Changes in diet quality over 10 years of nutrition transition in Colombia: analysis of the 2005 and 2015 nationally representative cross-sectional surveys

This study aimed to investigate energy, nutrient and food group intakes at breakfast in Spain and to examine for the first time, their relationship to the overall Diet Quality (DQ). The data used were from the Spanish ANIBES (anthropometric data, macronutrients and micronutrients intake, practice of physical activity, socioeconomic data and lifestyles in Spain), a cross-sectional study using a nationally representative sample of the Spanish population (9–75 years old). DQ was assessed using the Nutrient Rich Foods Index, adapted to total diets (NRF9.3d). Most (>85%) of the Spanish population were regular breakfast consumers, although one in five adolescents were breakfast skippers. Breakfast provides just 16–19% of the daily intake of energy. Relative to its daily energy contribution, the Spanish breakfast contributed a higher proportion of daily total carbohydrates, added sugars, sodium, thiamin, riboflavin, folates, iron, potassium, magnesium, phosphorus and especially in calcium. By contrast, the breakfast is low in water intake, protein, dietary fibre, total fat, polyunsaturated fatty acids, beta-carotene and vitamins E and D. In children and teenagers, the most commonly consumed breakfast food was chocolate (mainly as chocolate-flavoured milk and powder), followed by bakery and pastry, whole milk and semi-skimmed milk. In the older groups, a bigger variety of foods were reported. Consumers in the highest NRF9.3d tertile for diet quality tended to have a higher intake of positive nutrients at breakfast than other tertiles, most notably among adults.

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Gender inequalities in diet quality and their socioeconomic patterning in a nutrition transition context in the MENA region

Proceedings of The Nutrition Society ◽

10.1017/s0029665120001160 ◽

2020 ◽

Vol 79 (OCE2) ◽

Author(s):

Mohamed Mehdi Abassi ◽

Jalila El Ati ◽

Sonia Sassi ◽

Houda Ben Gharbia ◽

Francis Delpeuch ◽

...

Keyword(s):

Dietary Intake ◽

Diet Quality ◽

Nutrition Transition ◽

Cross Sectional Study ◽

Gender Inequalities ◽

Food Record ◽

Mena Region ◽

Cross Sectional ◽

Interval Variables ◽

Better Than

AbstractIntroduction: The Middle East and North Africa region features marked gender excess adiposity inequalities detrimental to women in a context of nutrition transition with major shifts in lifestyle and diet. We assessed gender inequalities in dietary intake with a focus on diet quality. Sociodemographic patterning of these gender dietary inequalities was explored.Methods: A cross-sectional study in the Greater Tunis region (Tunisia) in 2009–2010 surveyed 20–49 y old adults of both genders (women n = 1689, men n = 930) using a stratified, two-stage cluster sample. Dietary intake was assessed using a 3-day food record. We assessed diet quality by the Diet Quality Index-International (DQI-I) /100 and sub-components (variety, adequacy, moderation, balance); DQI-I > 60 defined good diet quality. Gender inequalities measures were women vs. men differences of means for interval variables and odds-ratios (OR) for DQI-I > 60. Their variation with sociodemographic characteristics were estimated by models featuring gender x covariate interactions.Results: Mean energy intake in kcal was 2300 ± 15 for women vs. 2859 ± 32 for men. By 1000 g/kcal/day women consumed more fruits and sweets but less red meat and soft drinks than men. Mean DQI-I was lower among women vs. men (58.6 ± 0.3 vs. 60.4 ± 0.3, diff = -1.8[-2.6;-1.0], P < 0.0001) as well as proportion of DQI-I > 60 (45.2% vs. 55.7%, OR = 0.7[0.5;0.8], P < 0.0001). Gender differences varied with the 4 sub-components: women vs. men had lower mean variety (10.1 ± 0.1 vs. 12.1 ± 0.2, diff = -2.0[-2.3;-1.6], P < 0.0001) and adequacy scores (30.8 ± 0.1 vs. 32.5 ± 0.1, diff = -1.8[-2.0;-1.5], P < 0.0001) (for the latter they scored a little better than men for the fruit item, but had much lower scores than men for iron and also calcium). But women scored better than men on the moderation score (14.2 ± 0.2 vs. 12.3 ± 0.2, diff = + 1.8[1.4;2.2], P < 0.0001), mostly due to their better score on the cholesterol and sodium items. There was no difference for the balance subcomponent. Adjusted gender inequalities in DQI-I decreased with age, were higher in larger households and were also higher in the extreme categories of education i.e. no-schooling and university vs. the middle categories.Conclusions: Diet quality was overall average. It was lower for women than men. Women vs. men differences in diet quality varied somewhat according to sociodemographic indicators linked to different gender roles. We also showed that gender contrasts depend on which dimension of diet quality is considered (better moderation but worse adequacy and variety for women). That maybe a pathway for gender specific prevention.

