Tags

Type your tag names separated by a space and hit enter

Longitudinal 10-year changes in dietary intake and associations with cardio-metabolic risk factors in the Northern Sweden Health and Disease Study.

Abstract

BACKGROUND

Dietary risks today constitute the largest proportion of disability-adjusted life years (DALYs) globally and in Sweden. An increasing number of people today consume highly processed foods high in saturated fat, refined sugar and salt and low in dietary fiber, vitamins and minerals. It is important that dietary trends over time are monitored to predict changes in disease risk.

METHODS

In total, 15,995 individuals with two visits 10 (±1) years apart in the population-based Västerbotten Intervention Programme 1996-2014 were included. Dietary intake was captured with a 64-item food frequency questionnaire. Percent changes in intake of dietary components, Healthy Diet Score and Dietary Inflammatory Index were calculated and related to body mass index (BMI), serum cholesterol and triglyceride levels and blood pressure at the second visit in multivariable regression analyses.

RESULTS

For both sexes, on group level, proportion of energy intake (E%) from carbohydrates and sucrose decreased (largest carbohydrate decrease among 40 year-olds) and E% protein and total fat as well as saturated and poly-unsaturated fatty acids (PUFA) increased (highest protein increase among 30 year-olds and highest fat increase among 60 year-olds) over the 10-year period. Also, E% trans-fatty acids decreased. On individual basis, for both sexes decreases in intake of cholesterol and trans-fatty acids were associated with lower BMI and serum cholesterol at second visit (all P < 0.05). For men, increases in intake of whole grain and Healthy Diet Score were associated with lower BMI and serum cholesterol at second visit (all P < 0.05). Also for men, decreases in intake of trans-fatty acids and increases in Healthy Diet Score were associated with lower systolic blood pressure at second visit (P = 0.002 and P < 0.000). For women, increases in intake of PUFA and Healthy Diet Score were associated with lower BMI at second visit (P = 0.01 and P < 0.05). Surprisingly, increases in intake of sucrose among women were associated with lower BMI at second visit (P = 0.02).

CONCLUSIONS

In this large population-based sample, dietary changes over 10 years towards less carbohydrates and more protein and fat were noted. Individual changes towards the Nordic dietary recommendations were associated with healthier cardio-metabolic risk factor profile at second visit.

Links

  • PMC Free PDF
  • PMC Free Full Text
  • FREE Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Public Health and Clinical Medicine, Nutritional Research, Umeå University, Umeå, Sweden. anna.winkvist@nutrition.gu.se. Department of Internal Medicine and Clinical Nutrition, Sahlgenska Academy, University of Gothenburg, Box 459, SE-405 30, Gothenburg, Sweden. anna.winkvist@nutrition.gu.se.

    ,

    Section for Epidemiology and Social Medicine (EPSO), Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.

    ,

    Arcum, Arctic Research Centre at Umeå University, Umeå, Sweden.

    ,

    Department of Public Health and Clinical Medicine, Nutritional Research, Umeå University, Umeå, Sweden.

    ,

    Department of Biobank Research, Umeå University, Umeå, Sweden. Department of Clinical Sciences, Genetic & Molecular Epidemiology Unit, Lund University, Malmö, Sweden.

    ,

    Department of Public Health and Clinical Medicine, Nutritional Research, Umeå University, Umeå, Sweden.

    ,

    Research Unit, Medicine-geriatric clinic Skellefteå, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.

    Department of Public Health and Clinical Medicine, Nutritional Research, Umeå University, Umeå, Sweden.

    Source

    Nutrition journal 16:1 2017 03 28 pg 20

    MeSH

    Adult
    Blood Pressure
    Body Mass Index
    Cardiovascular Diseases
    Cholesterol
    Exercise
    Female
    Follow-Up Studies
    Healthy Diet
    Humans
    Life Style
    Longitudinal Studies
    Male
    Metabolic Syndrome
    Middle Aged
    Risk Factors
    Socioeconomic Factors
    Surveys and Questionnaires
    Sweden
    Triglycerides

