TY - JOUR
T1 - Fruit and vegetable consumption and its contribution to inequalities in life expectancy and disability-free life expectancy in ten European countries
AU - Baars, Adája E.
AU - Rubio-Valverde, Jose R.
AU - Hu, Yannan
AU - Bopp, Matthias
AU - Brønnum-Hansen, Henrik
AU - Kalediene, Ramune
AU - Leinsalu, Mall
AU - Martikainen, Pekka
AU - Regidor, Enrique
AU - White, Chris
AU - Wojtyniak, Bogdan
AU - Mackenbach, Johan P.
AU - Nusselder, Wilma J.
PY - 2019
Y1 - 2019
N2 - 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.
AB - 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.
KW - Disability-free life expectancy
KW - Fruit and vegetable consumption
KW - Socioeconomic inequalities
KW - Total life expectancy
U2 - 10.1007/s00038-019-01253-w
DO - 10.1007/s00038-019-01253-w
M3 - Journal article
C2 - 31183533
AN - SCOPUS:85067289467
SN - 1661-8556
VL - 64
SP - 861
EP - 872
JO - International Journal of Public Health
JF - International Journal of Public Health
IS - 6
ER -