Key result
Over a 20-year period, a cardiovascular prevention programme was associated with only small differences in dietary habits, with no significant differences in temporal trends for overall diet quality or macronutrient intake compared to a county without a programme.
Why the study?
It was unclear whether temporal trends in dietary habits over a 20-year period differed between a county with a CVD prevention programme and one without.
Does a population-level cardiovascular prevention programme improve dietary habits over a 20-year period compared to no programme?
Cross-Sectional (n=5,400)
Does a population-level cardiovascular prevention programme improve dietary habits over a 20-year period compared to no programme?
A long-term cardiovascular prevention programme in northern Sweden was associated with only minor differences in dietary habits compared to a county without such a programme, suggesting that additional strategies are needed to achieve population-level dietary changes.
Answers are grounded in this paper and cite their sources.
Limited dietary impact observed; leaves open whether alternative strategies can achieve population-level changes.
Objective: To compare temporal trends, over a 20-year period, in dietary habits between a county (Västerbotten) with a CVD prevention programme and a county (Norrbotten) without such a programme. Design: Cross-sectional data from the Northern Sweden MONICA study (survey period 1994, 1999, 2004, 2009 and 2014). Dietary habits were assessed by a semi-quantitative FFQ. Setting: Counties of Norrbotten and Västerbotten, Northern Sweden. Participants: Five thousand four hundred Swedish adults (mean age 56·9 years; 51·2 % women) from Västerbotten (47 %) and Norrbotten (53 %). Results: No differences in temporal trend for estimated percentage of energy intake from total carbohydrates, total fat, total protein and alcohol were observed between the counties ( P for interaction ≥ 0·33). There were no between-county difference in temporal trends for overall diet quality (assessed by the Healthy Diet Score; P for interaction = 0·36). Nor were there any between-county differences for the intake of whole grain products, fruits, vegetables, fish, sweetened beverages or fried potatoes ( P for interaction ≥ 0·09). Consumption of meat ( P for interaction = 0·05) increased to a greater extent in Norrbotten from 2009 and onwards, mainly in men (sex-specific analyses, P for interaction = 0·04). Men in Västerbotten decreased their intake of sweets to a greater extent than men in Norrbotten ( P for interaction < 0·01). Conclusions: Over a 20-year period in northern Sweden, only small differences in dietary habits were observed in favour of a county with a CVD prevention programme compared with a county without such a programme.
No takes yet. Share an insight, caveat, or question.
Törmä et al. (2021) conducted a cross-sectional in Cardiovascular disease prevention / Dietary habits (n=5,400). Cardiovascular disease prevention programme (Västerbotten Intervention Programme) vs. No cardiovascular disease prevention programme (Norrbotten county) was evaluated on Temporal trends in estimated percentage of energy intake from macronutrients and overall diet quality (Healthy Diet Score) (p=≥0.33). Over a 20-year period, a cardiovascular prevention programme was associated with only small differences in dietary habits, with no significant differences in temporal trends for overall diet quality or macronutrient intake compared to a county without a programme.
Synapse has enriched 10 related papers. Consider them for comparative context: