Format

Send to

Choose Destination
Public Health Nutr. 2016 Oct;19(15):2769-80. doi: 10.1017/S1368980016001142. Epub 2016 May 19.

Meal patterns across ten European countries - results from the European Prospective Investigation into Cancer and Nutrition (EPIC) calibration study.

Author information

1
1Department of Internal Medicine and Clinical Nutrition,The Sahlgrenska Academy,University of Gothenburg,Box 459,SE-405 30,Gothenburg,Sweden.
2
3Dietary Exposure Assessment Group,International Agency for Research on Cancer,Lyon,France.
3
4Department of Epidemiology,German Institute of Human Nutrition,Nuthetal,Germany.
4
5Unit of Nutrition and Cancer,Cancer Epidemiology Research Programme,Catalan Institute of Oncology (ICO-IDIBELL),Barcelona,Spain.
5
6Department of Community Medicine, Faculty of Health Sciences,University of Tromsø,The Arctic University of Norway,Tromsø,Norway.
6
10Danish Cancer Society Research Center,Copenhagen,Denmark.
7
11Université Paris-Saclay,Université Paris-Sud,UVSQ,CESP,INSERM,Villejuif,France.
8
13German Cancer Research Center (DKFZ),Division of Cancer Epidemiology,Heidelberg,Germany.
9
14Hellenic Health Foundation,Athens,Greece.
10
16Epidemiology and Prevention Unit,Department of Preventive and Predictive Medicine,Fondazione IRCCS Istituto Nazionale dei Tumori,Milan,Italy.
11
17Molecular and Nutritional Epidemiology Unit,Cancer Research and Prevention Institute - ISPO,Florence,Italy.
12
18Unit of Epidemiology,Regional Health Service ASL TO3,Grugliasco (TO),Italy.
13
20Azienda Ospedaliera Universitaria (AOU) Federico II,Naples,Italy.
14
21Cancer Registry and Histopathology Unit,'Civic - M.P. Arezzo' Hospital,ASP Ragusa,Ragusa,Italy.
15
22Norwegian Food Safety Authority,Head Office,Oslo,Norway.
16
23Navarra Public Health Institute,Pamplona,Spain.
17
25CIBER Epidemiology and Public Health (CIBERESP),Madrid,Spain.
18
29Public Health Directorate,Asturias,Spain.
19
31Department of Clinical Sciences in Malmö,Lund University,Lund,Sweden.
20
2Department of Public Health and Clinical Medicine,Nutritional Research,Umeå University,Umeå,Sweden.
21
32Centre for Nutrition,Prevention and Health Services,National Institute for Public Health and the Environment (RIVM),Bilthoven,The Netherlands.
22
34Department of Epidemiology and Biostatistics,School of Public Health,Imperial College London,London,UK.
23
35Cancer Epidemiology Unit,Nuffield Department of Population Health,University of Oxford,Oxford,UK.

Abstract

OBJECTIVE:

To characterize meal patterns across ten European countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) calibration study.

DESIGN:

Cross-sectional study utilizing dietary data collected through a standardized 24 h diet recall during 1995-2000. Eleven predefined intake occasions across a 24 h period were assessed during the interview. In the present descriptive report, meal patterns were analysed in terms of daily number of intake occasions, the proportion reporting each intake occasion and the energy contributions from each intake occasion.

SETTING:

Twenty-seven centres across ten European countries.

SUBJECTS:

Women (64 %) and men (36 %) aged 35-74 years (n 36 020).

RESULTS:

Pronounced differences in meal patterns emerged both across centres within the same country and across different countries, with a trend for fewer intake occasions per day in Mediterranean countries compared with central and northern Europe. Differences were also found for daily energy intake provided by lunch, with 38-43 % for women and 41-45 % for men within Mediterranean countries compared with 16-27 % for women and 20-26 % for men in central and northern European countries. Likewise, a south-north gradient was found for daily energy intake from snacks, with 13-20 % (women) and 10-17 % (men) in Mediterranean countries compared with 24-34 % (women) and 23-35 % (men) in central/northern Europe.

CONCLUSIONS:

We found distinct differences in meal patterns with marked diversity for intake frequency and lunch and snack consumption between Mediterranean and central/northern European countries. Monitoring of meal patterns across various cultures and populations could provide critical context to the research efforts to characterize relationships between dietary intake and health.

KEYWORDS:

24 h dietary recall; EPIC; Energy intake; Intake frequency; Intake occasion; Meal patterns; Meals; Snacks; Standardization

PMID:
27194183
DOI:
10.1017/S1368980016001142
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Cambridge University Press Icon for Spiral, Imperial College Digital Repository
Loading ...
Support Center