Dietary patterns and lifestyle characteristics in adults: results from the Hellenic National Nutrition and Health Survey (HNNHS)
2019
Abstract Objectives The objective of this study was to identify and describe different dietary
patternsin a nationally representative sample of Greek adults and to assess potential associations with lifestyle characteristics. Study design This was a cross-sectional study. Methods Dietary
patternswere derived by principal component analysis using individual dietary data (24-h recall) of 3552 participants of the
HellenicNational Nutrition and Health Survey (HNNHS). Analysis of variance and chi-squared test were used to determine the lifestyle characteristics of the participants following each
pattern. Results Three dietary
patternswere identified explaining 16.5% of variance; a traditional
pattern, loading positively on olive oil, non-starchy vegetables, and cheese; a Western
pattern, loading positively on
refined grains, processed meats, and
animal fats; and a prudent
pattern, loading positively on fruits, whole grains, and yoghurt and negatively on
fast food. A fourth,
snack-type
pattern, loading positively on sweets, salty
snacks, and nuts, was identified in women. Primary crude results revealed an association between dietary
patternsand socio-economic status. In multivariate analysis, highest adherence to the prudent
patternwas associated with higher protein and
unsaturated fatintake and lower energy and saturated fat intake (all P ≤ 0.05); the Western and traditional
patternswere associated with higher energy and total and saturated fat intake. The traditional
patternwas additionally associated with higher monounsaturated fatty acids intake, whereas the Western
pattern, with higher alcohol intake (all P ≤ 0.001). Conclusions These findings are valuable for understanding the dietary behaviors of adults in Greece and enabling more focused public health policies for the promotion of healthier food behaviors in the future.
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