Inequalities in education and national income are associated with poorer diet: Pooled analysis of individual participant data across 12 European countries
| Autor: | C. van Rossum, M. Kukk, Keiu Nelis, Darren C. Greenwood, K. Schindler, Jayne Hutchinson, Eva Warensjö Lemming, S. Tazhibayev, Igor Spiroski, Eha Nurk, T. Sharmanov, A. Martin, E. Sarkadi-Nagy, H. Tapanainen, Marga C. Ocké, Sisse Fagt, Anna Karin Lindroos, João Breda, Petra Rust, T. Heuer, Márta Bakacs, D. M. Rippin, M. Beukers, Holly L. Rippin, Jeppe Matthiessen, Janet E Cade, Liisa Valsta, Jo Jewell |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Male Organic chemistry Social Sciences Educational attainment Biochemistry Gross domestic product Geographical Locations Fats 0302 clinical medicine Sociology Medicine and Health Sciences Socioeconomic aspects of health Medicine Public and Occupational Health 030212 general & internal medicine Micronutrients Vitamin D education.field_of_study Multidisciplinary Vitamins Middle Aged Lipids Macedonia Physical sciences Europe Chemistry Income Educational Status Female Diet Healthy Research Article Adult medicine.medical_specialty Science Population Measures of national income and output Nutritional Status Diet Surveys Education 03 medical and health sciences Chemical compounds Young Adult SDG 3 - Good Health and Well-being Environmental health Organic compounds Humans education SDG 2 - Zero Hunger Poverty Nutrition 030109 nutrition & dietetics business.industry Public health Malnutrition Biology and Life Sciences Nutrients medicine.disease Diet Health Care Socioeconomic Factors People and Places Multivariate Analysis Linear Models business Energy Intake |
| Zdroj: | Rippin, H L, Hutchinson, J, Greenwood, D C, Jewell, J, Breda, J J, Martin, A, Rippin, D M, Schindler, K, Rust, P, Fagt, S, Matthiessen, J, Nurk, E, Nelis, K, Kukk, M, Tapanainen, H, Valsta, L, Heuer, T, Sarkadi-Nagy, E, Bakacs, M, Tazhibayev, S, Sharmanov, T, Spiroski, I, Beukers, M, van Rossum, C, Ocke, M, Lindroos, A K, Lemming, E W & Cade, J E 2020, ' Inequalities in education and national income are associated with poorer diet : Pooled analysis of individual participant data across 12 European countries ', PLOS ONE, vol. 15, no. 5, e0232447 . https://doi.org/10.1371/journal.pone.0232447 PLoS ONE, Vol 15, Iss 5, p e0232447 (2020) PLoS ONE |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0232447 |
| Popis: | Background Malnutrition linked to noncommunicable diseases presents major health problems across Europe. The World Health Organisation encourages countries to conduct national dietary surveys to obtain data to inform public health policies designed to prevent noncommunicable diseases. Methods Data on 27334 participants aged 19-64y were harmonised and pooled across national dietary survey datasets from 12 countries across the WHO European Region. Weighted mean nutrient intakes were age-standardised using the Eurostat 2013 European Standard Population. Associations between country-level Gross Domestic Product (GDP) and key nutrients and nutrient densities were investigated using linear regression. The potential mitigating influence of participant-level educational status was explored. Findings Higher GDP was positively associated with total sugar intake (5.0% energy for each 10% increase in GDP, 95% CI 0.6, 9.3). Scandinavian countries had the highest vitamin D intakes. Participants with higher educational status had better nutritional intakes, particularly within lower GDP countries. A 10% higher GDP was associated with lower total fat intakes (-0.2% energy, 95% CI -0.3, -0.1) and higher daily total folate intakes (14μg, 95% CI 12, 16) in higher educated individuals. Interpretation Lower income countries and lower education groups had poorer diet, particularly for micronutrients. We demonstrate for the first time that higher educational status appeared to have a mitigating effect on poorer diet in lower income countries. It illustrates the feasibility and value of harmonising national dietary survey data to inform European policy regarding access to healthy diets, particularly in disadvantaged groups. It specifically highlights the need for strong policies supporting nutritional intakes, prioritising lower education groups and lower income countries. |
| Databáze: | OpenAIRE |
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