Trends and determinants of change in compliance to dietary guidelines in a Swiss community-dwelling sample.

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Version: Author's accepted manuscript
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Version: Supplementary document
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Version: Supplementary document
Serval ID
serval:BIB_1318A20A0750
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Trends and determinants of change in compliance to dietary guidelines in a Swiss community-dwelling sample.
Journal
Preventive medicine
Author(s)
Schneid Schuh D., Campos Pellanda L., Guessous I., Marques-Vidal P.
ISSN
1096-0260 (Electronic)
ISSN-L
0091-7435
Publication state
Published
Issued date
06/2018
Peer-reviewed
Oui
Volume
111
Pages
198-203
Language
english
Notes
Publication types: Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Adherence to dietary guidelines is associated with significantly better health outcomes. Studies across the world shows that compliance with the guidelines was low, but data in Switzerland are lacking. Hence, we aimed to assess the 5-year trends in dietary compliance regarding food guidelines in Switzerland in a prospective, population-based observational study. Data from 2882 participants (1591 women, 35-75 years), from the first (2009-2012) and second (2014-2017) follow-up. Dietary intake was assessed using a validated food frequency questionnaire. Compliance with the guidelines of the Swiss society of nutrition was assessed at baseline and 5.5 years afterwards. Prevalence rates for compliance were calculated using the exact Poisson method. Factors associated with changes in compliance (never, shifter or maintainer) were assessed by multinomial logistic regression using "Never compliers" as reference. Overall, improvements in compliance to fruits (42.4% to 45.1%) vegetables (6.9% to 8.6%) and fish (66.6% to 60.5%) were found, while compliance to meat decreased (61.1% to 58.5%). The prevalence of participants complying with at least three dietary recommendations did not change (24.1% to 25.2%). During follow-up, only 11.6% of participants maintained compliance to at least three dietary recommendations, and 62.4% never managed to comply. Female gender and older age were associated with maintaining compliance during the two study periods. In conclusion, compliance with dietary guidelines is a dynamic status, and only a small fraction of the population achieves sustained compliance with at least three guidelines. Almost two thirds of the population never achieve compliance with three guidelines.
Keywords
Adult, Age Factors, Aged, Body Mass Index, Feeding Behavior, Female, Humans, Independent Living, Male, Middle Aged, Nutrition Policy/trends, Nutritional Status, Patient Compliance, Prospective Studies, Sex Factors, Surveys and Questionnaires, Switzerland/epidemiology, Dietary guidelines, Epidemiology, Prospective study, Public health, Switzerland
Pubmed
Web of science
Open Access
Yes
Create date
22/03/2018 20:00
Last modification date
20/08/2019 13:41
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