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Assessing diet in European populations using national dietary surveys.
Proc Nutr Soc 2020; :1-11PN

Abstract

The WHO encourages countries to conduct national dietary surveys (NDS) to inform preventative policies targeting malnutrition and noncommunicable diseases. Previous reviews have found inadequate nutrient intakes and survey provision across Europe. This research is the first to provide an updated review of NDS provision within the whole WHO European Region, across the lifecourse, with reference to disadvantaged groups, obesity and nutrients of concern. Over a third of WHO European countries, mainly Central and Eastern European countries (CEEC), had no identifiable NDS. Where countries reported nutrient intakes, poor WHO recommended nutrient intake attainment was Europe-wide across the lifecourse, particularly in CEEC. Lower educated individuals had poorer diet quality. However, heterogeneity in age group sampled, dietary assessment method, nutrient composition database and under-reporting hindered inter-country comparisons. Average population trans fatty acid intakes below WHO recommended limits may hide inequalities in disadvantaged groups; legislative bans may help alleviate this. There were few associations between NDS-derived consumed food portion size (FPS) and BMI. However, consumed FPS was greater than on-pack serving-size in the majority of foods studied. This review illustrates how NDS can generate information on diet, nutrient intakes and the food environment. However, to enable valid inter-country comparisons, countries should be encouraged to conduct and report harmonised NDS, particularly in the age groups sampled, dietary assessment methodology, nutrient range, underpinning food composition database and treatment of under-reporters. This will aid effective, coordinated policy development that can have a real impact on dietary improvement, on a population and subgroup level, throughout Europe.

Authors+Show Affiliations

Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, LeedsLS2 9JT, UK.Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, LeedsLS2 9JT, UK.Division of Noncommunicable Diseases and Promoting Health through the Life-Course, World Health Organization Regional Office for Europe, UN City, Marmorvej 51, 21000Copenhagen, Denmark.Division of Noncommunicable Diseases and Promoting Health through the Life-Course, World Health Organization Regional Office for Europe, UN City, Marmorvej 51, 21000Copenhagen, Denmark.Nutritional Epidemiology Group, School of Food Science and Nutrition, University of Leeds, LeedsLS2 9JT, UK.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31969200

Citation

Rippin, Holly L., et al. "Assessing Diet in European Populations Using National Dietary Surveys." The Proceedings of the Nutrition Society, 2020, pp. 1-11.
Rippin HL, Hutchinson J, Jewell J, et al. Assessing diet in European populations using national dietary surveys. Proc Nutr Soc. 2020.
Rippin, H. L., Hutchinson, J., Jewell, J., Breda, J. J., & Cade, J. E. (2020). Assessing diet in European populations using national dietary surveys. The Proceedings of the Nutrition Society, pp. 1-11. doi:10.1017/S0029665119001174.
Rippin HL, et al. Assessing Diet in European Populations Using National Dietary Surveys. Proc Nutr Soc. 2020 Jan 23;1-11. PubMed PMID: 31969200.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Assessing diet in European populations using national dietary surveys. AU - Rippin,Holly L, AU - Hutchinson,Jayne, AU - Jewell,Jo, AU - Breda,Joao J, AU - Cade,Janet E, Y1 - 2020/01/23/ PY - 2020/1/24/entrez KW - National dietary surveys KW - Nutrient intakes KW - Nutritional epidemiology KW - Portion sizes KW - Trans fatty acids KW - WHO Europe SP - 1 EP - 11 JF - The Proceedings of the Nutrition Society JO - Proc Nutr Soc N2 - The WHO encourages countries to conduct national dietary surveys (NDS) to inform preventative policies targeting malnutrition and noncommunicable diseases. Previous reviews have found inadequate nutrient intakes and survey provision across Europe. This research is the first to provide an updated review of NDS provision within the whole WHO European Region, across the lifecourse, with reference to disadvantaged groups, obesity and nutrients of concern. Over a third of WHO European countries, mainly Central and Eastern European countries (CEEC), had no identifiable NDS. Where countries reported nutrient intakes, poor WHO recommended nutrient intake attainment was Europe-wide across the lifecourse, particularly in CEEC. Lower educated individuals had poorer diet quality. However, heterogeneity in age group sampled, dietary assessment method, nutrient composition database and under-reporting hindered inter-country comparisons. Average population trans fatty acid intakes below WHO recommended limits may hide inequalities in disadvantaged groups; legislative bans may help alleviate this. There were few associations between NDS-derived consumed food portion size (FPS) and BMI. However, consumed FPS was greater than on-pack serving-size in the majority of foods studied. This review illustrates how NDS can generate information on diet, nutrient intakes and the food environment. However, to enable valid inter-country comparisons, countries should be encouraged to conduct and report harmonised NDS, particularly in the age groups sampled, dietary assessment methodology, nutrient range, underpinning food composition database and treatment of under-reporters. This will aid effective, coordinated policy development that can have a real impact on dietary improvement, on a population and subgroup level, throughout Europe. SN - 1475-2719 UR - https://www.unboundmedicine.com/medline/citation/31969200/Assessing_diet_in_European_populations_using_national_dietary_surveys L2 - https://www.cambridge.org/core/product/identifier/S0029665119001174/type/journal_article DB - PRIME DP - Unbound Medicine ER -