Comparison of dietary trends between two counties with and without a cardiovascular prevention programme: a population-based cross-sectional study in northern Sweden

• Published in: Public Health Nutrition
• Main Authors: Törmä, Johanna, Lundqvist, Robert, Eliasson, Mats, Nilsson, Lena Maria, Oskarsson, Viktor, Wennberg, Maria
• Format: Article in Journal/Newspaper
• Language: English
• Published: Cambridge University Press (CUP) 2021
• Subjects: Northern Sweden; Norrbotten
• Online Access: http://dx.doi.org/10.1017/s1368980021003050; https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S1368980021003050

Abstract Objective: To compare temporal trends, over a 20-year period, in dietary habits between a county (Västerbotten) with a CVD prevention programme and a county (Norrbotten) without such a programme. Design: Cross-sectional data from the Northern Sweden MONICA study (survey period 1994, 1999, 2004, 2009 and 2014). Dietary habits were assessed by a semi-quantitative FFQ. Setting: Counties of Norrbotten and Västerbotten, Northern Sweden. Participants: Five thousand four hundred Swedish adults (mean age 56·9 years; 51·2 % women) from Västerbotten (47 %) and Norrbotten (53 %). Results: No differences in temporal trend for estimated percentage of energy intake from total carbohydrates, total fat, total protein and alcohol were observed between the counties ( P for interaction ≥ 0·33). There were no between-county difference in temporal trends for overall diet quality (assessed by the Healthy Diet Score; P for interaction = 0·36). Nor were there any between-county differences for the intake of whole grain products, fruits, vegetables, fish, sweetened beverages or fried potatoes ( P for interaction ≥ 0·09). Consumption of meat ( P for interaction = 0·05) increased to a greater extent in Norrbotten from 2009 and onwards, mainly in men (sex-specific analyses, P for interaction = 0·04). Men in Västerbotten decreased their intake of sweets to a greater extent than men in Norrbotten ( P for interaction < 0·01). Conclusions: Over a 20-year period in northern Sweden, only small differences in dietary habits were observed in favour of a county with a CVD prevention programme compared with a county without such a programme.