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Fruit and vegetable intakes in a sample of pre-school children participating in the 'Five for All' project in Bradford.

BACKGROUND: Longitudinal research has shown that eating fruit and vegetables during childhood has a positive impact on long-term health outcome from heart disease and asthma. However, recommendations for fruit and vegetable intakes in pre-school children are not as explicit as those for adults and few data exist on actual intakes of fruit and vegetables in this particular age group. AIMS: To describe fruit and vegetable intakes in the daily diets of a sample of pre-school children in Bradford, West Yorkshire, and to compare the findings with existing national UK data. SUBJECTS: Pre-school children aged 3 and 4 years (n = 207). All subjects attended nurseries in the Airedale and Bradford South and West regions at the time of the study. DESIGN: Dietary data were collected using the pre-validated CADET (Child and Diet Evaluation Tool) diary. All children were also seen individually in order to assess their awareness and preference for a range of fruit and vegetables. RESULTS: Intakes of fruit and vegetables in this sample of pre-school children were below recommended levels. Only 16% of children in this sample were successfully eating fruit and vegetables on five occasions a day and conversely 14% ate no fruit and vegetables at all. Vegetable intakes were far lower than fruit intakes with 39% of the sample consuming no vegetables. There were statistically significant differences in median fruit and vegetable intakes between children with different demographic and lifestyle variables, such as which nursery they attended and what the highest educational qualification in the household was. Children's awareness of and preferences for different fruit and vegetables significantly affected their median intakes of fruit and vegetables. CONCLUSION: Fruit and vegetable intakes in this sample of pre-school children were far lower than the recommended levels of 5 portions a day. A greater diversity of intakes should be encouraged and these data suggest that this may be attained by increasing children's awareness by exposing them to a wider range of fruit and vegetables.

Child Nutritional Physiological Phenomena↗

Evaluation of vegetation management strategies for controlling mosquitoes in a southern California constructed wetland.

The abundance of mosquito larvae and adult production were measured in 3 vegetation treatments and 2 species of emergent macrophytes in replicated wetland mesocosms (12 x 80 m). During the 8-wk study, no significant differences were found in abundances of larvae and emerging adult mosquitoes among the vegetation treatments: 100% of the surface area in emergent vegetation, 50% of the surface area in emergent vegetation in 5-m-wide rows, and 50% of the surface area in emergent vegetation in 10-m-wide rows. Mosquito larvae (predominantly Culex tarsalis and Anopheles hermsi) were significantly more abundant in inundated bulrush (Schoenoplectus californicus) than in inundated cattail (Typha sp.). Adult emergence from vegetated zones containing bulrush also was significantly greater than from cattail. The failure of reduced emergent vegetation coverage to provide a significant reduction in mosquito production from the vegetated zones of the wetlands might have been caused by favorable conditions for mosquito oviposition and larval development after vegetation management and by the ineffectiveness of mosquito predators in emergent vegetation. A 50% reduction of vegetation did not significantly reduce the water quality of the wetland effluent; however, narrower rows (<5 m wide) of vegetation may be required to reduce mosquito production from vegetated regions of the treatment wetlands. Even though the abundance of mosquito larvae in open water is typically less than in emergent vegetation, creation of open-water zones in shallow treatment wetlands (<1 m depth) by drying the wetland followed by removal of emergent vegetation with heavy equipment is unlikely to provide a significant long-term reduction of mosquito production.

Animals↗

Parental influences on young girls' fruit and vegetable, micronutrient, and fat intakes.

