Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-13T22:36:38.108Z Has data issue: false hasContentIssue false

Dietary fat intake – food sources and dietary correlates in the Malmö Diet and Cancer cohort

Published online by Cambridge University Press:  16 August 2007

Irene Mattisson*
Affiliation:
Department of Medicine, Surgery and Orthopaedics, Lund University, Malmö, Sweden Correspondence adress: Malmö Diet and Cancer Study, Department of Community Medicine, Malmö University Hospital, SE-205 02 Malmö, Sweden
Elisabet Wirfält
Affiliation:
Department of Medicine, Surgery and Orthopaedics, Lund University, Malmö, Sweden
Carin Andrén
Affiliation:
Department of Medicine, Surgery and Orthopaedics, Lund University, Malmö, Sweden
Bo Gullberg
Affiliation:
Department of Community Medicine, Lund UniversityMalmö, Sweden
Göran Berglund
Affiliation:
Department of Medicine, Surgery and Orthopaedics, Lund University, Malmö, Sweden
*
*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.
Objectives:

To identify food sources of fat, to compare food and nutrient intakes at different levels of relative fat intake, and to examine the contribution of different food groups to the variation in relative fat intake. Relative fat intake was expressed as energy contributed by fat in percentage of non-alcohol energy.

Design:

Cross-sectional analysis of baseline data from the Malmö Diet and Cancer Study. An interview-based diet history method, a structured questionnaire and anthropometric measurements were used to obtain data. Analysis of variance compared food and nutrient intakes across quintiles of relative fat intake. Stepwise regression examined the contribution of food groups to the variation in relative fat intake.

Setting:

Baseline examinations were conducted between 1991 and 1996 in the city of Malmö, southern Sweden.

Subjects:

A sub-sample of 7055 women and 3240 men of the Malmö Diet and Cancer cohort.

Results:

The major fat sources were dairy products, margarines, meat & meat products, and cakes & buns. Most plant foods, especially fruit, vegetables and breakfast cereals, were negatively associated with fat intake. Low fat consumers had significantly higher intakes of dietary fibre, vitamin C, β-carotene, folic acid, iron, zinc and calcium. Intakes of all types of fatty acids and fat-soluble vitamins were positively associated with fat consumption.

Conclusions:

The results suggest that many food groups and nutrients may confound the associations between relative fat intake and disease. Plant foods, especially, are important to consider in studies of fat intake and disease risk.

