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Food consumption patterns in an adult urban population in Beirut, Lebanon

Published online by Cambridge University Press:  02 January 2007

Lara Nasreddine ,
Nahla Hwalla ,
Abla Sibai ,
Mouïn Hamzé  and
Dominique Parent-Massin
Lara Nasreddine
Affiliation:
Lebanese Council for Scientific Research, BP 11-8281, Beirut, Lebanon Laboratoire de Toxicologie Alimentaire, ESMISAB/UBO, Technopole Brest-Iroise, F-29280, Plouzane, France
Nahla Hwalla*
Affiliation:
Department of Nutrition and Food Science, Faculty of Agriculture and Food Sciences, American University of Beirut, PO Box 11-0236, Riad El Solh, Beirut, 1107-2020, Lebanon
Abla Sibai
Affiliation:
Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Lebanon
Mouïn Hamzé
Affiliation:
Lebanese Council for Scientific Research, BP 11-8281, Beirut, Lebanon
Dominique Parent-Massin
Affiliation:
Laboratoire de Toxicologie Alimentaire, ESMISAB/UBO, Technopole Brest-Iroise, F-29280, Plouzane, France
*
*Corresponding author: Email [email protected]
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Abstract

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Objectives

To investigate, measure and assess the food consumption pattern of the adult population living in Beirut, Lebanon, and to identify inadequate or excessive intake of food groups particularly linked to non-communicable diseases.

Design

A cross-sectional food consumption survey was conducted in 2001. Dietary habits were assessed by means of a quantitative food-frequency questionnaire.

Setting

Dietary survey of the urban population (Beirut).

Subjects

Random sample of 444 adult subjects (aged 25–54 years) in Beirut.

Results

The mean consumption of food by the study population was estimated to be 3030 g day−1, providing an energy intake of 2523.57 kcal day−1. Fat contributed 38.9% to the average daily energy intake, protein 13.4% and carbohydrates 47.2%. Mean consumption of fruits and vegetables was approximately 367 g day−1 and 45.3% of subjects consumed less than the recommended 400 g daily. Cereals contributed 324.5 g day−1, providing 35.0% of daily energy intake, with bread being the most highly consumed (146.2 g day−1) in this food group. The mean intake of meat and poultry products was 91.7 g day−1 and provided 8.8% of daily energy intake, with consumption of butchery products especially beef being the highest (47.6 g day−1) followed by poultry (36.1 g day−1). A low consumption of fish was noted (19.7 g day−1), with 73.6% of subjects consuming less than the recommended 2 servings of fish per week. Dairy products contributed 243.1 g day−1 or 10.9% of daily energy intake, and milk was the least consumed dairy product (56.8% of consumers). The intake of added fats and oils, excluding those in cooked recipes, was 20.4 g day−1; olive oil was not used in cooking but was added solely at the table and its mean intake was 5 g day−1. The consumption of butter was low (0.86 g day−1) and vegetable oil was the type of fat mostly used in cooking. The average intake of alcoholic beverages was low (33.6 g day−1), accounting for 0.7% of total energy intake. Women had significantly higher intakes of milk, dairy products, vegetables and coffee than men (P < 0.05). The percentage of women who reported the use of low-fat items was significantly higher than that of men. Younger people (25–34 years) ate significantly more meat, sugar, alcoholic beverages and soft drinks, and consumed significantly less cooked vegetables and legumes, than older ones (P < 0.05).

Conclusions

The rather high contribution of fat to daily energy intake, the low intake of fish and the relatively high percentage of people consuming less than the recommended amount of fruits and vegetables observed in this study suggest that the adult Lebanese population is at increased risk of cardiovascular diseases, obesity and other non-communicable diseases, which provides the basis for recommending increased intakes of fish, particularly fatty fish, and fruits and vegetables.

