Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-27T13:12:19.770Z Has data issue: false hasContentIssue false
  • English
  • Français

Interactions between traditional regional determinants and socio-economic status on dietary patterns in a sample of French men

Published online by Cambridge University Press:  08 March 2007

Anne-Elisabeth Perrin ,
Jean Dallongeville ,
Pierre Ducimetière ,
Jean-Bernard Ruidavets ,
Jean-Louis Schlienger ,
Dominique Arveiler  and
Chantal Simon
Anne-Elisabeth Perrin
Affiliation:
Groupe d'Etudes en Nutrition, Service de Médecine Interne et Nutrition, Hôpital de Hautepierre, 67098, Strasbourg, France
Jean Dallongeville
Affiliation:
INSERM U508, Institut Pasteur, Lille, France
Pierre Ducimetière
Affiliation:
INSERM U258, Hôpital Paul Brousse, Villejuif, France
Jean-Bernard Ruidavets
Affiliation:
INSERM U558, Département d#x0027;Epidémiologie, Faculté de Médecine, Toulouse, France
Jean-Louis Schlienger
Affiliation:
Groupe d'Etudes en Nutrition, Service de Médecine Interne et Nutrition, Hôpital de Hautepierre, 67098, Strasbourg, France
Dominique Arveiler
Affiliation:
Laboratoire d'Epidémiologie et de Santé Publique, Faculté de Médecine, Strasbourg, France
Chantal Simon*
Affiliation:
Groupe d'Etudes en Nutrition, Service de Médecine Interne et Nutrition, Hôpital de Hautepierre, 67098, Strasbourg, France
*
*Corresponding author: Dr Chantal Simon, fax +33 (0)3 88 12 75 96, email chantal.simon@medecine.u-strasbg.fr
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.

The aim of the present study was to assess the respective contributions of regional and socio-economic factors to dietary pattern. We used the data from the final MONICA (MONItoring of trends and determinants in Cardiovascular disease) population survey conducted in the three French centres in 1995–7 among a representative sample of 976 men aged 45–64 years. Dietary intake was assessed using a 3-d record method. Dietary patterns were identified by a factor analysis, based on fifteen food items. An analysis of variance was then used to study their relationship with regional and socio-economic determinants. Two major dietary patterns were identified: a ‘Western diet’, characterized by high intakes of sugar and sweets, grains, butter, added fats, eggs, potatoes and cheese; a ‘prudent diet’, mainly distinguished by high intakes of fruit, vegetables, olive oil and fish and low intakes of alcohol, high-fat meat and potatoes. Strong associations were mostly observed with the ‘prudent diet’ pattern, with a significant relationship with region, educational and income-tax levels, leisure-time physical activity and smoking status. There was also a statistically significant interaction between region and educational level (P=0·05), and between region and income-tax level (P=0·03), indicating that the influence of socio-economic factors is different among regions. In conclusion, these results indicate large regional and socio-economic differences in the dietary patterns of this French male population. When considering the ‘prudent diet’ pattern, they also suggest that traditional regional influences may now be overcome by socio-economic determinants.

Keywords

Dietary patternsGeographical determinantsSocio-economic status
Type
Research Article
Information
British Journal of Nutrition , Volume 93 , Issue 1 , January 2005 , pp. 109 - 114
Copyright
Copyright © The Nutrition Society 2005

