Adult diet in England: Where is more support needed to achieve dietary recommendations?

<h4>Background</h4>Small-area estimation models are regularly commissioned by public health bodies to identify areas of greater inequality and target areas for intervention in a range of behaviours and outcomes. Such local modelling has not been completed for diet consumption in England...

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Autores principales: Dianna M Smith, Christina Vogel, Monique Campbell, Nisreen Alwan, Graham Moon
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Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/83e752a32e8749728d21786d55e2a9b7
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spelling oai:doaj.org-article:83e752a32e8749728d21786d55e2a9b72021-12-02T20:10:13ZAdult diet in England: Where is more support needed to achieve dietary recommendations?1932-620310.1371/journal.pone.0252877https://doaj.org/article/83e752a32e8749728d21786d55e2a9b72021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252877https://doaj.org/toc/1932-6203<h4>Background</h4>Small-area estimation models are regularly commissioned by public health bodies to identify areas of greater inequality and target areas for intervention in a range of behaviours and outcomes. Such local modelling has not been completed for diet consumption in England despite diet being an important predictor of health status. The study sets out whether aspects of adult diet can be modelled from previously collected data to define and evaluate area-level interventions to address obesity and ill-health.<h4>Methods</h4>Adults aged 16 years and over living in England. Consumption of fruit, vegetables, and sugar-sweetened beverages (SSB) are modelled using small-area estimation methods in English neighbourhoods (Middle Super Output Areas [MSOA]) to identify areas where reported portions are significantly different from recommended levels of consumption. The selected aspects of diet are modelled from respondents in the National Diet and Nutrition Survey using pooled data from 2008-2016.<h4>Results</h4>Estimates indicate that the average prevalence of adults consuming less than one portion of fruit, vegetables or 100% juice each day by MSOA is 6.9% (range of 4.3 to 14.7%, SE 0.06) and the average prevalence of drinking more than 330ml/day of SSB is 11.5% (range of 5.7 to 30.5%, SE 0.03). Credible intervals around the estimates are wider for SSB consumption. The results identify areas including regions in London, urban areas in the North of England and the South coast which may be prioritised for targeted interventions to support reduced consumption of SSB and/or an increase in portions of fruit and vegetables.<h4>Conclusion</h4>These estimates provide valuable information at a finer spatial scale than is presently feasible, allowing for within-country and locality prioritisation of resources to improve diet. Local, targeted interventions to improve fruit and vegetable consumption such as subsidies or voucher schemes should be considered where consumption of these foods is predicted to be low.Dianna M SmithChristina VogelMonique CampbellNisreen AlwanGraham MoonPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252877 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Dianna M Smith
Christina Vogel
Monique Campbell
Nisreen Alwan
Graham Moon
Adult diet in England: Where is more support needed to achieve dietary recommendations?
description <h4>Background</h4>Small-area estimation models are regularly commissioned by public health bodies to identify areas of greater inequality and target areas for intervention in a range of behaviours and outcomes. Such local modelling has not been completed for diet consumption in England despite diet being an important predictor of health status. The study sets out whether aspects of adult diet can be modelled from previously collected data to define and evaluate area-level interventions to address obesity and ill-health.<h4>Methods</h4>Adults aged 16 years and over living in England. Consumption of fruit, vegetables, and sugar-sweetened beverages (SSB) are modelled using small-area estimation methods in English neighbourhoods (Middle Super Output Areas [MSOA]) to identify areas where reported portions are significantly different from recommended levels of consumption. The selected aspects of diet are modelled from respondents in the National Diet and Nutrition Survey using pooled data from 2008-2016.<h4>Results</h4>Estimates indicate that the average prevalence of adults consuming less than one portion of fruit, vegetables or 100% juice each day by MSOA is 6.9% (range of 4.3 to 14.7%, SE 0.06) and the average prevalence of drinking more than 330ml/day of SSB is 11.5% (range of 5.7 to 30.5%, SE 0.03). Credible intervals around the estimates are wider for SSB consumption. The results identify areas including regions in London, urban areas in the North of England and the South coast which may be prioritised for targeted interventions to support reduced consumption of SSB and/or an increase in portions of fruit and vegetables.<h4>Conclusion</h4>These estimates provide valuable information at a finer spatial scale than is presently feasible, allowing for within-country and locality prioritisation of resources to improve diet. Local, targeted interventions to improve fruit and vegetable consumption such as subsidies or voucher schemes should be considered where consumption of these foods is predicted to be low.
format article
author Dianna M Smith
Christina Vogel
Monique Campbell
Nisreen Alwan
Graham Moon
author_facet Dianna M Smith
Christina Vogel
Monique Campbell
Nisreen Alwan
Graham Moon
author_sort Dianna M Smith
title Adult diet in England: Where is more support needed to achieve dietary recommendations?
title_short Adult diet in England: Where is more support needed to achieve dietary recommendations?
title_full Adult diet in England: Where is more support needed to achieve dietary recommendations?
title_fullStr Adult diet in England: Where is more support needed to achieve dietary recommendations?
title_full_unstemmed Adult diet in England: Where is more support needed to achieve dietary recommendations?
title_sort adult diet in england: where is more support needed to achieve dietary recommendations?
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/83e752a32e8749728d21786d55e2a9b7
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AT nisreenalwan adultdietinenglandwhereismoresupportneededtoachievedietaryrecommendations
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