Ten-year trends of dietary intake in a middle-aged French population: relationship with educational level
Abstract
Objective To compare dietary intakes at a 10 y interval of a population aged 35-64 living in France. Trends in nutrient intake and food consumption were examined with a special emphasis on the relationships between educational level and dietary behaviour.Design Two independent surveys conducted in 1985-1987 (S1) and 1995-1997 (S2) in the framework of the WHO MONICA project. Dietary intake was assessed with a 3-day record method and a food frequency questionnaire. The samples analysed included 416 men and 446 women for S1, 393 men and 409 women for S2.Results A significant improvement of the quality of fat intake was observed between S1 and S2, independently of educational level, with an increase of the age adjusted P/S ratio from 0.42 to 0.50 in men (P=10(-4)) and from 0.41 to 0.50 in women (P=10(-4)), whereas the daily cholesterol intake dropped from 552.0 to 466.9 mg and from 447.2 to 384.6 mg in men and women, respectively (P=10(-4)). These variations were associated with a decrease in the consumption of high-fat foods and an increase in that of low-fat products (poultry, low-fat dairy foods, fish) in all educational classes. By contrast, the consumption of fruit and vegetables, which was highly associated with educational level, varied little over time.Conclusions Our results indicate slight improvement in fat quality, independently of educational level, while fruit and vegetable intake, which appeared more dependent on educational level, was only poorly modified over the 10 y interval.
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Evidence-informed beneficial diet patterns share several key characteristics: more minimally processed foods (fruits, nuts/seeds, vegetables excluding russet or white potatoes, legumes, whole grains, seafood, yogurt, vegetable oils) and fewer red meats, processed meats, refined grains, starches, and added sugars.
“These include more minimally processed foods such as fruits, nuts/seeds, vegetables (excluding russet or white potatoes), legumes, whole grains, seafood, yogurt, and vegetable oils; and fewer red meats, processed (sodium-preserved) meats, refined grains, starches, and added sugars.”
From Dietary and Policy Priorities for Cardiovascular Disease, Diabetes, and Obesity: A Comprehensive Review (2016) · cites this paper as [22]
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“Les féculents raffinés et les pommes de terre sont consommés en plus grande quantité alors que les aliments recommandés pour la santé, tels que les fruits et légumes, le pain complet, les viandes maigres, les poissons et crustacés, sont sous-consommés [39-43] dans ces populations.”
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- Authors
- Perrin, A., Simon, C., Hedelin, G., Arveiler, D., Schaffer, P., & Schlienger, J.
- Affiliations
- Hôpitaux Universitaires de Strasbourg (FR)
- Université de Strasbourg (FR)
- Corresponding author
- Simon, C
- ORCID
- Venue
- European Journal of Clinical Nutrition
- Published
- 2002-05-01
- Volume
- 56
- Issue
- 5
- Pages
- 393-401
- ISSN
- 0954-3007 (ISSN-L)
- 1476-5640
- OpenAlex
- W2334941326
- Cited by
- 79
- References
- 39
- Citations by year
- 2023: 1 · 2022: 1 · 2021: 2 · 2018: 3 · 2017: 5 · 2016: 5 · 2015: 4 · 2014: 3 · 2013: 5 · 2012: 5
- FWCI
- 5.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Consumer Attitudes and Food Labeling
- Keywords
- dietary intake trends, educational attainment, dietary behaviour, fat quality, cholesterol intake, high-fat foods, low-fat dairy, fruit and vegetable intake, middle-aged adults, French population, MONICA project
- MeSH terms
- Adult, Diet, Diet Surveys, Dietary Fats, Educational Status, Female, France, Fruit, Humans, Male, Middle Aged, Surveys and Questionnaires, Vegetables, Diet Records
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