title: Fruit and vegetable intake of schoolchildren in Quetzaltenango, Guatemala.
abstract: OBJECTIVE
  To determine if fruit and vegetable consumption among high- and low-socioeconomic status (HSES-LSES) urban schoolchildren in Quetzaltenango, Guatemala, was adequate according to World Health Organization (WHO) recommendations.
  
  
  METHODS
  Cross-sectional data from 449 third- and fourth-grade girls and boys from 12 elementary schools were collected, analyzed, and presented by socioeconomic status and gender. Public schoolchildren were classified as LSES (n = 219) and private schoolchildren were classified as HSES (n = 230). Dietary fruit/vegetable intake of each student was determined based on a 24-hour recall pictorial record and personal interview. All food items containing fruits or vegetables (including beverages) were classified and tabulated. Frequency of fruit/vegetable intake was calculated based on "mentions" (number of times a fruit or vegetable item was reportedly consumed), and nutritional adequacy was assessed for each group by mean and median values and compared to WHO daily recommended fruit/vegetable intake (400 g). Based on World Cancer Research Fund (WCRF) exclusion guidelines, the fruit/vegetable contribution to total energy was estimated.
  
  
  RESULTS
  Of the 247 different food items identified, 93 (37.7%) contained a fruit or vegetable. Total food mentions (n = 6 512) included 637 fruit items and 701 vegetable items. Although mean fruit/vegetable intake in grams was 461.3 (standard deviation, +/- 332.5), more than half (56.3%) of the subjects fell below the 400-g recommended daily level. Estimated fruit/vegetable contribution to total energy was 21.2% for HSES and 19.1% for LSES.
  
  
  CONCLUSIONS
  This study revealed inadequate fruit/vegetable intake among the study sample. For compliance with global recommendations, interventions promoting fruit/vegetable intake are needed.
authors.affiliation: Center for Studies of Sensory Impairment, Aging and Metabolism, Guatemala City, Guatemala.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Montenegro-Bethancourt
authors.forename: Colleen M
authors.initials: CM
authors.lastname: Doak
authors.forename: Noel
authors.initials: N
authors.lastname: Solomons
mesh_terms: D002648:Child; D003430:Cross-Sectional Studies; D004435:Eating; D005260:Female; D005638:Fruit; D006166:Guatemala; D006801:Humans; D008297:Male; D014675:Vegetables