Abstract
Objective: To assess nutrient intakes relevant in the prevention of cardiovascular diseases (CVD) among young adults in Finland and to find past and present determinants of quality of diet.
Design: Prospective study, 21 years of follow-up.
Setting: The Cardiovascular Risk in Young Finns Study, Finland.
Subjects: At baseline in 1980: 3569 children aged 3–18 y participated (83% of those invited), and every second of them (1780) were selected to the dietary study. At follow-ups in 1986 and 2001: 1200 and 1037 of the original sample, respectively, participated.
Methods: Food consumption was assessed using 48-h dietary recall. Intakes in 2001 were compared with those obtained in 1980 and 1986. Nutrients selected for further examination were those implicated in the risk of CVD: saturated, monounsaturated, polyunsaturated and n-3 fatty acids, fibre and salt. An index describing the quality of adulthood diet was constructed. Multivariate logistic regression was used to identify independent childhood and adulthood determinants of the quality index.
Results: The average intakes showed substantial changes since 1980. Intakes of fat and saturated fat had decreased, while the consumption of vegetables and fruit had increased. However, a great disparity was present between the recommended levels and actual intakes for many of the nutrients, particularly salt, saturated fat and fibre. Intake of fat and consumption of vegetables in childhood and physical activity in adulthood were important health behavioural determinants of the cardiovascular quality of the adult diet. Socio-demographic factors, including education of the subject and their parents, had no significant associations with diet.
Conclusions: While intakes of energy and nutrients have changed favourably in Finnish young adults between 1980 and 2001 with regard to the risk of CVD, they are still far from recommended levels. Childhood diet is a significant determinant of adult diet even after 21 y.
Sponsorship: This study was supported by the Academy of Finland (grant 77841) and Juho Vainio Foundation.
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References
Åkerblom HK, Viikari J, Raitakari OT & Uhari M (1999): Cardiovascular Risk in Young Finns Study: general outline and recent developments. Ann. Med. 31(Suppl 1), S45–S54.
Barker DJ (2000): In utero programming of cardiovascular disease. Theriogenology 53, 555–574.
Berenson GS, Srinivasan SR & Nicklas TA (1998): Atherosclerosis: a nutritional disease of childhood. Am. J. Cardiol. 82, 22T–29T.
Bergström E, Hernell O & Persson LA (1993): Dietary changes in Swedish adolescents. Acta Paediatr. 82, 472–480.
De Almeida MD, Graca P, Lappalainen R, Giachetti I, Kafatos A, Remaut de Winter A & Kearney JM (1997): Sources used and trusted by nationally representative adults in the European Union for information on healthy eating. Eur. J. Clin. Nutr. 51 (Suppl. 2), S16–S22.
De Irala-Estévez J, Groth M, Johansson L, Oltersdorf U, Prättälä R & Martínez-González MA (2000): A systematic review of socio-economic differences in food habits in Europe: consumption of fruit and vegetables. Eur. J. Clin. Nutr. 54, 706–714.
Doyal L (2001): Sex, gender, and health: the need for a new approach. BMJ 323, 1061–1063.
Eaton CB, McPhillips JB, Gans KM, Garber CE, Assaf AR, Lasater TM & Carleton RA (1995): Cross-sectional relationship between diet and physical activity in two southeastern New England communities. Am. J. Prev. Med. 11, 238–244.
Fagerli RA & Wandel M (1999): Gender differences in opinions and practices with regard to a “healthy diet”. Appetite 32, 171–190.
FINDIET Study Group. (1998): The 1997 Dietary Survey of Finnish Adults. Publication of the National Public Health Institute B8/1998. Helsinki: National Public Health Institute.
Griffiths S (1996): Men's health: unhealthy life-styles and an unwillingness to seek medical help. BMJ 312, 69–70.
Groth MV, Fagt S & Brondsted L (2001): Social determinants of dietary habits in Denmark. Eur. J. Clin. Nutr. 55, 959–966.
Hasunen K, Pekkarinen M, Koskinen EH, Seppänen R & Bäckström LA (1976): The Food Consumption and Nutrient Intake in Finland in 1969 to 1972. (in Finnish). Helsinki: The Finnish Social Insurance Institute.
Johansson L, Drevon CA & Bjorneboe GE (1996): The Norwegian diet during the last hundred years in relation to coronary heart disease: Eur. J. Clin. Nutr. 50, 277–283.
Johansson L, Thelle DS, Solvoll K, Bjorneboe GE & Drevon CA (1999): Healthy dietary habits in relation to social determinants and life-style factors. Br. J. Nutr. 81, 211–220.
Kandrack MA, Grant KR & Segall A (1991): Gender differences in health related behaviour: some unanswered questions. Soc. Sci. Med. 32, 579–590.
Kelder SH, Perry CL, Klepp KI & Lytle LL (1994): Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am. J. Pub. Health 84, 1121–1126.
Lahelma E, Keskimäki I & Rahkonen O (2002): Income maintenance policies: the example of Finland, In Reducing Inequalities in Health. A European Perspective, eds J Mackenbach & M Bakker, pp 67–76. London: Routledge.
Law M (2000): Dietary fat and adult diseases and the implications for childhood nutrition: an epidemiologic approach: Am. J. Clin. Nutr. 72 (Suppl. 3), 1291S–1296S.
Leino M, Porkka KVK, Raitakari OT, Laitinen S, Taimela S & Viikari JSA (1996): Influence of parental occupation on coronary heart disease risk factors in children The Cardiovascular Risk in Young Finns Study. Int. J. Epidemiol. 25, 1189–1195.
Leino M, Raitakari OT, Porkka KVK, Taimela S & Viikari J (1999): Associations of education with cardiovascular risk factors in young adults: The Cardiovascular Risk in Young Finns Study. Int. J. Epidemiol. 28, 667–675.
