Adult diet in England: Where is more support needed to achieve dietary recommendations?

Autor: Christina Vogel, Monique Campbell, Nisreen A Alwan, Graham Moon, Dianna Smith
Rok vydání: 2021
Předmět:
Male
Physiology
Psychological intervention
Surveys
Geographical locations
Endocrinology
Medical Conditions
Vegetables
Medicine and Health Sciences
Public and Occupational Health
Multidisciplinary
Eukaryota
Plants
Middle Aged
Nutrition Surveys
Type 2 Diabetes
Europe
Fruit and Vegetable Juices
Voucher
Geography
England
Physiological Parameters
Research Design
Medicine
Female
Research Article
Adult
medicine.medical_specialty
Adolescent
Endocrine Disorders
Science
Guidelines as Topic
Research and Analysis Methods
Fruits
Beverages
Young Adult
Environmental health
Diabetes Mellitus
medicine
Humans
European Union
Obesity
Nutrition
Aged
Estimation
Consumption (economics)
Survey Research
Public health
Body Weight
Organisms
Biology and Life Sciences
Feeding Behavior
Targeted interventions
medicine.disease
United Kingdom
Diet
Diet and Type 2 Diabetes
Food
Metabolic Disorders
Fruit
People and places
Estimation methods
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 6, p e0252877 (2021)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0252877
Popis: BackgroundSmall-area estimation models are regularly commissioned by public health bodies to identify areas of greater inequality and target areas for intervention in a range of behaviours and outcomes. Such local modelling has not been completed for diet consumption in England despite diet being an important predictor of health status. The study sets out whether aspects of adult diet can be modelled from previously collected data to define and evaluate area-level interventions to address obesity and ill-health.MethodsAdults aged 16 years and over living in England. Consumption of fruit, vegetables, and sugar-sweetened beverages (SSB) are modelled using small-area estimation methods in English neighbourhoods (Middle Super Output Areas [MSOA]) to identify areas where reported portions are significantly different from recommended levels of consumption. The selected aspects of diet are modelled from respondents in the National Diet and Nutrition Survey using pooled data from 2008–2016.ResultsEstimates indicate that the average prevalence of adults consuming less than one portion of fruit, vegetables or 100% juice each day by MSOA is 6.9% (range of 4.3 to 14.7%, SE 0.06) and the average prevalence of drinking more than 330ml/day of SSB is 11.5% (range of 5.7 to 30.5%, SE 0.03). Credible intervals around the estimates are wider for SSB consumption. The results identify areas including regions in London, urban areas in the North of England and the South coast which may be prioritised for targeted interventions to support reduced consumption of SSB and/or an increase in portions of fruit and vegetables.ConclusionThese estimates provide valuable information at a finer spatial scale than is presently feasible, allowing for within-country and locality prioritisation of resources to improve diet. Local, targeted interventions to improve fruit and vegetable consumption such as subsidies or voucher schemes should be considered where consumption of these foods is predicted to be low.
Databáze: OpenAIRE
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