Energy and nutrient intakes in relation to National Nutrition Recommendations in a Norwegian population-based sample: the Tromsø Study 2015–16

  • Marie W. Lundblad
  • Lene Frost Andersen
  • Bjarne K. Jacobsen
  • Monica Hauger Carlsen
  • Anette Hjartåker
  • Sameline Grimsgaard
  • Laila A. Hopstock
Keywords: Food Frequency Questionnaire, Public Health, Population-Based Studies, Adult, Nutrient intake, Energy intake

Abstract

Introduction: According to the Global Burden of Disease project, unhealthy diet accounts for most of the disease burden in Norway. Current recommendations on nutrient intake in Norway reflect those published in the evidence-based Nordic Nutrition Recommendations from 2012 (NNR2012).

Aim: To study energy and nutrient intakes and compliance with the NNR2012 among women and men in a population-based study.

Methods: A total of 15,146 participants (aged 40–99 years) completed a validated food frequency questionnaire (261 questions on food items, meals, and beverages) in the seventh survey of the Tromsø Study in 2015–16; 11,425 participants were eligible for the current analysis. Nutrient intake was estimated by a food and nutrient calculation system at the University of Oslo, Norway. We compared energy, macronutrient, and micronutrient intakes with the NNR2012.

Results: In total, 85% of the women and men were not in compliance with the maximum recommended intake of saturated fat, and 40 and 77% of women and men, respectively, were not in compliance with the lowest recommended intake of fiber. More than 30% of women and 25% of men had a relatively high probability of inadequate intake of vitamin D, and more than 10% of the men had a relatively high probability of inadequate intake of vitamin B6 and vitamin C. More than 20% of women and men had a high probability of excessive intake of niacin, and almost 40% of women had a high probability of excessive intake of vitamin A.

Conclusion: Although most participants were in compliance with NNR2012, a large proportion of participants had higher intakes than maximum recommended for saturated fat, and lower than recommended for fiber and vitamin D.

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References


  1. GBD 2017 Diet Collaborators. Health effects of dietary risks in 195 countries, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. 2019. doi: 10.1016/S0140-6736(19)30041-8.

  2. World Health Organization. Global strategy on diet, physical activity and health (diet) 2016. Available from: http://www.who.int/dietphysicalactivity/diet-overview/en/ [cited 6 September 2019].

  3. Food and Agriculture Organization of the United Nations. Food-based dietary guidelines 2018. Available from: http://www.fao.org/nutrition/education/food-dietary-guidelines/regions/europe/en/ [cited 4 September 2019].

  4. World Health Organization. Healthy diet 2018 [updated 23 October 2018]. Available from: http://www.who.int/news-room/fact-sheets/detail/healthy-diet [cited 6 September 2019].

  5. The Norwegian Directorate of Health. Nutrition recommendations from the Norwegian Directorate of Health 2016 [updated 24 October 2016]. Available from: https://helsedirektoratet.no/folkehelse/kosthold-og-ernering/kostrad-fra-helsedirektoratet [cited 3 April 2019].

  6. The Norwegian Directorate of Health. Kostråd for å fremme folkehelsen og forebygge kroniske sykdommer; Metodologi og vitenskapelig kunnskapsgrunnlag. Oslo, Norway: The Norwegian Directorate of Health; 2011.

  7. Nordic Nutrition Recommendations 2012. Integrating nutrition and physical activity: Nordic Council of Ministers; 2014. Available from: https://norden.diva-portal.org/smash/get/diva2:704251/FULLTEXT01.pdf [cited 1 September 2019].

  8. Johansson L. NORKOST 1993-94 Landsomfattende kostholdsundersøkelse blant menn og kvinner i alderen 16-79 år (National dietary survey among men and women aged 16–79 years). Oslo: National Nutrition Council; 1997.

  9. Johansson L, Solvoll K. Norkost 1997. Landsomfattende kostholdsundersøkelse blant menn og kvinner i alderen 16-79 år (National dietary survey among males and females, 16–79 years). Oslo: National nutrition and physical education council; 1999; Publication No 2.

  10. Totland TH, Melnæs BK, Lundberg-Hallén N, Helland-Kigen KM, Lund-Blix NA, Myhre JB, et al. Norkost 3 En landsomfattende kostholdsundersøkelse blant menn og kvinner i Norge i alderen 18-70 år, 2010–11. Oslo, Norway Helsedirektoratet; 2012.

