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Costs of a healthy diet: analysis from the UK Women's Cohort Study

Published online by Cambridge University Press:  02 January 2007

Janet Cade ,
Hendrike Upmeier ,
Claire Calvert  and
Darren Greenwood
Janet Cade*
Affiliation:
Nuffield Institute for Health, University of Leeds, 71–75 Clarendon Road, Leeds LS2 9PL, UK
Hendrike Upmeier
Affiliation:
Sachverständigenrat für die Konzertierte Aktion im Gesundheitswesen, c/o Bundesministerium für Gesundheit, Am Propsthof 78a, 53121 Bonn, Germany
Claire Calvert
Affiliation:
Nuffield Institute for Health, University of Leeds, 71–75 Clarendon Road, Leeds LS2 9PL, UK
Darren Greenwood
Affiliation:
Nuffield Institute for Health, University of Leeds, 71–75 Clarendon Road, Leeds LS2 9PL, UK
*
*Corresponding author: Email cme6cade@leeds.ac.uk
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Abstract

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Objective:

To investigate the direct and indirect cost differences associated with eating a ‘healthy’ or ‘unhealthy’ diet.

Design:

Analysis of data from a baseline postal questionnaire for the UK Women's Cohort Study, including a detailed food frequency questionnaire (FFQ), supplemented by a telephone interview on a sub-sample.

Subjects:

The first 15 191 women who responded to the questionnaire, aged 35–69 years with similar numbers of meat eaters, fish eaters and vegetarians.

Results:

A healthy diet indicator (hdi), with values from 0 (lowest) to 8 (highest) was developed based on the WHO dietary recommendations. Direct monetary cost of the diet was calculated using prices from the 1995 National Food Survey and the Tesco home shopping catalogue. Women in the healthy diet group were almost four times as likely to be vegetarian and have a higher educational level. For direct costs, the difference between the most extreme hdi groups was £1.48 day−1 (equivalent to £540 year−1), with fruit and vegetable expenditure being the main items making a healthy diet more expensive. Forty-nine per cent of the food budget was spent on fruit and vegetables in hdi group 8 compared to 29% in hdi group 0. Interestingly, 52% of those questioned in both extreme hdi groups did not think that it was difficult to eat healthily.

Conclusions:

To achieve a particularly healthy diet independent predictive factors were spending more money, being a vegetarian, having a higher energy intake, having a lower body mass index (BMI) and being older.

Keywords

CostDirect costIndirect costHealthy diet
Type
Research Article
Information
Public Health Nutrition , Volume 2 , Issue 4 , April 1999 , pp. 505 - 512
Copyright
Copyright © CABI Publishing 1999

References

1Gaziano, J, Manson, J. Diet and heart disease. The role of fat, alcohol, and antioxidants. J. Clin. Cardiol. 1996; 14: 69–83.CrossRefGoogle ScholarPubMed
2Steinmetz, K, Potter, J. Vegetables, fruit, and cancer prevention. A review. J. Am. Diet. Assoc. 1996; 10: 1027–39.CrossRefGoogle Scholar
3Willett, W. Diet and health. What should we eat? Science 1994; 264: 532–7.CrossRefGoogle ScholarPubMed
4Department of Health. The Health of the Nation. A Strategy for Health in England. London: HMSO, 1992.Google Scholar
5Health Education Authority. Health in England 1995. What People Know, What People Think, What People Do. London: Office for National Statistics, 1995.Google Scholar
6Gregory, JFK, Tyler, H, Wiseman, M. The Dietary and Nutritional Survey of British Adults. London: HMSO, 1990.Google Scholar
7Gregory, J, Davies, PSW, Hughes, JM, Clarke, PC. National Diet and Nutrition Survey: Children Aged 1.5 to 4.5 Years. London: HMSO, 1995.Google Scholar
8Cade, J, Booth, S. What can people eat to meet the dietary goals and how much does it cost? J. Hum. Nutr. Diet. 1990; 3: 199–207.CrossRefGoogle Scholar
9Calvert, C, Cade, J, Barrett, JH, Woodhouse, A. UKWCS Steering Group. Using cross-check questions to address the problem of mis-reporting of specific food groups on food frequency questionnaires. Eur. J. Clin. Nutr. 1997; 51: 708–12.CrossRefGoogle ScholarPubMed
10Riboli, E. Nutrition and cancer: background and rationale of the European Prospective Investigation into Cancer and Nutrition (EPIC). Ann. Oncol. 1992; 3: 783–91.CrossRefGoogle ScholarPubMed
11WHO. Diet, Nutrition and the Prevention of Chronic Diseases. Technical Report Series No. 797. Geneva: World Health Organisation, 1991.Google Scholar
12Kromhout, D, et al. Dietary pattern and 20 year mortality in elderly men in Finland, Italy, and the Netherlands. Longitudinal cohort study. BMJ 1997; 315: 13–17.Google Scholar
13Freund, P, McGuire, M. Health, Illness and the Social Body. A Critical Sociology. Englewood Cliffs, NJ: Prentice Hall, 1995.Google Scholar
14Ministry of Agriculture, Fisheries and Food. National Food Survey 1995. London: HMSO, 1996.Google Scholar
15Agresti, A. An Introduction to Categorical Data Analysis. New York: Wiley, 1996.Google Scholar
16Minitab Inc. Minitab Manual: Release 11 for Windows. Pennsylvania: Minitab Inc., 1996.Google Scholar
17Perkins, F. Practical Cost Benefit Analysis. Basic Concepts and Applications. South Melbourne: Macmillan Australia, 1994.CrossRefGoogle Scholar
18Nelson, M, Peploe, K. Construction of a modest-but-adequate food budget for households with two adults and one pre-school child: a preliminary investigation. J. Hum. Nutr. Diet. 1990; 3: 121–40.CrossRefGoogle Scholar
19Doyal, L, Pennell, I. The Political Economy of Health. London: Pluto Press, 1979.Google Scholar
20Blaxter, M. Health and Lifestyles. London/New York: Tavistock/Routledge, 1990.CrossRefGoogle Scholar
21Bradley, A, Theobald, A. The effects of dietary modification as defined by NACNE on the eating habits of 28 people. J Hum. Nutr. Diet. 1988; 1: 105–14.CrossRefGoogle Scholar
22Ministry of Agriculture, Fisheries and Food. National Food Survey 1996. London: HMSO, 1997.Google Scholar
23Drummond, M, Stoddart, G, Torrance, G. Methods for the Economic Evaluation of Health Care Programmes. Oxford: 1986.Google Scholar
24Hanes, FA, De Looy, AE. Can I afford the diet? J. Hum. Nutr. 1987; 41A: 1–12.Google Scholar
25Mooney, C. Costs and availability of healthy food choices in a London health district. J. Hum. Nutr. Diet. 1990; 3: 111–20.CrossRefGoogle Scholar
26DiMatteo, M. The Psychology of Health, Illness, and Medical Care. An Individual Perspective. California: Brooks/Cole, 1991.Google Scholar