA-NRI New investigator award, grant number 2002–00793) and the American Heart Association of Hawaii (beginning grant-in-aid, grant number 0265287Z).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S Sharma.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sharma, S., Sheehy, T. & Kolonel, L. Sources of vegetables, fruits and vitamins A, C and E among five ethnic groups: Results from a multiethnic cohort study. Eur J Clin Nutr 68, 384–391 (2014). https://doi.org/10.1038/ejcn.2013.271

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ejcn.2013.271

Keywords

This article is cited by

Search

Quick links