Dietary habits in three Central and Eastern European countries: the HAPIEE study

<p>Abstract</p> <p>Background</p> <p>The high cardiovascular mortality in Eastern Europe has often been attributed to poor diet, but individual-level data on nutrition in the region are generally not available. This paper describes the methods of dietary assessment and...

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Main Authors: Gilis-Januszewska Aleksandra, Stepaniak Urszula, Simonova Galina, Bragina Oksana, Kubinova Ruzena, Pajak Andrzej, Malyutina Sofia, Pikhart Hynek, Welch Ailsa, Boylan Sinéad, Milla Lubomíra, Peasey Anne, Marmot Michael, Bobak Martin
Format: Article
Language:English
Published: BMC 2009-12-01
Series:BMC Public Health
Online Access:http://www.biomedcentral.com/1471-2458/9/439
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author Gilis-Januszewska Aleksandra
Stepaniak Urszula
Simonova Galina
Bragina Oksana
Kubinova Ruzena
Pajak Andrzej
Malyutina Sofia
Pikhart Hynek
Welch Ailsa
Boylan Sinéad
Milla Lubomíra
Peasey Anne
Marmot Michael
Bobak Martin
author_facet Gilis-Januszewska Aleksandra
Stepaniak Urszula
Simonova Galina
Bragina Oksana
Kubinova Ruzena
Pajak Andrzej
Malyutina Sofia
Pikhart Hynek
Welch Ailsa
Boylan Sinéad
Milla Lubomíra
Peasey Anne
Marmot Michael
Bobak Martin
author_sort Gilis-Januszewska Aleksandra
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The high cardiovascular mortality in Eastern Europe has often been attributed to poor diet, but individual-level data on nutrition in the region are generally not available. This paper describes the methods of dietary assessment and presents preliminary findings on food and nutrient intakes in large general population samples in Russia, Poland and the Czech Republic.</p> <p>Methods</p> <p>The HAPIEE (Health, Alcohol and Psychosocial factors In Eastern Europe) study examined random samples of men and women aged 45-69 years at baseline in Novosibirsk (Russia), Krakow (Poland) and six Czech urban centres in 2002-2005. Diet was assessed using a food frequency questionnaire (at least 136 items); complete dietary information was available for 26,870 persons.</p> <p>Results</p> <p>Total energy intakes among men ranged between 8.7 MJ in the Czech sample and 11.7 MJ in the Russian sample, while among women, energy intakes ranged between 8.2 MJ in the Czech sample and 9.8 MJ in the Russian sample. A Healthy Diet Indicator (HDI), ranging from a score of 0 (lowest) to 7 (highest), was developed using the World Health Organisation's (WHO) guidelines for the prevention of chronic diseases. The mean HDI scores were low, ranging from 1.0 (SD = 0.7) among the Polish subjects to 1.7 (SD = 0.8) among the Czech females. Very few subjects met the WHO recommended intakes for complex carbohydrates, pulses or nuts; intakes of saturated fatty acids, sugar and protein were too high. Only 16% of Polish subjects met the WHO recommendation for polyunsaturated fat intake. Consumption of fruits and vegetables was lower than recommended, especially among those Russian subjects who were assessed during the low intake season. Fewer than 65% of subjects consumed adequate amounts of calcium, magnesium and potassium, when compared with the United Kingdom's Reference Nutrient Intake.</p> <p>Conclusion</p> <p>This first large scale study of individual-based dietary intakes in the general population in Eastern Europe implies that intakes of saturated fat, sugar and complex carbohydrates are a cause for concern. The development of country-specific nutritional tools must be encouraged and nutritional campaigns must undergo continuing development.</p>
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spelling doaj.art-9e5d368f79bb4af0a2b9e427c30fe0412022-12-22T03:20:39ZengBMCBMC Public Health1471-24582009-12-019143910.1186/1471-2458-9-439Dietary habits in three Central and Eastern European countries: the HAPIEE studyGilis-Januszewska AleksandraStepaniak UrszulaSimonova GalinaBragina OksanaKubinova RuzenaPajak AndrzejMalyutina SofiaPikhart HynekWelch AilsaBoylan SinéadMilla LubomíraPeasey AnneMarmot MichaelBobak Martin<p>Abstract</p> <p>Background</p> <p>The high cardiovascular mortality in Eastern Europe has often been attributed to poor diet, but individual-level data on nutrition in the region are generally not available. This paper describes the methods of dietary assessment and presents preliminary findings on food and nutrient intakes in large general population samples in Russia, Poland and the Czech Republic.</p> <p>Methods</p> <p>The HAPIEE (Health, Alcohol and Psychosocial factors In Eastern Europe) study examined random samples of men and women aged 45-69 years at baseline in Novosibirsk (Russia), Krakow (Poland) and six Czech urban centres in 2002-2005. Diet was assessed using a food frequency questionnaire (at least 136 items); complete dietary information was available for 26,870 persons.</p> <p>Results</p> <p>Total energy intakes among men ranged between 8.7 MJ in the Czech sample and 11.7 MJ in the Russian sample, while among women, energy intakes ranged between 8.2 MJ in the Czech sample and 9.8 MJ in the Russian sample. A Healthy Diet Indicator (HDI), ranging from a score of 0 (lowest) to 7 (highest), was developed using the World Health Organisation's (WHO) guidelines for the prevention of chronic diseases. The mean HDI scores were low, ranging from 1.0 (SD = 0.7) among the Polish subjects to 1.7 (SD = 0.8) among the Czech females. Very few subjects met the WHO recommended intakes for complex carbohydrates, pulses or nuts; intakes of saturated fatty acids, sugar and protein were too high. Only 16% of Polish subjects met the WHO recommendation for polyunsaturated fat intake. Consumption of fruits and vegetables was lower than recommended, especially among those Russian subjects who were assessed during the low intake season. Fewer than 65% of subjects consumed adequate amounts of calcium, magnesium and potassium, when compared with the United Kingdom's Reference Nutrient Intake.</p> <p>Conclusion</p> <p>This first large scale study of individual-based dietary intakes in the general population in Eastern Europe implies that intakes of saturated fat, sugar and complex carbohydrates are a cause for concern. The development of country-specific nutritional tools must be encouraged and nutritional campaigns must undergo continuing development.</p>http://www.biomedcentral.com/1471-2458/9/439
spellingShingle Gilis-Januszewska Aleksandra
Stepaniak Urszula
Simonova Galina
Bragina Oksana
Kubinova Ruzena
Pajak Andrzej
Malyutina Sofia
Pikhart Hynek
Welch Ailsa
Boylan Sinéad
Milla Lubomíra
Peasey Anne
Marmot Michael
Bobak Martin
Dietary habits in three Central and Eastern European countries: the HAPIEE study
BMC Public Health
title Dietary habits in three Central and Eastern European countries: the HAPIEE study
title_full Dietary habits in three Central and Eastern European countries: the HAPIEE study
title_fullStr Dietary habits in three Central and Eastern European countries: the HAPIEE study
title_full_unstemmed Dietary habits in three Central and Eastern European countries: the HAPIEE study
title_short Dietary habits in three Central and Eastern European countries: the HAPIEE study
title_sort dietary habits in three central and eastern european countries the hapiee study
url http://www.biomedcentral.com/1471-2458/9/439
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