Leino M, Raitakari OT, Porkka KVK, Helenius HYM & Viikari JSA (2000): Cardiovascular risk factors of young adults in relation to parental socioeconomic status. The Cardiovascular Risk in Young Finns Study. Ann. Med. 32, 142–151.
Littell RC, Henry PR & Ammermann CB (1998): Statistical analysis of repeated measures data using SAS procedures. J. Anim. Sci. 76, 1216–1231.
Lucas A (1998): Programming by early nutrition: an experimental approach. J. Nutr. 128 (Suppl 2), 401S–406S.
Mattisson I, Wirfalt E, Gullberg B & Berglund G (2001): Fat intake is more strongly associated with life-style factors than with socio-economic characteristics, regardless of energy adjustment approach. Eur. J. Clin. Nutr. 55, 452–461.
National Nutrition Council. (1999): Finnish Nutrition Recommendations. Helsinki: Ministry of Agriculture and Forestry.
National Public Health Institute. (2003) Food composition databank Fineli, version FND2 (cited 2003 Jun 18) Available from: www.ktl.fi/fineli.
Osler M, Heitmann BL & Schroll M (1997): Ten year trends in the dietary habits of Danish men and women. Cohort and cross-sectional data. Eur. J. Clin. Nutr. 51, 535–541.
Packman J & Kirk SFL (2000): The relationship between nutritional knowledge, attitudes and dietary fat consumption in male students. J. Hum. Nutr. Dietet. 13, 389–395.
Perez-Rodrigo C & Aranceta J (2001): School-based nutrition education: lessons learned and new perspectives. Public Health Nutr. 4, 131–139.
Pietinen P, Lahti-Koski M, Vartiainen E & Puska P (2001): Nutrition and cardiovascular disease in Finland since the early 1970s: a success story. J. Nutr. Health Aging 5, 150–154.
Pietinen P, Vartiainen E, Seppänen R, Aro A & Puska P (1996): Changes in diet in Finland from 1972 to 1992: impact on coronary heart disease risk. Prev. Med. 25, 243–250.
Porkka KV, Raitakari OT, Leino A, Laitinen S, Räsänen L, Rönnemaa T, Marniemi J, Lehtimäki T, Taimela S, Dahl M, Uhari M, Åkerblom HK & Viikari JS (1997): Trends in serum lipid levels during 1980–1992 in children and young adults. The Cardiovascular Risk in Young Finns Study. Am. J. Epidemiol. 146, 64–77.
Prättälä R, Berg MA & Puska P (1992): Diminishing or increasing contrasts? Social class variation in Finnish food consumption patterns 1979–1990. Eur J. Clin. Nutr. 46, 279–287.
Puska P (2002): Nutrition and global prevention on non-communicable diseases. Asia Pac. J. Clin. Nutr. 11 (Suppl. 9), S755–S758.
Rask-Nissilä L, Jokinen E, Viikari J, Tammi A, Rönnemaa T, Marniemi J, Salo P, Routi T, Helenius H, Välimäki I & Simell O (2000): Impact of dietary intervention, sex, and apolipoprotein E phenotype on tracking of serum lipids and apolipoproteins in 1- to 5-year-old children: the Special Turku Coronary Risk Factor Intervention Project (STRIP). Arterioscler. Thromb. Vasc. Biol. 22, 492–498.
Raitakari OT, Porkka KV, Taimela S, Telama R, Räsänen L & Viikari JS (1994): Effects of persistent physical activity and inactivity on coronary risk factors in children and young adults. The Cardiovascular Risk in Young Finns Study. Am. J. Epidemiol. 140, 195–205.
Roos E, Lahelma E, Virtanen M, Prättäla R & Pietinen P (1998): Gender, socioeconomic status and family status as determinants of food behaviour. Soc. Sci. Med. 46, 1519–1529.
Räsänen L, Ahola M, Kara R & Uhari M (1985): Atherosclerosis precursors in Finnish children and adolescents. VIII Food consumption and nutrient intakes. Acta Paediatr. Scand. Suppl. 318, 135–153.
Räsänen L, Laitinen S, Stirkkinen R, Kimppa S, Viikari J, Uhari M, Pesonen E, Salo M & Åkerblom HK (1991): Composition of the diet of young Finns in 1986. Ann. Med. 23, 73–80.
SAS Institute Inc. (1989): SAS/STAT User's Guide, Version 6, 4th Edition, Vol 2. Cary, NC: SAS Institute Inc.
Viikari JS, Raitakari OT & Simell O (2002): Nutritional influences on lipids and future atherosclerosis beginning prenatally and during childhood. Curr. Opin. Lipidol. 13, 11–18.
Westenhoefer J (2001): Establishing good dietary habits—capturing the minds of children. Public Health Nutr. 4, 125–129.
Willett WC (1998): Nutritional Epidemiology, 2nd ed. New York: Oxford University Press.
World Health Organization (2003): Diet, nutrition, and the prevention of chronic diseases, Report of a Joint WHO/FAO Expert Group, Technical Series 916, WHO, Geneva.
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Guarantor: V Mikkilä.
Contributors: VM was responsible for data analysis and prepared the manuscript with LR. LR was responsible for the nutritional field studies from the beginning of the project. OTR and JV are responsible for the project. All contributors commented on earlier drafts and approved the final manuscript.
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Mikkilä, V., Räsänen, L., Raitakari, O. et al. Longitudinal changes in diet from childhood into adulthood with respect to risk of cardiovascular diseases: The Cardiovascular Risk in Young Finns Study. Eur J Clin Nutr 58, 1038–1045 (2004). https://doi.org/10.1038/sj.ejcn.1601929
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DOI: https://doi.org/10.1038/sj.ejcn.1601929
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