Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-27T03:29:03.099Z Has data issue: false hasContentIssue false
  • English
  • Français

Association between nutrition knowledge and nutritional intake in middle-aged men from Northern France

Published online by Cambridge University Press:  02 January 2007

J Dallongeville ,
N Marécaux ,
D Cottel ,
A Bingham  and
P Amouyel
J Dallongeville*
Affiliation:
INSERM U508, Institut Pasteur de Lille, 59019 Lille cedex Département d'Athérosclérose, Institut Pasteur de Lille, 59019 Lille cedex
N Marécaux
Affiliation:
INSERM U508, Institut Pasteur de Lille, 59019 Lille cedex
D Cottel
Affiliation:
INSERM U508, Institut Pasteur de Lille, 59019 Lille cedex
A Bingham
Affiliation:
INSERM U258, Hôpital Paul Brousse, 94807 Villejuif cedex, France
P Amouyel
Affiliation:
INSERM U508, Institut Pasteur de Lille, 59019 Lille cedex
*
*Corresponding author: Email [email protected]
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:

The way in which nutrition knowledge transforms into dietary behaviour and nutrient intake may vary among populations. Therefore, the goal of the study was to examine whether nutrition knowledge is associated with nutritional intake in middle-aged men who are at major risk of cardiovascular disease.

Design:

Cross-sectional population study aimed at comparing the response to a nutrition quiz with food habits and nutrient intake determined by a 3-day food record.

Setting:

Men of the Urban Community of Lille (France) examined at home.

Subjects:

361 men aged 45–64 y, randomly selected from the electoral rolls.

Results:

Subjects were separated in a high-score (n = 59) and a low-score (n = 41) group according to their responses to the nutrition quiz. Subjects in the high-score group had better educational and higher income levels than those from the low-score group. Multivariate analysis, adjusting on educational and socio-economic levels and other confounding variables – such as age, body mass index, cigarette smoking, physical activity and energy intake underreporting – showed that subjects in the high-score group were more often consumers of olive oil (36 vs. 12%; p = 0.06), cheese (85 vs. 76%; p<0.01) or cereals (27 vs. 15%; p<0.04) and less often consumers of sunflower oil (51 vs. 68%; p<0.02) or dry vegetables (12 vs. 22%; p<0.05) than those in the low-score group. Subjects in the high-score group had lower intakes of fat (89±24 vs. 104±38 g/d; p = 0.04) and especially of monounsaturated fat of animal origin (23±9 vs. 29±13 g/d; p = 0.01) than individuals in the low-score group.

Conclusion:

Nutrition quiz score is associated with specific patterns of food choices and nutrient intake suggesting that nutrition knowledge influences dietary behaviour in middle-aged men from Northern France.

Keywords

NutritionKnowledgeFood choicesEpidemiologyCardiovascular prevention
Type
Research Article
Information
Public Health Nutrition , Volume 4 , Issue 1 , February 2001 , pp. 27 - 33
Copyright
Copyright © CABI Publishing 2001