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Gender inequalities in diet quality and their socioeconomic patterning in a nutrition transition context in the Middle East and North Africa: a cross-sectional study in Tunisia

Nutrition Journal ◽

10.1186/s12937-019-0442-6 ◽

2019 ◽

Vol 18 (1) ◽

Cited By ~ 5

Author(s):

Mohamed Mehdi Abassi ◽

Sonia Sassi ◽

Jalila El Ati ◽

Houda Ben Gharbia ◽

Francis Delpeuch ◽

...

Keyword(s):

Middle East ◽

North Africa ◽

Diet Quality ◽

Nutrition Transition ◽

Cross Sectional Study ◽

Gender Inequalities ◽

Sectional Study ◽

Cross Sectional

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Diet quality, general health and anthropometric outcomes in a Latin American population: evidence from the Colombian National Nutritional Survey (ENSIN) 2010

Public Health Nutrition ◽

10.1017/s1368980019005093 ◽

2020 ◽

pp. 1-8

Author(s):

Gustavo Mora-García ◽

Antonio Trujillo ◽

Vanessa García-Larsen

Keyword(s):

Waist Circumference ◽

Latin American ◽

Diet Quality ◽

General Health ◽

Dietary Habits ◽

Healthy Eating Index ◽

Nutrition Survey ◽

Cross Sectional ◽

Reduced Height ◽

Nationally Representative

Abstract Objective: Colombia is experiencing a nutrition transition, characterised by nutritionally poor diets and an increased prevalence of non-communicable diseases (NCD). We aimed to investigate the association between diet quality and general health outcomes related to the risk of NCD, in a nationally representative sample of Colombian adolescents and adults. Design: Cross-sectional analysis. The Alternative Healthy-Eating Index (AHEI) was derived to calculate diet quality. Adjusted regressions were used to examine the association between AHEI, self-perceived general health status (GHS) and anthropometric variables (i.e. age-specific z-scores for height, and BMI for adolescents; waist circumference and BMI for adults). Setting: Nationally representative data from the Colombian National Nutrition Survey (ENSIN) 2010. Participants: Adolescents aged 10–17 years (n 6566) and adults aged ≥18 years (n 6750). Results: AHEI scores were similar between adolescents (mean 29·3 ± 7·2) and adults (mean 30·5 ± 7·2). In the whole sample, a better diet quality (higher AHEI score) was associated with worse self-perceived GHS (adjusted (a) β-coefficient: –0·004; P < 0·001) and with a smaller waist circumference ((a) β-coefficient: –0·06; P < 0·01). In adults, a higher AHEI score was negatively associated with BMI ((a) β-coefficient: –0·02; P < 0·05), whilst in adolescents it was associated with a reduced height-for-age z-score ((a) β-coefficient: –0·009; P < 0·001). Conclusions: A better diet quality was associated with reduced prevalence of predictors of NCD and with some indicators of general health in the Colombian population. In light of the high prevalence of overweight, our findings support the need for public health interventions focused on sustainable positive changes in dietary habits in the general population.

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Dietary patterns of the Andean population of Puna and Quebrada of Humahuaca, Jujuy, Argentina

British Journal Of Nutrition ◽

10.1017/s0007114507801061 ◽

2008 ◽

Vol 99 (2) ◽

pp. 390-397 ◽

Cited By ~ 6

Author(s):

D. Romaguera ◽

N. Samman ◽

A. Rossi ◽

C. Miranda ◽

A. Pons ◽

...

Keyword(s):

Diet Quality ◽

Dietary Patterns ◽

Rural Areas ◽

Urban Areas ◽

Representative Sample ◽

Nutrition Transition ◽

Principal Component ◽

Double Burden ◽

Cross Sectional ◽

High Level

The aim of the present study was to describe dietary patterns in a representative sample from Puna and Quebrada of Humahuaca, Jujuy, Argentina. A cross-sectional nutritional survey was carried out in a representative sample (n 1236) of individuals from these regions. For the present study, only children aged 2–9 years (n 360), adolescents aged 10–18 years (n 223) and adults aged 18 years or over (n 465) were considered. Breast-fed children, pregnant women and lactating women were excluded. Dietary data collection methods comprised one 24 h recall and a semi-quantitative FFQ. We used principal component (PC) analyses to identify prevailing dietary patterns. Multiple linear regression analyses were performed to assess the determinants of the identified dietary patterns. Two dominant PC were identified: PC1 reflected a ‘Western-like’ diet with an emphasis on not-autochthon foods. This pattern tended to be present in urban areas of the Quebrada region and was associated with a younger age, a higher level of development, and a worse diet quality. PC2 reflected an ‘Andean-like’ diet including a variety of autochthon crops. This was preferred by individuals living in rural areas from Puna with a high level of development during the post-harvest season, and was associated with a greater diet quality. These results suggest that the nutrition transition phenomenon is a reality in certain sectors of this population and might be one of the leading causes of the observed double burden of malnutrition.