OBJECTIVE: To evaluate parents' fruit and vegetable intake and their use of pressure to eat in child feeding as predictors of their 5-year-old daughters' fruit and vegetable, micronutrient, and fat intakes. SUBJECTS: Data were obtained from 191 non-Hispanic white families with 5-year-old girls. DESIGN: Parent data included reports of pressure in child feeding and their own fruit and vegetable intake. Girls' intakes of fruits and vegetables, selected micronutrients, and fat were the main outcomes of interest. STATISTICAL ANALYSIS: Structural equation modeling was used to test a model describing relationships among parents' fruit and vegetable intake, parents' use of pressure in child feeding, and daughters' fruit and vegetable, micronutrient, and fat intakes. RESULTS: The model provided a good fit to the data, revealing that girls' fruit and vegetable intake was positively related to their parents' reported fruit and vegetable intake. Parents who consumed fewer fruits and vegetables tended to report greater pressure in child feeding and had daughters who consumed fewer fruits and vegetables. Girls' reported fruit and vegetable intakes were positively related to their micronutrient intakes and negatively associated with fat intake. APPLICATIONS/CONCLUSIONS: This research demonstrates that parents' own fruit and vegetable intake may encourage fruit and vegetable intake in their daughters, leading to higher micronutrient intakes and lower dietary fat intakes. Conversely, pressure to eat may discourage fruit and vegetable intake among young girls.

Child Nutritional Physiological Phenomena↗

Raw versus cooked vegetables and cancer risk.

This review of the medical literature from 1994 to 2003 summarizes the relationship between raw and cooked vegetables and cancer risk and examines whether they may affect cancer risk differently. Twenty-eight studies examined the relationship between raw and cooked vegetables and risk for various cancers. Twenty-one studies assessed raw, but not cooked, vegetables and cancer risk. The majority of these assessed risk of oral, pharyngeal, laryngeal, esophageal, lung, gastric, and colorectal cancers. Most showed that vegetables, raw or cooked, were inversely related to these cancers. However, more consistent results were found for oral, pharyngeal, laryngeal, esophageal, and gastric cancers. Nine of the 11 studies of raw and cooked vegetables showed statistically significant inverse relationships of these cancers with raw vegetables, but only 4 with cooked vegetables. The few studies of breast, lung, and colorectal cancers also suggested an inverse relationship with both raw and cooked vegetables, but these results were less consistent. In the two studies of prostate cancer, there was no association with either raw or cooked vegetables. One of two bladder cancer studies found an inverse relationship with cooked, but not raw, vegetables. Possible mechanisms by which cooking affects the relationship between vegetables and cancer risk include changes in availability of some nutrients, destruction of digestive enzymes, and alteration of the structure and digestibility of food. Both raw and cooked vegetable consumption are inversely related to epithelial cancers, particularly those of the upper gastrointestinal tract, and possibly breast cancer; however, these relationships may be stronger for raw vegetables than cooked vegetables.

Case-Control Studies↗

Evaluation of a fruit and vegetable distribution program--Mississippi, 2004-05 school year.

Although diets high in fruit and vegetables are associated with decreased risk for many chronic diseases, consumption of fruit and vegetables among children is below recommended levels. During the 2004-05 school year, the Mississippi Department of Education Child Nutrition Program initiated the Mississippi Fresh Fruit and Vegetable Pilot Program. The program was designed to 1) increase student access to fresh fruit and vegetables, 2) increase the degree of student preference for fruit and vegetables, and 3) increase fruit and vegetable consumption. The 25 schools selected to participate in the program distributed fresh fruit and vegetables free of charge during the school day and provided nutrition education activities to promote and support consumption of fruit and vegetables. An evaluation of the program was conducted using a pretest in the fall (before the program was implemented by the schools) and a posttest in the spring (at the end of the school year). This report summarizes the findings of that evaluation, which indicated that the program might have 1) increased the variety of fruit and vegetables ever tried by students from all three grades sampled (5th, 8th, and 10th); 2) increased the degree of preference for fruit among 8th-grade and 10th-grade students; 3) promoted positive attitudes toward eating fruit among 8th-grade students; 4) increased consumption of fruit, but not vegetables, among 8th-grade and 10th-grade students; and 5) decreased preference for fruit and vegetables, the belief that they could eat more vegetables, and willingness to try new fruit and vegetables among 5th-grade students. The results of this evaluation suggest that the distribution of fresh fruit at school free of charge to secondary school students might be an effective component of a comprehensive approach for improving student dietary behaviors; however, distribution of fresh vegetables might be more effective with changes in program implementation.