Keywords

Individual dietary surveyQuantitative food-frequency questionnaireDietary patternLebanon
Type
Research Article
Information
Public Health Nutrition , Volume 9 , Issue 2 , April 2006 , pp. 194 - 203
Copyright
Copyright © The Authors 2006

References

1Kroes, R, Muller, D, Lambe, J, Lowik, MRH, Van Klaveren, J, Kleiner, J, et al. Assessment of intake from the diet. Food and Chemical Toxicology 2002; 40: 327–85.CrossRefGoogle ScholarPubMed
2Petersen, BJ, Chaisson, CF, Douglass, JS, Use of food intake surveys to estimate exposure to nonnutrients. American Journal of Clinical Nutrition 1994; 59: 240S–4S.CrossRefGoogle ScholarPubMed
3World Health Organization (WHO). Guidelines for the Study of Dietary Intakes of Chemical Contaminants. WHO Offset Publication No. 87 Geneva: WHO, 1985.Google Scholar
4Lee-Hann, H, McGuire, V, Boyd, NF. A review of the methods used by studies of dietary measurement. Journal of Clinical Epidemiology 1989; 42: 269–79.CrossRefGoogle Scholar
5Institut Français pour la Nutrition (IFN). Abords Méthodologiques des Enquêtes de Consommation Alimentaire chez l'Homme. Dossier Scientifique No. 8 Paris: IFN, 1996;Google Scholar
6Interdepartmental Committee on Nutrition for National Defense. Republic of Lebanon: Nutrition Survey (1961). Washington, DC: Government Printing Office, 1962.Google Scholar
7Sabry, J, Sabry, Z. Nutrition in Lebanon. Canadian Nutrition 1963; 19: 121.Google Scholar
8Cowan, JW, Chopra, S, Houry, G. Dietary surveys in rural Lebanon. Journal of the American Dietetic Association 1964; 30: 753–6.Google Scholar
9Baba, NH, Shaar, K, Hamadeh, S, Adra, N. Nutritional status of Bedouin children aged 6–10 years in Lebanon and Syria under different nomadic pastoral systems. Ecology of Food and Nutrition, 1994; 32: 247–59.CrossRefGoogle ScholarPubMed
10Baba, NH, Shaar, K, El Sheikh Ismail, L, Adra, N. Comparison of nutritional status of preschool children at day care centers and at home from different socioeconomic backgrounds in Beirut. Journal of Human Nutrition and Dietetics 1996; 9: 89–103.CrossRefGoogle Scholar
11Zein, El, Abidine, S. Obesity and dietary habits of urban and rural populations in Lebanon. MSc thesis, American University of Beirut, Beirut, Lebanon, 1996.Google Scholar
12Food and Agriculture Organization (FAO). Nutrition Country Profiles for Selected Countries of the Near East. Cairo: FAO RNE, 1995.Google Scholar
13Administration Centrale de la Statistique. Conditions de Vie des Ménages en 1997. Etudes Statistiques No. 9 Beyrouth: République Libanaise, 1998.Google Scholar
14First Data Bank Inc. Nutritionist Pro software, version 1.2. San Bruno, CA: First Data Bank Inc., 2002 (www.firstdatabank.com).Google Scholar
15Kamal, S, Osman, S. Alef Baa Al Tabkh, 9th ed. Beirut: Dar Al Ilm Lil Malayeen, 1995.Google Scholar
16Flegal, KM, Larkin, FA, Metzner, HL, Thompson, FE, Guire, KE. Counting calories: partitioning energy intake estimates from a food frequency questionnaire. American Journal of Epidemiology 1988; 128: 749–60.CrossRefGoogle ScholarPubMed
17Flegal, KM, Larkin, FA. Partitioning macronutrient intake estimates from a food frequency questionnaire. American Journal of Epidemiology 1990; 131: 1046–58.CrossRefGoogle ScholarPubMed
18World Health Organization (WHO). Diet, Nutrition and the Prevention of Chronic Disease. Report of a Joint WHO/Food and Agriculture Organization Expert Consultation WHO Technical Report Series No. 916 Geneva: WHO, 2003.Google Scholar
