scholarly journals Development of healthy and sustainable food-based dietary guidelines for the Netherlands

2019 ◽  
Vol 22 (13) ◽  
pp. 2419-2435 ◽  
Author(s):  
Elizabeth Brink ◽  
Caroline van Rossum ◽  
Astrid Postma-Smeets ◽  
Annette Stafleu ◽  
Danielle Wolvers ◽  
...  
Keyword(s):  
The Netherlands ◽  
Dietary Patterns ◽  
Expert Knowledge ◽  
Energy Requirement ◽  
Food Preferences ◽  
Dietary Guidelines ◽  
Food Groups ◽  
Target Groups ◽  
Sustainable Food ◽  
Optimisation Model

AbstractObjective:To derive healthy and sustainable food-based dietary guidelines (FBDG) for different target groups in the Netherlands and describe the process.Design:Optimised dietary patterns for children, adolescents, adults and the elderly were calculated using an optimisation model. Foods high in saturated and trans-fatty acids, salt and sugar, and low in dietary fibre, were excluded. The dietary patterns resembled the current food consumption as closely as possible, while simultaneously meeting recommendations for food groups, nutrients, maximum limits for foods with a high environmental impact, and within 85 % of the energy requirement. Recommended daily amounts of food groups were based on the optimised dietary patterns and expert judgement.Setting:The Netherlands.Participants:FBDG were derived for Dutch people with different ages, genders, activity levels and food preferences.Results:For most target groups the optimisation model provided dietary patterns that complied with all requirements. For some food groups, the optimised amounts varied largely between target groups. For consistent messages to consumers, the optimised dietary patterns were adjusted to uniform recommendations per target group. Recommendations were visualised in the Wheel of Five. The advice is to eat the recommended amounts of foods according to the Wheel of Five and limit consumption of other foods.Conclusions:Based on an optimisation model, scientific evidence, information on dietary patterns and expert knowledge, we derived FBDG for different target groups. The Wheel of Five is a key food-counselling model that can help Dutch consumers to make their diets healthier and more environmentally sustainable.

scholarly journals Comparison of two exploratory dietary patterns in association with the metabolic syndrome in a Northern German population

2014 ◽  
Vol 112 (8) ◽  
pp. 1364-1372 ◽  
Author(s):  
Janett Barbaresko ◽  
Sabine Siegert ◽  
Manja Koch ◽  
Imke Aits ◽  
Wolfgang Lieb ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Dietary Patterns ◽  
Dietary Pattern ◽  
Dietary Guidelines ◽  
Processed Meat ◽  
German Population ◽  
Food Groups ◽  
Reduced Rank Regression ◽  
Cross Sectional ◽  
The Metabolic Syndrome

Diet is related to many chronic disease conditions such as the metabolic syndrome (MetS). We set out to compare behaviour-related with disease-related patterns and their association with the MetS in a German cross-sectional study. A total of 905 participants of a Northern German cohort (aged 25–82 years) completed a FFQ, underwent anthropometric assessments and provided a blood sample. Dietary patterns were derived by principal component analysis (PCA) and reduced-rank regression (RRR) from forty-two food groups. Components of the MetS were used as response variables for the RRR analysis. Simplified patterns comprising ten food groups were generated. Logistic regression analysis was performed to evaluate the likelihood of having the MetS across the quartiles of simplified pattern scores. We identified two similar dietary patterns derived by PCA and RRR characterised by high intakes of potatoes, various vegetables, red and processed meat, fats, sauce and bouillon. Comparing simplified patterns, an increased RRR pattern score was associated with a higher OR (2·18, 95 % CI 1·25, 3·81) of having the MetS than an increased PCA pattern score (OR 1·92, 95 % CI 1·21, 3·03). Comparing concordant food groups by both dietary pattern methods, a diet high in legumes, beef, processed meat and bouillon was also positively associated with the prevalence of the MetS after adjustment for potential confounders (OR 1·71, 95 % CI 1·04, 2·79). We identified a behaviour-related pattern that was positively associated with the MetS. The application of both dietary pattern methods may be advantageous to obtain information for designing and realising dietary guidelines. Prospective studies are needed to confirm the results.

scholarly journals A short food-group-based dietary questionnaire is reliable and valid for assessing toddlers' dietary risk in relatively advantaged samples

2014 ◽  
Vol 112 (4) ◽  
pp. 627-637 ◽  
Author(s):  
Lucinda K. Bell ◽  
Rebecca K. Golley ◽  
Anthea M. Magarey
Keyword(s):  
Risk Score ◽  
Dietary Patterns ◽  
Reliability And Validity ◽  
Food Group ◽  
Dietary Guidelines ◽  
Risk Category ◽  
Food Groups ◽  
Sweetened Beverages ◽  
Dietary Risk ◽  
Highly Correlated

