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Comparison of dietary trends between two counties with and without a cardiovascular prevention programme: a population-based cross-sectional study in northern Sweden
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. Reg Norrbotten, Dept Dev, Robertsviksgatan 7, SE-97189 Luleå, Sweden..ORCID iD: 0000-0002-8081-7090
Umeå Univ, Dept Publ Hlth & Clin Med, Sunderby Res Unit, Umeå, Sweden..ORCID iD: 0000-0003-4059-3368
Umeå Univ, Dept Publ Hlth & Clin Med, Sunderby Res Unit, Sect Med, Umeå, Sweden..
Umeå Univ, Dept Epidemiol & Global Hlth, Umeå, Sweden..
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2022 (English)In: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 25, no 7, p. 1835-1843Article in journal (Refereed) Published
Abstract [en]

Objective: To compare temporal trends, over a 20-year period, in dietary habits between a county (Vasterbotten) with a CVD prevention programme and a county (Norrbotten) without such a programme.

Design: Cross-sectional data from the Northern Sweden MONICA study (survey period 1994, 1999, 2004, 2009 and 2014). Dietary habits were assessed by a semi-quantitative FFQ.

Setting: Counties of Norrbotten and Vasterbotten, Northern Sweden.

Participants: Five thousand four hundred Swedish adults (mean age 56 center dot 9 years; 51 center dot 2 % women) from Vasterbotten (47 %) and Norrbotten (53 %).

Results: No differences in temporal trend for estimated percentage of energy intake from total carbohydrates, total fat, total protein and alcohol were observed between the counties (P (for interaction) >= 0 center dot 33). There were no between-county difference in temporal trends for overall diet quality (assessed by the Healthy Diet Score; P (for interaction) = 0 center dot 36). Nor were there any between-county differences for the intake of whole grain products, fruits, vegetables, fish, sweetened beverages or fried potatoes (P (for interaction) >= 0 center dot 09). Consumption of meat (P (for interaction) = 0 center dot 05) increased to a greater extent in Norrbotten from 2009 and onwards, mainly in men (sex-specific analyses, P (for interaction) = 0 center dot 04). Men in Vasterbotten decreased their intake of sweets to a greater extent than men in Norrbotten (P (for interaction) < 0 center dot 01).

Conclusions: Over a 20-year period in northern Sweden, only small differences in dietary habits were observed in favour of a county with a CVD prevention programme compared with a county without such a programme.

Place, publisher, year, edition, pages
Cambridge University Press, 2022. Vol. 25, no 7, p. 1835-1843
Keywords [en]
Dietary patterns, Carbohydrates, Protein, Fat, Alcohol, Unhealthy foods, Healthy foods, CVD, Prevention programme
National Category
Nutrition and Dietetics
Identifiers
URN: urn:nbn:se:uu:diva-485426DOI: 10.1017/S1368980021003050ISI: 000781637200001PubMedID: 34296666OAI: oai:DiVA.org:uu-485426DiVA, id: diva2:1699616
Funder
Swedish Research CouncilAvailable from: 2022-09-28 Created: 2022-09-28 Last updated: 2022-09-28Bibliographically approved

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Törmä, Johanna

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