DOI QR코드

DOI QR Code

Temporal Variations of Dietary Habits in a High-Risk Area for Upper Gastrointestinal Cancers: a Population-Based Study from Northern Iran

  • Published : 2015.04.03

Abstract

Background: Nutrition transition is a global health problem, especially in developing countries. It is known as an important factor for development of different types of health conditions including cancers. Objectives: We aimed to assess the pattern of nutrition transition in a high-risk area for upper gastrointestinal cancers in Northern Iran during the last decade. Materials and Methods: This cross-sectional study was conducted on households of Golestan province, Iran. Data on household food consumption between 2001 and 2010 were obtained from the Statistical Center of Iran. The proportions of households with medium/high consumption of main foods were calculated for each year. Joint point software was used for assessing trends. Annual percent changes (APCs) and 95%CIs were calculated. Results: In total, 12,060 households were recruited. The APCs (95%CI) of the proportion of households medium/high consumption of cereals, vegetables, legumes, fish, dairy products and meats were -3.1 (-4.1 to -2.2), -2.9 (-3.8 to -2.1), -2.3 (-3.2 to -1.4), -2.8 (-3.3 to -2.4), -1.9 (-3.0 to -0.9) and 2.7 (1.2 to 4.3), respectively. Conclusions: We found significant increase in meat consumption among our population between 2001 and 2010. Our results also suggested significant decreasing trend in consumption of so-called healthy foods including, plant foods, fish, and dairy products. Regarding its correlation with health conditions including cancers, nutrition transition should be considered as a priority in health policy making in our region as well as other high-risk populations. It is recommended to conduct community level interventions to increase consumption of plant foods, fish, and dairy products.

