Læknablaðið - 01.12.2014, Blaðsíða 24

664 LÆKNAblaðið 2014/100
ENGLISH SUMMARY
introduction. Here we compare results on food and nutrient intake from
the two most recent Icelandic national nutrition surveys from 2010/11
and 2002 and compare intake of energy giving nutrients from 1990.
Finally we assess associations beween a healthy diet and difficulties
people have in making ends meet.
Materials and methods. Participants were selected by a random
sample from the national register. Final sample was 1912 individuals in
2010/11 and 1934 in 2002, response rate 68.6% and 70.6% respectively.
Diet was assessed by 24-hour recall. Results from the surveys were
calculated using t-test and sssociations between a healthy diet and
difficulties making ends meet by linear regression.
Results. Consumption of bread, bisquits, cakes and cookies, marg-
arine, highly processed meat products, chips, sugared soft drinks and
whole milk was lower in 2010/11 than in 2002 while consumption of
whole grain bread, oat meal, fruits, vegetables, meat and cod liver oil
was higher. Fish intake was unchanged. Fat intake decreased from 1990
to 2010/11, from 41E% to 35E%, saturated fatty acids from 20.0E% to
14.5E% and trans-fatty acids from 2.0E% to 0.8E%. Most of the chan-
ges occurred between 1990 and 2002. People having difficulties making
ends meet consumed less fruits, vegetables and whole grain bread but
more soft drinks in 2010/11 than those not having difficulties.
Conclusion. Dietary changes in Iceland from 2002 have mostly been
toward recommended intake. Between 1990 and 2002 fat consumption
decreased considerably, while less significant changes occurred from
2002 til 2010/11. Economic status is associated with healthy diet in
Iceland.
1Unit for Nutrition Research, University of Iceland and Landspitali University Hospital; 2Faculty for Food Science and Nutrition, University of Iceland; 3Medical Direcorate of Iceland.
key words: nutrition surveys, dietary changes, healthy eating, economic inequality.
Correspondence: Laufey Steingrímsdóttir, laufey@hi.is
national nutrition surveys and dietary changes in iceland.
Economic differences in healthy eating
Laufey Steingrimsdottir1,2, Hrund Valgeirsdottir2, Thorhallur I Halldorsson1,2, Ingibjörg Gunnarsdottir1,2, Elva Gisladottir3,
Holmfridur Thorgeirsdottir3, Inga Thorsdottir1,2
Heimildir
1. Sigurjónsson J. Mataræði og heilsufar á Íslandi. Rit
Manneldisráðs Íslands I. Reykjavík 1943.
2. Ragnarsson JÓ, Stefánsdóttir E. Neyslukönnun
Manneldisráðs Íslands 1979 -1980. Fjölrit RALA 1981; 74.
3. Steingrímsdóttir L, Þorgeirsdóttir H, Ægisdóttir S.
Könnun á mataræði Íslendinga 1990. Helstu niðurstöður.
Rit Manneldisráðs Íslands IV. Reykjavík 1991.
4. Steingrímsdóttir L, Þorgeirsdóttir H, Ólafsdóttir AS. Hvað
borða Íslendingar? Könnun á mataræði Íslendinga 2002.
Lýðheilsustöð, Reykjavík 2003. landlaeknir.is/utgefid-
efni/skjal/item11603/ - nóvember 2014.
5. Þorgeirsdóttir H, Valgeirsdóttir H, Gunnarsdóttir E,
Gísladóttir E, Gunnarsdóttir BE, Þórsdóttir I, et al. Hvað
borða Íslendingar? Könnun á mataræði Íslendinga
2010-2011, helstu niðurstöður. Embætti landlæknis,
Matvælastofnun og Rannsóknastofa í næringarfræði.
Reykjavík 2011.
6. Gunnarsdóttir I, Helgadóttir H, Þórisdóttir B, Þórsdóttir
I. Landskönnun á mataræði sex ára barna 2011-2012.
Læknablaðið 2013; 99: 17-23.
7. Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-
Rohani H, et al. A comparative risk assessment of burden
of disease and injury attributable to 67 risk factors and risk
factor clusters in 21 regions, 1990–2010: a systematic analy-
sis for the Global Burden of Disease Study 2010. Lancet
2012; 380: 2224-60.
8. World Health Organization (WHO). Food and Health
in Europe: a new basis for action. WHO Regional
Publications. European Series, No 96, 2004.
9. Darmon N, Drewnowski A. Does social class predict diet
quality? Am J Clin Nutr 2008; 87: 107-17.
10. ÍSGEM. (Íslenski gagnagrunnurinn um efnainnihald mat-
væla).Matís. matis.is/ISGEM/is – maí 2010.
11. Olafsdottir AS, Thorsdottir I, Gunnarsdottir I,
Thorgeirsdottir H, Steingrimsdottir L. Comparison of
women’s diet assessed by FFQs and 24-hour recalls with
and without underreporters: associations with biomark-
ers. Ann Nutr Metab 2006; 50: 450-60.
12. Steingrímsdóttir L. Nutrition in Iceland. Scand J Nutr
1993, 37: 10-2.
13. Nordic Nutrition Recommendations 2012. Integrating
nutrition and physical activity. 5th edition. Nord 2014:
002. norden.org/en/publications/publikationer/2014-002/
at_download/publicationfile – ágúst 2014.
14. Lutsey PL, Jacobs DR Jr, Kori S, Mayer-Davis E, Shea S,
Steffen LM, et al. Whole grain intake and its cross-section-
al association with obesity, insulin resistance, inflamma-
tion, diabetes and subclinical CVD: The MESA Study. Br J
Nutr 2007; 98: 397-405.
