Hostname: page-component-76fb5796d-45l2p Total loading time: 0 Render date: 2024-04-25T07:54:49.989Z Has data issue: false hasContentIssue false

Diet profiles in a population sample from Mediterranean southern France

Published online by Cambridge University Press:  27 September 2007

Jacqueline Scali
Affiliation:
Groupe d'Epidémiologie Métabolique, INSERM-CRLC, 34298 Montpellier Cedex 5, France
Aurélia Richard
Affiliation:
Groupe d'Epidémiologie Métabolique, INSERM-CRLC, 34298 Montpellier Cedex 5, France
Mariette Gerber*
Affiliation:
Groupe d'Epidémiologie Métabolique, INSERM-CRLC, 34298 Montpellier Cedex 5, France
*
*Corresponding author: Email marietger@valdorel.fnclcc.fr
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objective

A Mediterranean diet quality index (MDQI) was devised to give an overall assessment of dietary habits and to identify groups at risk.

Design

The MDQI was based on scores given for selected levels of consumption of selected nutrients and foods.

Setting

Mediterranean southern France.

Subjects

The sample included 473 men and 491 women in three age classes recruited at random.

Results

Only 9.5% of men, 9.0% of women, 4.7% of 20–34 year old subjects, 6.6% of 35–54 year old subjects and 14.0% of 55–76 year old subjects were shown to have a healthy diet. However, 10.1% of men, 8.6% of women, 19.4% of 20–34 year old subjects, 10.2% of 35–54 year old subjects and 4.6% of 55–76 year old subjects were shown to have a poor diet. There were significantly fewer smokers among subjects with a good diet but the distribution of moderate wine drinkers was comparable between those with a good diet and those with a poor diet. Correspondence analysis associated a healthy diet with 55–76 year old men and women living in rural areas, who had received primary schooling only and who were manual workers. Both men and women with a poor MDQI score tended to be young and smokers. In addition, women with a poor MDQI tended to be heavy drinkers and obese.

Conclusions

This study showed that the Mediterranean model, which is generally recognized as a healthy diet, appears restricted to older people and to rural areas, whereas urbanized young people depart from it. A nutritional prevention policy targeted at young adults is required to encourage them to adhere to the Mediterranean model. Smoking and drinking showed different distribution patterns in the sample under study.

