Abstract MP045: Global and Regional Consumption of Major Food Groups in 1990 and 2005: Systematic Analysis of Country-Specific Nutrition Surveys Worldwide.

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Renata Micha ◽  
Shahab Khatibzadeh ◽  
Edward Giovannucci ◽  
John Powles ◽  
Peilin Shi ◽  
...  

Background: Food-based research and policy recommendations are highly relevant in the modern era to understand and reduce the pandemics of chronic disease occurring in nearly all nations. Unfortunately, reliable and systematically assessed individual consumption data (as opposed to disappearance data) on food habits and trends have not been available on a global scale. Objective: To produce comprehensive data on consumption of major foods and their uncertainties by country, region, age, and sex in 1990 and 2005. Methods. We developed methods to identify, assess, and obtain exposure data (mean, SD) by age and sex from nationally representative diet surveys worldwide on fruits, vegetables, legumes, nuts/seeds, whole grains, seafood, red meats, processed meats, milk, and sugar-sweetened beverages. To address missing data and estimate mean intake, we developed and applied a multi-level hierarchical imputation Bayesian model that accounted for country- and region-level data, measurement comparability, study representativeness, and diet assessment method. Time-varying country-level covariates were used to inform estimates, including FAO food availability data, population, GDP, latitude, metabolic risks, and other diet covariates. Uncertainty of the estimates accounted for uncertainty from sampling and statistical modeling. Results: We obtained relevant data (85% by direct author contact) from 165 nationally and 40 non-nationally representative surveys from 109 countries in 20 regions, covering 79% of the global population. Data were most frequently available for fruits and vegetables (Figure). Findings for other foods will be presented at the meeting. Conclusions: Our systematic analysis of representative country-specific nutrition surveys on a global scale has produced estimates of the exposure distribution of major foods by age, sex, country, region, and time period. Such global assessment is crucial to estimate the impact of diet on chronic diseases worldwide.

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Renata Micha ◽  
Shahab Khatibzadeh ◽  
Edward Giovannucci ◽  
John Powles ◽  
Peilin Shi ◽  
...  

Background. Assessing the impact of diet on chronic diseases worldwide has been limited by availability only of food disappearance data rather than reliable and systematically assessed consumption data on dietary habits globally. Objective. To review and access published and unpublished national diet surveys worldwide in a systematic and consistent way to produce comprehensive intake data of specific dietary fats and their uncertainties by country, region, age, and sex in 1990 and 2005. Methods. We developed methods to identify, assess, and obtain exposure data (mean, SD) from nationally representative diet surveys worldwide on saturated, n-6, n-3 and trans fats, and dietary cholesterol. To address missing data and estimate mean intake, we developed and applied a multi-level hierarchical Bayesian model that accounted for country- and region-level data, measurement comparability, study representativeness, and diet assessment method. Time-varying country-level covariates were used to inform the estimates, including FAO food availability data, population, GDP, latitude, metabolic risks, and other diet covariates. Uncertainty of the estimates accounted for uncertainty from sampling and statistical modeling. Results. We obtained relevant data (85% by direct author contact) from 76 nationally representative and 15 large regional surveys from 49 countries in 15 regions, covering 75% of the world’s population. Several countries and regions lacked representative data. Data were most frequently available for saturated fat and dietary cholesterol (Figure). Results for other fats will be presented at the meeting. Conclusions. These new methods developed to systematically assess, compile and estimate the exposure distribution of specific dietary fats and cholesterol in a uniform fashion globally allow, for the first time, characterization of consumption habits and trends by country, region, age and sex. Such global assessment is imperative for estimating the impact of dietary fats on chronic diseases worldwide.


BMJ Open ◽  
2015 ◽  
Vol 5 (9) ◽  
pp. e008705 ◽  
Author(s):  
Renata Micha ◽  
Shahab Khatibzadeh ◽  
Peilin Shi ◽  
Kathryn G Andrews ◽  
Rebecca E Engell ◽  
...  

