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Summer 08/09 issue

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Colour me healthy - with fruits and vegetables


Many people in Australia and New Zealand struggle to eat the recommended amounts of fruits and vegetables each day.

There are a variety of reasons why people may not eat enough fruits and vegetables. However there is convincing evidence that a diet rich in fruits and vegetables can be protective against[1]:

  • cancer
  • coronary heart disease
  • stroke
  • There is also increasing scientific evidence that fruit and vegetables may play a role in preventing cataracts, diverticular disease, high blood pressure and types of chronic obstructive pulmonary disease including asthma and bronchitis[1].

    A further benefit of enjoying more fruits and vegetables is that they could help displace foods high in saturated fats, sugar and salt in your diet. Most fruits and vegetables are filling but generally low in energy density, meaning kilojoules. This is very useful for people wanting to manage their weight[2,3]!

    In fact, along with high blood pressure, high cholesterol, obesity and physical inactivity, inadequate consumption of fruit and vegetables has been identified by the World Health Organisation as one of the major causes of chronic diseases. Worldwide, a low intake of fruits and vegetables is estimated to be responsible for about 19 per cent of gastrointestinal cancer, about 31 per cent of ischemic heart disease and 11 per cent of stroke[4].

    Why are fruits and vegetables so good?
    Not only do fruits and vegetables contain plenty of vitamins, minerals and fibre, there is something else about fruits and vegetables that makes them special.

    Fruits and vegetables contain phytochemicals (pronounced ‘fight-o-chemicals’). They are nature’s chemicals or nutrients found in plant foods, responsible to a large degree for the protective properties of fruits and vegetables. In addition, it is the phytochemicals that give fruits and vegetables their distinctive colours and smells.

    We generally classify fruits and vegetables into five colour groups according to the phytochemicals they contain - Green, yellow/orange, red, blue/purple and white/brown. There are many different phytochemicals that work together to protect your health. You will probably find that some have quite unusual names but don’t let this deter you from finding out about their unique health benefits. To ensure you receive a great variety of phytochemicals in your diet, choose fruits and vegetables from each of the colour groups every day.

    Red foods
    The phytochemicals lycopene, ellagic acid and a flavonoid called kaempferol contribute to the special features of red fruit and vegetables. Red foods include:

  • tomatoes
  • red capsicum
  • radishes
  • strawberries
  • rhubarb
  • cherries
  • red grapes
  • raspberries
  • These phytochemicals act as antioxidants, can be cancer protective and can also help reduce the risk of heart disease. Lycopene is a powerful antioxidant belonging to the group of carotenoids[5]. A high intake of lycopene in particular has been linked with a reduced risk of prostate cancer[6].

    Purple/blue foods
    The colour in purple/blue fruits and vegetables is mainly due to the flavonoids, anthocyanins, which are powerful antioxidants and have a mild anti-bacterial effect[5]. Another phytochemical discovered in this group of fruits and vegetables includes resveratrol, which is most commonly found in grapes and may have a cancer protective effect[6]. Purple/blue foods include:

  • beetroot
  • purple asparagus
  • red cabbage
  • eggplant
  • blackberries
  • blueberries
  • purple grapes


  • Orange/yellow foods
    There are abundant antioxidants in yellow and orange fruit and vegetables, including the carotenoids (beta-carotene, lutein, zeaxanthin), which give this group their bright colour. A wide range of other phytochemicals including terpenes and flavonoids (quercetin) also occur in this group. Orange/yellow foods include:
  • carrots
  • pumpkin
  • corn
  • kumara (sweet potato)
  • rockmelon
  • lemons
  • mangoes
  • pineapples
  • oranges
  • Carotenoids, terpenes and flavonoids act as antioxidants to protect against cancer and heart disease[5]. Of interest is lutein (pronounced ‘loo-teen’), which is a carotenoid that gets stored in the eye. This is important to help prevent two of the most common causes of blindness: cataracts and age-related macular degeneration[6].

    Green Foods
    Like orange/yellow foods, green fruits and vegetables are particularly rich in antioxidants. They include varying amounts of many phytochemicals including flavonoids and carotenoids (lutein, beta-carotene and zeaxanthin). The Brassica group (broccoli, cabbage, Brussels sprouts) also contains indoles, which can trigger enzymes to act against certain cancer causing substances[6]. Saponins, another phytochemical found in green plant foods, also have anti-cancer properties. They interfere with the process whereby cancer cells multiply[5]. Green foods include:

  • spinach
  • broccoli
  • asparagus
  • peas
  • avocadoes
  • green apples
  • green grapes
  • limes
  • kiwifruit
  • green pears


  • White/brown foods
    While these colours are not as vibrant as the other colour groups, we should not underestimate the nutritional contribution that brown/white fruit and vegetables can make to our diet. Brown/white foods include:
  • cauliflower
  • garlic
  • ginger
  • mushrooms
  • onions
  • potatoes
  • bananas
  • brown pears
  • white peaches and nectarines
  • dates
  • Fruits and vegetables from this group contain phytochemicals including allicin, indoles and isothiocyanates, to name just a few! Many of the phytochemicals found in this group of foods have effects ranging from antibacterial, antiviral and anti-cancer, to the prevention of heart disease[6]. This knowledge goes some way to understanding the long held belief that garlic is good for you!