Type
Research Article
Copyright
Copyright © CABI Publishing 2001

References

1Rapola, JM, Virtamo, J, Ripatti, S, Huttunen, JK, Albanes, D, Taylor, PR, Heinonen, OP. Randomised trial of alpha-tocopherol and beta-carotene supplements on incidence of major coronary events in men with previous myocardial infarction. Lancet 1997; 349: 1715–20.CrossRefGoogle ScholarPubMed
2Omenn, GS, Goodman, GE, Thornquist, MD, Balmes, J, Cullen, MR, Glass, A.Effects of a combination of beta carotene and vitamin A on lung cancer and cardiovascular disease. N. Engl. J. Med. 1996; 334: 1150–5.CrossRefGoogle ScholarPubMed
3GISSI-Prevenzione Investigators. Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial. Lancet 1999; 354: 447–54.CrossRefGoogle Scholar
4The Heart Outcomes Prevention Evaluation Study Investigators. Vitamin E supplementation and cardiovascular events in high-risk patients. N. Engl. J. Med. 2000; 342: 154–60.CrossRefGoogle Scholar
5ATBC, The Alpha-Tocopherol Beta-Carotene Cancer Prevention Study Group. The effect of vitamin E and beta carotene on the incidence of lung cancer and other cancers in male smokers. N. Engl. J. Med. 1994; 330: 1029–35.CrossRefGoogle Scholar
6Omenn, GS, Goodman, GE, Thornquist, MD, Balmes, J, Cullen, MR, Glass, A et al. Risk factors for lung cancer and for intervention effects in CARET, the beta carotene and Retinol Efficacy Trial. J. Natl. Cancer Inst. 1996; 88: 1550–9.CrossRefGoogle ScholarPubMed
7Greenberg, ER, Baron, Ja, Tosteson, TD, Freeman, DH, Beck, GJ, Bond, JH, et al. (Polyp Prevention Study Group). A clinical trial of antioxidant vitamins to prevent colorectal adenoma. N. Engl. J. Med. 1994; 331(3): 141–7.CrossRefGoogle Scholar
8MacLennan, R, MacRae, F, Bain, C, Battistutta, D, Chapuis, P, Gratten, H, et al. Randomized trial of intake of fat, fiber, and beta carotene to prevent colorectal adenomas. J. Natl. Cancer Inst. 1995; 87: 1760–6.CrossRefGoogle ScholarPubMed
9Blot, WJ, Li, HY, Taylor, PR, Guo, W, Dawsey, S, Wang, GQ, et al. Nutrition intervention trials in Linxian, China: supplementation with specific vitamin/mineral combinations, cancer incidence, and disease-specific mortality in the general population. J. Natl. Cancer Inst. 1993; 85(18): 1483–92.CrossRefGoogle ScholarPubMed
10Yong, L-C, Brown, CC, Schatzkin, A, Dresser, CM, Slesinski, MJ, Cox, CS, et al. Intake of vitamins E, C, and A and risk of lung cancer. The NHANES I epidemiologic follow up study. Am. J. Epidemiol. 1997; 146: 231–43.CrossRefGoogle Scholar
11Dowler, E, Calvert, C. Nutrition and Diet in Lone-parent Families in London. London: Family Policy Studies Centre, ed. Joseph Rowntree Foundation, 1995.Google Scholar
12Davenport, M, Roderick, P, Elliott, L, Victor, C, Geissler, C.Monitoring dietary change in populations and the need for specific food targets; lessons from the North West Thames regional health survey. J. Hum. Nutr. Diet. 1995; 8: 119–28.CrossRefGoogle Scholar
13Patterson, RE, Haines, PS, Popkin, BM. Diet quality index: capturing a multidimensional behavior. J. Am. Diet. Assoc. 1994; 94: 5764.CrossRefGoogle ScholarPubMed
14Haines, PS, Siega-Riz, AM, Popkin, BM. The diet quality index revised: a measurement instrument for populations. J. Am. Diet. Assoc. 1999; 99: 697704.CrossRefGoogle ScholarPubMed
15 National Research Council. Committee on Diet and Health, Food and Nutrition Board, Commission on Life Sciences. Diet and Health: Implications for Reducing Chronic Disease Risk. Washington, DC: National Academy of Sciences, 1989.Google Scholar
16Gerber, M, Scali, J, Michaud, A, Durand, M, Astre, C, Dallongeville, J, et al. Profiles of a healthy diet and its relationship with biomarkers in a population sample from Mediterranean Southern France. J. Am. Diet. Assoc. 2000; 100: 1164–71.CrossRefGoogle Scholar
17Gerber, M, Siari, S, Michaud, A, Scali, J.Alimentation méditerranéenne et santé. MEDHEA: résultats de l'Hérault. Actual. Diét. 1999; 35: 1391–7.Google Scholar