Adolescent↗

Fruit and vegetable shopping practices and social support scales: A validation.

OBJECTIVE: To assess the psychometric characteristics of new scales of shopping practices and social support for purchasing fruits and vegetables. DESIGN: Participants were recruited in front of diverse grocery stores. Telephone data collection was done on 2 occasions, separated by 6 weeks. PARTICIPANTS: 166 food shoppers with children at home participated. MAIN OUTCOME MEASURES: New scales of food shopping practices and social support for purchasing fruits and vegetables were psychometrically analyzed and related to a measure of home fruit or vegetable availability as a test of construct validity. ANALYSIS: Both classical test and item response theory procedures were used. Correlations related the new measures to home fruit and vegetable availability. RESULTS: Single dimension scales were specified for fruit and vegetable shopping practices (35% of the variance), fruit purchase social support (53% of the variance), and vegetable purchase social support (52% of the variance). Item response theory difficulty estimates varied from -0.64 to 0.73 for fruit and vegetable shopping practices, from -0.55 to 0.33 for fruit purchase social support, and from -0.55 to 0.34 for vegetable social support. Each scale significantly correlated with home fruit and vegetable availability (construct validity), even after controlling for social desirability of response (0.19 for shopping practices, 0.37 for fruit purchasing social support, and 0.28 for vegetable purchasing social support). Person separation reliability was 0.80 for food shopping practices, 0.74 for fruit purchasing social support, and 0.73 for vegetable purchasing social support. CONCLUSION: The scales performed well. IMPLICATIONS FOR RESEARCH AND PRACTICE: These scales are now available to help better understand fruit and vegetable shopping practices, fruit purchase social support, and vegetable purchase social support.

Adult↗

Demographic and psychosocial predictors of fruit and vegetable intakes differ: implications for dietary interventions.

OBJECTIVE: The National Cancer Institute (Rockville, Md) has launched a nationwide initiative--5 A Day for Better Health--to encourage consumption of fruits and vegetables. Because the tastes and culinary uses of fruits and vegetables differ, however, it is not known whether a general 5-A-Day message is an effective intervention strategy. This study examined whether there are differences between the demographic and psychosocial correlates of fruit and vegetable intakes. DESIGN: Data are from the Washington State Cancer Risk Behavior Survey (1995-1996), a cross-sectional, random-digit-dial telephone survey representative of the adult population of Washington State. SUBJECTS/SETTING: Interviews were completed with 1,450 adults. Data were collected about demographic characteristics, health status, health-related behavior, fruit and vegetable intakes, and the following diet-related psychosocial factors: beliefs, motives, barriers, attitudes, and stages of dietary change. STATISTICAL ANALYSES: Multivariate linear regression analysis was used to test whether the associations of demographic characteristics and psychosocial factors with fruit intake differed from associations with vegetable intake. RESULTS: In general, health status, health-related behavior, and psychosocial factors were more strongly associated with fruit intakes than vegetable intakes. For example, regular exercisers consumed 0.44 more daily servings of fruits and 0.36 more servings of vegetables than nonexercisers. Compared with those in the preaction stage of dietary change, adults in the maintenance stage consumed 0.99 more daily servings of fruits and 0.68 more servings of vegetables. Intrinsic motivations for eating a healthful diet (eg, to feel better) were strongly associated with both fruit and vegetable intakes, and these associations were stronger for fruit. Extrinsic motivations were not associated with either fruit or vegetable intakes. APPLICATIONS: Dietary interventions based on a general 5-A-Day message may be more effective in increasing fruit intakes than vegetable intakes. Targeted interventions that focus specifically on vegetables are probably necessary. Intrinsic motives for eating a healthful diet should be key components of interventions to increase fruit and vegetable intakes.

