Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-10T06:39:03.590Z Has data issue: false hasContentIssue false

Dietary beliefs in the Baltic republics

Published online by Cambridge University Press:  27 September 2007

Joceline Pomerleau
Affiliation:
European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, 50 Bedford Square, London WC1B 3DP, UK
Martin McKee*
Affiliation:
European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, 50 Bedford Square, London WC1B 3DP, UK
Aileen Robertson
Affiliation:
WHO Regional Office for Europe, Scherfigsvej 8, DK-2100 Copenhagen Ø, Denmark
Kamelija Kadziauskiene
Affiliation:
National Nutrition Centre, Kalvariju str. 153, 2042 Vilnius, Lithuania
Algis Abaravicius
Affiliation:
Faculty of Medicine, Department of Physiology and Biochemistry, Vilnius University, Ciurlionio str. 21/27, 2009 Vilnius, Lithuania
Roma Bartkeviciute
Affiliation:
National Nutrition Centre, Kalvariju str. 153, 2042 Vilnius, Lithuania
Sirje Vaask
Affiliation:
Public Health Department, Ministry of Social Affairs, Gonsiori str. 29 EE0100, Tallinn, Estonia
Iveta Pudule
Affiliation:
Health Education Division, Health Promotion Centre, Skolas 3, LV-1010 Riga, Latvia
Daiga Grinberga
Affiliation:
Health Education Division, Health Promotion Centre, Skolas 3, LV-1010 Riga, Latvia
*
*Corresponding author: Email martin.mckee@lshtm.ac.uk
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.
Objectives

As beliefs and knowledge about the possible effects of foods on health can influence food behaviours, this study examined selected dietary beliefs in the Baltic countries and the association of beliefs related to salt intake and to types of fat with food behaviours.

Design

A cross-sectional study.

Setting

Data from three surveys conducted in Estonia, Latvia and Lithuania in the summer of 1997 were used to describe the prevalence of dietary beliefs in these countries and to investigate the association between beliefs and behaviours (using logistic regression).

Subjects

Representative national samples of adults were selected in each country (Estonia, n=2018; Latvia, n=2308; Lithuania, n=2153).

Results

Misunderstood concepts (myths) related to dietary salt, types of fat, meat consumption and bread and potatoes were observed in high proportions of the population. Education level was an important correlate of beliefs related to salt intake and types of fat, people with a higher education level being more likely to be familiar with these issues. Correct beliefs were not consistently associated with healthier behaviours (e.g. less frequent use of salt at the table and use of non-animal fats for cooking), except for salt intake in Estonia.

Conclusions

Several misunderstood dietary concepts (myths) are still prevalent in the Baltic countries. Correct beliefs related to salt intake and types of fat were not consistent predictors of healthier food behaviours. In-depth qualitative investigations are needed to better describe and understand dietary beliefs and attitudes in the Baltic countries, and to identify barriers to the adoption of healthy food habits.