Identifying toddlers at dietary risk is crucial for determining who requires intervention to improve dietary patterns and reduce health consequences. The objectives of the present study were to develop a simple tool that assesses toddlers' dietary risk and investigate its reliability and validity. The nineteen-item Toddler Dietary Questionnaire (TDQ) is informed by dietary patterns observed in Australian children aged 14 (n552) and 24 (n493) months and the Australian dietary guidelines. It assesses the intake of ‘core’ food groups (e.g. fruit, vegetables and dairy products) and ‘non-core’ food groups (e.g. high-fat, high-sugar and/or high-salt foods and sweetened beverages) over the previous 7 d, which is then scored against a dietary risk criterion (0–100; higher score = higher risk). Parents of toddlers aged 12–36 months (Socio-Economic Index for Areas decile range 5–9) were asked to complete the TDQ for their child (n111) on two occasions, 3·2 (sd1·8) weeks apart, to assess test–retest reliability. They were also asked to complete a validated FFQ from which the risk score was calculated and compared with the TDQ-derived risk score (relative validity). Mean scores were highly correlated and not significantly different for reliability (intra-class correlation = 0·90, TDQ1 30·2 (sd8·6)v. TDQ2 30·9 (sd8·9);P= 0·14) and validity (r0·83, average TDQ ((TDQ1+TDQ2)/2) 30·5 (sd8·4)v. FFQ 31·4 (sd8·1);P= 0·05). All the participants were classified into the same (reliability 75 %; validity 79 %) or adjacent (reliability 25 %; validity 21 %) risk category (low (0–24), moderate (25–49), high (50–74) and very high (75–100)). Overall, the TDQ is a valid and reliable screening tool for identifying at-risk toddlers in relatively advantaged samples.

scholarly journals Comparing two methods for deriving dietary patterns associated with risk of metabolic syndrome among middle-aged and elderly Taiwanese adults with impaired kidney function

2020 ◽  
Author(s):  
Adi Lukas Kurniawan ◽  
Chien-Yeh Hsu ◽  
Hsiu-An Lee ◽  
Hsiao-Hsien Rau ◽  
Rathi Paramastri ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Kidney Function ◽  
Dietary Patterns ◽  
Dietary Pattern ◽  
Density Lipoprotein ◽  
Principal Component ◽  
Dietary Guidelines ◽  
Food Groups ◽  
Reduced Rank Regression ◽  
Sugary Drinks

Abstract Background: Dietary patterns were associated with the risk of chronic disease development and outcome-related diseases. In this study, we aimed to compare the correlation between dietary patterns and metabolic syndrome (MetS) using two methods for identifying dietary patterns.Methods: The participants (n = 25,569) aged ≥ 40 years with impaired kidney function were retrieved from Mei Jau (MJ) Health Screening database from 2008 to 2010. Dietary patterns were identified by principal component analysis (PCA) and reduced rank regression (RRR) from twenty-two food groups using PROC FACTOR and PROC PLS functions.Results: We identified two similar dietary pattern characteristics (high intakes of deep fried foods, preserved or processed foods, dipping sauce, meat, sugary drinks, organ meats, jam/honey, fried rice/flour products, instant noodles and eggs) derived by PCA and RRR. Logistic regression analysis revealed that RRR-derived dietary pattern scores were positively associated with an odds ratio (OR = 1.70, 95% CI: 1.56, 1.86) of having MetS than PCA-derived dietary pattern scores (OR = 1.38, 95% CI: 1.27, 1.51). The correlations between RRR-derived dietary pattern scores and elevated systolic and diastolic blood pressure (OR = 1.30 for both) or low high density lipoprotein cholesterol in women (OR = 1.32) were statistically significant but not significant in PCA-derived dietary pattern scores.Conclusions: Our findings suggest that RRR gives better results when studying behavior related dietary patterns in association with MetS. RRR may be more preferable to provide dietary information for developing dietary guidelines among people with MetS. Further studies with prospective measurements are needed to verify whether RRR is a useful analytic tool for the association between dietary patterns and other chronic diseases.

scholarly journals Dietary guidelines to nourish humanity and the planet in the twenty-first century. A blueprint from Brazil