Adult↗

Life-course events and experiences: association with fruit and vegetable consumption in 3 ethnic groups.

OBJECTIVE: To examine how life-course experiences and events are associated with current fruit and vegetable consumption in 3 ethnic groups. DESIGN: A theoretic model developed from previous qualitative research guided the development of a telephone survey. Data were collected on fruit and vegetable consumption, sociodemographic characteristics, ethnic identity, and life-course events and experiences, including food upbringing, social roles, food skills, dietary changes for health, and practice of food traditions. SUBJECTS/SETTING: Low- to moderate-income adults living in a northeastern US city were selected randomly from 3 ethnic groups: black (n = 201), Hispanic (n = 191), and white (n = 200). STATISTICAL ANALYSES: Bivariate and multiple linear regression analysis of associations between life-course variables and fruit and vegetable consumption. RESULTS: Black, Hispanic, and white respondents differed significantly in life-course experiences, family roles, socio-demographic characteristics, and place of birth. Explanatory models for fruit and vegetable consumption differed among ethnic groups and between fruits and vegetables. Among black respondents, a college education was positively associated with fruit consumption; education and family roles contributed most to differences in fruit (R2 = .16) and vegetable (R2 = .09) consumption. Among Hispanic respondents, life-course experiences such as liking fruits and vegetables in youth, making dietary changes for health, and food skills were positively associated with fruit (R2 = .25) and vegetable (R2 = .35) consumption. Among white respondents, socio-demographic characteristics, such as being married with a young child or single with no child and having a garden as an adult, were positively associated with fruit (R2 = .20) and vegetable (R2 = .22) consumption. APPLICATIONS/CONCLUSIONS: An understanding of the determinants of food choice in different subcultural groups can be used to design effective nutrition interventions to increase fruit and vegetable consumption. Experiences such as eating fresh-picked fruits and vegetables while growing up or vegetable gardening as an adult may enhance fruit and vegetable consumption among members of some ethnic groups.

Adolescent↗

Variation in fruit and vegetable consumption among adults in Britain. An analysis from the dietary and nutritional survey of British adults.

OBJECTIVES: Using a national representative sample to examine variation in fruit and vegetable consumption among adults in the UK, with particular reference to consumers with high and low reported intakes. DESIGN: National representative dietary survey using 7-d weighed diet records of men and women aged 16-64 y living in private households in the UK in 1986-1987. SETTING: The UK. SUBJECTS: 1087 men and 1110 women. The sample was selected by a multi-stage random probability design. The response was 70%. Subjects with low energy intake were subsequently excluded. MAIN OUTCOME MEASURES: Food group, nutrient intake, physiological measures socio-economic, demographic and behavioural characteristics. RESULTS: Consumption of fruit and vegetables was estimated. The sample was divided by sex into four quarter groups according to fruit and vegetable consumption. There were significant similarities between quarter groups in fruit and vegetable and other food intake, nutrient intake, physiological measures, and socioeconomic, demographic and behavioural variable. The lowest consumers of fruit and vegetables had a mean intake of 738 g/week (men) and 630 g/week (women), equivalent to 1.3 and 1.1 portion/d, respectively. Conversely, the mean intake of both men women with the highest consumption was 3137 g/week (5.6 portions day). There were more than twice as many adults in the age group 16-24 located in Q1 than in Q4. The Manual social class and those in receipt of benefits were negatively associated with fruit and vegetable consumption. Smokers were significantly associated with low fruit and vegetable intake. Being married was associated with increased fruit and vegetable intake and being single or divorced/separated was associated with low fruit and vegetable intake. Eating home grown produce was associated with high intake. Consumers who lived in London or the South-East were associated with higher fruit and vegetable intake. CONCLUSIONS: The analysis draws attention to the wide variation in reported fruit and vegetable consumption among British adults. High consumers merit further investigation to elucidate practical strategies for increasing fruit and vegetable consumption. Strategies to increase consumption should be targeted at groups most likely to include low consumers of fruits and vegetables. SPONSORSHIP: London School of Hygiene and Tropical Medicine.

