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http://hdl.handle.net/11375/28440
Title: | Changes in Nutrient and Food Consumption Over Time in Populations Around the World |
Authors: | Sikorski, Claudia |
Advisor: | Mente, Andrew |
Department: | Health Research Methodology |
Publication Date: | 2023 |
Abstract: | Background: Comprehensive assessments of diet trends are warranted as changes have implications for non-communicable diseases and malnutrition. This thesis aimed to estimate and compare changes in energy, macronutrients, and foods, over the long term (1950-2019) and short term (2007-2022). Methods: A systematic review and meta-analysis examined changes in energy, macronutrients, and foods per decade from 1950-2019 by geographic and income regions using linear mixed-effects models. In sixteen low-, middle-, and high-income countries participating in the Prospective Urban Rural Epidemiology (PURE) Study, changes in foods were assessed (2007-2022) using mixed-effect models. In a small methodological project, we used correlation coefficients to compare trends in food supply data to dietary changes collected using individual-level diet assessments. Results: Findings from the systematic review and meta-analysis show a pattern of decreased carbohydrate and increased fat intakes in Asia; the opposite was found in North America. In Europe, fat consumption decreased, but little change was found in carbohydrate intake. By the end of the covered time period (in the 2000s), fruit, vegetable, nut, and legume intakes were below recommended intakes in most regions. In the PURE cohort, dietary changes were modest. In low-income countries, milk, chicken, fish, and fruit intakes increased, with little change to vegetable intake. Fruit decreased in high- and middle-income countries, and vegetables decreased in most regions. Food supply data overestimated individual-level intakes, especially in higher-income countries. Diet changes estimated from supply data corresponded with changes from individual-level assessments for macronutrients, but not energy intake. Conclusions: Based on our systematic review, consumption of fruits and vegetables, nuts, and legumes remain below recommendations in most world regions. Similarly, in PURE, consumption of fruits and vegetables has not improved in most regions in recent years (i.e., 2007-2022). This work helps to identify targets for nutritional policies and interventions in different world regions. |
URI: | http://hdl.handle.net/11375/28440 |
Appears in Collections: | Open Access Dissertations and Theses |
Files in This Item:
File | Description | Size | Format | |
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Sikorski_Claudia_2023April_Phd.pdf | 9.64 MB | Adobe PDF | View/Open |
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