Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-29T18:23:22.320Z Has data issue: false hasContentIssue false

Discrepancies between ecological and individual data on fruit and vegetable consumption in fifteen countries

Published online by Cambridge University Press:  09 March 2007

Joceline Pomerleau*
Affiliation:
European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
Karen Lock
Affiliation:
European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
Martin McKee
Affiliation:
European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
*
*Corresponding author: Dr Joceline Pomerleau, present address 8 Rue de Rémusat, Paris 75016, France, fax +33 1 45 20 16 71, email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Although food supply statistics are commonly used in ecological studies of diet and disease, little information is available on how they compare with reported intakes of foods. The objective of the present study was to compare fruit and vegetable availability with estimates of national mean intakes derived from national food consumption surveys. Food availability statistics from the FAO were used. For each country, mean national supply, based on at least 3 years of FAO data, was calculated. National estimates of mean fruit and vegetable intakes were derived from population-based surveys from fifteen countries, gathered for the World Health Organization Global Burden of Disease Study revision for 2000. Extrapolations were made when survey data did not cover all age groups. For each country, the FAO:survey estimate ratio was calculated. This ratio ranged from 0·93 to 2·70 (median value=1·39). Although there was a tendency for FAO data to overestimate intakes (fourteen out of fifteen countries), the degree of overestimation varied greatly among the countries included in this study (5–270 %). As food supply statistics are the only source of information on dietary patterns in most countries of the world, further information on how they reflect food intakes is needed. Obtaining detailed and valid estimates of dietary intakes in more countries around the world will be essential for such comparisons.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2003