Adolescent↗

Bioavailability of lutein from vegetables is 5 times higher than that of beta-carotene.

BACKGROUND: To gain more insight into the relation between vegetable consumption and the risk of chronic diseases, it is important to determine the bioavailability of carotenoids from vegetables and the effect of vegetable consumption on selected biomarkers of chronic diseases. OBJECTIVE: To assess the bioavailability of beta-carotene and lutein from vegetables and the effect of increased vegetable consumption on the ex vivo oxidizability of LDL. DESIGN: Over 4 wk, 22 healthy adult subjects consumed a high-vegetable diet (490 g/d), 22 consumed a low-vegetable diet (130 g/d), and 10 consumed a low-vegetable diet supplemented with pure beta-carotene (6 mg/d) and lutein (9 mg/d). RESULTS: Plasma concentrations of vitamin C and carotenoids (ie, alpha-carotene, beta-carotene, lutein, zeaxanthin, and beta-cryptoxanthin) were significantly higher after the high-vegetable diet than after the low-vegetable diet. In addition to an increase in plasma beta-carotene and lutein, the pure carotenoid-supplemented diet induced a significant decrease in plasma lycopene concentration of -0.11 micromol/L (95% CI: -0.21, -0.0061). The responses of plasma beta-carotene and lutein to the high-vegetable diet were 14% and 67%, respectively, of those to the pure carotenoid- supplemented diet. Conversion of beta-carotene to retinol may have attenuated its plasma response compared with that of lutein. There was no significant effect on the resistance of LDL to oxidation ex vivo. CONCLUSIONS: Increased vegetable consumption enhances plasma vitamin C and carotenoid concentrations, but not resistance of LDL to oxidation. The relative bioavailability of lutein from vegetables is higher than that of beta-carotene.

Adolescent↗

Fruit and vegetable intake and incidence of bladder cancer in a male prospective cohort.

BACKGROUND: Previous epidemiologic studies of fruit and vegetable intake and bladder cancer risk have yielded inconsistent results, especially with regard to the types of fruits and vegetables consumed. We examined total fruit and vegetable intake, as well as intakes of subtypes of fruits and vegetables, in relation to bladder cancer risk in a large male prospective cohort study. METHODS: Two hundred fifty-two cases of incident bladder cancer were diagnosed from 1986 through January 31, 1996, among 47,909 men enrolled in the Health Professionals Follow-up Study. Each participant in this cohort completed a 131-item food-frequency questionnaire in 1986 and subsequently in 1990 and 1994. We used logistic regression analyses to examine fruit and vegetable intake in relation to bladder cancer risk, after adjusting for age, history of cigarette smoking, current smoking status, geographic region, total fluid intake, and caloric intake. RESULTS: We observed a weak, inverse association that was not statistically significant between total fruit and vegetable intake and bladder cancer risk. Intake of cruciferous vegetables was inversely associated with risk (relative risk = 0.49; 95% confidence interval = 0.32-0.75, for the highest category of cruciferous vegetable intake compared with the lowest), but intakes of yellow or green leafy vegetables or carotenoid-rich vegetables were not associated with risk. Individual cruciferous vegetables, except for coleslaw, were all inversely related to bladder cancer risk, but only the associations for broccoli and cabbage were statistically significant. CONCLUSIONS: Data from this study indicate that high cruciferous vegetable consumption may reduce bladder cancer risk, but other vegetables and fruits may not confer appreciable benefits against this cancer.

Adult↗

Consumption of vegetables and fruits and urothelial cancer incidence: a prospective study.

