Dairy products consumption among adults and determining the attributable population risk of some common non-communicable diseases; a population based cross sectional study
-
Amin Doosti-Irani
,
Nasrin Shirmohammadi
,
Parvin Cheraghi
,
Zahra cheraghi
,
Bahraeh Khdemi-Monfared
Abstract
Background: During the last decade, the consumption of dairy products in Iranian households has decreased. The purpose of this study was to determine the population attributable risk of dairy products to common non-communicable diseases.
Methods: This cross-sectional-analytical study was conducted on 628 adults over 18 years old in Hamadan city in 2021. The clusters were selected based on comprehensive urban health centers. The standardized Iranian version of the food frequency questionnaire was used. To categorize participants, we used three levels of dairy product consumption: no consumption, less than one serving per day, 1-2 servings per day and >2 servings per day.
Results: The participation rate was 89%. The mean (standard deviation) of age was 38.05 (12.54) and 42.36% of participants were male. Forty-nine percent of people mentioned insufficient consumption of dairy products. Cheese (54.5%), yogurt (39.7%), and milk (30.4%) had the highest frequency of daily consumption. Women had a higher consumption of dairy products than men (56% vs. 44%, P=0.037). People with university education had a higher probability of dairy product consumption (OR=2.61, P=0.140).
Conclusions: The prevalence of insufficient consumption of dairy products was 48.6%, which is higher compared to previous studies. Insufficient consumption of dairy products was the explainer of hypertension (9.26%), cardiovascular (5.55%), and (5.07%) osteoporosis.
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24. Esfarjani F, Mohammadi-nasrabadi F, Roustaee R, Khalafi M, Alikhanian H, Nouri-Saeidlou S, et al. Household Milk consumption and Its Socio-economic Associates in West Azarbayejan Province, North-west Iran. Nutrition and Food Sciences Research. 2015;2(3):21-7.
25. Campo IS, Beghin JC. Japanese consumer demand for dairy products. 2006.
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27. Moreira PA, Padrão PD. Educational and economic determinants of food intake in Portuguese adults: a cross-sectional survey. BMC public health. 2004;4(1):1-11.
28. Abreu S, Santos R, Moreira C, Vale S, Santos PC, Soares-Miranda L, et al. Association between dairy product intake and abdominal obesity in Azorean adolescents. European journal of clinical nutrition. 2012;66(7):830-5.
29. Zemel M, Richards J, Mathis S, Milstead A, Gebhardt L, Silva E. Dairy augmentation of total and central fat loss in obese subjects. International journal of obesity. 2005;29(4):391-7.
30. Heidari Z, Fard NRP, Clark CC, Haghighatdoost F. Dairy products consumption and the risk of hypertension in adults: An updated systematic review and dose–response meta-analysis of prospective cohort studies. Nutrition, Metabolism and Cardiovascular Diseases. 2021;31(7):1962-75.
31. Panagiotakos DB, Pitsavos CH, Zampelas AD, Chrysohoou CA, Stefanadis CI. Dairy products consumption is associated with decreased levels of inflammatory markers related to cardiovascular disease in apparently healthy adults: the ATTICA study. Journal of the American College of Nutrition. 2010;29(4):357-64.
32. Huncharek M, Muscat J, Kupelnick B. Impact of dairy products and dietary calcium on bone-mineral content in children: results of a meta-analysis. Bone. 2008;43(2):312-21.
33. Matía-Martín P, Torrego-Ellacuría M, Larrad-Sainz A, Fernández-Pérez C, Cuesta-Triana F, Rubio-Herrera MÁ. Effects of milk and dairy products on the prevention of osteoporosis and osteoporotic fractures in Europeans and non-Hispanic Whites from North America: a systematic review and updated meta-analysis. Advances in Nutrition. 2019;10(suppl_2):S120-S43.
34. Aune D, Lau R, Chan D, Vieira R, Greenwood D, Kampman E, et al. Dairy products and colorectal cancer risk: a systematic review and meta-analysis of cohort studies. Annals of oncology. 2012;23(1):37-45.
35. Wang S, Zhou M, Ji A, Zhang D, He J. Milk/dairy products consumption and gastric cancer: an update meta-analysis of epidemiological studies. Oncotarget. 2018;9(6):7126.
36. Yuan J, Li W, Sun W, Deng S. Milk and dairy products consumption and the risk of oral or oropharyngeal cancer: a meta-analysis. Bioscience Reports. 2019;39(12).