References

Evans, AE, Ruidavets, JB & McCrum, EE (1995) Autres pays, autres coeurs? Dietary patterns, risk factors and ischaemic heart disease in Belfast and Toulouse. QJM 88, 469–477.Google ScholarPubMed
Fung, TT, Rimm, EB, Spiegelman, D, Rifai, N, Tofler, GH, Willett, WC & Hu, FB (2001b) Association between dietary patterns and plasma biomarkers of obesity and cardiovascular disease risk. Am J Clin Nutr 73, 61–67.CrossRefGoogle ScholarPubMed
Fung, TT, Willett, WC, Stampfer, MJ, Manson, JE & Hu, FB (2001a) Dietary patterns and the risk of coronary heart disease in women. Arch Intern Med 161, 1857–1862.CrossRefGoogle ScholarPubMed
Goldberg, GR, Black, AE, Jebb, SA, Cole, TJ, Murgatroyd, PR, Coward, WA & Prentice, AM (1991) Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr 45, 569–581.Google ScholarPubMed
Hjartaker, A & Lund, E (1998) Relationship between dietary habits, age, lifestyle, and socioeconomic status among adult Norwegian women. The Norwegian Women and Cancer Study. Eur J Clin Nut 52, 565–572.CrossRefGoogle ScholarPubMed
Holdsworth, M, Gerber, M, Haslam, C, Scali, J, Beardsworth, A, Avallone, MH & Sherratt, E (2000) A comparison of dietary behaviour in Central England and a French Mediterranean region. Eur J Clin Nutr 54, 530–539.CrossRefGoogle Scholar
Hu, FB (2002) Dietary patterns analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13, 3–9.CrossRefGoogle ScholarPubMed
Hu, FB, Rimm, EB, Stampfer, MJ, Ascherio, A, Spiegelman, D & Willett, WC (2000) Prospective study of major dietary patterns and risk of coronary heart disease in men. Am J Clin Nutr 72, 912–921.CrossRefGoogle ScholarPubMed
Huijbregts, P, Feskens, E, Rasanen, L, Fidanza, F, Nissinen, A, Menotti, A & Kromhout, D (1997) Dietary pattern and 20 year mortality in elderly men in Finland, Italy, and The Netherlands: longitudinal cohort study. BMJ 315, 13–17.CrossRefGoogle ScholarPubMed
Jacques, PF & Tucker, KL (2001) Are dietary patterns useful for understanding the role of diet in chronic diseases?. Am J Clin Nutr 73, 1–2.CrossRefGoogle Scholar
Johansson, L, Thelle, DS, Solvoll, K, Bjornoboe, GE & Drevon, CA (1999) Healthy dietary habits in relation to social determinants and lifestyle factors. Br J Nutr 81, 211–220.CrossRefGoogle ScholarPubMed
Jost, JP, Simon, C, Nuttens, MC, Bingham, A, Ruidavets, JB, Cambou, JP, Arveiler, D, Lecerf, JM, Schlienger, JL, Douste-Blazy, P (1990) Comparison of dietary patterns between population samples in the three French MONICA nutritional surveys. Rev Epidemiol Sante Publique 38, 517–523.Google ScholarPubMed
Kant, AK (2004) Dietary patterns and health outcomes. J Am Diet Assoc 104, 615–635.CrossRefGoogle ScholarPubMed
Keys, A, Menotti, A & Karvonen, MJ (1986) The diet and 15-year death rate in the seven countries study. Am J Epidemiol 124, 903–915.CrossRefGoogle ScholarPubMed
Lynch, JW, Kaplan, GA, Cohen, RD, Tuomilehto, J & Salonen, JT (1996) Do cardiovascular risk factors explain the relation between socioeconomic status, risk of all-cause mortality, cardiovascular mortality, and acute myocardial infarction?. Am J Epidemiol 144, 934–942.CrossRefGoogle ScholarPubMed
Margetts, BM, Thompson, RL, Speller, V & McVey, D (1998) Factors which influence ‘healthy’ eating patterns: results from the 1993 Health Education Authority health and lifestyle survey in England. Public Health Nutrition 1, 193–198.CrossRefGoogle ScholarPubMed
Marmot, MG, Smith, GD, Stansfeld, S, Patel, C, North, F, Head, J, White, I, Brunner, E & Feeney, A (1991) Health inequalities among British civil servants: the Whitehall II study. Lancet 337, 1387–1393.CrossRefGoogle ScholarPubMed
Martinez, ME, Marshall, JR & Sechrest, L (1998) Invited commentary: Factor analysis and the search for objectivity. Am J Epidemiol 148, 17–19.CrossRefGoogle ScholarPubMed
Osler, M, Heitmann, BL, Gerdes, LU, Jorgensen, LM & Schroll, M (2001) Dietary patterns and mortality in Danish men and women: a prospective observational study. Br J Nutr 85, 219–225.CrossRefGoogle ScholarPubMed
Osler, M, Helms Andreasen, A, Heitmann, B, Hoidrup, S, Gerdes, U, Morch Jorgensen, L & Schroll, M (2002) Food intake patterns and risk of coronary heart disease: a prospective cohort study examining the use of traditional scoring techniques. Eur J Clin Nutr 56, 568–574.CrossRefGoogle ScholarPubMed
Perrin, AE, Simon, C, Hedelin, G, Arveiler, D, Schaffer, P & Schlienger, JL (2002) Ten-year trends of dietary intake in a middle-aged French population: relationship with educational level. Eur J Clin Nutr 56, 393–401.CrossRefGoogle Scholar
Roos, E, Prätällä, R, Lahelma, E, Kleemola, P & Pietinen, P (1996) Modern and healthy?: socioeconomic differences in the quality of diet. Eur J Clin Nutr 50, 753–760.Google ScholarPubMed
Schofield, WN, Schofield, C & James, WPT (1985) Basal metabolic rate. Hum Nutr Clin Nutr 39 Suppl. 1, 1–96.Google ScholarPubMed
Schulze, MB, Hoffmann, K, Kroke, A & Boeing, H (2001) Dietary patterns and their association with food and nutrient intake in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam study. Br J Nutr 85, 363–373.CrossRefGoogle ScholarPubMed
Schulze, MB & Hu, FB (2002) Dietary patterns and risk of hypertension, type 2 diabetes mellitus, and coronary heart disease. Curr Atheroscler Rep 4, 462–467.CrossRefGoogle ScholarPubMed
Slattery, ML, Boucher, KM, Caan, BJ, Potter, JD & Ma, KN (1998) Eating patterns and risk of colon cancer. Am J Epidemiol 148, 4–16.CrossRefGoogle ScholarPubMed
Smith, AM & Baghurst, KI (1992) Public health implications of dietary differences between social status and occupational category groups. J Epidemiol Community Health 46, 409–416.CrossRefGoogle ScholarPubMed
van Dam, RM, Willett, WC, Rimm, EB, Stampfer, MJ & Hu, FB (2002) Dietary fat and meat intake in relation to risk of type 2 diabetes in men. Diabetes Care 25, 417–424.CrossRefGoogle ScholarPubMed
WHO MONICA Project Principal Investigators (1988) The World Health Organization MONICA Project (MONItoring trends and determinants in CArdiovascular disease). A major international collaboration. J Clin Epidemiol 41, 105–114.CrossRefGoogle Scholar
World Health Organization (1986) MONICA Manual Geneva World Health Organization version 1.1. CVD/MNC.Geneva:World Health Organization.Google Scholar