Fruit and vegetable consumption and injurious falls among adults aged = 50 years from low- and middle-income countries

ObjectiveInadequate fruit and vegetable consumption may increase risk for falls. However, to date, only one study has examined this association in a sample restricted to females, while the mediators of this association are largely unknown. Therefore, we aimed to examine the association between fruit...

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Authors: Smith L, López Sánchez GF, Veronese N, Tully MA, Pizzol D, Butler L, Rahmati M, López-Gil JF, Barnett Y, Jacob L, Soysal P, Castagna A, Shin JI, Koyanagi A
Format: article
Status:Published version
Publication Date:2025
Country:España
Institution:Fundació Sant Joan de Déu
Repository:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p28280
Online Access:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=28280
Access Level:Open access
Keyword:Adults
Low- and middle-income countries
Fruit and vegetable consumption
Falls
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spelling Fruit and vegetable consumption and injurious falls among adults aged = 50 years from low- and middle-income countriesSmith LLópez Sánchez GFVeronese NTully MAPizzol DButler LRahmati MLópez-Gil JFBarnett YJacob LSoysal PCastagna AShin JIKoyanagi AAdultsLow- and middle-income countriesFruit and vegetable consumptionFallsObjectiveInadequate fruit and vegetable consumption may increase risk for falls. However, to date, only one study has examined this association in a sample restricted to females, while the mediators of this association are largely unknown. Therefore, we aimed to examine the association between fruit and vegetable consumption and injurious falls, and to identify potential mediators in a sample including both males and females.MethodsCross-sectional, nationally representative data from the World Health Organization (WHO) Study on global AGEing and adult health (SAGE) were analyzed. Fruit/vegetable consumption was divided into two groups: >= 2 servings of fruits and >= 3 servings of vegetables per day (adequate consumption) or else (inadequate consumption). Fall-related injury referred to those that occurred in the past 12 months. Multivariable logistic regression and mediation analysis were conducted.ResultsData on 34,129 individuals aged >= 50 years were analyzed (mean age 62.4 years; 52.1% females). Overall, inadequate fruit/vegetable intake was associated with a significant 1.41 (95%CI = 1.05-1.90) times higher odds for injurious falls. This association was only significant among females (OR = 1.96; 95%CI = 1.32-2.85). Mediation analysis showed that affect (mediated percentage 8.8%), cognition (7.2%), and sleep/energy (7.5%) were significant mediators, but vision, grip strength, and gait speed were not.ConclusionsInadequate fruit and vegetable consumption was associated with higher odds for injurious falls among adults aged >= 50 years (especially females), and this association was partly mediated by cognition, affect, and sleep/energy. Future longitudinal studies are necessary to provide more insight into the underlying mechanisms, and to assess whether increasing fruit/vegetable consumption may reduce risk for falls.SPRINGER2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=28280AGING CLINICAL AND EXPERIMENTAL RESEARCHISSN: 15940667ISSNe: 17208319reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p282802026-05-27T12:37:41Z
dc.title.none.fl_str_mv Fruit and vegetable consumption and injurious falls among adults aged = 50 years from low- and middle-income countries
title Fruit and vegetable consumption and injurious falls among adults aged = 50 years from low- and middle-income countries
spellingShingle Fruit and vegetable consumption and injurious falls among adults aged = 50 years from low- and middle-income countries
Smith L
Adults
Low- and middle-income countries
Fruit and vegetable consumption
Falls
title_short Fruit and vegetable consumption and injurious falls among adults aged = 50 years from low- and middle-income countries
title_full Fruit and vegetable consumption and injurious falls among adults aged = 50 years from low- and middle-income countries
title_fullStr Fruit and vegetable consumption and injurious falls among adults aged = 50 years from low- and middle-income countries
title_full_unstemmed Fruit and vegetable consumption and injurious falls among adults aged = 50 years from low- and middle-income countries
title_sort Fruit and vegetable consumption and injurious falls among adults aged = 50 years from low- and middle-income countries
dc.creator.none.fl_str_mv Smith L
López Sánchez GF
Veronese N
Tully MA
Pizzol D
Butler L
Rahmati M
López-Gil JF
Barnett Y
Jacob L
Soysal P
Castagna A
Shin JI
Koyanagi A
author Smith L
author_facet Smith L
López Sánchez GF
Veronese N
Tully MA
Pizzol D
Butler L
Rahmati M
López-Gil JF
Barnett Y
Jacob L
Soysal P
Castagna A
Shin JI
Koyanagi A
author_role author
author2 López Sánchez GF
Veronese N
Tully MA
Pizzol D
Butler L
Rahmati M
López-Gil JF
Barnett Y
Jacob L
Soysal P
Castagna A
Shin JI
Koyanagi A
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Adults
Low- and middle-income countries
Fruit and vegetable consumption
Falls
topic Adults
Low- and middle-income countries
Fruit and vegetable consumption
Falls
description ObjectiveInadequate fruit and vegetable consumption may increase risk for falls. However, to date, only one study has examined this association in a sample restricted to females, while the mediators of this association are largely unknown. Therefore, we aimed to examine the association between fruit and vegetable consumption and injurious falls, and to identify potential mediators in a sample including both males and females.MethodsCross-sectional, nationally representative data from the World Health Organization (WHO) Study on global AGEing and adult health (SAGE) were analyzed. Fruit/vegetable consumption was divided into two groups: >= 2 servings of fruits and >= 3 servings of vegetables per day (adequate consumption) or else (inadequate consumption). Fall-related injury referred to those that occurred in the past 12 months. Multivariable logistic regression and mediation analysis were conducted.ResultsData on 34,129 individuals aged >= 50 years were analyzed (mean age 62.4 years; 52.1% females). Overall, inadequate fruit/vegetable intake was associated with a significant 1.41 (95%CI = 1.05-1.90) times higher odds for injurious falls. This association was only significant among females (OR = 1.96; 95%CI = 1.32-2.85). Mediation analysis showed that affect (mediated percentage 8.8%), cognition (7.2%), and sleep/energy (7.5%) were significant mediators, but vision, grip strength, and gait speed were not.ConclusionsInadequate fruit and vegetable consumption was associated with higher odds for injurious falls among adults aged >= 50 years (especially females), and this association was partly mediated by cognition, affect, and sleep/energy. Future longitudinal studies are necessary to provide more insight into the underlying mechanisms, and to assess whether increasing fruit/vegetable consumption may reduce risk for falls.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=28280
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=28280
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv SPRINGER
publisher.none.fl_str_mv SPRINGER
dc.source.none.fl_str_mv AGING CLINICAL AND EXPERIMENTAL RESEARCH
ISSN: 15940667
ISSNe: 17208319
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,198674

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