2. Lindström J, Aittola K, Pölönen A, Hemiö K, Ahonen K, Karhunen L, et al. Formation and validation of the Healthy Diet Index (HDI) for evaluation of diet quality in healthcare. International journal of environmental research and public health. 2021;18(5):2362.
3. Larsson SC, Crippa A, Orsini N, Wolk A, Michaëlsson K. Milk consumption and mortality from all causes, cardiovascular disease, and cancer: a systematic review and meta-analysis. Nutrients. 2015;7(9):7749-63.
4. Ness A, Smith GD, Hart C. Milk, coronary heart disease and mortality. Journal of Epidemiology & Community Health. 2001;55(6):379-82.
5. Ghosouri F. The trend of milk consumption in Iranian households during 2007. 2015. 2015;7:12-4.
6. Wolf CA, Malone T, McFadden BR. Beverage milk consumption patterns in the United States: Who is substituting from dairy to plant-based beverages? Journal of Dairy Science. 2020;103(12):11209-17.
7. Shokrvash B, Salehi L, Hariri Akbari M, Ebrahimi Mamagani M, Nedjat S, Asghari M, et al. Social support and dairy products intake among adolescents: a study from Iran. BMC public health. 2015;15(1):1-10.
8. Soedamah-Muthu SS, Ding EL, Al-Delaimy WK, Hu FB, Engberink MF, Willett WC, et al. Milk and dairy consumption and incidence of cardiovascular diseases and all-cause mortality: dose-response meta-analysis of prospective cohort studies. The American journal of clinical nutrition. 2011;93(1):158-71.
9. Soedamah-Muthu SS, Verberne LD, Ding EL, Engberink MF, Geleijnse JM. Dairy consumption and incidence of hypertension: a dose-response meta-analysis of prospective cohort studies. Hypertension. 2012;60(5):1131-7.
10. Trung TQ, Giam DQ, Hai VT, Thao LP, Hang NTT, Son L, et al. Factor influencing milk consumption of rural household in Northern Vietnam. Greener journal of business and management studies. 2014;4(2):31-40.
11. Qin L-Q, Xu J-Y, Han S-F, Zhang Z-L, Zhao Y-Y, Szeto IM. Dairy consumption and risk of cardiovascular disease: an updated meta-analysis of prospective cohort studies. Asia Pacific journal of clinical nutrition. 2015;24(1):90-100.
12. Aune D, Norat T, Romundstad P, Vatten LJ. Dairy products and the risk of type 2 diabetes: a systematic review and dose-response meta-analysis of cohort studies. The American journal of clinical nutrition. 2013;98(4):1066-83.
13. Fung TT, Schulze M, Manson JE, Willett WC, Hu FB. Dietary patterns, meat intake, and the risk of type 2 diabetes in women. Archives of internal medicine. 2004;164(20):2235-40.
14. Asghari G, Rezazadeh A, Hosseini-Esfahani F, Mehrabi Y, Mirmiran P, Azizi F. Reliability, comparative validity and stability of dietary patterns derived from an FFQ in the Tehran Lipid and Glucose Study. British journal of nutrition. 2012;108(6):1109-17.
15. Vyas S, Kumaranayake L. Constructing socio-economic status indices: how to use principal components analysis. Health policy and planning. 2006;21(6):459-68.
16. Szklo M, Nieto FJ. Epidemiology: beyond the basics: Jones & Bartlett Publishers; 2014.
17. Gao D, Ning N, Wang C, Wang Y, Li Q, Meng Z, et al. Dairy products consumption and risk of type 2 diabetes: systematic review and dose-response meta-analysis. PloS one. 2013;8(9):e73965.
18. Xi B, Huang Y, Reilly KH, Li S, Zheng R, Barrio-Lopez MT, et al. Sugar-sweetened beverages and risk of hypertension and CVD: a dose–response meta-analysis. British Journal of Nutrition. 2015;113(5):709-17.
19. Malmir H, Larijani B, Esmaillzadeh A. Consumption of milk and dairy products and risk of osteoporosis and hip fracture: a systematic review and Meta-analysis. Critical reviews in food science and nutrition. 2020;60(10):1722-37.
20. Bermejo LM, López-Plaza B, Santurino C, Cavero-Redondo I, Gómez-Candela C. Milk and dairy product consumption and bladder cancer risk: a systematic review and meta-analysis of observational studies. Advances in Nutrition. 2019;10(suppl_2):S224-S38.
