Food selection associated with sense of coherence in adults

Nutrition Journal

Ingegerd Johansson¹  Bernt Lindahl³  Berit Nilsson³  Birgitta Stegmayr³  Ulrika Lindmark² 

[1] Department of Odontology, Umeå university, Umeå, Sweden;Department of Natural Sciences and Biomedicine, University of Jönköping, Jönköping, Sweden;Department of Public Health and Clinical Medicine, Umeå university, Umeå, Sweden

关键词: Northern Sweden MONICA study;    Food frequency questionnaire;    Sense of coherence;    Diet;   

Others  :  1151482
DOI  :  10.1186/1475-2891-4-9

 received in 2004-12-13, accepted in 2005-02-28,  发布年份 2005

【 摘 要 】

Background

Favorable dietary habits promote health, whereas unfavorable habits link to various chronic diseases. An individual's "sense of coherence" (SOC) is reported to correlate with prevalence of some diseases to which dietary habits are linked. However, understanding what determines an individual's dietary preferences and how to change his/her behavior remains limited. The aim of the present study was to evaluate associations between dietary intake and SOC in adults.

Methods

Diet intake was recorded by an 84-item semi-quantitative food frequency questionnaire and SOC was measured by the 13-item Antonovsky questionnaire in 2,446 men and 2,545 women (25–74 years old) from the population based northern Sweden MONICA screening in 1999.

Results

Intakes of energy, total and saturated fat, ascorbic acid, sucrose, and servings of fruits, vegetables, cereals, and sweets correlated with SOC among women, whereas intakes of total and saturated fat, ascorbic acid, fiber, and alcohol, and servings of fruits, vegetables, bread, bread and cereals, fish, and potatoes correlated with SOC among men. With a few exceptions, intakes of these nutrients/foods were significantly explained by SOC quartile scores in linear GLM models. Both women and men classified into the highest SOC quartile had significantly higher age-BMI-education standardized mean intakes of vegetables than those in the lowest quartiles. Women in the highest SOC quartile also had higher intake of fruits but lower intakes of energy, total and saturated fat, sucrose, and sweets.

Projection to latent structures (PLS) multivariate modeling of intakes of the 84 food items and food aggregates simultaneously on SOC scores supported low SOC to coincide with a presumably less health promoting dietary preference, e.g. intake of pizza, soft drinks, candies, sausages for main course, hamburgers, mashed potato, chips and other snacks, potato salad, French fries, whereas men and women with high SOC scores were characterized by e.g. high intake of rye crisp whole meal bread, boiled potato, vegetables, berries, and fruits.

Conclusion

Both men and women in the highest, as compared with the lowest, SOC score quartile reported more "healthy" food choices. Dietary habits for individuals in the lowest SOC quartile therefore may render a higher risk for various endemic diseases.

