scholarly journals Affordability of Different Isocaloric Healthy Diets in Germany—An Assessment of Food Prices for Seven Distinct Food Patterns

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3037
Author(s):  
Stefan Kabisch ◽  
Sören Wenschuh ◽  
Palina Buccellato ◽  
Joachim Spranger ◽  
Andreas F.H. Pfeiffer
Keyword(s):  
Low Income ◽  
Dietary Patterns ◽  
Healthy Lifestyle ◽  
Food Prices ◽  
Vegan Diet ◽  
Food Groups ◽  
Low Fat ◽  
Healthy Diets ◽  
Food Patterns

Affordability of different isocaloric healthy diets in Germany—an assessment of food prices for seven distinct food patterns Background: For decades, low-fat diets were recommended as the ideal food pattern to prevent obesity, type 2 diabetes and their long-term complications. Nowadays, several alternatives considering sources and quantity of protein, fat and carbohydrates have arisen and clinical evidence supports all of them for at least some metabolic outcomes. Given this variety in diets and the lack of a single ideal diet, one must evaluate if patients at risk, many of which having a lower income, can actually afford these diets. Aim: We modelled four-week food plans for a typical family of two adults and two school children based on seven different dietary patterns: highly processed standard omnivore diet (HPSD), freshly cooked standard omnivore diet (FCSD), both with German average dietary composition, low-protein vegan diet (VeganD), low-fat vegetarian diet (VegetD), low-fat omnivore diet (LFD), Mediterranean diet (MedD) and high-fat moderate-carb diet (MCD). The isocaloric diets were designed with typical menu variation for all meal times. We then assessed the lowest possible prices for all necessary grocery items in 12 different supermarket chains, avoiding organic foods, special offers, advertised exotic super foods and luxury articles. Prices for dietary patterns were compared in total, stratified by meal time and by food groups. Results: Among all seven dietary patterns, price dispersion by supermarket chains was 12–16%. Lowest average costs were calculated for the VegetD and the FCSD, followed by HPSD, LFD, VeganD, MedD and—on top—MCD. VeganD, MedD and MCD were about 16%, 23% and 67% more expensive compared to the FCSD. Major food groups determining prices for all diets are vegetables, salads and animal-derived products. Calculations for social welfare severely underestimate expenses for any kind of diet. Conclusions: Food prices are a relevant factor for healthy food choices. Food purchasing is financially challenging for persons with very low income in Germany. Fresh-cooked plant-based diets are less pricy than the unhealthy HPSD. Diets with reduced carbohydrate content are considerably more expensive, limiting their use for people with low income. Minimum wage and financial support for long-term unemployed people in Germany are insufficient to assure a healthy lifestyle.

scholarly journals Individual and Environmental Barriers to Successful Aging

2016 ◽  
Vol 11 (1) ◽  
pp. 21-23 ◽  
Author(s):  
Daphne C. Hernandez ◽  
Craig A. Johnston
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Low Income ◽  
Successful Aging ◽  
Healthy Lifestyle ◽  
Behavioral Changes ◽  
Healthy Diet ◽  
Environmental Barriers ◽  
Aging Adults

The cornerstone to successful aging is maintaining a consistent physical activity routine and healthy diet. This is particular important for aging adults to preserve their independence. However, for low-income aging adults there are significant individual and environmental barriers that reduce their ability to maintain a healthy lifestyle. Understanding how environmental supports can be found in existing programs geared toward older adults is a way to insure long-term behavioral changes.

scholarly journals Socioeconomic, demographic and lifestyle factors associated with dietary patterns of women living in Southern Brazil

2009 ◽  
Vol 25 (6) ◽  
pp. 1297-1306 ◽  
Author(s):  
Adriana Lenz ◽  
Maria Teresa Anselmo Olinto ◽  
Juvenal S. Dias-da-Costa ◽  
Ana Luisa Alves ◽  
Marcos Balbinotti ◽  
...  
Keyword(s):  
Dietary Patterns ◽  
Low Cost ◽  
Multivariable Analysis ◽  
Lifestyle Factors ◽  
Food Prices ◽  
Healthy Diet ◽  
Adult Women ◽  
Southern Brazil ◽  
Cross Sectional ◽  
Healthy Diets