References

1INSEE. La France et ses régions. Paris: Institut National de la Statistique et des Etudes Economiques, 1997.Google Scholar
2Tunstall-Pedoe, H, Kuulasmaa, K, Mahonen, M, Tolonen, H, Ruokokoski, E, Amouyel, P. Contribution of trends in survival and coronary-event rates to changes in coronary heart disease mortality: 10-year results from 37 WHO MONICA project populations. Monitoring trends and determinants in cardiovascular disease. Lancet 1999; 353: 1547–1557.CrossRefGoogle ScholarPubMed
3Jost, JP, Simon, C, Nuttens, MC, Bingham, A, Ruidavets, JB, Cambou, JP, Arveiler, D, Lecerf, JM, Schlienger, JL, Douste-Blazy, P. Comparison of dietary patterns between population samples in the three French MONICA nutritional surveys. Rev. Epidemiol. Sante. Publique. 1990; 38: 517–523.Google ScholarPubMed
4James, WP, Nelson, M, Ralph, A, Leather, S. Socioeconomic determinants of health. The contribution of nutrition to inequalities in health. BMJ 1997; 314: 1545–1549.Google Scholar
5Cotugna, N, Subar, AF, Heimendinger, J, Kahle, L. Nutrition and cancer prevention knowledge, beliefs, attitudes, and practices: the 1987 National Health Interview Survey. J. Am. Diet. Assoc. 1992; 92: 963–968.CrossRefGoogle ScholarPubMed
6Urban, N, White, E, Anderson, GL, Curry, S, Kristal, AR. Correlates of maintenance of a low-fat diet among women in the Women's Health Trial. Prev. Med. 1992; 21: 279–291.CrossRefGoogle ScholarPubMed
7Harnack, L, Block, G, Subar, A, Lane, S, Brand, R. Association of cancer prevention-related nutrition knowledge, beliefs, and attitudes to cancer prevention dietary behavior. J. Am. Diet. Assoc. 1997; 97: 957–965.CrossRefGoogle ScholarPubMed
8Shepherd, R, Stockley, L. Nutrition knowledge, attitudes, and fat consumption. J. Am. Diet. Assoc. 1987; 87: 615–619.CrossRefGoogle ScholarPubMed
9Gates, G, McDonald, M. Comparison of dietary risk factors for cardiovascular disease in African-American and white women. J. Am. Diet. Assoc.. 1997; 97: 1394–1400.CrossRefGoogle ScholarPubMed
10Byrd-Bredbenner, C, O'Connell, LH, Shannon, B, Eddy, JM. A nutrition curriculum for health education: its effect on students' knowledge, attitude, and behavior. J. Sch. Health. 1984; 54: 385–388.Google Scholar
11Grotkowski, ML, Sims, LS. Nutritional knowledge, attitudes, and dietary practices of the elderly. J. Am. Diet. Assoc. 1978; 72: 499–506.CrossRefGoogle ScholarPubMed
12Schwartz, NE. Nutritional knowledge, attitudes, and practices of high school graduates. J. Am. Diet. Assoc. 1975; 66: 28–31.CrossRefGoogle ScholarPubMed
13Axelson, ML, Federline, TL, Brinberg, D. A meta-analysis of food- and nutrition-related research. Journal of Nutrition Education. 1985; 17: 51–54.Google Scholar
14Renaud, S, Attie, MC. La composition des aliments. Paris: Astra Calve Information Lipodietetique, 1989.Google Scholar
15McCance, RA, Widdowson, EM. The composition of foods, London: HMSO, 1978.Google Scholar
16Lafay, L, Basdevant, A, Charles, MA, Vray, M, Balkau, B, Borys, JM, Eschwege, E, Romon, M. Determinants and nature of dietary underreporting in a free-living population: the Fleurbaix Laventie Ville Sante (FLVS) Study. Int. J. Obes. Relat. Metab. Disord. 1997; 21: 567–573.CrossRefGoogle Scholar
17Schofield, WN. Predicting basal metabolic rate, new standards and review of previous work. Hum. Nutr. Clin. Nutr. 39 (Suppl 1): 1985; 5–41.Google ScholarPubMed
18Kushi, LH, Lenart, EB, Willett, WC. Health implications of Mediterranean diets in light of contemporary knowledge. 1. Plant foods and dairy products. Am. J. Clin. Nutr. 1995; 61, 1407S–1415S.CrossRefGoogle ScholarPubMed
19Kushi, LH, Lenart, EB, Willett, WC. Health implications of Mediterranean diets in light of contemporary knowledge. 2. Meat, wine, fats, and oils. Am. J. Clin. Nutr. 1995; 61, 1416S–1427S.Google Scholar
20Monneuse, MO, Bellisle, F, Koppert, G. Eating habits, food and health related attitudes and beliefs reported by French students. Eur. J. Clin. Nutr. 1997; 51: 46–53.Google Scholar
21Pyorala, K, de Backer, G, Graham, I, Poole-Wilson, P, Wood, D. Prevention of coronary disease in clinical practice. Recommendations of the Task-Force of the European Society of Cardiology, European Atherosclerosis Society and European Society of Hypertension. Ann. Cardiol. Angeiol. (Paris). 1995; 44: 379–388.Google Scholar
22Schwartz, NE, Borra, ST. What do consumers really think about dietary fat? J. Am. Diet. Assoc. 1997; 97: S73–S75.CrossRefGoogle ScholarPubMed
23Kline, RL, Terry, RD. Differences in beliefs about heart disease risk factors between men and women. J. Am. Diet. Assoc. 1986; 86: 786–788.Google Scholar
24Variyam, JN, Blaylock, J, Smallwood, DM. Modelling nutrition knowledge, attitudes, and diet-disease awareness: the case of dietary fibre. Stat. Med. 1996; 15: 23–35.Google Scholar
25Krause, TO, Fox, HM. Nutritional knowledge and attitudes of physicians. J Am. Diet. Assoc. 1997; 70: 607–609.CrossRefGoogle Scholar
26Plous, S, Chesne, RB, McDowell, AV. Nutrition knowledge and attitudes of cardiac patients. J. Am. Diet. Assoc. 1995; 95: 442–446.Google Scholar
27Ferrini, RL, Edelstein, SL, Barrett-Connor, E. Factors associated with health behavior change among residents 50 to 96 years of age in Rancho Bernardo, California. Am. J. Prev. Med. 1994; 10: 26–30.Google Scholar
28Glanz, K, Kristal, AR, Sorensen, G, Palombo, R, Heimendinger, J, Probart, C. Development and validation of measures of psychosocial factors influencing fat- and fiber-related dietary behavior. Prev. Med. 1993; 22: 373–387.CrossRefGoogle ScholarPubMed