Impact of food system interventions to increase fruit and vegetable intake among urban adults in Nigeria and Vietnam

Giulia Pastori (), Elise F. Talsma, Edith J. M. Feskens, Le Thi Huong, Folake O. Samuel, Oluyemisi F. Shittu, Toluwalope E. Eyinla, Alan Brauw, Kate Ambler, Sigrid Wertheim-Heck, Ricardo Hernandez, Brice Even, Gennifer Meldrum, Amanda Filippo, Le Thi Thanh Xuan, Ngo Thi Ha Phuong, Truong Tuyet Mai, Mark Lundy and Inge D. Brouwer
Additional contact information
Giulia Pastori: Wageningen University and Research
Elise F. Talsma: Wageningen University and Research
Edith J. M. Feskens: Wageningen University and Research
Le Thi Huong: Hanoi Medical University
Folake O. Samuel: University of Ibadan
Oluyemisi F. Shittu: University of Ibadan
Toluwalope E. Eyinla: University of Ibadan
Alan Brauw: International Food Policy Research Institute
Kate Ambler: International Food Policy Research Institute
Sigrid Wertheim-Heck: Wageningen University and Research
Ricardo Hernandez: The Alliance of Bioversity International and the International Center for Tropical Agriculture
Brice Even: The Alliance of Bioversity International and the International Center for Tropical Agriculture
Gennifer Meldrum: The Alliance of Bioversity International and the International Center for Tropical Agriculture
Amanda Filippo: The Alliance of Bioversity International and the International Center for Tropical Agriculture
Le Thi Thanh Xuan: Hanoi Medical University
Ngo Thi Ha Phuong: National Institute of Nutrition
Truong Tuyet Mai: National Institute of Nutrition
Mark Lundy: The Alliance of Bioversity International and the International Center for Tropical Agriculture
Inge D. Brouwer: Wageningen University and Research

Food Security: The Science, Sociology and Economics of Food Production and Access to Food, 2025, vol. 17, issue 3, No 8, 655 pages

Abstract: Abstract Fruit and vegetable consumption is below the WHO recommendations, globally, in Southeast Asia, and in West Africa. Affordability, accessibility, and acceptability are the main drivers of consumption. Nutrition-sensitive food system interventions that address these drivers may be effective in increasing fruit and vegetable consumption. This study evaluates the effect of an integrated nutrition-sensitive program that aimed to increase fruit and vegetable consumption in low-income urban adults in Hanoi, Vietnam (n = 582), and Ibadan, Nigeria (n = 626), through the simultaneous implementation of three interventions at the market and consumer levels. Fruit and vegetable intake data were collected after eight months of exposure to the program with repeated quantitative 24-hour recalls and exposure effect was estimated with inverse probability weighting with regression adjustment, adjusting for potential confounders. The impact size on total fruits and vegetables (144 g/d, 95%CI 93, 196), fruits (137 g/d, 95%CI 93, 183) and vegetables (6 g/d, 95%CI -12, 24) showed that intake was higher in the exposed Nigerian population than the control group. In Vietnam, intakes of fruits and vegetables in the exposed group did not statistically differ from the control group when controlling for differences between groups with propensity scores. Participants exposed to all three interventions reported slightly higher intakes compared to those who were exposed to fewer interventions, but these differences were not statistically significant. Integrated approaches of nutrition-sensitive food system interventions need to be implemented to increase fruit and vegetable consumption. Co-creation of interventions provides the possibility to address the different drivers and barriers of healthy diets specific of the context.

Keywords: Healthy diet; Impact evaluation; Dietary assessment; Accessibility; Acceptability; Affordability (search for similar items in EconPapers)
Date: 2025
References: Add references at CitEc
Citations:

Downloads: (external link)
http://link.springer.com/10.1007/s12571-025-01529-5 Abstract (text/html)
Access to the full text of the articles in this series is restricted.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:ssefpa:v:17:y:2025:i:3:d:10.1007_s12571-025-01529-5

Ordering information: This journal article can be ordered from
http://www.springer. ... ulture/journal/12571

DOI: 10.1007/s12571-025-01529-5

Access Statistics for this article

Food Security: The Science, Sociology and Economics of Food Production and Access to Food is currently edited by R.N. Strange

More articles in Food Security: The Science, Sociology and Economics of Food Production and Access to Food from Springer, The International Society for Plant Pathology
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().