1. The association of social and behavioral factors with dietary risks in adults: Evidence from the Kardiovize Brno 2030 study
- Author
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Manlio Vinciguerra, Šárka Kunzová, Antonella Agodi, Hana Bauerova, Andrea Maugeri, and Martina Barchitta
- Subjects
Male ,Epidemiology ,Social Determinants of Health ,Endocrinology, Diabetes and Metabolism ,Health Behavior ,Behaviours ,Psychological intervention ,Medicine (miscellaneous) ,030204 cardiovascular system & hematology ,Habits ,0302 clinical medicine ,Risk Factors ,Medicine ,Prospective Studies ,Czech Republic ,Public health ,Nutrition and Dietetics ,Smoking ,Age Factors ,Middle Aged ,Cardiovascular Diseases ,Cardiovascular risk ,Diet ,Sociodemographic factors ,Cohort ,Income ,Educational Status ,Marital status ,Female ,Cardiology and Cardiovascular Medicine ,Risk assessment ,Nutritive Value ,Adult ,Employment ,medicine.medical_specialty ,030209 endocrinology & metabolism ,Risk Assessment ,03 medical and health sciences ,Sex Factors ,Environmental health ,Humans ,Association (psychology) ,Exercise ,Consumption (economics) ,Marital Status ,business.industry ,Feeding Behavior ,Cross-Sectional Studies ,Sedentary Behavior ,Sleep ,business - Abstract
Uncovering the main determinants of diet quality is one of the greatest challenges for Public Health, since it could guide future strategies and interventions against cardiovascular diseases (CVDs). The present cross-sectional analysis of the Kardiovize cohort evaluates the prevalence of dietary risk factors for CVDs and their association with social and behavioural characteristics in a random sample of 1536 adults (aged 25-64 years) from Brno, Czech Republic.A face-to-face health interview guided by structured questionnaires was carried out on socio-demographic characteristics (age, sex, educational level, employment, marital status, income, and household size) and behaviours (smoking status, physical activity, and sleep habits). Twelve dietary risk factors covered by the Global Burden of Diseases comparative risk assessment framework were assessed using a Food Frequency Questionnaire. In general, we observed that the consumption of nearly all healthy foods and nutrients was suboptimal, and that it was also aggravated by high intake of foods and nutrients that constituted dietary risk factors. Moreover, we found several associations of social and behavioural characteristics with specific dietary risk factors. Particularly, being male (β = 0.466; SE = 0.079; p 0.001), increasing household size (β = 0.130; SE = 0.047; p = 0.006), low income (β = 0.192; SE = 0.091; p = 0.035), and decreasing physical activity level (β = 0.172; SE = 0.054; p = 0.002) were associated with increasing number of dietary risk factors.Thus, our study raises an urgent need for Public Health strategies promoting healthy eating in adulthood, which should be based on traditional and novel determinants of dietary risk.
- Published
- 2020