18Padilla, M. Consommer méditerranéen une action préventive au cancer. Rapport à la CE (DGV, contrat No. SOC 97 200420 05F02).Google Scholar
19Ainsworth, BE, Haskell, WL, Leon, AS, Jacobs, DR, Montoye, HJ, Sallis, JF, et al. Compendium of physical activities: classification of energy costs of human physical activities. Med. Sci. Sports Exercise 1993; 25: 7180.CrossRefGoogle ScholarPubMed
20Bonifacj, C, Gerber, M, Scali, J, Daurès, JP. Comparison of dietary assessment methods in a Southern French population. Use of weighed records, estimated-diet records and a food-frequency questionnaire. Eur. J. Clin. Nutr. 1997; 51: 217–31.CrossRefGoogle Scholar
21Gerber, M, Cavallo, F, Marubini, E, Richardson, S, Barbieri, A, Capitelli, E, et al. Liposoluble vitamins and lipid parametres in breast cancer. A joint study in Northern Italy and Southern France. Int. J. Cancer 1988; 42: 489–94.CrossRefGoogle Scholar
22Richardson, S, Gerber, M, Cénée, S.The role of fat, animal protein and vitamin consumption in breast cancer. A case–control study in Southern France. Int. J. Cancer 1991; 48: 19.Google ScholarPubMed
23Scali, J, Segala, C, Astre, C, Gerber, M.Serum cholesterol, plasma and dietary beta carotene in lung cancer. Eur. J. Cancer Prev. 1993; 4: 169–74.CrossRefGoogle Scholar
24Volatier, J-L, Chambolle, M. Les disparités régionales de la consommation alimentaire des ménages français. Ed. Credoc, Paris: Cnerna, 1996.Google Scholar
25Paul, AA, Southgate, DAT. In: McCance, , Widdowson, , eds. The Composition of Food. 4th edition. London: HMSO, 1978.Google Scholar
26Feinberg, M, Favier, JC, Ireland-Ripert, J. Répertoire Général des Aliments, ed. Tec Doc. Paris: Lavoisier, 1991.Google Scholar
27Krauss, RM, Deckelbaum, RJ, Ernst, N, Fisher, E, Howard, BV, Knopp, RH, et al. Dietary guidelines for healthy American adults. A statement for health professionals from the Nutrition Committee, American Heart Association. Circulation 1996; 94: 1795–800.CrossRefGoogle ScholarPubMed
28Kushi, LH, Lenart, EB, Willett, WC. Health implications of mediterranean diets in light of contemporary knowledge. 1. Plant foods and dairy products. 2. Meats, wine, fats, and oils. Am. J. Clin. Nutr. 1995; 61: S1407–27.CrossRefGoogle Scholar
29Corpet, DE, Gerber, M.Alimentation méditerranéenne et Santé. I-Caractéristiques. Maladies cardio-vasculaires et autres affections. Méd. Nutr. 1997; 4: 129–42.Google Scholar
30Gerber, M, Corpet, D.Alimentation méditerranéenne et Santé. II-Cancers. Méd. Nutr. 1997; 4: 143–54.Google Scholar
31Sacks, FM, Donner, A, Castelli, WP, Gronemeyer, J, Pletka, P, Margolius, HS, et al. Effects of ingestion of meat on plasma cholesterol of vegetarians. Jama 1981; 246: 640–4.CrossRefGoogle ScholarPubMed
32Kromhout, D, Bosschieter, EB, Coulander, CR. The inverse relationship between fish consumption and 20-year mortality from coronary heart disease. N. Engl. J. Med. 1985; 312: 1205–9.CrossRefGoogle Scholar
33Daviglus, ML, Stamler, J, Orencia, AJ, Dyer, AR, Liu, K, Greenland, P, et al. Fish consumption and the 30-year risk of fatal myocardial infarction. N. Engl. J. Med. 1997; 336: 1046–3.CrossRefGoogle ScholarPubMed
34Potter, JD, Slattery, ML, Bostick, RM, Gapstur, SM. Colon cancer: a review of the epidemiology. Epidemiol. Rev. 1993; 15: 499545.CrossRefGoogle ScholarPubMed
35Goldbohm, RA, Van Den Brandt, PA, Van'T Veer, P, Brants, HA, Doran, E, Sturmans, F, et al. A prospective cohort study on the relation between meat consumption and the risk of colon cancer. Cancer Res. 1994; 54: 718–23.Google ScholarPubMed
36Hsing, AW, McLaughlin, JK, Chow, W-HO, Schuman, LM, Co Chien, HT, Gridley, G, et al. Risk factors for colorectal cancer in a prospective study among US white men. Int. J. Cancer 1998; 77: 549–53.3.0.CO;2-1>CrossRefGoogle Scholar
37Kaiser, L, Boyd, NF, Kriukov, V, Tritchler, D.Fish consumption and cancer risk: an ecological study. Nutr. Cancer 1989; 12: 61–8.CrossRefGoogle Scholar
