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• Target for Fruit and Vegetables Intake, Subgroup Analysis
  Arvind Joshi
  Published on: 30 December 2021

• Published on: 30 December 2021

  Target for Fruit and Vegetables Intake, Subgroup Analysis

  • Arvind Joshi, Founder Convener and President Our Own Discussion Group & Consultant Physician. Our Own Discussion Group Mumbai PIN 400028; Ruchi Diagnostic Center and Ruchi Clinical Laboratory y Kharghar PIN 410210, INDIA.

  The Editor,

  It was good to read that attention is paid to the effects individual fruits and vegetables on the risk of developing Type 2 Diabetes mellitus.
  It was interesting and educative to read that fruits like cantaloupe and vegetables like cabbage had positive correlation with development of Type 2 Diabetes mellitus.

  It also was good to find that quantity was represented in grams rather than in terms of Servings.

  It will be good if all recommendations and guidelines start using grams and millilitres instead of servings.

  The article analyses effects of 200g of fruit and vegetables intake and finds that certain fruit and vegetables have negative correlation with development of Type 2 Diabetes mellitus.

  Certain guidelines, for example American Heart Association recommends 2 fruit and 3 vegetable servings daily. Unfortunately they do not mention the quantities in millilitres and grams. Finding their pictorial representation tells us that one serving of raw leafy vegetables is one cupful. Now one needs to find how many millilitres a cupful is, which boils down to 236 millilitres. Now a solid item like vegetables should be measured in grams.

  Then again AHA guidelines pictorial representation says one serving of fruit is one fistsize fruit. How many grams are a fistsize fruit?

  Anyway if two fruits are meant to make 400 grams of fruit and 3 vegetable servings are supposed to make 600 grams of vegetables, this will boil dow...

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  The Editor,

  It was good to read that attention is paid to the effects individual fruits and vegetables on the risk of developing Type 2 Diabetes mellitus.
  It was interesting and educative to read that fruits like cantaloupe and vegetables like cabbage had positive correlation with development of Type 2 Diabetes mellitus.

  It also was good to find that quantity was represented in grams rather than in terms of Servings.

  It will be good if all recommendations and guidelines start using grams and millilitres instead of servings.

  The article analyses effects of 200g of fruit and vegetables intake and finds that certain fruit and vegetables have negative correlation with development of Type 2 Diabetes mellitus.

  Certain guidelines, for example American Heart Association recommends 2 fruit and 3 vegetable servings daily. Unfortunately they do not mention the quantities in millilitres and grams. Finding their pictorial representation tells us that one serving of raw leafy vegetables is one cupful. Now one needs to find how many millilitres a cupful is, which boils down to 236 millilitres. Now a solid item like vegetables should be measured in grams.

  Then again AHA guidelines pictorial representation says one serving of fruit is one fistsize fruit. How many grams are a fistsize fruit?

  Anyway if two fruits are meant to make 400 grams of fruit and 3 vegetable servings are supposed to make 600 grams of vegetables, this will boil down to about 900 to 1000 grams of fruit and vegetable intake is recommended by American Heart Association.

  CDC recommends 2 cups of fruit and 3 cups of vegetables.

  WHO recommends 400 g fruit and vegetable intake.

  The present article analyses mild beneficial effect of 200 grams fruit and vegetable intake in reducing development of Type 2 Diabetes mellitus, about 8% reduction.

  It will be good to find, in a meta-analysis or even better, in a prospective double blind study the effect of 400g fruit and 500g vegetable intake has on developing Type 2 Diabetes mellitus.

  Dr Arvind Joshi,
  MBBS MD FCGP FAMS FICP;
  Mumbai PIN 400028 and Kharghar PIN 41021, Maharashtra State INDIA.

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  Conflict of Interest:
  None declared.

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