This study focused on the association between dietary patterns and socio-demographic and lifestyle factors. A population-based cross-sectional study was performed in 1,026 adult women from Southern Brazil. Dietary patterns were identified using principal components analysis. In the multivariable analysis, a Poisson regression model was used to estimate the prevalence ratio and 95%CI. Wealthier women were more likely to follow healthy diets. A Low Cost Healthy Diet was more prevalent among women with a partner, and a High Cost Healthy Diet was more prevalent among women not currently working and who exercised regularly. Women with lower education levels were less likely to follow a Low Cost Healthy Diet, but more likely to follow the Higher-Risk Low Cost Diet. The Low Cost Higher-Risk Diet was more prevalent among women with a lower income. Low and medium cost healthy diets were positively associated with age. The results showed that women's dietary choices are influenced by socioeconomic factors and are not only dependent on food prices.

scholarly journals Dietary patterns among Norwegian 2-year-olds in 1999 and in 2007 and associations with child and parent characteristics

2012 ◽  
Vol 110 (1) ◽  
pp. 135-144 ◽  
Author(s):  
Anne Lene Kristiansen ◽  
Britt Lande ◽  
Joseph Andrew Sexton ◽  
Lene Frost Andersen
Keyword(s):  
Dietary Patterns ◽  
Food Groups ◽  
Childhood Nutrition ◽  
Time Points ◽  
Maternal Work ◽  
Short And Long Term ◽  
Parent Characteristics ◽  
Components Analysis ◽  
Traditional Pattern

Infant and childhood nutrition influences short- and long-term health. The objective of the present paper has been to explore dietary patterns and their associations with child and parent characteristics at two time points. Parents of Norwegian 2-year-olds were, in 1999 (n 3000) and in 2007 (n 2984), invited to participate in a national dietary survey. At both time points, diet was assessed by a semi-quantitative FFQ that also provided information on several child and parent characteristics. A total of 1373 participants in the 1999 sample and 1472 participants in the 2007 sample were included in the analyses. Dietary patterns were identified by principal components analysis and related to child and parent characteristics using the general linear model. Four dietary patterns were identified at each time point. The ‘unhealthy’ and ‘healthy’ patterns in 1999 and 2007 showed similarities with regard to loadings of food groups. Both the ‘bread and spread-based’ pattern in 1999 and the ‘traditional’ pattern in 2007 had high positive loadings for bread and spreads; however, the ‘traditional’ pattern did also include positive associations with a warm meal. The last patterns identified in 1999 and in 2007 were not comparable with regard to loadings of food groups. All dietary patterns were significantly associated with one or several child and parent characteristics. In conclusion, the ‘unhealthy’ patterns in 1999 and in 2007 showed similarities with regard to loadings of food groups and were, at both time points, associated with sex, breastfeeding at 12 months of age, parity, maternal age and maternal work situation.

scholarly journals Indicators and Recommendations for Assessing Sustainable Healthy Diets

Foods ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. 999
Author(s):  
Maite M. Aldaya ◽  
Francisco C. Ibañez ◽  
Paula Domínguez-Lacueva ◽  
María Teresa Murillo-Arbizu ◽  
Mar Rubio-Varas ◽  
...  
Keyword(s):  
Food Consumption ◽  
Low Income ◽  
Production Systems ◽  
Organic Food ◽  
Low Income Countries ◽  
Food Groups ◽  
Comprehensive Review ◽  
Healthy Diets ◽  
Potential Impact ◽  
Sustainability Assessments

Research coupling human nutrition and sustainability concerns is a rapidly developing field, which is essential to guide governments’ policies. This critical and comprehensive review analyzes indicators and approaches to “sustainable healthy diets” published in the literature since this discipline’s emergence a few years ago, identifying robust gauges and highlighting the flaws of the most commonly used models. The reviewed studies largely focus on one or two domains such as greenhouse gas emissions or water use, while overlooking potential impact shifts to other sectors or resources. The present study covers a comprehensive set of indicators from the health, environmental and socio-economic viewpoints. This assessment concludes that in order to identify the best food option in sustainability assessments and nutrition analysis of diets, some aspects such as the classification and disaggregation of food groups, the impacts of the rates of local food consumption and seasonality, preservation methods, agrobiodiversity and organic food and different production systems, together with consequences for low-income countries, require further analysis and consideration.

