Cited by 473Nutritional Studies and DietNutrition, Health, and Society StudiesNutrition, Health and Food Behavior

Global, regional and national consumption of major food groups in 1990 and 2010: a systematic analysis including 266 country-specific nutrition surveys worldwide

Open access
Micha, Renata, Khatibzadeh, Shahab, Shi, Peilin, Andrews, Kathryn G, Engell, Rebecca E, Mozaffarian, Dariush·2015·BMJ Open

Abstract

Objective: To quantify global intakes of key foods related to non-communicable diseases in adults by region (n=21), country (n=187), age and sex, in 1990 and 2010. Design: We searched and obtained individual-level intake data in 16 age/sex groups worldwide from 266 surveys across 113 countries. We combined these data with food balance sheets available in all nations and years. A hierarchical Bayesian model estimated mean food intake and associated uncertainty for each age-sex-country-year stratum, accounting for differences in intakes versus availability, survey methods and representativeness, and sampling and modelling uncertainty. Setting/population: Global adult population, by age, sex, country and time. Results: In 2010, global fruit intake was 81.3 g/day (95% uncertainty interval 78.9–83.7), with country-specific intakes ranging from 19.2–325.1 g/day; in only 2 countries (representing 0.4% of the world's population), mean intakes met recommended targets of ≥300 g/day. Country-specific vegetable intake ranged from 34.6–493.1 g/day (global mean=208.8 g/day); corresponding values for nuts/seeds were 0.2–152.7 g/day (8.9 g/day); for whole grains, 1.3–334.3 g/day (38.4 g/day); for seafood, 6.0–87.6 g/day (27.9 g/day); for red meats, 3.0–124.2 g/day (41.8 g/day); and for processed meats, 2.5–66.1 g/day (13.7 g/day). Mean national intakes met recommended targets in countries representing 0.4% of the global population for vegetables (≥400 g/day); 9.6% for nuts/seeds (≥4 (28.35 g) servings/week); 7.6% for whole grains (≥2.5 (50 g) servings/day); 4.4% for seafood (≥3.5 (100 g) servings/week); 20.3% for red meats (≤1 (100 g) serving/week); and 38.5% for processed meats (≤1 (50 g) serving/week). Intakes of healthful foods were generally higher and of less healthful foods generally lower at older ages. Intakes were generally similar by sex. Vegetable, seafood and processed meat intakes were stable over time; fruits, nuts/seeds and red meat, increased; and whole grains, decreased. Conclusions: These global dietary data by nation, age and sex identify key challenges and opportunities for optimising diets, informing policies and priorities for improving global health.

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Research works printed but not linked: 4

  1. [40]Khatibzadeh S, Micha R, Elmadfa I Available data on food and nutrient intake around the world. Circulation 2011; 124: AP141 10.3945/ajcn.111.018978 · DOI · Paper page
  2. [41]Jacobs K, Summer D The food balance sheets of the food and agriculture organization: a review of potential ways to broaden the appropriate uses of the data. FAO Rsbt, 2002.
  3. [51]Mozaffarian D Chapter 46. Nutrition and cardiovascular disease and metabolic diseases. in: DL Mann, DP Zipes, P Libby, RO Bonow (Eds.) Braunwald's heart disease: a textbook of cardiovascular medicine. 10th edn. Elsevier Saunders, Philadelphia; 2014.
  4. [64]Afshin A, Micha R, Khatibzadeh S Dietary policies to reduce noncommunicable diseases. In: Brown G, Yamey G, Wamala S, eds. The handbook of global health policy. Wiley-Blackwell, 2014: 175– 93.

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Authors
Micha, R., Khatibzadeh, S., Shi, P., Andrews, K. G., Engell, R. E., & Mozaffarian, D.
Affiliations
  • Tufts University (US)
  • Harvard University (US)
  • Institute for Health Metrics and Evaluation (US)
Corresponding author
Micha, Renata
Venue
BMJ Open
Publisher
BMJ
Published
2015-09
Volume
5
Issue
9
Pages
e008705
ISSN
2044-6055 (ISSN-L)
OpenAlex
W2272263214
Cited by
473
References
61
Citations by year
2026: 25 · 2025: 38 · 2024: 47 · 2023: 52 · 2022: 47 · 2021: 63 · 2020: 53 · 2019: 51 · 2018: 49 · 2017: 28 · 2016: 19
FWCI
34.32
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • BMJ Open (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Archive ouverte UNIGE (University of Geneva) (acceptedVersion, other-oa)
  • University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion, cc-by)
  • Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion, other-oa)
  • Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
Funders
  • United States Agency for International Development
  • London School of Hygiene and Tropical Medicine
  • Universidade de São Paulo
  • National Research University Higher School of Economics
  • National Institutes of Health (2r24hd050924-06, R24 HD‐050924, #HD050924, 5 R24 HD050924)
  • Centers for Disease Control and Prevention
  • Gillings School of Public Health
  • University of North Carolina at Chapel Hill (R24 HD050924, R01-HD38700, 5 R24 HD050924)
  • National Center for Chronic Disease Prevention and Health Promotion
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01 HD 38700, R24 HD-050924, 5R24 HD050924, R01HD038700)
  • Carolina Population Center, University of North Carolina at Chapel Hill (R24HD050924, HD050924, 5 R24 HD050924)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Nutrition, Health, and Society Studies
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
dietary intake, fruit consumption, vegetable consumption, nuts and seeds, whole grains, seafood consumption, red meat consumption, processed meat intake, non-communicable diseases, dietary recommendations, food balance sheets, Bayesian hierarchical model, age and sex differences, underreporting
MeSH terms
Adult, Age Factors, Bayes Theorem, Energy Intake, Diet, Ethnicity, Feeding Behavior, Food Supply, Humans, Nutrition Surveys, Nutritional Status, Sex Factors, Global Health

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