Division of Chronic Disease Epidemiology, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Hirschengraben 84, 8001 Zurich, Switzerland.
Institute of Food and Beverage Innovation, Zurich University of Applied Sciences, Campus Reidbach, Einsiedlerstrasse 34, 8820 Waedenswil, Switzerland.
Nutrients. 2018 Dec 29;11(1):62. doi: 10.3390/nu11010062.
From a public health perspective, determinants of diets are crucial to identify, but they remain unclear in Switzerland. Hence, we sought to define current dietary patterns and their sociodemographic and lifestyle determinants using the national nutrition survey (2014⁻2015, = 2057). First, we applied multiple factorial analysis and hierarchical clustering on the energy-standardised daily consumption of 17 food categories. Four dietary patterns were identified ("Swiss traditional": high intakes of dairy products and chocolate, = 744; "Western 1": soft drinks and meat, = 383; "Western 2": alcohol, meat and starchy, = 444; and "Prudent": = 486). Second, we used multinomial logistic regression to examine the determinants of the four dietary patterns: ten sociodemographic or lifestyle factors (sex, age, body mass index, language region, nationality, marital status, income, physical activity, smoking status, and being on a weight-loss diet) were significantly associated with the dietary patterns. Notably, belonging to the French- and Italian-speaking regions of Switzerland increased the odds of following a "Prudent" diet (Odds ratio [95% confidence interval]: 1.92 [1.45⁻2.53] and 1.68 [0.98⁻2.90], respectively) compared to the German-speaking regions. Our findings highlight the influence of sociodemographic and lifestyle parameters on diet and the particularities of the language regions of Switzerland. These results provide the basis for public health interventions targeted for population subgroups.
从公共卫生的角度来看,确定饮食的决定因素至关重要,但在瑞士,这些决定因素仍不清楚。因此,我们试图使用全国营养调查(2014-2015 年,n = 2057)来定义当前的饮食模式及其社会人口学和生活方式决定因素。首先,我们对 17 种食物类别的每日能量标准化摄入量进行了多元因子分析和层次聚类。确定了四种饮食模式(“瑞士传统”:奶制品和巧克力摄入量高,n = 744;“西方 1”:软饮料和肉类,n = 383;“西方 2”:酒精、肉类和淀粉类,n = 444;“谨慎”:n = 486)。其次,我们使用多项逻辑回归来检验四种饮食模式的决定因素:十个社会人口学或生活方式因素(性别、年龄、体重指数、语言区、国籍、婚姻状况、收入、身体活动、吸烟状况和正在进行减肥饮食)与饮食模式显著相关。值得注意的是,与德语区相比,瑞士法语区和意大利语区的人更有可能遵循“谨慎”的饮食模式(优势比[95%置信区间]:1.92 [1.45-2.53]和 1.68 [0.98-2.90])。我们的研究结果强调了社会人口学和生活方式参数对饮食的影响,以及瑞士语言区的特殊性。这些结果为针对人群亚组的公共卫生干预提供了基础。