【 授权许可】

   
2005 Lindmark et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Iso H, Rexrode KM, Stampfer MJ, Manson JE, Colditz GA, Speizer FE, Hennekens CH, Willett WC: Intake of fish and omega-3 fatty acids and risk of stroke in women. JAMA 2001, 285:304-312.
• [2]Joshipura KJ, Hu FB, Manson JE, Stampfer MJ, Rimm EB, Speizer FE, Colditz G, Ascherio A, Rosner B, Spiegelman D, Willett WC: The effect of fruit and vegetable intake on risk for coronary heart disease. Ann Intern Med 2001, 134:1106-1114.
• [3]Montonen J, Knekt P, Jarvinen R, Aromaa A, Reunanen A: Whole-grain and fiber intake and the incidence of type 2 diabetes. Am J Clin Nutr 2003, 77:622-629.
• [4]Krasse B: The Vipeholm Dental Caries Study: recollections and reflections 50 years later. J Dent Res 2001, 80:1785-1788.
• [5]National Research Council: Diet and Health. Washington DC: National Academy Press; 1989.
• [6]Food and Nutrition Board: Recommended Dietary Allowances. 10th edition. Washington DC: National Academy of Sciences; 1989.
• [7]Nordiska ministerrådet: Nordic Nutrition Recommendations (NNR) Nord. Stockholm: Nordiska Förlagshuset; 1996:28.
• [8]Lennernäs M, Fjellström C, Becker W, Giachetti I, Schmitt A, Remaut de Winter AM, Kearney M: Influences on food choice perceived to be important by nationally-representative samples of adults in the European Union. Eur J Clin Nutr 1997, 51(Suppl 2):S8-15.
• [9]Antonovsky A: Unraveling the Mystery of Health. How People Manage Stress and Stay Well. San Francisco: Jossey-Bass Publishers; 1987.
• [10]Nilsson B, Holmgren L, Stegmayr B, Westman G: Sense of coherence – stability over time and relation to health, disease, and psychosocial changes in a general population: A longitudinal study. Scand J Public Health 2003, 11:297-304.
• [11]Souminen S, Helenius H, Blomberg H, Uutela A, Koskenvuo M: Sense of coherence as a predictor of subjective state of health. Results of 4 years of follow-up adults. JPsychosomatic Res 2001, 50:77-86.
• [12]Lundberg O, Nyström-Peck M: Sense of coherence, social structure and health. Evidence from a population survey in Sweden. Eur J Publ Health 1994, 4:252-257.
• [13]Kivimäki M, Feldt T, Vahtera J, Nurmi JE: Sense of coherence and health: evidence from two crosslagged longitudinal samples. Soc Sci Med 2000, 50:583-587.
• [14]Freire MCM, Sheiham A, Hardy R: Adolescents' sense of coherence, oral health status, and oral health related behaviours. Community Dent Oral Epidemiol 2001, 29:204-212.
• [15]Björvell H, Aly A, Langius A, Nordström G: Indicators of changes in weight and eating behavior in severily obese patients treated in a nursing behavioral program. Int J Obes 1994, 18:521-525.
• [16]Sandèn-Eriksson B: Coping with type-2 diabetes: the role of sense coherence compared with active management. J Adv Nurs 2000, 31:1393-1397.
• [17]Lorraine T, Midanik LT, Soghikian K, Ransom LJ, Polen MR: Alcohol problems and sense of coherence among older adults. Soc Sci Med 1992, 34:43-48.
• [18]Stegmayr B, Lundberg V, Asplund K: The events registration and survey procedures in the Northern Sweden MONICA Project. Scand. J Public Health 2003, (Suppl 61):9-17.
• [19]Antonovsky A: The structure and properties of the sense of coherence scale. Soc Sci Med 1993, 36:725-733.
• [20]Johansson I, Hallmans G, Wikman Å, Biessy C, Riboli E, Kaaks R: Validation and calibration of food frequency questionnaire measurements in the Northen Sweden and disease cohort. Publ Health Nutr 2001, 5:487-497.
• [21]Johansson G, Wikman Å, Åhrèn A-M, Hallmans G, Johansson I: Underreporting of energy intake in repeated recalls related to gender, age, weight status, day of interview, educational level, reported food intake, smoking habits and area of living. Publ Health Nutr 2001, 4:919-927.
• [22]Wold S: PLS for multivariate linear modelling. In Chemometric methods in molecular design. Edited by Van de Waterbeem H. Weinheim: WCH; 1995.
• [23]Eriksson M, Stegmayr B, Lundberg V: MONICA quality assessments. Scand J Public Health 2003, (Suppl 61):25-30.
• [24]Cronbach LJ: Essentials of psychological testing. New York: Harper and Row; 1990.
• [25]Kuuppelomaki M, Utriainen P: A 3 year follow-up study of health care students' sense of coherence and related smoking, drinking and physical exercise factors. Int J Nurs Stud 2003, 40:383-388.
• [26]Hassmén P, Koivula N, Uutela A: Physical exercise and psychological well-being: a population study in Finland. Prev Med 2000, 30:17-25.
• [27]Lindahl B, Stegmayr B, Johansson I, Weinehall L, Hallmans G: Trends in lifestyle 1986–99 in a 25- to 64-year-old population of the Northern Sweden MONICA project. Scand J Public Health Suppl 2003, 61:31-37.