Dietary Patterns, Ultra-processed Food, and the Risk of Inflammatory Bowel Diseases in the NutriNet-Santé Cohort

2020 ◽  
Vol 27 (1) ◽  
pp. 65-73 ◽  
Author(s):  
Pauline Vasseur ◽  
Emmanuelle Dugelay ◽  
Robert Benamouzig ◽  
Guillaume Savoye ◽  
Annaïg Lan ◽  
...  
Keyword(s):  
Dietary Patterns ◽  
Inflammatory Bowel Diseases ◽  
Principal Component ◽  
Processed Food ◽  
Food Groups ◽  
Poisson Models ◽  
Bowel Diseases ◽  
Dietary Records ◽  
Inflammatory Bowel

Abstract Background The incidence of inflammatory bowel diseases (IBDs) tended to increase for several decades. Diet is suspected to be a major determinant of the occurrence of these diseases. This prospective study aimed to assess the associations among occurrence of IBD, dietary patterns, and ultra-processed food in the French NutriNet-Santé cohort. Methods Participants of the NutriNet-Santé cohort who completed at least three 24-hour dietary records were included. Incident IBD cases were identified from 3 questionnaires and confirmed by phone or email interview. Major dietary patterns (DPs) were computed using a principal component analysis (PCA) based on 29 food groups’ consumption, whereas proportions of ultra-processed foods (UPFs) were obtained using the NOVA classification. Multivariable Poisson models were performed to evaluate associations among DP quintiles, UPF proportion (UPFp) in the diet, and incident IBD. Results A total of 105,832 participants were included, contributing 238,924 person-years in a mean follow-up of 2.3 ± 2.2 years. Among them, 75 participants reported an incident IBD. Three major DPs were retained: “healthy,” “traditional,” and “western.” No significant association was found for DPs and UPFp after adjustments for covariates. Conclusions In this study, neither DPs nor UPF proportion in the diet were significantly associated with the risk of incident IBD after adjustments for covariates. Further studies are needed to investigate the long-term association between diet and IBD.

scholarly journals Identification and reproducibility of dietary patterns in a Danish cohort: the Inter99 study

2008 ◽  
Vol 99 (5) ◽  
pp. 1089-1098 ◽  
Author(s):  
Cathrine Lau ◽  
Charlotte Glümer ◽  
Ulla Toft ◽  
Inge Tetens ◽  
Bendix Carstensen ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Dietary Patterns ◽  
Adult Population ◽  
Principal Component ◽  
Population Based ◽  
Food Groups ◽  
Low Fat ◽  
Confirmatory Factor ◽  
Traditional Pattern

We aimed to identify dietary patterns in a Danish adult population and assess the reproducibility of the dietary patterns identified. Baseline data of 3372 women and 3191 men (30–60 years old) from the population-based survey Inter99 was used. Food intake, assessed by a FFQ, was aggregated into thirty-four separate food groups. Dietary patterns were identified by principal component analysis. Confirmatory factor analysis and Bland Altman plots were used to assess the reproducibility of the dietary patterns identified. The Bland Altman plots were used as an alternative and new method. Two factors were retained for both women and men, which accounted for 15·1–17·4 % of the total variation. The ‘Traditional’ pattern was characterised by high loadings ( ≥ 0·40) on paté or high-fat meat for sandwiches, mayonnaise salads, red meat, potatoes, butter and lard, low-fat fish, low-fat meat for sandwiches, and sauces. The ‘Modern’ pattern was characterised by high loadings on vegetables, fruit, mixed vegetable dishes, vegetable oil and vinegar dressing, poultry, and pasta, rice and wheat kernels. Small differences were observed between patterns identified for women and men. The root mean square error approximation from the confirmatory factor analysis was 0·08. The variation observed from the Bland Altman plots of factors from explorativev. confirmative analyses and explorative analyses from two sub-samples was between 18·8 and 47·7 %. Pearson's correlation was >0·89 (P < 0·0001). The reproducibility was better for women than for men. We conclude that the ‘Traditional’ and ‘Modern’ dietary patterns identified were reproducible.

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