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Demographic and socio-economic shifts partly explain the Martinican nutrition transition: an analysis of 10-year health and dietary changes (2003–2013) using decomposition models

Public Health Nutrition ◽

10.1017/s136898002100327x ◽

2021 ◽

pp. 1-12

Author(s):

Zoé Colombet ◽

Michel Simioni ◽

Sophie Drogue ◽

Viola Lamani ◽

Marlène Perignon ◽

...

Keyword(s):

Health Status ◽

Diet Quality ◽

Opposite Sign ◽

Nutrition Transition ◽

Dietary Intakes ◽

Cross Sectional ◽

Dietary Changes ◽

Decomposition Models ◽

The Caribbean ◽

Dramatic Shift

Abstract Objective: The Caribbean has seen a dramatic shift in the obesity and chronic disease prevalence over the past decades, suggesting a nutrition transition. Simultaneously, Martinique has faced a demographic transition marked by significant population ageing. We aimed to differentiate the contribution of changes in health status and dietary intakes due to shifts in demographic and socio-economic characteristics (DSEC) from that due to unobserved factors. Design: Two cross-sectional surveys conducted in 2003 (n 743) and 2013 (n 573) on representative samples were used. Dietary intakes were estimated by 24-h recalls. The contribution of changes in health status and dietary intakes due to shifts in observed DSEC was differentiated from that due to unobserved factors over a 10-year interval, using Oaxaca–Blinder decomposition models. Setting: Martinique, French region in the Caribbean. Participants: Martinican adults (≥16 years). Results: Over the study period, health status deteriorated, partly owing to shifts in DSEC, explaining 62 % of the change in the prevalence of hypertension (+13 percentage points (pp)) and 48 % of waist circumference change (+3 cm). Diet quality decreased (mean adequacy ratio –2pp and mean excess ratio + 2 pp) and energy supplied by ultra-processed food increased (+4 pp). Shifts in DSEC marginally explained some changes in dietary intakes (e.g. increased diet quality), while the changes that remained unexplained were of opposite sign, with decreased diet quality, lower fruits, tubers and fish intakes and higher energy provided by ultra-processed foods. Conclusion: Explained dietary changes were of opposite sign to nutrition transition conceptual framework, probably because unobserved drivers are in play, such as food price trends or supermarkets spread.

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Socioeconomic Inequities in Diet Quality and Nutrient Intakes among Australian Adults: Findings from a Nationally Representative Cross-Sectional Study

Nutrients ◽

10.3390/nu9101092 ◽

2017 ◽

Vol 9 (10) ◽

pp. 1092 ◽

Cited By ~ 25

Author(s):

Katherine Livingstone ◽

Dana Olstad ◽

Rebecca Leech ◽

Kylie Ball ◽

Beth Meertens ◽

...

Keyword(s):

Diet Quality ◽

Cross Sectional Study ◽

Sectional Study ◽

Nutrient Intakes ◽

Cross Sectional ◽

Nationally Representative

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Socio-economic characteristics, living conditions and diet quality are associated with food insecurity in France

Public Health Nutrition ◽

10.1017/s1368980014002912 ◽

2015 ◽

Vol 18 (16) ◽

pp. 2952-2961 ◽

Cited By ~ 54

Author(s):

Aurélie Bocquier ◽

Florent Vieux ◽

Sandrine Lioret ◽

Carine Dubuisson ◽

France Caillavet ◽

...

Keyword(s):

Food Insecurity ◽

Diet Quality ◽

National Level ◽

Health Behaviours ◽

Food Prices ◽

Food Record ◽

Cross Sectional ◽

Significant Difference ◽

Diet Cost ◽

Nationally Representative

AbstractObjectiveTo assess the prevalence of household food insecurity (FI) in France and to describe its associations with socio-economic factors, health behaviours, diet quality and cost (estimated using mean food prices).DesignCross-sectional nationally representative survey. FI was assessed using an adapted version of the US Department of Agriculture’s Food Insufficiency Indicator; dietary intake was assessed using a 7 d open-ended food record; and individual demographic, socio-economic and behavioural variables were assessed using self-administered questionnaires and interviews. Individuals experiencing FI were compared with food-secure individuals, the latter being divided into four categories according to quartiles of their income per consumption unit (FS1 to FS4). Differences among categories were analysed usingχ2tests, ANOVA and tests for trend.SettingIndividual and National Dietary Survey (INCA2), 2006–2007.SubjectsAdults aged 18–79 years (n2624).ResultsIndividuals experiencing FI represented 12·2 % of the population. They were on average younger, more frequently women and single parents with children compared with those in the other four categories. Their mean income per consumption unit was higher than that in the FS1 category, but they reported poorer material and housing conditions. The prevalence of smoking and the mean daily time spent watching television were also higher in the FI category. No significant difference among categories was found for energy intake, but mean intakes of fruits, vegetables and fish were lower, and diet quality was slightly but significantly poorer in the FI category. Daily diet cost was also lower in the FI category.ConclusionsFrance is not spared by FI. FI should be routinely monitored at the national level and research should be promoted to identify effective strategies to reduce nutrition inequalities in France.

