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dc.contributor.authorEnget, Torill
dc.contributor.authorBraaten, Tonje
dc.contributor.authorJacobsen, Bjarne K.
dc.contributor.authorBarnung, Runa Borgund
dc.contributor.authorOlsen, Anja
dc.contributor.authorSkeie, Guri
dc.date.accessioned2018-10-15T14:08:50Z
dc.date.available2018-10-15T14:08:50Z
dc.date.issued2018-09-12
dc.description.abstract<p><i>Background</i>: High adherence to the Healthy Nordic Food Index has been associated with better health outcomes, but the results have not been consistent. The association between high adherence and higher intake of energy and healthy and less healthy foods has been persistent across countries, highlighting the need to examine potential confounding by energy intake.</p> <p><i>Objective</i>: This study aimed to examine energy-adjusted dietary factors and lifestyle factors related to the index in a Norwegian context.</p> <p><i>Design</i>: The study was cross-sectional within the Norwegian Women and Cancer cohort and included 81,516 women aged 41–76. Information about habitual food intake was based on a food frequency questionnaire (FFQ). The index incorporated six food groups (fish, root vegetables, cabbages, apples/pears, whole grain bread, and breakfast cereals). Ordered trend and regression analyses were performed to assess the association between the index and lifestyle and dietary factors with energy-adjusted models.</p> <p><i>Results</i>: Nearly one out of four women (22.8%) had low adherence, 49.0% had medium adherence, and 28.2% had high adherence to the index. Intake of energy and of both healthy and less healthy foods increased with increased adherence. Energy adjustment removed the associations between less healthy foods and high adherence and demonstrated a better dietary composition in high adherers. The healthy Nordic foods contributed more to the total food intake in high versus low adherers, and high adherence was associated with a healthier lifestyle.</p> <p><i>Conclusion</i>: High adherence was associated with a healthier lifestyle, both concerning diet and other factors. Energy adjustment of potential confounding foods removed associations between high adherence and less healthy foods. The Nordic foods accounted for a larger fraction of the diet among high adherers, at the expense of other healthy foods. Careful adjustment for confounders is warranted when assessing associations between the index and health outcomes.en_US
dc.description.sponsorshipUiT The Arctic University of Norwayen_US
dc.descriptionSource at <a href=https://doi.org/10.29219/fnr.v62.1339> https://doi.org/10.29219/fnr.v62.1339</a>.en_US
dc.identifier.citationJensen, T.M.E., Braaten, T., Jacobsen, B.K., Barnung, R.B., Olsen, A. & Skeie, G. (2018). Adherence to the Healthy Nordic Food Index in the Norwegian Women and Cancer (NOWAC) cohort. Food & Nutrition Research, 62, 1339. https://doi.org/10.29219/fnr.v62.1339en_US
dc.identifier.issn1654-6628
dc.identifier.issn1654-661X
dc.identifier.otherFRIDAID 1619041
dc.identifier.otherhttp://dx.doi.org/10.29219/fnr.v62.1339
dc.identifier.urihttps://hdl.handle.net/10037/13970
dc.language.isoengen_US
dc.publisherTaylor & Francis Openen_US
dc.relation.journalFood & Nutrition Research
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800en_US
dc.subjecthealthy Nordic dieten_US
dc.subjectdietary indexen_US
dc.subjectdietary pattern regional dieten_US
dc.subjectthe environmental impact of foodsen_US
dc.subjectenergy adjustmenten_US
dc.titleAdherence to the Healthy Nordic Food Index in the Norwegian Women and Cancer (NOWAC) cohorten_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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