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Association between legume consumption and the intake of other foods and nutrients in the Finnish adult population

Published online by Cambridge University Press:  20 February 2023

Atiyeh Gholami Karim Abad*
Affiliation:
Unit of Health Sciences, Faculty of Social Sciences, Tampere University, FI-33014, Tampere, Finland
Tarja I. Kinnunen
Affiliation:
Unit of Health Sciences, Faculty of Social Sciences, Tampere University, FI-33014, Tampere, Finland
Mirkka Maukonen
Affiliation:
Department of Public Health and Welfare, Finnish Institute for Health and Welfare, FI-00271, Helsinki, Finland
Anna-Maija Koivisto
Affiliation:
Unit of Health Sciences, Faculty of Social Sciences, Tampere University, FI-33014, Tampere, Finland
Satu Männistö
Affiliation:
Department of Public Health and Welfare, Finnish Institute for Health and Welfare, FI-00271, Helsinki, Finland
Niina E. Kaartinen
Affiliation:
Department of Public Health and Welfare, Finnish Institute for Health and Welfare, FI-00271, Helsinki, Finland
*
*Corresponding author: A. Gholami Karim Abad, email atiyeh.gholami@gmail.com

Abstract

The role of legumes in healthy and sustainable diets is increasingly of interest. Few studies have investigated the association between legume consumption and the consumption of other food groups and the intake of nutrients. This study examined how legume consumption is associated with the consumption of other foods and the intake of nutrients among Finnish adults. Our study used cross-sectional data from the population-based FinHealth 2017 Study consisting of 2250 men and 2875 women aged ≥18 years. The associations between legume consumption (quartile classification), food groups and nutrients were analysed using multivariable linear regression. The models were initially adjusted for energy intake and additionally for age, educational level, smoking status, leisure-time physical activity and BMI. Legume consumption had a positive association with age, education level and leisure-time physical activity. The consumption of legumes was positively associated with the consumption of fruits and berries, vegetables, nuts and seeds and fish and fish products and inversely associated with the consumption of red and processed meat, cereals and butter and butter-based fat spreads. Furthermore, legume consumption was positively associated with the intake of protein, fibre, folate, thiamine and salt in both sexes and inversely associated with the intake of saturated fatty acids and sucrose (sucrose, women only). Thus, legume consumption appears to reflect overall healthier food choices. An increase in legume consumption could accelerate the transition to more sustainable diets. The confounding role of other foods and nutrients should be considered when studying associations between legume consumption and health outcomes.

Type
Research Article
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Nutrition Society