Although most epidemiological studies concerning urothelial cancer support a possible protective effect of vegetable and fruit consumption, previous studies have been inconsistent with regard to which vegetables and fruits may be responsible for an inverse association. The association between the consumption of 21 vegetables and nine fruits and urothelial cancer risk was assessed in the Netherlands Cohort Study among 120,852 men and women aged 55-69 years at baseline in 1986. After 6.3 years of follow-up, 538 incident cases and 2,953 subcohort members with complete vegetable data and 569 cases and 3,123 subcohort members with complete fruit data were available for case-cohort analyses. In multivariable case-cohort analyses, the following age-, sex-, and smoking-adjusted incidence rate ratios for groups of vegetable and fruit consumption were observed (comparing highest versus lowest quintile of consumption): total vegetables, 0.91 [95% confidence interval (CI): 0.65-1.27]; cooked vegetables, 0.98 (CI: 0.71-1.35); raw vegetables, 1.10 (CI: 0.78-1.53); cooked leafy vegetables, 0.89 (CI: 0.65-1.23); raw leafy vegetables, 0.94 (CI: 0.73-1.22); pulses, 1.03 (CI: 0.74-1.44); brassicas, 0.75 (CI: 0.54-1.04); allium vegetables, 0.89 (CI: 0.67-1.19); total fruit, 0.74 (CI: 0.53-1.04); and citrus fruit, 0.85 (CI: 0.62-1.17). For three separate items (cauliflower, cooked carrots, and mandarins), a statistically significant inverse association was seen, whereas for other specific vegetables or fruit, no statistically significant association was observed. The data are suggestive of an inverse association between the consumption of brassicas, total fruit, and urothelial cancer risk, whereas total vegetable consumption did not appear to be associated with urothelial cancer risk.

Aged↗

Can infants and young children eat enough green leafy vegetables from a single traditional meal to meet their daily vitamin A requirements?

To evaluate the feasibility of providing adequate vitamin A precursors to meet the daily need from a meal oftraditionally cooked green leafy vegetables and boiled rice and to understand mothers' perceptions and acceptance of leafy vegetables for infants and young children, 118 children aged 6 months to 3 years and their mothers were studied. The mothers were interviewed regarding their acceptance and perceptions about giving leafy vegetables to their young children. Their children were served a measured amount of rice and cooked leafy vegetables and mothers were asked to feed the child within about half an hour. Median intakes of leafy vegetables in children aged 6-11 months, 12-17 months and 18-35 months were 41 g, 71 g and 129 g respectively (in terms of raw green leaf). Approximately 40 g green leaf provides the recommended daily allowance for vitamin A precursors. 77% of the under-1-year-old children were breast-fed. The breast-fed children had a lower intake of vegetables than the completely weaned children. 87% of the children were found to like vegetables, 89% of the mothers liked to give vegetables to their children and 74% of the mothers answered that vegetables were good for health. Only two mothers (1.5%) refused to feed their children the leafy vegetables. The results show that leafy vegetables are acceptable to most of the mothers, and that children can eat enough leafy vegetables to meet a day's need of vitamin A precursors. Feasibility of feeding children enough green leafy vegetables at home on a regular basis needs further study.

Bangladesh↗

Effect of antibiotic treatment on vegetation size and complication rate in infective endocarditis.

