Roswall, Nina4; Olsen, Anja4; Boll, Katja4; Christensen, Jane4; Halkjær, Jytte4; Sørensen, Thorkild I A5; Dahm, Christina C4; Overvad, Kim4; Clavel-Chapelon, Françoise4; Boutron-Ruault, Marie C4; Cottet, Vanessa4; Teucher, Birgit4; Kaaks, Rudolf4; Boeing, Heiner4; von Ruesten, Anne4; Trichopoulou, Antonia4; Oikonomou, Eleni4; Vasilopoulou, Effie4; Pala, Valeria4; Sacerdote, Carlotta4; Mattiello, Amalia4; Masala, Giovanna4; Peeters, Petra H M4; Bueno-de-Mesquita, H Bas4; Engeset, Dagrun4; Skeie, Guri4; Asli, Lene A4; Amiano, Pilar4; Jakszyn, Paula4; Ardanaz, Eva4; Huerta, José M4; Quirós, José R4; Molina-Montes, Esther4; Nilsson, Lena M4; Johansson, Ingegerd4; Wirfält, Elisabet4; Drake, Isabel4; Mulligan, Angela A4; Khaw, Kay T4; Romaguera, Dora4; Vergnaud, Anne-Claire4; Key, Tim4; Riboli, Elio4; Tjønneland, Anne6
1 Section for Metabolic Genetics, The Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, Københavns Universitet2 Department of Public Health, Department of Public Health, Faculty of Health and Medical Sciences, Københavns Universitet3 Graduate School of Health and Medical Sciences, Graduate School of Health and Medical Sciences, Faculty of Health and Medical Sciences, Københavns Universitet4 unknown5 Section for Metabolic Genetics, The Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences, Københavns Universitet6 Graduate School of Health and Medical Sciences, Graduate School of Health and Medical Sciences, Faculty of Health and Medical Sciences, Københavns Universitet
OBJECTIVE: Health-beneficial effects of adhering to a healthy Nordic diet index have been suggested. However, it has not been examined to what extent the included dietary components are exclusively related to the Nordic countries or if they are part of other European diets as well, suggesting a broader preventive potential. The present study describes the intake of seven a priori defined healthy food items (apples/pears, berries, cabbages, dark bread, shellfish, fish and root vegetables) across ten countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) and examines their consumption across Europe. DESIGN: Cross-sectional study. A 24 h dietary recall was administered through a software program containing country-specific recipes. Sex-specific mean food intake was calculated for each centre/country, as well as percentage of overall food groups consumed as healthy Nordic food items. All analyses were weighted by day and season of data collection. SETTING: Multi-centre, European study. SUBJECTS: Persons (n 36 970) aged 35-74 years, constituting a random sample of 519 978 EPIC participants. RESULTS: The highest intakes of the included diet components were: cabbages and berries in Central Europe; apples/pears in Southern Europe; dark bread in Norway, Denmark and Greece; fish in Southern and Northern countries; shellfish in Spain; and root vegetables in Northern and Central Europe. Large inter-centre variation, however, existed in some countries. CONCLUSIONS: Dark bread, root vegetables and fish are strongly related to a Nordic dietary tradition. Apples/pears, berries, cabbages, fish, shellfish and root vegetables are broadly consumed in Europe, and may thus be included in regional public health campaigns.
Public Health Nutrition, 2014, Vol 17, Issue 12, p. 2650-2659