2015 ◽  
Vol 18 (13) ◽  
pp. 2311-2322 ◽  
Author(s):  
Carlos Augusto Monteiro ◽  
Geoffrey Cannon ◽  
Jean-Claude Moubarac ◽  
Ana Paula Bortoletto Martins ◽  
Carla Adriano Martins ◽  
...  
Keyword(s):  
Dietary Patterns ◽  
Well Being ◽  
Dietary Guidelines ◽  
First Century ◽  
Food Groups ◽  
Negative Effects ◽  
Brazilian Government ◽  
Health And Disease ◽  
Twenty First Century ◽  
Food And Drink

AbstractObjectiveTo present and discuss the dietary guidelines issued by the Brazilian government in 2014.DesignThe present paper describes the aims of the guidelines, their shaping principles and the approach used in the development of recommendations. The main recommendations are outlined, their significance for the cultural, socio-economic and environmental aspects of sustainability is discussed, and their application to other countries is considered.SettingBrazil in the twenty-first century.SubjectsAll people in Brazil, now and in future.ResultsThe food- and meal-based Brazilian Dietary Guidelines address dietary patterns as a whole and so are different from nutrient-based guidelines, even those with some recommendations on specific foods or food groups. The guidelines are based on explicit principles. They take mental and emotional well-being into account, as well as physical health and disease prevention. They identify diet as having cultural, socio-economic and environmental as well as biological and behavioural dimensions. They emphasize the benefits of dietary patterns based on a variety of natural or minimally processed foods, mostly plants, and freshly prepared meals eaten in company, for health, well-being and all relevant aspects of sustainability, as well as the multiple negative effects of ready-to-consume ultra-processed food and drink products.ConclusionsThe guidelines’ recommendations are designed to be sustainable personally, culturally, socially, economically and environmentally, and thus fit to face this century. They are for foods, meals and dietary patterns of types that are already established in Brazil, which can be adapted to suit the climate, terrain and customs of all countries.

scholarly journals Evidence Use in the Development of the Australian Dietary Guidelines: A Qualitative Study

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3748
Author(s):  
Kate Wingrove ◽  
Mark A. Lawrence ◽  
Cherie Russell ◽  
Sarah A. McNaughton
Keyword(s):  
Dietary Patterns ◽  
Environmental Sustainability ◽  
Guideline Development ◽  
Evidence Synthesis ◽  
Dietary Guidelines ◽  
Food Groups ◽  
Structured Interviews ◽  
Evidence Translation ◽  
Dietary Guideline ◽  
Evidence Review

Dietary guidelines are important nutrition policy reference standards that should be informed by the best available evidence. The types of evidence that are reviewed and the evidence review methods that are used have implications for evidence translation. The aim of this study was to explore perceived advantages, disadvantages, and practicalities associated with the synthesis and translation of evidence from nutrient-based, food-based, and dietary patterns research in dietary guideline development. A qualitative descriptive study was conducted. Twenty-two semi-structured interviews were conducted with people involved in the development of the 2013 Australian Dietary Guidelines (ADGs). Transcripts were analysed thematically. To inform future ADGs, there was support for reviewing evidence on a range of dietary exposures (including dietary patterns, foods and food groups, nutrients and food components, and eating occasions) and health outcomes, as well as evidence on environmental sustainability and equity. At the evidence synthesis stage, practicalities associated with planning the evidence review and conducting original systematic reviews were discussed. At the evidence translation stage, practicalities associated with integrating the evidence and consulting stakeholders were described. To ensure that the best available evidence is translated into future ADGs, evidence review methods should be selected based on the exposures and outcomes of interest.

scholarly journals Comparing two methods for deriving dietary patterns associated with risk of metabolic syndrome among middle-aged and elderly Taiwanese adults with impaired kidney function

2020 ◽  
Author(s):  
Adi Lukas Kurniawan ◽  
Chien-Yeh Hsu ◽  
Hsiu-An Lee ◽  
Hsiao-Hsien Rau ◽  
Rathi Paramastri ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Kidney Function ◽  
Dietary Patterns ◽  
Dietary Pattern ◽  
Density Lipoprotein ◽  
Principal Component ◽  
Dietary Guidelines ◽  
Food Groups ◽  
Reduced Rank Regression ◽  
Sugary Drinks