Type
Research Article
Copyright
Copyright © The Authors 2003

References

1Lichtenstein, AH, Kennedy, ET, Barrier, P, Danford, D, Ernst, ND, Grundy, SM, et al. Dietary fat consumption and health. Nutrition Reviews 1998; 56: S3–28.CrossRefGoogle ScholarPubMed
2Lichtenstein, AH. Dietary fat: a history. Nutrition Reviews 1999; 57: 1114.CrossRefGoogle ScholarPubMed
3Caggiula, AW, Mustad, VA. Effects of dietary fat and fatty acids on coronary artery disease risk and total and lipoprotein cholesterol concentrations: epidemiologic studies. American Journal of Clinical Nutrition 1997; 65: S1597–610.CrossRefGoogle ScholarPubMed
4Lissner, L, Heitman, B. Dietary fat and obesity: evidence from epidemiology. European Journal of Clinical Nutrition 1995; 49: 7990.Google ScholarPubMed
5Hooper, L, Summerbell, CD, Higgins, JPT, Thompson, RL, Capps, NE, Smith, GD, et al. Dietary fat intake and prevention of cardiovascular disease: systematic review. British Medical Journal 2001; 322: 757–63.CrossRefGoogle ScholarPubMed
6Hegstedt, MD, Ausmann, LM, Johnsson, JA, Dallal, EG. Dietary fat and serum lipids: an evaluation of the experimental data. American Journal of Clinical Nutrition 1993; 57: 875–83.CrossRefGoogle Scholar
7Becker, W. Befolkningens kostvanor och näringsintag i Sverige 1989 [Food Habits and Nutrient Intake in Sweden 1989] Uppsala: Statens Livsmedelsverk (National Food Administration), 1994 [in Swedish].Google Scholar
8Freudenheim, JL, Krogh, V, D'Amicis, A, Scaccini, C, Sette, S, Ferro-Luzzi, A, et al. Food sources of nutrients in the diet of elderly Italians: I. Macronutrients and lipids. International Journal of Epidemiology 1993; 22: 855–68.CrossRefGoogle ScholarPubMed
9Linseisen, J, Bergström, E, Gafá, L, González, CA, Thiébaut, A, Trichopoulou, A, et al. Consumption of added fats and oils in the European Prospective Investigation into Cancer and Nutrition (EPIC) centres across 10 European countries as assessed by 24-hour dietary recalls. Public Health Nutrition 2002; 5(6B): 1227–42.CrossRefGoogle ScholarPubMed
10Boyd, NF, Martin, LJ, Noffel, M, Lockwood, GA, Tritchler, DL. A meta-analysis of studies of dietary fat and breast cancer risk. British Journal of Cancer 1993; 68: 627–36.CrossRefGoogle ScholarPubMed
11Hunter, DJ, Spiegelman, D, Adami, H-O, Beeson, LW, van den Brandt, PA, Folsom, AR, et al. Cohort studies of fat intake and the risk of breast cancer – a pooled analysis. New England Journal of Medicine 1996; 334: 356–61.CrossRefGoogle ScholarPubMed
12Howe, GR, Hirohata, T, Hislop, GT, Iscovich, JM, Yuan, J-M, Katsouyanni, K, et al. Dietary factors and risk of breast cancer: combined analysis of 12 case–control studies. Journal of the National Cancer Institute 1990; 82: 561–9.CrossRefGoogle ScholarPubMed
13Willett, WC. Nutritional Epidemiology, 2nd ed. New York: Oxford University Press, 1998.CrossRefGoogle Scholar
14Willett, WC, Howe, GR, Kushi, LH. Adjustment for total energy intake in epidemiologic studies. American Journal of Clinical Nutrition 1997; 65: S1220–8.CrossRefGoogle ScholarPubMed
15Mattisson, I, Wirfält, E, Gullberg, B, Berglund, G. Fat intake is more strongly associated with life style factors than with socio-economic characteristics, regardless of energy adjustment approach. European Journal of Clinical Nutrition 2001; 55: 452–61.CrossRefGoogle ScholarPubMed
16Macdiarmid, JI, Vail, A, Cade, JE, Blundell, JE. The sugar–fat relationship revisited: differences in consumption between men and women of varying BMI. International Journal of Obesity 1998; 22: 1053–61.CrossRefGoogle ScholarPubMed
17Emmett, PM, Heaton, KW. Is extrinsic sugar a vehicle for dietary fat? Lancet 1995; 345: 1537–40.CrossRefGoogle Scholar
18Hulshof, KFAM, Löwik, MRH, Kok, FJ, Wedel, M, Brants, HAM, ten Hoor, F. Diet and other life-style factors in high and low socio-economic groups (Dutch nutrition surveillance system). European Journal of Clinical Nutrition 1991; 45: 441–50.Google ScholarPubMed
19Ursin, G, Ziegler, RG, Subar, AF, Graubard, BI, Haile, RW, Hoover, R. Dietary patterns associated with a low-fat diet in the national health examination follow-up study: identification of potential confounders for epidemiologic analyses. American Journal of Epidemiology 1993; 137: 916–27.CrossRefGoogle ScholarPubMed
20Hulshof, KFAM, Löwik, MRH, Kistemaker, C, Hermus, RJJ, ten Hoor, F, Ockhuizen, T. Comparison of dietary intake data with guidelines: some potential pitfalls (Dutch nutrition surveillance system). Journal of the American College of Nutrition 1993; 12: 176–85.CrossRefGoogle ScholarPubMed
21Manjer, J, Carlsson, S, Elmståhl, S, Gullberg, B, Janzon, L, Lindström, M, et al. The Malmö Diet and Cancer Study: representativity, cancer incidence and mortality in participants and non-participants. European Journal of Cancer Prevention 2001; 10: 489–99.CrossRefGoogle Scholar
22Wirfält, E, Mattisson, I, Johansson, U, Gullberg, B, Wallström, P, Berglund, G. A methodological report from the Malmö Diet and Cancer study: development and evaluation of altered routines in dietary data processing. Nutrition Journal 2002; 1(1): 3 [electronic resource, available at http://www.nutritionj.com/content/1/1/3].CrossRefGoogle Scholar
23Riboli, E, Elmståhl, S, Saracci, R, Gullberg, B, Lindgärde, F. The Malmö Food Study: validity of two dietary assessment methods for measuring nutrient intake. International Journal of Epidemiology 1997; 26: S161–73.CrossRefGoogle ScholarPubMed
24Elmståhl, S, Riboli, E, Lindgärde, F, Gullberg, B, Saracci, R. The Malmö food study: the relative validity of a modified diet history method and an extensive food frequency questionnaire for measuring food intake. European Journal of Clinical Nutrition 1996; 50: 143–51.Google Scholar
25Nordiska ministerrådet (Nordic Council of Ministers). Nordiska näringsrekommendationer 1996 [Nutrient Recommendations for the Nordic Countries]. Nord 1996:28. Copenhagen: Nordiska ministerrådet, 1996 [in Swedish].Google Scholar
26World Health Organization (WHO) Study Group. Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation. WHO Technical Report Series No. 894. Geneva: WHO, 2000.Google Scholar
27Taylor, HL, Jacobs, DR Jr, Schucker, B, Knudsen, J, Leon, AS, Debacker, G. A questionnaire for the assessment of leisure time physical activities. Journal of Chronic Diseases 1978; 31: 741–55.CrossRefGoogle ScholarPubMed
28Richardsson, MT, Leon, AS, Jacobs, DR Jr, Ainsworth, BE, Serfass, R. Comprehensive evaluation of the Minnesota Leisure Time Physical Activity Questionnaire. Journal of Clinical Epidemiology 1994; 47: 271–81.CrossRefGoogle Scholar
29Krebs-Smith, SM, Cronin, FJ, Haytowitz, DB. Contributions of food groups to intakes of energy, nutrients, cholesterol, and fiber in women's diet: effect of method of classifying food mixtures. Journal of the American Dietetic Association 1990; 90: 1541–6.CrossRefGoogle ScholarPubMed
30Goldberg, GR, Black, AE. Assessment of the validity of reported energy intakes – review and recent development. Scandinavian Journal of Nutrition 1998; 42: 69.Google Scholar
31Macdiarmid, JI, Blundell, JE. Assessing dietary intake: who, what and why of under-reporting. Nutrition Research Reviews 1998; 11: 231–53.CrossRefGoogle ScholarPubMed