38Giovannucci, E, Goldin, B.The role of fat, fatty acids, and total energy intake in the etiology of human colon cancer. Am. J. Clin. Nutr. 1997; 66S: 1564S–71S.CrossRefGoogle Scholar
39Favero, A, Parpinel, M, Franceschi, S.Diet and risk of breast cancer: major findings from an Italian case–control study. Biomed. Pharmarcother. 1998; 52: 109–15.CrossRefGoogle ScholarPubMed
40WHO. Report of a WHO consultation on obesity: preventing and managing the global epidemic. Geneva: WHO; 1998.Google Scholar
41Yu, S, Serr, J, Etherton, TD, Kris-Etherton, PM. Plasma-cholesterol-predictive equations demonstrate that stearic acid is neutral and monounsaturated fatty acids are hypocholesterolemic. Am. J. Clin. Nutr. 1995; 61: 1129–39.CrossRefGoogle ScholarPubMed
42Martin-Moreno, JM, Willet, WC, Gorgojo, L, Banegas, Jr, Rodriguez-Artalejo, F, Fernandez-Rodriguez, JC, et al. Dietary fat, olive oil intake and breast cancer risk. Int. J. Cancer 1994; 58: 774–80.CrossRefGoogle ScholarPubMed
43Trichopoulou, A, Kouris-Blazos, A, Wahlqvist, M, Gnardellis, C, Lagiou, P, Polychronopoulos, E, et al. Diet and overall survival in elderly people. Br. Med. J. 1995; 311: 1457–60.CrossRefGoogle ScholarPubMed
44Fortes, C, Forastiere, F, Anatra, F, Schmid, G.Re: consumption of olive oil and specific food groups in relation to breast cancer risk in Greece. J. Natl. Cancer Inst. 1995; 87: 1020–1.CrossRefGoogle ScholarPubMed
45Drenowski, A, Henderson, SA, Driscoll, A, Rolls, BJ. The Dietary Variety Score: assessing diet quality in healthy young and older adults. J. Am. Diet. Assoc. 1997; 97: 266–71.CrossRefGoogle Scholar
46Trichopoulou, A, Kouris-Blazos, A, Wahlqvist, ML, Gnardellis, C, Lagiou, P, Polychronopoulos, E, et al. Diet and overall survival in elderly people. BMJ 1995; 311: 1457–60.CrossRefGoogle ScholarPubMed
47Lasheras, C, Fernandez, S, Patterson, AM. Mediterranean diet and age with respect to overall survival in institutionalized, nonsmoking elderly people. Am. J. Clin. Nutr. 2000; 71: 987–92.CrossRefGoogle ScholarPubMed
48Franceschi, S, Favero, A, Decarli, A, La Vecchia, C, Ferraroni, M, Russo, A, et al. Intake of macronutrients and risk of breast cancer. Lancet 1996; 347: 1351–6.CrossRefGoogle ScholarPubMed
49Franceschi, S, Favero, A, Parpinel, M, Giacosa, A, La Vecchia, C.Italian study on colorectal cancer with emphasis on influence of cereals. Eur. J. Cancer Prev. 1998; 7S: S19–23.CrossRefGoogle Scholar
50La Vecchia, C, Chatenoud, L.Fibres, whole-grain foods and breast and other cancers. Eur. J. Cancer Prev. 1998; 7S: S25–8.CrossRefGoogle Scholar
51Levi, F, Pasche, C, La Vecchia, C, Lucchini, F, Franceschi, S.Food groups and colorectal cancer risk. Br. J. Cancer 1999; 79: 1283–7.CrossRefGoogle ScholarPubMed
52Moreiras, O, van Staveren, WA, Amorim Cruz, JA, Carbajal, A, de Henauw, S, Grunenberger Roszkowski, W (SENECA Investigators) Longitudinal changes in the intake of energy and macronutrients of elderly Europeans. Eur. J. Clin. Nutr. 1996; 50: S67–76.Google ScholarPubMed
53Amorim Cruz, JA, Moreiras, O, Brzozowska, A (SENECA Investigators). Longitudinal changes in the intake of vitamins and minerals of elderly Europeans. Eur. J. Clin. Nutr. 1996; 50: S77–85.Google ScholarPubMed
54Poulain, JP. Mutation des pratiques et nouvelles formes d'équilibre alimentaire. Actes des Ivemes rencontres du Réseau Agronomique Méditerranéen. Avignon, Agroparc, 1998; 7793.Google Scholar
55Agudo, A, Pera, G.EPIC Group of Spain. Vegetable and fruit consumption associated with anthropometric, dietary and lifestyle factors in Spain. Public Health Nutr. 1999; 2: 263–71.CrossRefGoogle ScholarPubMed
56Dallongeville, J, Marecaux, N, Fruchart, JC, Amouyel, P.Cigarette smoking is associated with unhealthy patterns of nutrient intake: a meta-analysis. J. Nutr. 1998; 128(9): 1450–7.CrossRefGoogle ScholarPubMed