21. Lee H-J, Cho J-i, Lee H-SH, Kim C-i, Cho E. Intakes of dairy products and calcium and obesity in Korean adults: Korean National Health and Nutrition Examination Surveys (KNHANES) 2007-2009. PLoS One. 2014;9(6):e99085.
22. Noori N, Mirmiran P, Asgari S, Azizi F. Dietary intake of calcium and vitamin D and the prevalence of metabolic syndrome in Tehranian adults: Tehran Lipid and Glucose Study (TLGS). Iranian Journal of Endocrinology and Metabolism. 2007;9(2):191-200.
23. Kholdi N, Piraste A, Khajavi Shojaie K, Shetkhani A, Zayeri F, Meskin A. Assessing The Perceived Barriers And Benefits For Milk Products Consumption in Women Living in Tehran. Iranian Journal of Health Education and Health Promotion. 2018;6(1):29-38.
24. Esfarjani F, Mohammadi-nasrabadi F, Roustaee R, Khalafi M, Alikhanian H, Nouri-Saeidlou S, et al. Household Milk consumption and Its Socio-economic Associates in West Azarbayejan Province, North-west Iran. Nutrition and Food Sciences Research. 2015;2(3):21-7.
25. Campo IS, Beghin JC. Japanese consumer demand for dairy products. 2006.
26. De Alwis A, Edirisinghe J, Athauda A. Analysis of factors affecting fresh milk consumption among the mid-country consumers. Tropical agricultural research and extension. 2011;12(2).
27. Moreira PA, Padrão PD. Educational and economic determinants of food intake in Portuguese adults: a cross-sectional survey. BMC public health. 2004;4(1):1-11.
28. Abreu S, Santos R, Moreira C, Vale S, Santos PC, Soares-Miranda L, et al. Association between dairy product intake and abdominal obesity in Azorean adolescents. European journal of clinical nutrition. 2012;66(7):830-5.
29. Zemel M, Richards J, Mathis S, Milstead A, Gebhardt L, Silva E. Dairy augmentation of total and central fat loss in obese subjects. International journal of obesity. 2005;29(4):391-7.
30. Heidari Z, Fard NRP, Clark CC, Haghighatdoost F. Dairy products consumption and the risk of hypertension in adults: An updated systematic review and dose–response meta-analysis of prospective cohort studies. Nutrition, Metabolism and Cardiovascular Diseases. 2021;31(7):1962-75.
31. Panagiotakos DB, Pitsavos CH, Zampelas AD, Chrysohoou CA, Stefanadis CI. Dairy products consumption is associated with decreased levels of inflammatory markers related to cardiovascular disease in apparently healthy adults: the ATTICA study. Journal of the American College of Nutrition. 2010;29(4):357-64.
32. Huncharek M, Muscat J, Kupelnick B. Impact of dairy products and dietary calcium on bone-mineral content in children: results of a meta-analysis. Bone. 2008;43(2):312-21.
33. Matía-Martín P, Torrego-Ellacuría M, Larrad-Sainz A, Fernández-Pérez C, Cuesta-Triana F, Rubio-Herrera MÁ. Effects of milk and dairy products on the prevention of osteoporosis and osteoporotic fractures in Europeans and non-Hispanic Whites from North America: a systematic review and updated meta-analysis. Advances in Nutrition. 2019;10(suppl_2):S120-S43.
34. Aune D, Lau R, Chan D, Vieira R, Greenwood D, Kampman E, et al. Dairy products and colorectal cancer risk: a systematic review and meta-analysis of cohort studies. Annals of oncology. 2012;23(1):37-45.
35. Wang S, Zhou M, Ji A, Zhang D, He J. Milk/dairy products consumption and gastric cancer: an update meta-analysis of epidemiological studies. Oncotarget. 2018;9(6):7126.
36. Yuan J, Li W, Sun W, Deng S. Milk and dairy products consumption and the risk of oral or oropharyngeal cancer: a meta-analysis. Bioscience Reports. 2019;39(12).
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How to Cite
1.
Doosti-Irani A, Shirmohammadi N, Cheraghi P, cheraghi Z, Khdemi-Monfared B. Dairy products consumption among adults and determining the attributable population risk of some common non-communicable diseases; a population based cross sectional study. J Tehran Heart Cent. 2024;.