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    28351404

    Citation

    Winkvist, Anna, et al. "Longitudinal 10-year Changes in Dietary Intake and Associations With Cardio-metabolic Risk Factors in the Northern Sweden Health and Disease Study." Nutrition Journal, vol. 16, no. 1, 2017, p. 20.
    Winkvist A, Klingberg S, Nilsson LM, et al. Longitudinal 10-year changes in dietary intake and associations with cardio-metabolic risk factors in the Northern Sweden Health and Disease Study. Nutr J. 2017;16(1):20.
    Winkvist, A., Klingberg, S., Nilsson, L. M., Wennberg, M., Renström, F., Hallmans, G., ... Johansson, I. (2017). Longitudinal 10-year changes in dietary intake and associations with cardio-metabolic risk factors in the Northern Sweden Health and Disease Study. Nutrition Journal, 16(1), p. 20. doi:10.1186/s12937-017-0241-x.
    Winkvist A, et al. Longitudinal 10-year Changes in Dietary Intake and Associations With Cardio-metabolic Risk Factors in the Northern Sweden Health and Disease Study. Nutr J. 2017 03 28;16(1):20. PubMed PMID: 28351404.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Longitudinal 10-year changes in dietary intake and associations with cardio-metabolic risk factors in the Northern Sweden Health and Disease Study. AU - Winkvist,Anna, AU - Klingberg,Sofia, AU - Nilsson,Lena Maria, AU - Wennberg,Maria, AU - Renström,Frida, AU - Hallmans,Göran, AU - Boman,Kurt, AU - Johansson,Ingegerd, Y1 - 2017/03/28/ PY - 2016/12/10/received PY - 2017/03/19/accepted PY - 2017/3/30/entrez PY - 2017/3/30/pubmed PY - 2017/10/19/medline KW - Body mass index KW - Diet intake KW - Dietary Inflammatory Index KW - Healthy Diet Score KW - Northern Sweden Diet Database KW - Population-based KW - Serum lipids KW - Sweden SP - 20 EP - 20 JF - Nutrition journal JO - Nutr J VL - 16 IS - 1 N2 - BACKGROUND: Dietary risks today constitute the largest proportion of disability-adjusted life years (DALYs) globally and in Sweden. An increasing number of people today consume highly processed foods high in saturated fat, refined sugar and salt and low in dietary fiber, vitamins and minerals. It is important that dietary trends over time are monitored to predict changes in disease risk. METHODS: In total, 15,995 individuals with two visits 10 (±1) years apart in the population-based Västerbotten Intervention Programme 1996-2014 were included. Dietary intake was captured with a 64-item food frequency questionnaire. Percent changes in intake of dietary components, Healthy Diet Score and Dietary Inflammatory Index were calculated and related to body mass index (BMI), serum cholesterol and triglyceride levels and blood pressure at the second visit in multivariable regression analyses. RESULTS: For both sexes, on group level, proportion of energy intake (E%) from carbohydrates and sucrose decreased (largest carbohydrate decrease among 40 year-olds) and E% protein and total fat as well as saturated and poly-unsaturated fatty acids (PUFA) increased (highest protein increase among 30 year-olds and highest fat increase among 60 year-olds) over the 10-year period. Also, E% trans-fatty acids decreased. On individual basis, for both sexes decreases in intake of cholesterol and trans-fatty acids were associated with lower BMI and serum cholesterol at second visit (all P < 0.05). For men, increases in intake of whole grain and Healthy Diet Score were associated with lower BMI and serum cholesterol at second visit (all P < 0.05). Also for men, decreases in intake of trans-fatty acids and increases in Healthy Diet Score were associated with lower systolic blood pressure at second visit (P = 0.002 and P < 0.000). For women, increases in intake of PUFA and Healthy Diet Score were associated with lower BMI at second visit (P = 0.01 and P < 0.05). Surprisingly, increases in intake of sucrose among women were associated with lower BMI at second visit (P = 0.02). CONCLUSIONS: In this large population-based sample, dietary changes over 10 years towards less carbohydrates and more protein and fat were noted. Individual changes towards the Nordic dietary recommendations were associated with healthier cardio-metabolic risk factor profile at second visit. SN - 1475-2891 UR - https://www.unboundmedicine.com/medline/citation/28351404/Longitudinal_10_year_changes_in_dietary_intake_and_associations_with_cardio_metabolic_risk_factors_in_the_Northern_Sweden_Health_and_Disease_Study_ L2 - https://nutritionj.biomedcentral.com/articles/10.1186/s12937-017-0241-x DB - PRIME DP - Unbound Medicine ER -