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Ultra-processed food consumption, socio-demographics, and diet quality in Australian adults

Public Health Nutrition ◽

10.1017/s1368980021003967 ◽

2021 ◽

pp. 1-29

Author(s):

Laura Marchese ◽

Katherine M. Livingstone ◽

Julie L. Woods ◽

Kate Wingrove ◽

Priscila Machado

Keyword(s):

Diet Quality ◽

Demographic Data ◽

Saturated Fat ◽

Demographic Characteristics ◽

Income Quintile ◽

Linear Regression Models ◽

Cross Sectional ◽

Australian Health ◽

Nationally Representative ◽

24 Hour Recall

Abstract Objective: To examine how socio-demographic characteristics and diet quality vary with consumption of ultra-processed foods (UPFs) in a cross-sectional nationally representative survey of Australian adults. Design: Using a 24-hour recall, this cross-sectional analysis of dietary and socio-demographic data classified food items using the NOVA system, estimated the percentage of total energy contributed by UPFs and assessed diet quality using the Dietary Guideline Index (DGI – 2013 total and components). Linear regression models examined associations between socio-demographic characteristics and diet quality with percentage of energy from UPFs. Setting: Australian Health Survey 2011-13 Participants: Australian Adults aged ≥ 19 years (n=8,209) Results: Consumption of UPFs was higher among younger adults (19-30 years), adults born in Australia, those experiencing greatest area level disadvantage, lower levels of education, and the second lowest household income quintile. No significant association was found for sex or rurality. A higher percentage of energy from UPFs was inversely associated with diet quality and with lower DGI scores related to the variety of nutritious foods, fruits, vegetables, total cereals, meat and poultry, fish, eggs, nuts and seeds, legumes/beans, water and limits on discretionary foods, saturated fat and added sugar. Conclusions: This research adds to the evidence on dietary inequalities across Australia and how UPFs are detrimental to diet quality. The findings can be used to inform interventions to reduce UPF consumption and improve diet quality.

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Evidence for nutrition transition in Kuwait: over-consumption of macronutrients and obesity

Public Health Nutrition ◽

10.1017/s1368980012003941 ◽

2012 ◽

Vol 16 (4) ◽

pp. 596-607 ◽

Cited By ~ 28

Author(s):

Sahar Zaghloul ◽

Suad N Al-Hooti ◽

Nawal Al-Hamad ◽

Sameer Al-Zenki ◽

Husam Alomirah ◽

...

Keyword(s):

Nutrition Transition ◽

Overweight And Obesity ◽

Healthy Foods ◽

Nutrition Survey ◽

Cross Sectional ◽

Obesity And Overweight ◽

Prevalence Of Obesity ◽

Males And Females ◽

Nationally Representative ◽

Recommended Level

AbstractObjectivesTo describe nutrient intakes and prevalence of overweight and obesity in a nationally representative sample of Kuwaitis and to compare intakes with reference values.DesignCross-sectional, multistage stratified, cluster sample.SettingsNational nutrition survey covering all geographical areas of the country.SubjectsKuwaitis (n 1704) between 3 and 86 years of age.ResultsObesity was more prevalent among women than men (50 % and 70 % for females aged 19–50 years and ≥51 years, respectively, v. 29 % and 42 % for their male counterparts). Boys were more obese than girls, with the highest obesity rate among those aged 9–13 years (37 % and 24 % of males and females, respectively). Energy intake was higher than the estimated energy requirements for almost half of Kuwaiti children and one-third of adults. The Estimated Average Requirement was exceeded by 78–100 % of the recommendation for protein and carbohydrates. More than two-thirds of males aged ≥4 years exceeded the Tolerable Upper Intake Level for Na. Conversely, less than 20 % of Kuwaitis, regardless of age, consumed 100 % or more of the Estimated Average Requirement for vitamin D, vitamin E, Ca, n-3 and n-6 fatty acids. Less than 20 % of children met the recommended level for fibre.ConclusionsNutrition transition among Kuwaitis was demonstrated by the increased prevalence of obesity and overweight, increased intakes of energy and macronutrients and decreased intakes of fibre and micronutrients. Interventions to increase awareness about healthy foods combined with modifications in subsidy policies are clearly warranted to increase consumption of low-energy, nutrient-dense foods.

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