    WHAT IS AN ANTIOXIDANT? Antioxidants are chemicals, often found naturally in plant foods, that can help protect our body cells from being damaged by ‘free radicals’. Antioxidants can therefore guard against cancer and heart disease, as well as diseases of the eye, all of which can be influenced by damaged body cells. The role of antioxidants in the prevention and treatment of a number of other conditions is also being investigated.

    Promoting fruit and vegetable consumption around the world
    Programs are being conducted around the world to encourage people to enjoy fresh fruits and vegetables. Several of us at the Sanitarium Nutrition Service recently attended the 4th International 5 A DAY Symposium in Christchurch, New Zealand to hear more about how other countries are promoting the consumption of fruits and vegetables.

    The World Health Organisation partially sponsored this symposium in an effort to globalise the 5 A DAY initiative to increase fruit and vegetable consumption around the world.

    The team learned that although specific recommendations for fruit and vegetable consumption may vary in different countries, the message is still the same. We need to eat MORE fruits and vegetables.

    New Zealand has a 5+a day The Colour Way initiative. 5+a day means enjoy 5 or more servings of fresh fruits and vegetables each day. A serving is about a handful and is relative to age and size. Visit www.5aday.co.nz for more information.

    Australian’s are encouraged to eat 7 serves of fruit and vegetables. Specifically, 2 serves of fruit and 5 serves of vegetables each day. The department of Health in Western Australia run an excellent program to promote fruit and vegetable consumption in their State. Visit www.gofor2and5.com.au for more information.

    Kids can also learn more about fruits and vegetables at the following interactive website: www.freshforkids.com.au

    How many serves did you have yesterday?
    Here is a guide to define a serve of fruit and vegetables:

  • ½ cup cooked vegetables
  • 1 cup salad vegetables
  • ½ cup cooked beans, peas or lentils
  • 1 medium potato or yam
  • ½ medium sweet potato
  • 1 piece of medium sized fruit (apple, orange, pear)
  • 8 strawberries
  • 1 cup diced fresh or canned fruit
  • 2 pieces smaller fruit (apricots, plums, kiwi fruit)
  • 4 dried apricots
  • 1 ½ tablespoons sultanas
  • ½ cup fruit juice
  • *Based on the Dietary Guidelines for Australian Adults- A guide to healthy eating. NHMRC, 2003.

    Great fruit and vegetable ideas:
    If you didn’t reach your fruit and veggie goal yesterday, here are a few ideas that may help to inspire you for the days ahead:

  • Swap the bacon and eggs at your weekend breakfast for baked beans or grilled mushrooms and tomato on wholegrain
  • Include vegetables, such as baby spinach in pasta sauces and risottos. Stir through at the end of cooking for a little extra colour and nutrition.
  • Make salads substantial, with more than just lettuce. Try adding baby spinach, rocket, lightly steamed broccoli, red capsicum, tomato and roast sweet potato. Toss through a can of rinsed and drained beans (such as butterbeans or chickpeas) for extra protein.
  • Pack a fruit salad for morning tea. Try to include all the colour groups.
  • Have a salad or some salad vegetables on your sandwich for lunch.
  • Try to have at least four different colours of vegetables, grains and legumes on your plate each evening.
  • A stir-fry with lots of vegetables is another great way of including a variety of colours at your evening meal.
  • Kid’s love frozen oranges, bananas, grapes and strawberries for an icy summer treat.
  • Grate or dice onion, carrot, zucchini, red capsicum and corn into a savoury muffin or pikelet mixture.
  • Have vegetable sticks such as carrot and celery on hand for a healthy snack. Vegetable sticks dipped in hummus or tomato salsa are delicious and very filling.
  • Enjoy a fruit-based dessert rather than cakes and puddings.
  • Dried fruit also makes an easy, ‘to-go’ snack. Just add a handful into some plastic wrap and pop into your bag.
  • This feature story was written by Carolyn Lincoln APD.

    1. Van Duyn MS and Pivonka E. Overview of the health benefits of fruit and vegetable consumption for the dietetics professional: selected literature. J Am Diet Assoc. 2000;100:1511-1521.
    2. Bell EA etal. Energy density of foods affects energy intake in normal-weight women. Am J Clin Nutr. 1998;67:412-20.
    3. He K etal. Changes in intake of fruits and vegetables in relation to risk of obesity and weight gain among middle-aged women. Int J Obes Relat Metab Disord. 2004 Oct 05 (advance online publication)
    4. World Health Organisation, 2002. The World Health Report 2002. Reducing Risks, Promoting Healthy Life.
    5. Saxelby C, 2002. Nutrition for Life. Hardie Grant Books, Australia.
    6. Lister C, 2003. Antioxidants – a health revolution. New Zealand Institute for Crop and Food Research. Christchurch, New Zealand.

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