BACKGROUND: Infective endocarditis is associated with significant morbidity and mortality, with valvular destruction, and with congestive heart failure. Embolic events are more common in patients with echocardiographically discernible vegetations, especially when vegetations are > 10 mm in diameter. HYPOTHESIS: The objective of the study was to follow vegetation morphology during native valve endocarditis, to compare it with the clinical course and antibiotic treatment chosen, and to evaluate whether the impact on vegetation size and complication rate of antibiotic regimens differed in patients with positive and negative blood cultures. METHODS: The effect of different antibiotic regimes on vegetation size monitored by using transesophageal echocardiography was evaluated in 183 patients with echocardiographic evidence of infective endocarditis. A total of 223 vegetations attached to the aortic or mitral valves were detected using the transesophageal approach. The patients were followed for a mean of 76 weeks and underwent a minimum of two consecutive transesophageal echocardiographic examinations. RESULTS: Treatment with different kinds of antibiotics corresponded with significant differences in vegetation size; vancomycin-associated treatment was related to a 45% reduction, ampicillin to a 19% reduction, penicillin to a 5% reduction, penicillase-resistant drugs to a 15% increase, and cephalosporin to a 40% increase in vegetation size. Multivariate analysis showed that penicillin, cephalosporin, and penicillase-resistant drug treatments were associated with an increased embolic risk, vancomycin treatment with abscess formation, and cephalosporin medication with increased mortality. Plotting changes in vegetation size against the incidence of embolism and mortality, linear regression analysis suggested a 40-50% reduction in vegetation size, thereby greatly reducing the risk of embolism and mortality. CONCLUSION: Our study shows that different antibiotics have different effects on vegetation size. The highest complication rate was observed when vegetations significantly increased in size during antibiotic treatment. Especially in culture-negative patients, monitoring vegetation size by means of transesophageal echocardiography may prove to be useful for estimating the efficacy of antibiotic treatment.

Anti-Bacterial Agents↗

Personal, social and environmental correlates of vegetable intake in normal weight and overweight 9 to 13-year old boys.

BACKGROUND: The first aim of the present study was to investigate differences in correlates of vegetable intake between the normal weight and the overweight boys in the Pro Children Cross Sectional Study. The second aim was to explore whether the association between vegetable intake and potential correlates is different in overweight boys compared with normal weight boys. METHODS: Random samples of mainly 11-year old children were recruited in 9 European countries. The total sample size consisted of 3960 boys (16.5% overweight). A validated self-report questionnaire was used to measure vegetable intake, and personal, social and environmental factors related to vegetable intake in the classroom. Weight and height were reported by the parents of the children in parents' questionnaires. RESULTS: Regression analyses explained 23% to 28% of the variance in vegetable intake by potential correlates. Liking, self-efficacy and bringing vegetables to school were related to intake in both normal weight and overweight boys (beta's>0.10). Active parental encouragement and availability at home was only related to intake in overweight boys (beta's>0.10), whereas knowledge about recommendations was only related to vegetable consumption in normal weight boys (beta>0.10) CONCLUSION: Intervention strategies to increase vegetable intake should focus on increase in liking and preferences, increase in self-efficacy, and increase in bringing vegetables to school in both normal weight and overweight boys. Further research should investigate whether advising parents of overweight boys to encourage their child to eat vegetables every day, to insist as far as possible that their child eats vegetables regularly and to make vegetables easily available at home is effective in changing vegetable intake.

Journal Article↗

[Key problems in ecological research on vegetations in Northeast China].

There exist many controversial problems in ecological research on vegetations in Northeast China, in spite of systemic studies for half century. In this paper, some comments were put forward on the recent researches of our concerned problems: 1) The zonal distribution pattern of vegetations in Northeast China could be quantificationally explained according to Kira's warmth index (WI), coldness index (CI), and Xu Wenduo's humidity index (HI). 2) There exists tundra vegetation in the north of Daxinganling Mountains with 1400 m altitude and above, which is the third tundra in China found by us firstly in 1963, and its WI < 15 degrees C x month. 3) The vegetation boundary between Daxinganling and Xiaoxinganling Mountains is one of the first class lines in vegetation sub-area. It locates in Aihui-Guosonggou-the Nen River, and the WI here is 45 degrees C x month. 4) In Daxinganling Mountains, the vegetation has significant zonal differentiation. In the south, the vegetation is typical steppe; in the middle, the vegetation is forest-steppe; and in the north, the vegetation is boreal coniferous forest. The HI here are 3.5-5.5, 5.5-7.5, and > 7.5 mm/degree C x month, respectively. The broadleaved forest in the east of Daxinganling Mountains is the forest vegetation type in forest-steppe zone. 5) In the eastern mountains of Northeast China, Betula ermanii forest is an important composition of vegetation vertical zone in mountains, and it is the timberline. The forest (WI is 20-15 degrees C x month) is the zonal vegetation type, whereas the forest (WI > 20 degrees C x month) is the non-zonal vegetation type. 6) In Hunshandake Sandy Land in Inner Mongolia Autonomous Region, spruce forest is the peculiar forest ecosystem type in continent, but which composition the spruce species belongs to is a controversial problem in plant class in China for a long time. It is proved further that it is a new species, namely, Picea mongolica (H. Q. Wu) W. D. Xu, cmb. nov.-Picea meyeri Rehd. et Wils var. mongolica (H. Q. Wu), according to the karyotype analysis and isozyme experiment.