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
D Hagen ◽  
E Goldmann

Abstract Background Across countries and cultures, depressive disorders are more common among females than among males; however, the magnitude of gender differences varies between populations and may be a result of different country-specific social policies and cultural factors. This systematic review seeks to synthesise evidence from nationally representative, cross-national studies across Europe (EU-28 plus Switzerland and Norway) and to describe the impact of country-specific factors on gender differences in depression. Methods PubMed, Web of Science, PsycInfo, and Embase were searched through March 2019 for peer-reviewed, nationally representative studies that included at least two European countries, used structured assessment for depressive disorders or symptoms, and reported or allowed for the calculation of gender ratios or differences. No restrictions on language or publication date were applied. Risk of bias was assessed using a tool specifically designed for population-based prevalence studies. Results Twenty-one studies were included in this review, ten of which were based on surveys limited to older populations. Despite the use of different analytical approaches, metrics, scales, and cut-off points, depressive disorders were more common among females than among males in all but a few instances, with substantial variation in the magnitude of gender differences between countries and across studies. There is evidence of smaller gender differences in Northern Europe and greater gender gaps in Southern and Eastern Europe, as well as among older populations. Conclusions Despite methodological heterogeneity between studies, there is evidence that gender differences in depression vary substantially across Europe. These differences may be associated with welfare state regimes and appear to be less pronounced in younger cohorts. Further cross-national research on gender disparities in depression between age groups, birth cohorts, and ethnic subpopulations is warranted. Key messages While depressive disorders are more prevalent among females than among males in virtually all of Europe, the magnitude of gender differences varies substantially between countries. There is some evidence that gender differences in depressive disorders are greater in countries with weaker welfare states and lower macro-level gender equality, as well as among older populations.


Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Gitanjali M Singh ◽  
Renata Micha ◽  
Shahab Khatibzadeh ◽  
Peilin Shi ◽  
Stephen Lim ◽  
...  

Background: Sugar-sweetened beverages (SSBs), fruit juice, and milk each significantly contribute to health and disease. To-date, assessment of their global distributions and health impacts have been limited by insufficient comparable and reliable data by country, age, and sex. Objective: To quantify global, regional, and national levels of SSB, fruit juice, and milk intake by age and sex in adults over age 20 in 2010. Methods: We identified, obtained, and assessed data on intakes of these beverages in adults, by age and sex, from 193 nationally representative diet surveys worldwide, representing 62% of the world’s population. We developed a multi-level hierarchical Bayesian model to account for differences in national and regional missingness, measurement incomparability, study representativeness, and sampling and modeling uncertainty. Results: In 2010, global average intakes were 0.58 (95%UI: 0.37, 0.89) 8 oz servings/day for SSBs, 0.16 (0.10, 0.26) for fruit juice, and 0.57 (0.39, 0.83) for milk. There was significant heterogeneity in consumption of each beverage by region and age (Figure). SSB intakes were highest in the Caribbean (1.9 servings/day; 1.2, 3.0) fruit juice intakes were highest in Australia and New Zealand (0.66; 0.35, 1.13), and milk intakes were highest in Central Latin America and parts of Europe (1.06; 0.68, 1.59). Consumption levels of all three beverages were lowest in East Asia and Oceania. Globally and within regions, SSB consumption was highest in younger adults; fruit juice consumption showed little relation with age; and milk intakes were highest in older adults. Conclusions: This quantitative assessment of current beverage intakes at global, regional, and national levels, as well as by age and sex, is imperative for informing public health and policy priorities for intervention strategies, as well as for quantifying the impacts of these beverages on health worldwide.


BMJ ◽  
2014 ◽  
Vol 348 (apr14 18) ◽  
pp. g2272-g2272 ◽  
Author(s):  
R. Micha ◽  
S. Khatibzadeh ◽  
P. Shi ◽  
S. Fahimi ◽  
S. Lim ◽  
...  

2006 ◽  
Vol 31 (6) ◽  
pp. 753-758 ◽  
Author(s):  
Jadwiga H. Dolega-Cieszkowski ◽  
Joan P. Bobyn ◽  
Susan J. Whiting

Provincial nutrition surveys of adults were conducted between 1990 and 1999 in Canada. Eight reports have been issued, and one is forthcoming. The purpose of this study was to estimate the national dietary intake of adult Canadians, using the publicly available data. Group mean-nutrient-intake data from 16 915 adults, aged 18 to 84 years, from published provincial reports were collated by age and sex for each of 9 provinces (Manitoba data were unavailable). Using Canadian census data appropriate to the year of collection, intake data were weighted to provide 1 national intake value for each nutrient, by 8 age and sex categories. In general, the energy and nutrient intake of adults decreased with age. For every age group, with the exception of vitamin C, intake of nutrients by men was greater than that by women. On the basis of a comparison of recently recommended intakes (Dietary Reference Intakes), the nutrients that are of concern because of inadequate intake include dietary fibre, calcium, magnesium, and folate. The data demonstrate the impact of folate fortification on folate intake; the mean intake became twice that of prefortification levels. This study used group mean-intake data; therefore, we cannot make definitive conclusions about the prevalence of inadequacy for the nutrients. Because of limitations with some provincial response rates, our data should not be construed as representative of the Canadian population. However, because these surveys were completed between the 19701972 Nutrition Canada Survey and the 2004 Canadian Community Health Survey, these population-weighted data might be a useful point of comparison for monitoring trends in nutrient intake from food.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Laura Lara-Castor ◽  
Frederick Cudhea ◽  
Dimitra Karageorgou ◽  
Peilin Shi ◽  
Jianyi Zhang ◽  
...  