15. Te Morenga L, Mallard S, Mann J. Dietary sugars and
body weight: systematic review and meta-analyses of
randomised controlled trials and cohort studies. BMJ
2013; 346: e7492.
16. Reglugerð um hámarksmagn transfitusýra í matvælum.
1045.2010. reglugerd.is/interpro/dkm/WebGuard.nsf/
key2/1045-2010 – október 2014.
17. Embætti landlæknis. Upplýsingar um D-vítamín.
landlaeknir.is/heilsa-og-lidan/naering/greinar/grein/
item21469/Upplysingar-um-D-vitamin mars 2014 –
október 2014.
18. Gunnarsson O, Indridason OS, Franzson L, Halldorsdottir
E, Sigurdsson G. D-vítamínbúskapur fullorðinna Íslend-
inga. Læknablaðið 2004; 90: 29-36.
19. Bjarnadottir A, Kristjansdottir AG, Hrafnkelsson H,
Johannsson E, Magnusson KT, Thorsdottir I. Insufficient
autumn vitamin D intake and low vitamin D status in
7-year-old Icelandic children. Publ Health Nutr CJO2014.
doi:10.1017/S1368980013003558.
20 Þingsályktun um manneldis- og neyslustefnu. 111.
löggjafarþing 1988-1989. Nr. 22/111. Þskj. 1316 – 402 mál.
althingi.is/altext/111/s/1316.html – október 2014.
20. The NORBAGREEN 2002 study. Consumption of veg-
etables, potatoes, fruit, bread and fish in the Nordic and
Baltic countries. TemaNord, 2003:556. Nordic council
of ministers. landlaeknir.is/servlet/file/store93/item11587/
Norbagreen_2002_study.pdf – október 2014.
21. Embætti landlæknis. Fæðuframboð á Ísland 1956-2012.
landlaeknir.is/heilsa-og-lidan/naering/ – ágúst 2014.
22. vanPoppel G. Intake of trans fatty acids in Western
Europe. The TRANSFAIR study. Lancet 1998; 351: 1099.
23. Hulshof KF, van Erp-Baart MA, Anttolainen M, Becker
W, Church SM, Couet C, et al. Intake of fatty acids in
western Europe with emphasis on trans fatty acids: the
TRANSFAIR Study. Eur J Clin Nutr 1999; 53: 143-57.
24. Thorsson B, Steingrimsdottir L, Halldorsdottir S,
Andersen K, Sigurdsson G, Aspelund T, et al. Changes in
total cholesterol levels in Western societies are not related
to statin, but rather dietary factors: the example of the
Icelandic population. Eur Heart J 2013;34: 1778-82.
25. Aspelund T, Gudnason V, Magnusdottir BT, Andersen
K, Sigurdsson G, Thorsson B, et al. Analysing the large
decline in coronary heart disease mortality in the Icelandic
population aged 25-74 between the years 1981 and 2006.
PLoS One 2010; 12;5(11): e13957.
26. Fogelholm M, Anderssen S, Gunnarsdottir I, Lahti-
Koski M. Dietary macronutrients and food consumption
as determinants of long-term weight change in adult
populations: a systematic litterature review. Food Nutr
Res 2012; 56: 19103.
27. Gortmaker SL, Swinburn BA, Levy D, Carter R, Mabry PL,
Finegood DT, et al. Changing the future of obesity: science,
policy, and action. Lancet 2011; 378: 838-47.
28. Thow AM, Jan S, Leeder S, Swinburn B. The effect of fiscal
policy on diet, obesity and chronic disease: a systematic
review. Bull World Health Org 2010; 88: 609-14.
29. Rydén PJ, Hagfors L. Diet cost, diet quality and socio-
economic position: how are they related and what
contributes to differences in diet costs? Publ Health Nutr
2011; 24: 1-13.
30. Lehto E, Ray C, Velde S, Petrova S, Duleva V, Krawinkel
M, et al. Mediation of parental educational level on
fruit and vegetable intake among schoolchildren in ten
European countries. Publ Health Nutr 2014. dx.doi.
org/10.1017/S136898001300339X
31. Steingrímsdóttir L, Þorgeirsdóttir H, Ægisdóttir S.
Mataræði og mannlíf. Niðurstöður könnunar á mataræði
Íslendinga 1990. Rit Manneldisráðs Íslands IV, Reykjavík
1991.
32. Darmon N, Briend A, Drewnowski A: Energy-dense diets
are associated with lower diet costs: a community study of
French adults. Publ Health Nutr 2004; 7: 21-7.
33. Hagstofa Íslands. hagstofa.is/Hagtolur/Verdlag-og-
neysla/Neysla-og-verd-ymissa vorutegunda – ágúst 2014.
34. Gudmundsdottir DG. The Impact of economic crisis on
happiness. Soc Indicators Res 2013; 110: 1083-101.
35. Lágtekjumörk og tekjudreifing 2004-2009. Hagstofa
Íslands. hagstofa.is/Pages/95?NewsID=5092 – október
2014.
36. Drög að heilbrigðisáætlun til ársins 2020. velferdarra-
duneyti.is/media/frettatengt2012/Drog_ad_heilbrigdisaa-
etlun.pdf – október 2014.
37. Brussard JH, Lowik MR, Steingrimsdottir L, Moller A.
Kearny J, De Henauw S, Becker W. EFCOSUM Group. A
European food consumption survey method—conclusions
and recommendations. Eur J Clin Nutr 2002; 56: S89-S94.
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