References

Andersen, NL, Fagt, S, Groth, MV, Hartkopp, HB, Møller, A, Ovesen, L & Warming, DL (1996) Danskernes Kostvaner 1995 (The Danes eating habits) Copenhagen: National Food Agency. (In Danish with English Summary.)Google Scholar
Australian Bureau of Statistics (1999) National Nutrition Survey: Foods Eaten, Australia 1995. Canberra: Australian Bureau of Statistics.Google Scholar
Bingham, SA, Nelson, M, Paul, AA, Haraldsdottir, J, Løken, EB & Van Staveren, WA (1988) Methods of data collection at an individual level. In Manual on Methodology for Food Consumption Studies, pp. 53106 [Cameron, ME and van Staveren, WA, editors]. Oxford: Oxford University Press.Google Scholar
Carolina Population Center at the University of North Carolina at Chapel Hill (2001) The China Health and Nutrition Survey. Chapen Hill: Carolina Population Center at the University of North Carolina. http://www.cpc.unc.edu/projects/china/china_home.htmlGoogle Scholar
Carolina Population Center at the University of North Carolina at Chapel Hill (2002) Russia Longitudinal Monitoring Survey. Chapen Hill: Carolina Population Center at the University of North Carolina. http://www.cpc.unc.edu/projects/rlms/rlms_home.htmlGoogle Scholar
Cialfa, E, Turrini, A & Lintas, C (1991) A national food survey. Food balance sheets and other methodologies: a critical overview. In Monitoring Dietary Intakes. pp 2444 [Macdonald, I, editor]. Berlin, Germany: Springer-Verlag.CrossRefGoogle Scholar
De Henauw, S & De Backer, G (1999) Nutrient and food intakes in selected subgroups of Belgian adults. British Journal of Nutrition 81 Suppl. 2, S37S42.CrossRefGoogle ScholarPubMed
Department of Economic and Social Affairs (1998) World Population Prospects: The 1998 Revision. New York: United Nations.Google Scholar
Du, S, Lu, B, Zhai, F & Popkin, BM (2002) A new stage of the nutrition transition in China. Public Health Nutrition 5, 169174.CrossRefGoogle ScholarPubMed
Ezzati, M, Lopez, AD, Rodgers, A, Vander Hoorn, S, Murray, CJL & Comparative Risk Assessment Collaborating Group (2002) Selected major risk factors and global and regional burden of disease. Lancet 360, 13471360.CrossRefGoogle ScholarPubMed
Findiet Study Group (1998) Dietary Survey of Finnish Adults 1997. Helsinki: National Public Health Institute.Google Scholar
Food and Agriculture Organization (1983) A Comparative Study of Food Consumption Data From Food Balance Sheets and Household Surveys. Rome: FAO.Google Scholar
Food and Agriculture Organization (1998 a) Nutrition Country Profile: Nepal. Rome: FAO.Google Scholar
Food and Agriculture Organization (1998 b) Nutrition Country Profile: Pakistan. Rome: FAO.Google Scholar
Food and Agriculture Organization (2002) FAOSTAT database. http://apps.fao.org/1Google Scholar
Food and Agriculture Organization/World Health Organization/United Nations University (1985) Energy and Protein Requirements. Report of a Joint FAO/WHO/UNU Expert Consultation. Technical Report. Series no. 724. Geneva: WHO.Google Scholar
Harrison, GG, Galal, OM, Ibrahim, N, Khorshid, A, Stormer, A, Leslie, J & Taha Saleh, N (2000) Underreporting of food intake by dietary recall is not universal: a comparison of data from Egyptian and American women. Journal of Nutrition 130, 20492054.CrossRefGoogle Scholar
Hebert, JR, Clemow, L, Pbert, L, Ockene, IS & Ockene, JK (1995) Social desirability bias in dietary self-report may compromise the validity of dietary intake measures. International Journal of Epidemiology 24, 389398.CrossRefGoogle ScholarPubMed
Joffe, M & Robertson, A (2001) The potential contribution of increased vegetable and fruit consumption to health gain in the European Union. Public Health Nutrition 4, 893901.CrossRefGoogle ScholarPubMed
Johansson, G, Wikman, A, Ahren, AM, Hallmans, G & Johansson, I (2001) Underreporting of energy intake in repeated 24-hour recalls related to gender, age, weight status, day of interview, educational level, reported food intake, smoking habits and area of living. Public Health Nutrition 4, 919927.CrossRefGoogle ScholarPubMed
Kantor, LS, Kipton, K, Manchester, A & Oliveria, V (1997) Estimating and addressing America's food losses. In Food Review. Washington, DC: US Department of Agriculture, Economic Research Service.Google Scholar
Kelly, A, Becker, W & Helsing, E (1991) Food balance sheets. In Food and Health Data. Their Use in Nutrition Policy-making. WHO Regional Publications, European Series no. 34, pp. 3948. [Becker, W and Helsing, E, editors]. Copenhagen: WHO Regional Office for Europe.Google Scholar
Klerk, M, Jansen, MCJF, van't Veer, P & Kok, FJ (1998) Fruits and Vegetables in Chronic Disease Prevention. Part II: Update and Extension (Literature up to Early 1998). Wageningen: Wageningen Agricultural University.Google Scholar