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References

Röös, E, Bajželj, B, Smith, P, et al. (2017) Greedy or needy? Land use and climate impacts of food in 2050 under different livestock futures. Glob Environ Change 47, 112.10.1016/j.gloenvcha.2017.09.001CrossRefGoogle Scholar
Food and Agriculture Organisation of the United Nations (2020) Crops Statistics – Concepts, Definitions and Classifications. IV. Temporary Primary Crops: Definition, Classification and Specific Recommendations. http://www.fao.org/economic/the-statistics-division-ess/methodology/methodology-systems/crops-statistics-concepts-definitions-and-classifications/en/ (accessed January 2023).Google Scholar
Food and Agricultural Organisation of the United Nations (2016) International Year of Pulses: Nutrition Seeds for a Sustainable Future, Trends in Worldwide Production, Consumption and Trade of Pulses. https://www.fao.org/pulses-2016/news/news-detail/en/c/381491/#:∼:text=Consumption%20of%20pulses%20has%20seen%20a%20slow%20but,the%20world%20average%20remaining%20at%20around%207%20kg%2Fperson%2Fyear (accessed January 2023).Google Scholar
Miller, V, Rangarajan, S, Gupta, R, et al. (2016) Fruit, vegetable, and legume intake, and cardiovascular disease and deaths in 18 countries (PURE): a prospective cohort study. Lancet 390, 20372049.10.1016/S0140-6736(17)32253-5CrossRefGoogle Scholar
Micha, R, Khatibzadeh, S, Shi, P, et al. (2014) Global, regional, and national consumption levels of dietary fats and oils in 1990 and 2010: a systematic analysis including 266 country-specific nutrition surveys. BMJ 348, g2272.10.1136/bmj.g2272CrossRefGoogle ScholarPubMed
Kaartinen, NE, Tapanainen, H, Männistö, S, et al. (2021) Changes in food consumption and nutrient intake in Finnish adults 1997–2017: the national FinDiet survey (in Finnish, abstract in English). Finnish Med J 76, 273280.Google Scholar
Steib, CA, Johansson, I, Hefni, ME, et al. (2020) Diet and nutrient status of legume consumers in Sweden: a descriptive cross-sectional study. Nutr J 19, 27.10.1186/s12937-020-00544-wCrossRefGoogle ScholarPubMed
Willett, W, Rockström, J, Loken, B, et al. (2019) Food in the Anthropocene: the EAT–Lancet Commission on healthy diets from sustainable food systems. Lancet 393, 447492.CrossRefGoogle ScholarPubMed
Valsta, L, Kaartinen, N, Tapanainen, H, et al. (editors) (2018) Nutrition in Finland - The National FinDiet 2017 Survey (in Finnish, abstract in English). Report no. 12. Helsinki: The Finnish Institute for Health and Welfare.Google Scholar
Kaartinen, NE, Tapanainen, H, Maukonen, M, et al. (2022) Partial replacement of red and processed meat with legumes: a modelling study of the impact on nutrient intakes and nutrient adequacy on the population level. Public Health Nutr 26, 303314.CrossRefGoogle Scholar
Hall, C, Hillen, C & Garden Robinson, J (2017) Composition, nutritional value, and health benefits of pulses. Cereal Chem 94, 1131.10.1094/CCHEM-03-16-0069-FICrossRefGoogle Scholar
McCrory, MA, Hamaker, BR, Lovejoy, JC, et al. (2010) Pulse consumption, satiety, and weight management. Adv Nutr 1, 1730.10.3945/an.110.1006CrossRefGoogle ScholarPubMed
Campos-Vega, R, Loarca-Piña, G & Oomah, BD (2010) Minor components of pulses and their potential impact on human health. Food Res Int 43, 461482.CrossRefGoogle Scholar
Marventano, S, Izquierdo Pulido, M, Sánchez-González, C, et al. (2017) Legume consumption and CVD risk: a systematic review and meta-analysis. Public Health Nutr 20, 245254.CrossRefGoogle Scholar
Becerra-Tomás, N, Papandreou, C & Salas-Salvadó, J (2019) Legume consumption and cardiometabolic health. Adv Nutr 10, S437S450.CrossRefGoogle ScholarPubMed
Fechner, A, Fenske, K & Jahreis, G (2013) Effects of legume kernel fibres and citrus fibre on putative risk factors for colorectal cancer: a randomised, double-blind, crossover human intervention trial. Nutr J 12, 101.10.1186/1475-2891-12-101CrossRefGoogle ScholarPubMed
Mudryj, AN, Yu, N, Hartman, TJ, et al. (2012) Pulse consumption in Canadian adults influences nutrient intakes. BJN 108, S27S36.10.1017/S0007114512000724CrossRefGoogle ScholarPubMed
Mitchell, DC, Lawrence, FR, Hartman, TJ, et al. (2009) Consumption of dry beans, peas, and lentils could improve diet quality in the US population. J Am Diet Assoc 109, 909913.CrossRefGoogle ScholarPubMed