19Briefel, RR, Flegal, KM, Winn, DM, Loria, CM, Johnson, CL, Sempos, CT. Assessing the nation's diet: limitations of the food frequency questionnaire. Journal of the American Dietetic Association 1992; 92: 959–62.CrossRefGoogle ScholarPubMed
20Horwath, CC. Food frequency questionnaire: a review. Australian Journal of Nutrition and Dietetics 1990; 47: 71–6.Google Scholar
21Hu, FB. Plant-based foods and prevention of cardiovascular disease: an overview. American Journal of Clinical Nutrition 2003; 78: 544S–51S.CrossRefGoogle ScholarPubMed
22Committee on Diet and Health. Diet and Health Implications for Reducing Chronic Disease Risk. Food and Nutrition Board, Commission on Life Sciences, National Research Council Washington, DC: National Academy Press, 1989.Google Scholar
23Wandel, M. Dietary intake of fruits and vegetables in Norway: influence of life phase and socio-economic factors. International Journal of Food Sciences and Nutrition 1995; 46: 291–301.CrossRefGoogle ScholarPubMed
24American Heart Association AHA Scientific Statement. AHA Dietary Guidelines, revision *71–0193. Circulation 2000; 102: 2284–99.Google Scholar
25Kris-Etherton, PM, Harris, WS, Appel, LJ. Fish consumption, fish oil, omega-3 fatty acids, and cardiovascular disease. Circulation 2002; 106: 2747–57.CrossRefGoogle ScholarPubMed
26Brandstetter, BR, Korfmann, A, Kroke, A, Becker, N, Schulze, MB, Boeing, H. Dietary habits in the German EPIC cohorts: food group intake estimated with the food frequency questionnaire. Annals of Nutrition & Metabolism 1999; 43: 246–57.CrossRefGoogle ScholarPubMed
27Aranceta, J, Rodrigo, CP, Eguileor, I, Marzana, I, Gonzàlez de Galdeano, L, Saenz de Buruaga, J. Food consumption patterns in the adult population of the Basque Country (EINUT-I). Public Health Nutrition 1998; 1: 185–92.CrossRefGoogle ScholarPubMed
28Worsley, A. Cohabitation–gender effects on food consumption. International Journal of Biosocial Research 1988; 10: 107–22.Google Scholar
29Fagerli, RA, Wandel, M. Gender differences in opinions and practices with regard to a ‘healthy diet’. Appetite 1999; 32: 171–90.CrossRefGoogle ScholarPubMed
30World Health Organization (WHO). GEMS/FOOD Regional Diets: Regional per Capita Consumption of Raw and Semi-processed Agricultural Commodities. Document WHO/FSF/FOS/98.3 Geneva: WHO 1998.Google Scholar
31Baba, NH. Food consumption pattern in Lebanon. Rivisita di Antropologia 1998; 76: 193–204.Google Scholar
32Aranceta, J, Pérez, C, Amela, C, Garcia, R. Encuesta de Nutricion de la Comunidad de Madrid. Documentos Tecnicos de Salud, No. 18. Direccion General de Prevencion y Promocion de la Salud Madrid: Comunidad de Madrid, 1994.Google Scholar
33Gregory, J, Foster, K, Tyler, H, Wiseman, M. The Dietary and Nutritional Survey of British Adults. London: HMSO 1990.Google Scholar
34Voorlichtingsbureau Voor de Voeding. Zo eet Nederland, 1992. Resultaten van de Voedseiconsumptiepeiling. Den Haag: Voorlichtingsbureau Voor de Voeding, 1993.Google Scholar
35Saleh, ZA, Brunn, H, Paetzold, R, Hussein, L. Nutrients and chemical residues in an Egyptian total mixed diet. Food Chemistry 1998; 63: 535–41.CrossRefGoogle Scholar
36Kushi, LH. Gaps in epidemiologic research methods: design considerations for studies that use food frequency questionnaires. American Journal of Clinical Nutrition 1994; 59: 180S–4S.CrossRefGoogle ScholarPubMed