Abstract Objectives Assessing the impact of beverage intake on health has been limited by lack of reliable and standardized individual-level data on a global scale. We aimed to quantify global distributions of intakes of sugar-sweetened beverages (SSBs), fruit juices, milk, coffee, and tea by country (n = 188), super-region (n = 6), key population characteristics (all ages, sex, education, urban/rural location) and time (1990, 2015). Methods Primary national and subnational survey data on beverage intake in the Global Dietary Database (GDD) were identified through systematic searches of electronic databases and communications with data owners worldwide. This includes 1137 survey-years representing 6.78B people from 185 countries worldwide (97.5% of the world's population). To address missing data and estimate distributions of intake for each diet factor and by country-, age-, sex-, education-, urban/rural- and year-specific stratum we developed a Bayesian hierarchical imputation model. The model combined primary intake data with time-varying country-level and survey-level covariates and further accounted for differences in intakes vs availability from FAO food disappearance data. Results In 2015, global SSB intake in adults (20 + y) was 0.37 servings (8-oz)/day (Fig 1). The Latin-American region had the highest SSB intake (1.15 servings/day) and Asia the lowest (0.14 servings/day). For fruit juices, global intake across all ages was 0.19 servings (8-oz)/day; highest intakes were seen in Latin America (0.64 servings/day) and lowest in Asia (0.06 servings/day) (Fig 2). Global milk intake was 0.39 servings (8-oz)/day, ranging from 0.64 servings/day in the High-Income region to 0.20 servings/day in Asia (Fig 3). Intakes were generally similar by sex and higher at younger ages, urban areas, and higher education levels. Findings for coffee and tea, and over time, will be presented at the meeting. Conclusions These novel global dietary data highlight substantial variation in beverage intake worldwide, further informing global diet surveillance, priority setting and nutrition strategies. Funding Sources Bill & Melinda Gates Foundation. Supporting Tables, Images and/or Graphs


Author(s):  
Gintarė PAULIUKEVIČIENĖ ◽  
Jelena STANKEVIČIENĖ

Purpose – to propose an assessment tool of the environment of FinTech sector. Research methodology – systematic analysis of scientific literature has been carried out to form a methodology for FinTech sector environment assessment, which consists of quantitative methods used for the empirical research of the study as follows: PEST analysis, expert evaluation, determination of indicators’ values, normalization of data, multi-criteria assessment (the Simple Additive Weighting (SAW) method). Findings – the practical application of the developed assessment tool is verified by completing an empirical study on the example of the leading FinTech countries as well as the Baltic States. Recommendations for further Lithuanian FinTech sector development are provided. Research limitations – research is based on an assessment of the significance of external environmental indicators of FinTech sector development on a country level. Due to the large number of indicators and countries, only a fraction of factors and countries were selected for research. Therefore, the object of the research requires a more detailed study in the future. Practical implications – the development of FinTech sector has been growing dramatically in the recent years on a global scale, with some countries leading the way due to a more favourable environment. The results show that the proposed assessment tool for the development of the FinTech sector can be used by policymakers in different countries to identify the external environmental factors to improve in order to create better conditions for the development of the FinTech sector. Originality/Value – a new methodology and tool for FinTech environment assessment is developed by the authors as a contribution to the formation of better environment for FinTech sector development. The developed tool provides an opportunity to study the strong and weak sides of the environment development of the FinTech sector, to compare the good practices of other countries and to get ideas for changes in order to create a more favourable environment for the FinTech development on a country level.


2003 ◽  
Vol 73 (5) ◽  
pp. 335-342 ◽  
Author(s):  
Alexy ◽  
Kersting ◽  
Sichert-Hellert

Intake of vitamins A, C, and E was evaluated and age and time trends were assessed on the basis of 3-day weighed dietary records (n = 5121) of 2- to 18-year old boys (n = 417) and girls (n = 425) enrolled in the DONALD Study (Dortmund Nutritional and Anthropometric Longitudinally Designed Study) 1986–2001. Intake of vitamin A remains stable over time, intake of vitamin C increases linearly, and intake of vitamin E follows a nonlinear trend. Age trends of vitamins A and C (per MJ) were nonlinear with a minimum at the beginning adolescence, while intake of vitamin E (per MJ) increased linearly. Girls had higher nutrient densities but lower intakes expressed as percent of reference values. Fortified food in total had a higher impact on time trends of nutrient intake than other single food groups defined here. Our results point to the impact of the food industry on long-term nutrient intake, but also underline the necessity of nutrition education even in young age groups to improve vitamin intake.


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