  11. The Institute for Health Metrics and Evaluation (IHME). Diet 2017. Available from: http://www.healthdata.org/diet [cited 15 February 2019].

  12. World Health Organization E. Nutrition 2019. Available from: http://www.euro.who.int/en/health-topics/disease-prevention/nutrition [cited 4 March 2019].

  13. Statistics Norway (SSB). Population 2019 [updated 20 August 2019]. Available from: https://www.ssb.no/en/befolkning/statistikker/folkemengde/aar-per-1-januar [cited 23 October 2019].

  14. Statistics Norway (SSB). Educational attainment of the population 2019 [updated 20 June 2019]. Available from: https://www.ssb.no/en/utdanning/statistikker/utniv/aar [cited 23 October 2019].

  15. Jacobsen BK, Eggen AE, Mathiesen EB, Wilsgaard T, Njølstad I. Cohort profile: the Tromsø Study. Int J Epidemiol 2011; 41: 961–7. doi: 10.1093/ije/dyr049.

  16. Tromsøundersøkelsen. Om Tromsøundersøkelsen 2017 [updated 29 August 2017]. Available from: https://uit.no/forskning/forskningsgrupper/sub?p_document_id=367276&sub_id=377965 [cited 20 September 2017].

  17. Carlsen MH, Lillegaard IT, Karlsen A, Blomhoff R, Drevon CA, Andersen LF. Evaluation of energy and dietary intake estimates from a food frequency questionnaire using independent energy expenditure measurement and weighed food records. Nutr J 2010; 9(1): 37. doi: 10.1186/1475-2891-9-37.

  18. Carlsen MH, Blomhoff R, Andersen LF. Intakes of culinary herbs and spices from a food frequency questionnaire evaluated against 28-days estimated records. Nutr J 2011; 10(1): 50. doi: 10.1186/1475-2891-10-50.

  19. Carlsen MH, Karlsen A, Lillegaard IT, Gran JM, Drevon CA, Blomhoff R, et al. Relative validity of fruit and vegetable intake estimated from an FFQ, using carotenoid and flavonoid biomarkers and the method of triads. Br J Nutr 2011; 105(10): 1530–8. doi: 10.1017/S0007114510005246.

  20. Matportalen. Old tables – The Norwegian Food Compostion Table 2015. Matportalen no. 2015. Available from: https://www.matportalen.no/verktoy/the_norwegian_food_composition_table/old_tables [cited 13 October 2019].

  21. UiT The Arctic University of Norway. EUTRO - Forskningsdata i system 2017. Available from: https://uit.no/forskning/forskningsgrupper/gruppe?p_document_id=525017 [cited 5 April 2019].

  22. Grimby G, Börjesson M, Jonsdottir I, Schnohr P, Thelle D, Saltin B. The ‘Saltin–Grimby Physical Activity Level Scale’ and its application to health research. Scand J Med Sci Spor 2015; 25(S4): 119–25. doi: 10.1111/sms.12611.

  23. The Norwegian Directorate of Health. Nutrient recommendations 2016 [updated 8 November 2016]. Available from: https://helsedirektoratet.no/folkehelse/kosthold-og-ernering/neringsstoffanbefalinger [cited 20 September 2019].

  24. Black AE. Critical evaluation of energy intake using the Goldberg cut-off for energy intake: basal metabolic rate. A practical guide to its calculation, use and limitations. Int J Obesity 2000; 24(9): 1119–30. doi: 10.1038/sj.ijo.0801376.

  25. Freedman LS, Commins JM, Moler JE, Arab L, Baer DJ, Kipnis V, et al. Pooled results from 5 validation studies of dietary self-report instruments using recovery biomarkers for energy and protein intake. Am J Epidemiol 2014; 180(2): 172–88. doi: 10.1093/aje/kwu116.

  26. Brouns F. Overweight and diabetes prevention: is a low-carbohydrate–high-fat diet recommendable? Eur J Nutr 2018; 57(4): 1301–12. doi: 10.1007/s00394-018-1636-y.

  27. Johansson I, Nilsson LM, Stegmayr B, Boman K, Hallmans G, Winkvist A. Associations among 25-year trends in diet, cholesterol and BMI from 140,000 observations in men and women in Northern Sweden. Nutr J 2012; 11(1): 40. doi: 10.1186/1475-2891-11-40.