Abies↗

[Accuracy analysis of vegetation mapping for Meili Snow Mountain area, northwest Yunnan, China].

The Meili Snow Mountain (28 degrees 20'-28 degrees 33'N, 98 degrees 30'-8 degrees 52'E) is a very famous mountain in Northwest Yunnan of China by its rich and well protected biodiversity and Tibetan cultural diversity. By applying 3S (RS-Remote Sensing, GIS-Geography Information System, GPS-Global Position System) technology, the 1:50000 vegetation map of Meili Snow Mountain area (total about 332 km2) was drawn out. The vegetation in this area was classified into 18 vegetation types except for stone, glacier and river system. The vegetation map was rectified by applying the GPS points got from the fields. The numbers of GPS points were calculated by the formula of numbers of samples in statistics. 313 GPS points were used to rectify the vegetation map. The numbers were fit for the formula of numbers of samples in Statistics. The accuracy and verify of vegetation types distribution in the map was analyzed by building a Probability Error Matrix (PEM) and through the variance analysis. The results indicated that the overall accuracy (OA) of the vegetation map was 84.7%. The accuracy of vegetation map finished by 3S technology was lied on the area of the region and the grade of vegetation class first, but the grade of vegetation class classified by remote sensing technology disaccord with the traditional vegetation class system. The other factos deciding the accuracy of vegetation were the distinguish ability of Remote Sensing image, the accuracy of distinguish, and the numbers of the samples, including vegetation class experts knowledge.

Abies↗

[Outcome of echocardiographic vegetations in bacterial endocarditis during and after anti-infective therapy].

Echocardiography is a practical and reliable method of detecting endocardial vegetations. The aim of this study was to assess the course of echocardiographic vegetations in bacterial endocarditis under anti infectious therapy and to assess the prognostic significance of the vegetations. Twenty four patients with echocardiographic signs of vegetations were included in a standardised protocol: M mode and 2D examination at the beginning and at the end of medical treatment and when possible after bacteriological cure (average period of follow-up 16 +/- 6 weeks). Special attention was paid to the volume (assessed I to III) and acoustic density of the vegetations. Fifteen patients underwent surgery (62.5%). The size of the vegetations did not differ significantly from that observed in the other patients. The size of the vegetations remained constant during medical therapy and after bacteriological cure in 2/3 of cases. The vegetations grew during medical therapy (even when the patients were apyrexic) in 29% of cases, and even after a 40 day course of anti infectious therapy in 2 cases. The size of the vegetations decreases in 3 cases during treatment (2 cases of embolisation) and in 2 cases after bacteriological cure (without embolisation). No correlations could be drawn between the acoustic density of the vegetations and the outcome. In conclusion, the presence of a large vegetation in bacterial endocarditis does not in itself mean a poor prognosis. However, these large vegetations are often associated with severe mutilating lesions (62.5% in our series). The size of the vegetations remained unchanged during and after medical treatment in two thirds of cases.

Adult↗