Abstract Background: Dietary patterns were associated with the risk of chronic disease development and outcome-related diseases. In this study, we aimed to compare the correlation between dietary patterns and metabolic syndrome (MetS) using two methods for identifying dietary patterns.Methods: The participants (n = 25,569) aged ≥ 40 years with impaired kidney function were retrieved from Mei Jau (MJ) Health Screening database from 2008 to 2010. Dietary patterns were identified by principal component analysis (PCA) and reduced rank regression (RRR) from twenty-two food groups using PROC FACTOR and PROC PLS functions.Results: We identified two similar dietary pattern characteristics (high intakes of deep fried foods, preserved or processed foods, dipping sauce, meat, sugary drinks, organ meats, jam/honey, fried rice/flour products, instant noodles and eggs) derived by PCA and RRR. Logistic regression analysis revealed that RRR-derived dietary pattern scores were positively associated with an odds ratio (OR = 1.70, 95% CI: 1.56, 1.86) of having MetS than PCA-derived dietary pattern scores (OR = 1.38, 95% CI: 1.27, 1.51). The correlations between RRR-derived dietary pattern scores and elevated systolic and diastolic blood pressure (OR = 1.30 for both) or low high density lipoprotein cholesterol in women (OR = 1.32) were statistically significant but not significant in PCA-derived dietary pattern scores.Conclusions: Our findings suggest that RRR gives better results when studying behavior related dietary patterns in association with MetS. RRR may be more preferable to provide dietary information for developing dietary guidelines among people with MetS. Further studies with prospective measurements are needed to verify whether RRR is a useful analytic tool for the association between dietary patterns and other chronic diseases.

Dietary patterns and oesophageal cancer: a multi-country latent class analysis

2020 ◽  
pp. jech-2020-214882
Author(s):  
Michela Dalmartello ◽  
Jeroen Vermunt ◽  
Diego Serraino ◽  
Werner Garavello ◽  
Eva Negri ◽  
...  
Keyword(s):  
Dietary Patterns ◽  
Fruits And Vegetables ◽  
Latent Class ◽  
Food Preferences ◽  
Classification Error ◽  
Food Groups ◽  
Specific Population ◽  
Increased Risk ◽  
Diet And Cancer ◽  
Control Study

BackgroundThe considerable differences in food consumption across countries pose major challenges to the research on diet and cancer, due to the difficulty to generalise and reproduce the dietary patterns identified in a specific population.MethodsWe analysed data from a multicentric case-control study on oesophageal squamous cell carcinoma (ESCC) carried out between 1992 and 2009 in three Italian areas and in the Canton of Vaud, Switzerland, which included 505 cases and 1259 hospital controls. Dietary patterns were derived applying LCA on 24 food groups, controlling for country membership, and non-alcoholic energy intake. A multiple logistic regression model was used to derive odds ratio (ORs) and corresponding 95% CIs for ESCC according to the dietary patterns identified, correcting for classification error.Results and ConclusionWe identified three dietary patterns. The ‘Prudent’ pattern was distinguished by a diet rich in fruits and vegetables. The ‘Western’ pattern was characterised by low consumption of these food groups and higher intakes of sugar. The ‘Lower consumers-combination pattern’ exhibited a diet poor in most of the nutrients, preferences for fish, potatoes, meat and a few specific types of vegetables. Differences between Italy and Switzerland emerged for pattern sizes and for specific single food preferences. Compared to the ‘Prudent’ pattern, the ‘Western’ and the ‘Lower consumers-combination’ patterns were associated with an increased risk of ESCC (OR=3.04, 95% CI=2.12–4.38 and OR=2.81, 95% CI=1.65–4.76).

scholarly journals Affordability of Healthy and Sustainable Diets in Nigeria

2021 ◽  
Vol 5 ◽  
Author(s):  
Daniel A. Mekonnen ◽  
Dare Akerele ◽  
Thom Achterbosch ◽  
Thijs de Lange ◽  
Elise F. Talsma
Keyword(s):  
Food Systems ◽  
Research Policy ◽  
Food Preferences ◽  
Food Groups ◽  
Dietary Recommendations ◽  
Sustainable Food ◽  
Healthy Diets ◽  
Southern Nigeria ◽  
Protein Rich ◽  
Food Systems Sustainability

This study examines the cost and affordability of healthy diets in Nigeria. Using the 2015/16 and 2018/19 waves of Nigeria General Household Surveys, we find that, generally, the least-cost options to meet dietary recommendations for vegetables, dairy, and protein-rich foods are more expensive to meet than that of other food groups. Despite improvements during the survey years, the challenges of affordability of healthy diets appear more pronounced in rural than urban, among poorest household groups, and in northern than southern Nigeria. Results suggest that it will be more expensive to meet the dietary recommendation for dairy foods if priority will be given for food systems sustainability over concerns for food preferences of the households. It will however be cheaper to achieve dietary recommendations for vegetables, fruits and starchy staples even when households give more consideration to food systems sustainability than tastes and preferences in their choice of healthy foods. Relative affordability of protein-rich foods are less affected by whether (or not) tastes/preferences or food systems sustainability drives healthy food choices. Key implication is that interventions targeting on affordability of healthy diets should give greater attention to the poorest of the poor, to rural than urban, and to northern than southern Nigeria. Implications relevant for research, policy, and other actors that focus on transformation of the food systems toward achieving healthier diets in a sustainable food systems are discussed.

