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Fruit-and-Vegetable Consumption May Not be Inadequate.
MedLine Citation:
PMID:  22897535     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Whitehead et al. begin their intriguing article with the following two authoritative statements (leading off their abstract and introduction, respectively): "Fruit and vegetable consumption is inadequate among adults in the United States" and "Inadequate fruit and vegetable consumption is an enduring problem that presents a significant challenge to human well-being." (1(p207)) Although these statements are definitive, the evidence for them is less so, deriving mostly from observational studies and various problematic research designs.(2) It is entirely possible that worldwide fruit-and-vegetable consumption is already at an appropriate level (or maybe even too high), and what the world's people may want to do to improve their health is consume fewer processed products like those containing refined grains and sugar. Exclusively carnivorous peoples like the Masai did just fine without eating fruits or vegetables(3,4)-as did the Inuit who considered fruits and vegetables "not proper human food."(4,5) Only after the introduction of white flour and sugar to traditional plant-avoiding diets did such peoples begin to exhibit diseases like obesity, diabetes, cardiovascular disease, and cancer.(4) It is not clear that eating more fruits and vegetable would help. Indeed, it has not helped protect exclusively vegetarian Hindus from escaping similar chronic-disease fates; in fact, they may be disproportionately affected.(6) (Am J Public Health. Published online ahead of print August 16, 2012: e1. doi:10.2105/AJPH.2012.300925).
Authors:
Sean C Lucan
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-8-16
Journal Detail:
Title:  American journal of public health     Volume:  -     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-8-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Sean C. Lucan is with the Department of Family and Social Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
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