Lagiou, P, Trichopoulou, A, Henderickx, HK, Kelleher, C, Leonhauser, IU, Moreiras, O, Nelson, M, Schmitt, A, Sekula, W, Trygg, K & Zajkas, G (1999) Household budget survey nutritional data in relation to mortality from coronary heart disease, colorectal cancer and female breast cancer in European countries. DAFNE I and II projects of the European Commission. Data Food Networking. European Journal of Clinical Nutrition 53, 328332.CrossRefGoogle ScholarPubMed
Lock, K, Pomerleau, J, Causer, L & McKee, M (2003) Global burden of disease due to low fruit and vegetable consumption. In Comparative Quantification of Health Risks: Global and Regional Burden of Disease Due to Selected Major Risk Factors, [Ezzati, M, Lopez, AD, Rodgers, A & Murray, CJL, editors]. Geneva: WHO (in press).Google Scholar
Ministry of Health and Welfare (2000) Annual Report of the National Nutrition Survey in 1998. Tokyo: Daiichi Publishing Co.Google Scholar
Mizushima, S (2001) National Nutrition Survey. Tokyo: The University of Tokyo.Google Scholar
National Institute of Nutrition of Kazakhstan and Macro International Inc. (1996) Kazakhstan Demographic and Health Survey, 1995. Calverton, MD: National Institute of Nutrition and Macro International Inc.Google Scholar
Nelson, M & Bingham, SA (1997) Assessment of food consumption and nutrient intake. In Design Concepts in Nutritional Epidemiology, 2nd ed., pp. 123169. [Margetts, BM and Nelson, M, editors]. Oxford: Oxford University Press.CrossRefGoogle Scholar
Petrova, S (1998) National dietary and nutritional status survey of the population in Bulgaria, 1998. Food consumption. Hygiene and Public Health XLIII, 5562.Google Scholar
Pomerleau, J, McKee, M, Robertson, A, Vaask, S, Pudule, I, Grinberga, D, Kadziauskiene, K, Abaravicius, A & Bartkeviciute, R (2000) Nutrition and Lifestyle in the Baltic Republic. PHP Departmental Publication. no. 32 London: London School of Hygiene and Tropical Medicine.Google Scholar
Puska, P (2000) Nutrition and mortality: the Finnish experience. Acta Cardiologica 55, 213220.CrossRefGoogle ScholarPubMed
Rokx, C, Galloway, R & Brown, L (2000) Prospects for Improving the Nutrition Situation in Eastern Europe and Central Asia. New York: World Bank.Google Scholar
Rose, R & Tikhomirov, Y (1993) Who grows food in Russia and eastern Europe? Post Soviet Geography 34, 111126.CrossRefGoogle Scholar
Sekula, W, Becker, W, Trichopoulou, A & Zajkas, G (1991) Comparison of dietary data from different sources: some examples. In Food and Health Data. Their Use in Nutrition Policy-making. WHO Regional Publications, European, Series no. 34, pp. 91117. [Becker, W and Helsing, E, editors]. Copenhagen: WHO Regional Office for Europe.Google Scholar
Statistics Division (1983) A Comparative Study of Food Consumption Data from Food Balance Sheets and Household Surveys. FAO Economic and Development Paper. Rome: Food and Agriculture Organization.Google Scholar
Tippett, KS & Cypel, YS (editor) (1997) Design and Operation: The Continuing Survey of Food Intakes by Individuals and the Diet and Health Knowledge Survey, 1994–96. NFS Report no. 96-1, (editor). Washington, DC: US Department of Agriculture, Agriculture Research Service.Google Scholar
Trichopoulou, A & Lagiou, P (1997) Healthy traditional Mediterranean diet: an expression of culture, history, and lifestyle. Nutrition Reviews 55, 383389.CrossRefGoogle ScholarPubMed
Turrini, A, Leclercq, C & D'Amicis, A (1999) Patterns of foods and nutrient intakes in Italy and their application to the development of food-based dietary guidelines. British Journal of Nutrition 81, Suppl. 2, 8389.CrossRefGoogle Scholar
Turrini, A, Saba, A, Perrone, D, Cialfa, E & D'Amicis, A (2001) Food consumption patterns in Italy: the INN-CA Study 1994–1996. European Journal of Clinical Nutrition 55, 571588.CrossRefGoogle ScholarPubMed
Valsta, LM (1999) Food-based dietary guidelines for Finland – a staged approach. British Journal of Nutrition 81, Suppl. 2 S49S55.CrossRefGoogle ScholarPubMed
Volatier, JL (1999) Enquête Individuelle et Nationale sur les Consommations Alimentaires (National Individual Food Consumption Survey). Paris: Editions TEC et DOC.Google Scholar
Willett, W (editor) (1998 a) Nutritional Epidemiology. Oxford: Oxford University Press.CrossRefGoogle Scholar
Willett, W (1998 b) Overview of nutritional epidemiology. In Nutritional Epidemiology, 2nd ed., pp. 317 [Willett, W, editor]. New York: Oxford University Press.CrossRefGoogle Scholar
World Cancer Research Fund & American Institute for Cancer Research (1997) Food, Nutrition and the Prevention of Cancer: A Global Perspective. Washington, DC: American Institute for Cancer Research.Google Scholar
World Health Organization (1990) Diet, Nutrition and the Prevention of Chronic Diseases. Report of a WHO Study Group Technical Report. Series no. 797. Geneva: WHO.Google Scholar
World Health Organization (2002 a) World Health Organization Process for a Global Strategy on Diet, Physical Activity and Health. Geneva: WHO.Google Scholar
World Health Organization (2002 b) The World Health Report 2002. Reducing Risks, Promoting Healthy life. Geneva: WHO.Google Scholar