  28. Ewers B, Trolle E, Jacobsen SS, Vististen D, Almdal TP, Vilsboll T, et al. Dietary habits and adherence to dietary recommendations in patients with type 1 and type 2 diabetes compared with the general population in Denmark. Nutrition 2019; 61: 49–55. doi: 10.1016/j.nut.2018.10.021.

  29. Jonsdottir SE, Brader L, Gunnarsdottir I, Kally Magnusdottir O, Schwab U, Kolehmainen M, et al. Adherence to the Nordic Nutrition Recommendations in a Nordic population with metabolic syndrome: high salt consumption and low dietary fibre intake (The SYSDIET study). Food Nutr Res 2013; 57:1, 21391. doi: 10.3402/fnr.v57i0.21391.

  30. Rippin HL, Hutchinson J, Jewell J, Breda JJ, Cade JE. Adult Nutrient Intakes from Current National Dietary Surveys of European Populations. Nutrients 2017; 9(12):1288. doi: 10.3390/nu9121288.

  31. Fondell E, Christensen SE, Balter O, Balter K. Adherence to the Nordic Nutrition Recommendations as a measure of a healthy diet and upper respiratory tract infection. Public Health Nutr 2011; 14(5): 860–9. Available from: https://dx.doi.org/10.1017/S136898001000265X.

  32. Vinas BR, Barba LR, Ngo J, Gurinovic M, Novakovic R, Cavelaars A, et al. Projected prevalence of onadequate nutrient intakes in Europe. Ann Nutr Metab 2011; 59(2–4): 84–95. doi: 10.1159/000332762.

  33. Nasjonalt råd for ernæring: Meyer H, Brunvand L, Brustad M, Holvik K, Johansson L, Paulsen J. Tiltak for å sikre en god vitamin D-status i befolkningen (Proposals to secure a good vitamin D-status in the population), Rapport IS-1408. Norwegian Nutrition Council Oslo; Norway: Norwegian Nutrition Council; 2006.

  34. ter Borg S, Verlaan S, Hemsworth J, Mijnarends DM, Schols JM, Luiking YC, et al. Micronutrient intakes and potential inadequacies of community-dwelling older adults: a systematic review. Br J Nutr 2015; 113(8): 1195–206. doi: 10.1017/S0007114515000203.

  35. Stea TH, Lillegaard ITL, Frøyland L, Haugen M, Henjum S, Løvik M, et al. Assessment of dietary intake of nicotinic acid and nicotinamide in relation to tolerable upper intake levels. Opinion of the Panel on Nutrition, Dietetic Products, Novel Food and Allergy of the Norwegian Scientific Committee for Food Safety. VKM Report 2017: 27. Oslo, Norway: Norwegian Scientific Committee for Food Safety; 2017. Report No.: 8282592846.

  36. Blomhoff R, Beckman-Sundh U, Brot C, Solvoll K, Steingrimsdóttir L, Carlsen MH. Health risks related to high intake of preformed retinol (vitamin A) in the Nordic countries. Copenhagen: Nordic Council of Minsters; 2003.

  37. Jacobsen BK, Thelle DS. The Tromsø Heart Study: responders and non-responders to a health questionnaire, do they differ? Scand J Soc Med 1988; 16(2): 101–4. doi: 10.1177/140349488801600207.

  38. Knudsen AK, Hotopf M, Skogen JC, Overland S, Mykletun A. The health status of nonparticipants in a population-based health study: the Hordaland Health Study. Am J Epidemiol 2010; 172(11): 1306–14. doi: 10.1093/aje/kwq257

  39. Langhammer A, Krokstad S, Romundstad P, Heggland J, Holmen J. The HUNT study: participation is associated with survival and depends on socioeconomic status, diseases and symptoms. BMC Med Res Methodol 2012; 12(1): 143. doi: 10.1186/1471-2288-12-143.

Published
2019-12-10
How to Cite
1.
Lundblad MW, Andersen LF, Jacobsen BK, Carlsen MH, Hjartåker A, Grimsgaard S, Hopstock LA. Energy and nutrient intakes in relation to National Nutrition Recommendations in a Norwegian population-based sample: the Tromsø Study 2015–16. fnr [Internet]. 2019Dec.10 [cited 2020Feb.29];630. Available from: https://foodandnutritionresearch.net/index.php/fnr/article/view/3616
Section
Original Articles

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