Keywords

References

  1. Arafa MA, Waly MI, Jriesat S, et al (2011). Dietary and lifestyle characteristics of colorectal cancer in Jordan: a case-control study. Asian Pac J Cancer Prev, 12, 1931-6.
  2. Askari F, Parizi MK, Jessri M, et al (2014). Dietary patterns in relation to prostate cancer in Iranian men: a case-control study. Asian Pac J Cancer Prev, 15, 2159-63. https://doi.org/10.7314/APJCP.2014.15.5.2159
  3. Azadbakht L, Esmaillzadeh A (2009). Red meat intake is associated with metabolic syndrome and the plasma C-reactive protein concentration in women. J Nutr, 139, 335-9.
  4. Bermudez OI ,Tucker KL (2003). Trends in dietary patterns of Latin American populations. Cad Saude Publ, 19, 87-99. https://doi.org/10.1590/S0102-311X2003000700010
  5. Drewnowski A , Popkin BM (1997). The nutrition transition: new trends in the global diet. Nutr Rev, 55, 31-43.
  6. Erlinger T, Appel L (2003). The Relationship between meat intake and cardiovascular disease. Baltimore: Johns Hopkins Center for a Livable Future.
  7. Goldbohm RA, van den Brandt PA, van ‘t Veer P, et al (1994). A prospective cohort study on the relation between meat consumption and the risk of colon cancer. Cancer Res, 54, 718-23.
  8. Howard BV, Van Horn L, Hsia J, et al (2006). Low-fat dietary pattern and risk of cardiovascular disease: the women's health initiative randomized controlled dietary modification Trial. JAMA, 295, 655-66. https://doi.org/10.1001/jama.295.6.655
  9. Inter-Secretariat Working Group on National Accounts (1993). System of national accounts, New York, United Nations.
  10. Kim HJ, Fay MP, Yu B, et al (2004). Comparability of segmented line regression models. Biometrics, 60, 1005-14. https://doi.org/10.1111/j.0006-341X.2004.00256.x
  11. Kris-Etherton PM, Harris WS, Appel LJ (2003). Fish consumption, fish oil, omega-3 fatty acids, and cardiovascular disease. Arterioscler Thromb Vasc Biol, 23, 20-30. https://doi.org/10.1161/01.ATV.0000038493.65177.94
  12. Mahboubi E, Kmet J, Cook PJ, et al (1973). Oesophageal cancer studies in the caspian littoral of Iran: the caspian cancer registry. Br J Cancer, 28, 197-214. https://doi.org/10.1038/bjc.1973.138
  13. Mayoclinic. 10 great health foods [Online]. Myo Foundation for Medical Education and Research Available: http://www.mayoclinic.org/healthy-living/nutrition-and-healthy-eating/multimedia/health-foods/sls-20076653 [Accessed 14 May 2014.
  14. Mazzocchi M, Brasili C, Sandri E (2008). Trends in dietary patterns and compliance with world health organization recommendations: a cross-country analysis. Public Health Nutr, 11, 535-540.
  15. Mobarakeh ZS, Mirzaei K, Hatmi N, et al (2014). Dietary habits contributing to breast cancer risk among Iranian women. Asian Pac J Cancer Prev, 15, 9543-7. https://doi.org/10.7314/APJCP.2014.15.21.9543
  16. Noah A ,Truswell S (2003). Commodities consumed in Italy, Greece and other Mediterranean countries compared with Australia in 1960s and 1990s. Asia Pac J Clin Nutr, 12, 23-29.
  17. Popkin BM (1994). The nutrition transition in low-income countries: an emerging crisis. Nutr Rev, 52, 285-98.
  18. Population and census office (2010). Household income and expenditure survey, tehran, statistical center of Iran.
  19. Powles J (1992). Changing lifestyles and health background paper for technical discussions at 43rd session of Regional Committee, September, 1991, World Health Organization, Regional Office for the Western Pacific, Manila, Philippines. Asia Pac J Clin Nutr, 1, 113-26.
  20. Prentice A (2004). Diet, nutrition and the prevention of osteoporosis. Public Health Nutr, 7, 227-243.
  21. Roshandel G, Sadjadi A, Aarabi M, et al (2012). Cancer incidence in golestan province: report of an ongoing population-based cancer registry in Iran between 2004 and 2008. Arch Iran Med, 15, 196-200.
  22. Song Y, Manson JE, Buring JE, et al (2004). A prospective study of red meat consumption and type 2 diabetes in middle-aged and elderly women: the women's health study. Diabetes Care, 27, 2108-15. https://doi.org/10.2337/diacare.27.9.2108
  23. Statistical Research and Applications Branch (2013). Joinpoint regression program, version 4.0.4. Bethesda: National Cancer Institute.
  24. United Nations (1989). National household survey capability programme, household income and expenditure surveys: a technical study, New York, United Nations.
  25. Vorster HH, Bourne LT, Venter CS, et al (1999). Contribution of nutrition to the health transition in developing countries: a framework for research and intervention. Nutr Rev, 57, 341-349.
  26. Weeratunga P, Jayasinghe S, Perera Y, et al (2014). Per capita sugar consumption and prevalence of diabetes mellitus-global and regional associations. BMC Public Health, 14, 186. https://doi.org/10.1186/1471-2458-14-186
  27. Woo HD, Park S, Oh K, et al (2014). Diet and cancer risk in the Korean population: a meta- analysis. Asian Pac J Cancer Prev, 15, 8509-19. https://doi.org/10.7314/APJCP.2014.15.19.8509
  28. World Health Organization (2003). Diet, nutrition and the prevention of chronic diseases. 2003, Joint WHO/FAO expert consultation. WHO technical report series no. 916, Geneva, WHO.
  29. Yusof AS, Isa ZM, Shah SA (2012). Dietary patterns and risk of colorectal cancer: a systematic review of cohort studies (2000-2011). Asian Pac J Cancer Prev, 13, 4713-7. https://doi.org/10.7314/APJCP.2012.13.9.4713
  30. Zhao L, Liu CL, Song QK, et al (2014). Association between dietary behavior and esophageal squamous cell carcinoma in Yanting. Asian Pac J Cancer Prev, 15, 8657-60. https://doi.org/10.7314/APJCP.2014.15.20.8657