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Miller, B M.1; Ren, Y1; Crider, C M.1; Atwood, R D.1; Gottlieb, N H.1; Bartholomew, J B.1; Heiser, C A.1

Medicine & Science in Sports & Exercise: May 2003 - Volume 35 - Issue 5 - p S329
G-15M Free Communication/Poster Dietary Patterns and Assessment

1The University of Texas, Austin, TX and Texas Department of Health

(Sponsor: Joseph W. Starnes, FACSM)

It is clear that fruit and vegetable consumption is associated with both improved health and a reduction in risk for major disease including cardiovascular disease and some cancers. However, the daily consumption of fruits and vegetables in the United States is below the recommended amount of 5 or more servings per day. Clinical settings provide a useful environment for this promotion. In many cases, clinicians do not posses the training or time to counsel effectively. To this end, a brief counseling guide was developed to guide clinicians in their counseling for the 5-A-Day message.

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To test the effects of a stage based, 5 A Day counseling guide on women participating in the Women, Infants, and Children (WIC) program.

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Participants were 433 women (70% Hispanic, 14% Anglo, and 10% African American) who were participating in local WIC clinics. The intervention consisted of both stage specific counseling and stage specific printed materials. Surveys were designed to measure behavior, self-efficacy, importance, and barriers to eating 5 servings of fruits and vegetables per day.

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A MANOVA using behavior, self-efficacy, barriers, and importance showed a significant group by time interaction (p = .05). The univariate test showed a significant group by time interaction (p = .006) for behavior based on significant increases fruit and vegetable consumption by the experimental group and no change in the control group.

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These findings suggest that a brief, staged based counseling guide is effective in increasing the fruit and vegetable consumption of women participating in the WIC program.

©2003The American College of Sports Medicine