Type
Research Article
Copyright
Copyright © CABI Publishing 2001

References

1Ginter, E.Cardiovascular disease prevention in eastern Europe. Nutrition 1998; 14: 452–7.CrossRefGoogle ScholarPubMed
2United Nations Development Programme in Lithuania. Lithuanian Human Development Report 1997. Vilnius: UNDP Lithuania, 1999.Google Scholar
3Popkin, B, Zohoori, N, Kohlmeier, L, Baturin, A, Martinchik, A, Deev, A. Nutritional risk factors in the former Soviet Union. Bobadilla, JL, Costello, CA, Faith, M, eds. Premature Death in the New Independent States. Washington: National Academy Press, 1997: 314–34.Google Scholar
4Kristenson, M, Ziedén, B, Kucinskienë, Z, et al. Antioxidant state and mortality from coronary heart disease in Lithuanian and Swedish men: concomitant cross sectional study of men aged 50. BMJ 1997; 314: 629–33.Google Scholar
5World Health Organization. Comparative Analysis of Nutrition Policies in WHO European Member States. Copenhagen: World Health Organization Regional Office for Europe, 1998.Google Scholar
6Abaravicius, JA, Kucinskienë, Z, Songaliene, J, Zebrauskas, P.Study of nutritional behavior in a group of Lithuanian men. Z. Ernährungswiss. 1998; 37(Suppl. 1): 136–8.Google Scholar
7Grabauskas, V, Klumbien, J, Petkeviciene, J, et al. Health Behaviour among Lithuanian Adult Population, Spring 1996. Helsinki: Kaunas Medical Academy of Lithuania and National Public Health Institute of Finland, 1998.Google Scholar
8Kasmel, A, Lipand, A, Kasmel, K, et al. Eesti Täiskasvanud Elanikkonna Tervisekäitumise uuring, Kevad 1996 [Health Behaviour among Estonian Adult Population, Spring 1996]. Helsinki: National Public Health Institute, 1997.Google Scholar
9Food and Agriculture Organization. FAOSTAT Database. Rome: FAO, 1998.Google Scholar
10World Health Organization. Health for All Database. Copenhagen: WHO, 2000.Google Scholar
11Glanz, K, Basil, M, Maibach, E, Glodberg, J, Snyder, D.Why Americans eat what they do: taste, nutrition, cost, convenience, and weight control concerns as influences on food consumption. J. Am. Diet. Assoc. 1998; 98: 1118–26.Google Scholar
12Patterson, RE, Kristal, AR, White, E.Do beliefs, knowledge, and perceived norms about diet and cancer predict dietary change? Am. J. Public Health 1996; 86: 1394–400.Google Scholar
13Ferrini, R, Edelstein, S, Barrett-Connor, E.The association between health beliefs and health behavior change in older adults. Prev. Med. 1994; 23: 15.Google Scholar
14Elliott, P, Stamler, J, Nichols, R, et al. Intersalt revisited: further analyses of 24 hour sodium excretion and blood pressure within and across populations. Intersalt Cooperative Research Groups. BMJ 1996; 312: 1249–53.Google Scholar
15Nurminen, ML, Korpela, R, Vapaatalo, H.Dietary factors in the pathogenesis and treatment of hypertension. Ann. Med. 1998; 30: 143–50.Google Scholar
16Wood, D.European and American recommendations for coronary heart disease prevention. Eur. Heart J. 1998; 19(Suppl. A): A12–19.Google Scholar
17Pudule, I, Grinberga, D, Kadziauskiene, K, et al. Patterns of smoking in the Baltic republics. J. Epidemiol. Community Health 1999; 53: 277282.Google Scholar
18Statistical Office of Estonia. Statistical Yearbook of Estonia. Tallinn: Statistical Office of Estonia, 1998.Google Scholar
19Statistical Office of Latvia. Statistical Yearbook of Latvia. Riga: Statistical Office of Latvia, 1998.Google Scholar
20Department of Statistics. Statistical Yearbook of Lithuania. Vilnius: Government of the Republic of Lithuania, 1997, 1998.Google Scholar
21Harnack, L, Block, G, Subar, A, Lane, S, Brand, R.Association of cancer prevention-related nutrition knowledge, beliefs, and attitudes to cancer prevention dietary behaviour. J. Am. Diet. Assoc. 1997; 97: 957–65.CrossRefGoogle Scholar
22Smith, AM, Owen, N.Associations of social status and health-related beliefs with dietary fat and densities. Prev. Med. 1992; 21: 735–45.Google Scholar
23Patterson, RE, Kristal, AR, White, E.Do beliefs, knowledge, and perceived norms about diet and cancer predict dietary change?. Am. J. Public Health 1996; 86: 1394–400.Google Scholar
24Pudule, I, Grinberga, D, Rituma, A, et al. Health Behaviour among Latvian Adult Population, 1998. Helsinki: National Public Health Institute, 2000.Google Scholar
25Cotugna, N, Subar, AF, Heimendinger, J, Kahle, L.Nutrition and cancer prevention knowledge, beliefs, attitudes, and practices: the 1987 National Health Interview Survey. J. Am. Diet. Assoc. 1992; 92: 963–8.CrossRefGoogle ScholarPubMed
26Robertson, A, Lang, T. Food, Nutrition and Health Policy in the Russian Federation. Report of a Workshop. Copenhagen: World Health Organization, Regional Office for Europe, 1997.Google Scholar
27Pomerleau, J, Pudule, I, Grinberga, D, et al. Patterns of body weight in the Baltic republics. Public Health Nutr. 2000; 3: 310.Google Scholar
28 Anon. Finnish Dietary Guidelines and their Scientific Principles. Helsinki: Government Printing Centre, 1999.Google Scholar
29Country-wide Non-communicable Disease Intervention (CINDI). Dietary Guidelines. Copenhagen: World Health Organization, 1999.Google Scholar
30Delange, F, Robertson, A, McLoughney, E, Gerasimov, G, eds. Elimination of Iodine Deficiency Disorders (IDD) in Central and Eastern Europe, the Commonwealth of Independent States, and the Baltic States. Copenhagen: World Health Organization, 1998.Google Scholar
31Nordic Council of Ministers. Risk Evaluation of Essential Trace Elements. Copenhagen: Nordic Council of Ministers, 1995.Google Scholar
32 Anon. Dietary Reference Values for Food Energy and Nutrients for the UK. London: HMSO, 1991.Google Scholar