Perera, T, Russo, C, Takata, Y, et al. (2020) Legume consumption patterns in us adults: national health and nutrition examination survey (NHANES) 2011–2014 and beans, lentils, peas (BLP) 2017 survey. Nutrients 12, 1237.CrossRefGoogle ScholarPubMed
Mitchell, DC, Marinangeli, CPF, Pigat, S, et al. (2021) Pulse intake improves nutrient density among us adult consumers. Nutrients 13, 2668.CrossRefGoogle ScholarPubMed
Koponen, P, Borodulin, K, Lundqvist, A, et al. (editors) (2018) Health, Functional Capacity and Welfare in Finland – FinHealth 2017 Study (in Finnish, abstract in English). Report no. 4. Helsinki: The Finnish Institute for Health and Welfare.Google Scholar
Borodulin, K & Sääksjärvi, K (editors) (2019) FinHealth 2017 Study – Methods. Report no. 17. Helsinki: The Finnish Institute for Health and Welfare.Google Scholar
Männistö, S, Kaartinen, N, Maukonen, M, et al. (2019) Dietary habits. In FinHealth 2017 Study - Methods. Report no. 17, pp. 6465 [Borodulin, K and Sääksjärvi, K, editors]. Helsinki: The Finnish Institute for Health and Welfare.Google Scholar
Borodulin, K (2019) Ethical approval. In FinHealth 2017 Study - Methods. Report no. 17, pp. 3 [Borodulin, K and Sääksjärvi, K, editors]. Helsinki: The Finnish Institute for Health and Welfare.Google Scholar
Männistö, S, Virtanen, M, Mikkonen, T, et al. (1996) Reproducibility and validity of a food frequency questionnaire in a case-control study on breast cancer. J Clin Epidemiol 49, 401409.10.1016/0895-4356(95)00551-XCrossRefGoogle Scholar
Paalanen, L, Männistö, S, Virtanen, MJ, et al. (2006) Validity of a food frequency questionnaire varied by age and body mass index. J Clin Epidemiol 59, 9941001.CrossRefGoogle ScholarPubMed
Kaartinen, NE, Tapanainen, H, Valsta, LM, et al. (2012) Relative validity of a FFQ in measuring carbohydrate fractions, dietary glycaemic index and load: exploring the effects of subject characteristics. BJN 107, 13671375.10.1017/S0007114511004296CrossRefGoogle ScholarPubMed
Reinivuo, H, Hirvonen, T, Ovaskainen, M-L, et al. (2010) Dietary survey methodology of FINDIET 2007 with a risk assessment perspective. Public Health Nutr 13, 915919.CrossRefGoogle ScholarPubMed
Jallinoja, P, Niva, M & Latvala, T (2016) Future of sustainable eating? Examining the potential for expanding bean eating in a meat-eating culture. Futures 83, 414.10.1016/j.futures.2016.03.006CrossRefGoogle Scholar
Sääksjärvi, K & Borodulin, K (2019) Recruitment of the participants. In FinHealth 2017 Study - Methods. Report no. 17, pp. 14 [Borodulin, K and Sääksjärvi, K, editors]. Helsinki: The Finnish Institute for Health and Welfare.Google Scholar
Koponen, P, Juolevi, A, Rissanen, H, et al. (2019) Data from registers. In FinHealth 2017 Study - Methods. Report no. 17, pp. 4041 [Borodulin, K and Sääksjärvi, K, editors]. Helsinki: The Finnish Institute for Health and Welfare.Google Scholar
Tolonen, H (2016) EHES Manual. Part B. Fieldwork Procedures, 2nd ed. Helsinki: The Finnish Institute for Health and Welfare.Google Scholar
Borodulin, K & Råman, L (2019) Anthropometric measures. In FinHealth 2017 Study - Methods. Report no. 17, pp. 56 [Borodulin, K and Sääksjärvi, K, editors]. Helsinki: The Finnish Institute for Health and Welfare Services.Google Scholar
Prättälä, R, Paalanen, L, Grinberga, D, et al. (2006) Gender differences in the consumption of meat, fruit and vegetables are similar in Finland and the Baltic countries. Eur J Public Health 17, 520525.CrossRefGoogle ScholarPubMed
Valsta, LM, Tapanainen, H, Kortetmäki, T, et al. (2022) Disparities in nutritional adequacy of diets between different socioeconomic groups of Finnish adults. Nutrients 14, 1347.CrossRefGoogle ScholarPubMed
Willett, W (2013) Nutritional Epidemiology, 3rd ed. New York: Oxford University Press.Google Scholar
Alsaffar, AA (2016) Sustainable diets: the interaction between food industry, nutrition, health and the environment. Food Sci Technol Int 22, 102111.CrossRefGoogle ScholarPubMed
Stoddard, FL, Hovinen, S, Kontturi, M, et al. (2009) Legumes in Finnish agriculture: history, present status and future prospects. Agric Food Sci 18, 191205.10.2137/145960609790059578CrossRefGoogle Scholar