scholarly journals The Moderation Role of Acculturation on Dietary Patterns and Stress among U.S. Chinese Immigrants

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 910-911
Author(s):  
Qun Le ◽  
XinQi Dong
Keyword(s):  
Dietary Patterns ◽  
Eating Habits ◽  
High Stress ◽  
Negative Relationship ◽  
Coffee Consumption ◽  
The United States ◽  
Dietary Guidelines ◽  
Food Groups ◽  
Elder Immigrants

Abstract Studies have demonstrated that healthy dietary patterns are related to diminished stress. However, the potential moderation role of acculturation on dietary patterns and stress is unclear among the those whose eating habits are impacted by immigration. The aim of this study is to explore the moderation role of acculturation on dietary patterns and stress among Chinese elder immigrants in the United States. Data were conducted from the PINE Study with 3053 Chinese adults aged over 60 years in the Great Chicago area. Dietary patterns were measured via a 48-items Food-frequency questionnaire with frequency and size weighted. Items were identified into different food groups based on Dietary Guidelines. Acculturation was assessed by a 12-item short-scale among the population. Stress was measured via a 10-item Perceived Stress Scale with cutoff 14 indicating either low or high stress. Multiple logistic regression was used to examine the moderation effects on the associations with demographic characteristics, medical comorbidities, and BMI adjusted. After controlling covariates, one unit increasing in fruit consumption (OR: 0.61 (95%CI: 0.52 -0.72)) or coffee (OR: 0.49 (95%CI: 0.36 - 0.67)) was associated with lower odds of stress. However, after adding acculturation as an interaction term, the negative relationship between fruit or coffee consumption with stress was moderated by a higher level of acculturation (fruit: OR: 1.05 (95%CI: 1.02 - 1.08), coffee: OR: 1.05 (95%CI: 1.01 - 1.09) respectively). The associations between dietary patterns and stress may differentiate based on acculturation level among the elder immigrants. Further longitudinal studies should investigate potential causality.

scholarly journals Comparing two methods for deriving dietary patterns associated with risk of metabolic syndrome among middle-aged and elderly Taiwanese adults with impaired kidney function

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Adi Lukas Kurniawan ◽  
Chien-Yeh Hsu ◽  
Hsiu-An Lee ◽  
Hsiao-Hsien Rau ◽  
Rathi Paramastri ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Kidney Function ◽  
Dietary Patterns ◽  
Dietary Pattern ◽  
Density Lipoprotein ◽  
Principal Component ◽  
Dietary Guidelines ◽  
Food Groups ◽  
Reduced Rank Regression ◽  
Sugary Drinks

Abstract Background Dietary patterns were associated with the risk of chronic disease development and outcome-related diseases. In this study, we aimed to compare the correlation between dietary patterns and metabolic syndrome (MetS) using two methods for identifying dietary patterns. Methods The participants (n = 25,569) aged ≥40 years with impaired kidney function were retrieved from Mei Jau (MJ) Health Screening database from 2008 to 2010. Dietary patterns were identified by principal component analysis (PCA) and reduced rank regression (RRR) from twenty-two food groups using PROC FACTOR and PROC PLS functions. Results We identified two similar dietary pattern characteristics (high intakes of deep fried foods, preserved or processed foods, dipping sauce, meat, sugary drinks, organ meats, jam/honey, fried rice/flour products, instant noodles and eggs) derived by PCA and RRR. Logistic regression analysis revealed that RRR-derived dietary pattern scores were positively associated with an odds ratio (OR = 1.70, 95% CI: 1.56, 1.86) of having MetS than PCA-derived dietary pattern scores (OR = 1.38, 95% CI: 1.27, 1.51). The correlations between RRR-derived dietary pattern scores and elevated systolic and diastolic blood pressure (OR = 1.30 for both) or low high density lipoprotein cholesterol in women (OR = 1.32) were statistically significant but not significant in PCA-derived dietary pattern scores. Conclusions Our findings suggest that RRR gives better results when studying behavior related dietary patterns in association with MetS. RRR may be more preferable to provide dietary information for developing dietary guidelines among people with MetS. Further studies with prospective measurements are needed to verify whether RRR is a useful analytic tool for the association between dietary patterns and other chronic diseases.

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