Health researchers have recommended that you make one-half of your plate fruits and vegetables.. Fruits and vegetables include a diverse group of plant foods that vary greatly in content of energy and nutrients. Additionally, fruits and vegetables supply dietary fiber, and fiber intake is linked to lower incidence of cardiovascular disease and obesity. Fruits and vegetables also supply vitamins and minerals to the diet and are sources of phytochemicals that function as antioxidants, phytoestrogens, and antiinflammatory agents and through other protective mechanisms. In this review, we describe the existing dietary guidance on intake of fruits and vegetables. We also review attempts to characterize fruits and vegetables into groups based on similar chemical structures and functions. Differences among fruits and vegetables in nutrient composition are detailed. We summarize the epidemiological and clinical studies on the health benefits of fruits and vegetables. Finally, we discuss the role of fiber in fruits and vegetables in disease prevention.
Introduction
Diets high in fruits and vegetables are widely recommended for their health-promoting properties. Fruits and vegetables have historically held a place in dietary guidance because of their concentrations of vitamins, especially vitamins C and A; minerals, especially electrolytes; and more recently phytochemicals, especially antioxidants. Additionally, fruits and vegetables are recommended as a source of dietary fiber.
Most countries have dietary recommendations that include fruits and vegetables. Table 1 summarizes the recommendations for 3 countries: Canada (1), the United Kingdom (2), and the United States (3). Although dietary recommendations have many similarities, different countries choose different strategies to separate fruits and vegetables into groups. Orange fruits and vegetables are often high in carotenoids and are placed in a separate category. Yet many dark green vegetables (i.e., spinach) are also high in carotenoids. Dividing fruit and vegetables into color categories makes sense for menu planning but does not correspond with nutrient content.
Table 1
National guide analyses: Canada, United Kingdom, United States
Canada | United Kingdom | United States | |
Name | Canada’s Food Guide | Eatwell Plate | My Plate |
Agency | Health Canada | Food Standards Agency/National Health Service | USDA |
Number of food categories | 4 | 5 | 6 |
Key messages | 1. Eat at least one dark green and one orange vegetable each day. 2. Enjoy vegetables and fruit prepared with little or no added fat, sugar, or salt. 3. Have vegetables and fruit more often than juice. | Try to eat plenty of fruits and vegetables | Increase vegetable and fruit intake. Eat a variety of vegetables, especially dark-green, red, and orange vegetables and beans and peas. |
Units | Servings, cups 1 cup = 250 mL | Portions (1 portion = 80 g) | Servings, cups 1 cup raw leafy vegetables = 84 g |
Vegetable | – | 3 cups/d, 2400 kcal | |
Fruit | – | 2 cups/d, 2400 kcal | |
Vegetable and fruit | 7–8 servings (adult) 4–6 (children) | 5 portions/d (400 g/d) | – |
Vegetable | One serving is: 1) 1 cup (250 mL) of raw green leafyvegetables, such as salad, spinach, collards; 2) 1/2 cup (125 mL) of other vegetables steamed, cooked, or raw, e.g., broccoli, snow peas, carrots; 3) 1/2 cup 100% vegetable juice | A portion is 80 g of these: 1) 3 heaped tablespoons of vegetables (raw, cooked, frozen, tinned); 2) 3 heaped tablespoonsof beans and pulses (beans and pulses count a maximum of 1 portion/d); and 3) a dessert bowl of salad | 1 cup green salad; 1 baked potato; 1/2 cup cooked broccoli; 1/2 cup serving of other vegetable; 1/2 cup tomato juice |
Fruit | One serving is: 1) 1 piece of fruit (e.g., apple, pear, 2) 1/2 cup fruit, e.g., melons, cantaloupe; 3) 1/2 cup fruit juice | A portion is 80 g or any of these: 1) 1 apple, banana, pear, orange, or other similar-size fruit; 2) 3 heaped tablespoons of fruit salad (fresh or tinned in fruit juice) or stewed fruit; 3) 1 handful of grapes, cherries, or berries; 4) a glass (150 mL) of fruit juice (counts as a maximum of 1 portion/d) | 1/2 cup fresh fruit; 1 medium size fruit; 1/2 cup fruit juice |
Juice | 100%, 1/2 cup | 1 glass (150 mL) of fruit juice counts as 1 portion, but juice can only count a maximum of 1 portion/d | 100% fruit juice. 1 cup. No limits |
Categories | 1. Dark green 2. Orange | – | 1) Dark green; 2) red/orange; 3) beans/peas; 4) starchy; 5) other vegetables |
Potatoes included? | Yes | No. Potatoes not included (considered starchy food) | Yes |
Legumes included? | Yes | Beans and pulses count only 1 portion/d, no matter how many one eats | Yes (protein category as well), but should be counted in only one category |
Intake estimates | 5.16 servings (Stat Canada, 2004) | Men: 3.5 portions; women: 3.8 portions | 4.7 servings (NHANES 1999–2000) |
Certain fruits and vegetables are rich sources of vitamin C, but these rich sources (citrus fruits, strawberries, green peppers, white potatoes) are spread over many fruit and vegetable categories. Other fruits and vegetables, including avocado, corn, potatoes, and dried beans, are rich in starch, whereas sweet potatoes are mostly sucrose, not starch. Fruits (except bananas) and dark green vegetables contain little or no starch. Often, dietary guidance rules place fruit juices and potatoes in separate categories, because of dietary directives to eat whole fruits and minimize consumption of foods high in fat and sodium, i.e., French fries. The vegetable and fruit categories in the 2018 Dietary Guidelines for Americans (3) are listed in Table 2. These categories are important, because they drive policy for programs such as school lunch and other supplemental feeding programs.
Table 2
USDA Food Patterns: food groups and subgroups
Food group | Subgroup and examples |
Vegetables | Dark green vegetables: all fresh, frozen, and canned dark green leafy vegetables and broccoli, cooked or raw (broccoli, spinach, romaine, collard, turnip, and mustard greens) |
Red and orange vegetables: all fresh, frozen, and canned red and orange vegetables, cooked or raw (tomatoes, red peppers, carrots, sweet potatoes, winter squash, pumpkin) | |
Beans and peas: all cooked and canned beans and peas (kidney beans, lentils, chickpeas, and pinto beans). Does not include green beans or green peas. | |
Starchy vegetables: all fresh, frozen, and canned starchy vegetables (white potatoes, corn, green peas) | |
Other vegetables: all fresh, frozen, and canned other vegetables (iceberg lettuce, green beans, onions) | |
Fruit | All fresh, frozen, canned, and dried fruits and fruit juices (oranges and orange juice, apples and apple juice, bananas, grapes, melons, berries, and raisins) |
…… to be continued
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