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Fruit and vegetable consumption and its contribution to inequalities in life expectancy and disability-free life expectancy in ten European countries

Author

Listed:
  • Adája E. Baars

    (University Medical Center)

  • Jose R. Rubio-Valverde

    (University Medical Center)

  • Yannan Hu

    (University Medical Center)

  • Matthias Bopp

    (University of Zürich)

  • Henrik Brønnum-Hansen

    (University of Copenhagen)

  • Ramune Kalediene

    (Lithuanian University of Health Sciences)

  • Mall Leinsalu

    (Södertörn University
    National Institute for Health Development)

  • Pekka Martikainen

    (University of Helsinki)

  • Enrique Regidor

    (Universidad Complutense de Madrid, and CIBER Epidemiología y Salud Pública)

  • Chris White

    (Office for National Statistics, Public Policy Analysis Division)

  • Bogdan Wojtyniak

    (National Institute of Public Health)

  • Johan P. Mackenbach

    (University Medical Center)

  • Wilma J. Nusselder

    (University Medical Center)

Abstract

Objectives To assess to what extent educational differences in total life expectancy (TLE) and disability-free life expectancy (DFLE) could be reduced by improving fruit and vegetable consumption in ten European countries. Methods Data from national census or registries with mortality follow-up, EU-SILC, and ESS were used in two scenarios to calculate the impact: the upward levelling scenario (exposure in low educated equals exposure in high educated) and the elimination scenario (no exposure in both groups). Results are estimated for men and women between ages 35 and 79 years. Results Varying by country, upward levelling reduced inequalities in DFLE by 0.1–1.1 years (1–10%) in males, and by 0.0–1.3 years (0–18%) in females. Eliminating exposure reduced inequalities in DFLE between 0.6 and 1.7 years for males (6–15%), and between 0.1 years and 1.8 years for females (3–20%). Conclusions Upward levelling of fruit and vegetable consumption would have a small, positive effect on both TLE and DFLE, and could potentially reduce inequalities in TLE and DFLE.

Suggested Citation

  • Adája E. Baars & Jose R. Rubio-Valverde & Yannan Hu & Matthias Bopp & Henrik Brønnum-Hansen & Ramune Kalediene & Mall Leinsalu & Pekka Martikainen & Enrique Regidor & Chris White & Bogdan Wojtyniak & , 2019. "Fruit and vegetable consumption and its contribution to inequalities in life expectancy and disability-free life expectancy in ten European countries," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(6), pages 861-872, July.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:6:d:10.1007_s00038-019-01253-w
    DOI: 10.1007/s00038-019-01253-w
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    References listed on IDEAS

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    1. repec:dau:papers:123456789/10510 is not listed on IDEAS
    2. Rianne Gelder & Gwenn Menvielle & Giuseppe Costa & Katalin Kovács & Pekka Martikainen & Bjørn Heine Strand & Johan P. Mackenbach, 2017. "Long-term trends of inequalities in mortality in 6 European countries," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 127-141, January.
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    Cited by:

    1. Xiaoyue Xu & Mabel Ling & Sally C. Inglis & Louise Hickman & Deborah Parker, 2020. "Eating and healthy ageing: a longitudinal study on the association between food consumption, memory loss and its comorbidities," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(5), pages 571-582, June.

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