Skip to main content
Top
Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

Dietary differences between elderly Iranians living in Sweden and Iran a cross-sectional comparative study

Authors: Afsaneh Koochek, Parvin Mirmiran, Kristina Sundquist, Firoozeh Hosseini, Tohid Azizi, Ali S Moeini, Sven-Erik Johansson, Brita Karlström, Fereidoun Azizi, Jan Sundquist

Published in: BMC Public Health | Issue 1/2011

Login to get access

Abstract

Background

During the last decades, global migration has increased and many immigrant groups have a higher prevalence than the native born population of several cardiovascular disease risk factors, including poor dietary habits. However, it is uncertain if dietary habits in immigrant populations reflect dietary habits in their country of origin or if the current diet is a consequence of the migration and possible change of dietary habits. The aim of this study was to examine possible dietary differences between elderly Iranians living in Stockholm, Sweden with elderly Iranians living in Tehran, Iran, taking into account sex, age, marital status, and education.

Methods

Dietary intakes were assessed by semi - quantitative food frequency questionnaire in a cross-sectional study of 121 Iranians living in Stockholm and 52 Iranians living in Tehran, aged 60-80. Differences in dietary habits between the two groups was analysed by bootstrapped regression analyses with 1000 replications.

Results

Iranians living in Sweden had significantly higher intake of protein, total fat, fiber than Iranians living in Iran, but lower consumption of carbohydrates. The observed differences in intake of macronutrients were reflected in consumed amount of all food items, which were higher among Iranians living in Iran with the exception of bread and grain consumption which was lower.

Conclusions

There are general differences in dietary habits between Iranians living in Iran and Iranians living in Sweden. Parts of observed differences in dietary habits may reflect a favourable adoption process to the Swedish dietary habits after migration. Meanwhile other differences are point of concern in light of the high prevalence of overweight, among Iranians living in Sweden and can have unfavourable impact in particular in the context of cardiovascular health.
Literature
1.
go back to reference Lau DC, Dhillon B, Yan H, Szmitko PE, Verma S: Adipokines: molecular links between obesity and atheroslcerosis. Am J Physiol Heart Circ Physiol. 2005, 288 (5): H2031-2041. 10.1152/ajpheart.01058.2004.CrossRefPubMed Lau DC, Dhillon B, Yan H, Szmitko PE, Verma S: Adipokines: molecular links between obesity and atheroslcerosis. Am J Physiol Heart Circ Physiol. 2005, 288 (5): H2031-2041. 10.1152/ajpheart.01058.2004.CrossRefPubMed
2.
go back to reference Wernstedt I: Metabolic effects of interleukin-6. 2005, University of Gothenburg, Department of Medicine Wernstedt I: Metabolic effects of interleukin-6. 2005, University of Gothenburg, Department of Medicine
3.
go back to reference Helmersson J: Prostaglandins and isoprostanes in relation to risk factors for atherosclerosis - Role of inflammation and oxidative stress. Doctoral thesis. 2005, Uppsala university, Faculty of medicine Helmersson J: Prostaglandins and isoprostanes in relation to risk factors for atherosclerosis - Role of inflammation and oxidative stress. Doctoral thesis. 2005, Uppsala university, Faculty of medicine
4.
go back to reference Sundquist J, Johansson SE, Sundquist K: Levelling off of prevalence of obesity in the adult population of Sweden between 2000/01 and 2004/05. BMC Public Health. 10: 119- Sundquist J, Johansson SE, Sundquist K: Levelling off of prevalence of obesity in the adult population of Sweden between 2000/01 and 2004/05. BMC Public Health. 10: 119-
5.
go back to reference Faskunger J, Eriksson U, Johansson SE, Sundquist K, Sundquist J: Risk of obesity in immigrants compared with Swedes in two deprived neighbourhoods. BMC Public Health. 2009, 9: 304-10.1186/1471-2458-9-304.CrossRefPubMedPubMedCentral Faskunger J, Eriksson U, Johansson SE, Sundquist K, Sundquist J: Risk of obesity in immigrants compared with Swedes in two deprived neighbourhoods. BMC Public Health. 2009, 9: 304-10.1186/1471-2458-9-304.CrossRefPubMedPubMedCentral
6.
go back to reference Patel JV, Vyas A, Cruickshank JK, Prabhakaran D, Hughes E, Reddy KS, Mackness MI, Bhatnagar D, Durrington PN: Impact of migration on coronary heart disease risk factors: comparison of Gujaratis in Britain and their contemporaries in villages of origin in India. Atherosclerosis. 2006, 185 (2): 297-306. 10.1016/j.atherosclerosis.2005.06.005.CrossRefPubMed Patel JV, Vyas A, Cruickshank JK, Prabhakaran D, Hughes E, Reddy KS, Mackness MI, Bhatnagar D, Durrington PN: Impact of migration on coronary heart disease risk factors: comparison of Gujaratis in Britain and their contemporaries in villages of origin in India. Atherosclerosis. 2006, 185 (2): 297-306. 10.1016/j.atherosclerosis.2005.06.005.CrossRefPubMed
7.
go back to reference Hammar N, Hakala P, Jorgensen L, Becker W, Hedlund E, Ronnemaa T, Koskenvuo M, Kaprio J: Migration and differences in dietary habits-a cross sectional study of Finnish twins in Sweden. Eur J Clin Nutr. 2009, 63 (3): 312-322. 10.1038/sj.ejcn.1602931.CrossRefPubMed Hammar N, Hakala P, Jorgensen L, Becker W, Hedlund E, Ronnemaa T, Koskenvuo M, Kaprio J: Migration and differences in dietary habits-a cross sectional study of Finnish twins in Sweden. Eur J Clin Nutr. 2009, 63 (3): 312-322. 10.1038/sj.ejcn.1602931.CrossRefPubMed
8.
go back to reference Dixon LB, Sundquist J, Winkleby M: Differences in energy, nutrient, and food intakes in a US sample of Mexican-American women and men: findings from the Third National Health and Nutrition Examination Survey, 1988-1994. Am J Epidemiol. 2000, 152 (6): 548-557. 10.1093/aje/152.6.548.CrossRefPubMed Dixon LB, Sundquist J, Winkleby M: Differences in energy, nutrient, and food intakes in a US sample of Mexican-American women and men: findings from the Third National Health and Nutrition Examination Survey, 1988-1994. Am J Epidemiol. 2000, 152 (6): 548-557. 10.1093/aje/152.6.548.CrossRefPubMed
9.
go back to reference Yang EJ, Chung HK, Kim WY, Bianchi L, Song WO: Chronic diseases and dietary changes in relation to Korean Americans' length of residence in the United States. J Am Diet Assoc. 2007, 107 (6): 942-950. 10.1016/j.jada.2007.03.005.CrossRefPubMed Yang EJ, Chung HK, Kim WY, Bianchi L, Song WO: Chronic diseases and dietary changes in relation to Korean Americans' length of residence in the United States. J Am Diet Assoc. 2007, 107 (6): 942-950. 10.1016/j.jada.2007.03.005.CrossRefPubMed
10.
go back to reference Lin H, Bermudez OI, Tucker KL: Dietary patterns of Hispanic elders are associated with acculturation and obesity. J Nutr. 2003, 133 (11): 3651-3657.PubMed Lin H, Bermudez OI, Tucker KL: Dietary patterns of Hispanic elders are associated with acculturation and obesity. J Nutr. 2003, 133 (11): 3651-3657.PubMed
11.
go back to reference Koochek A, Johansson SE, Kocturk TO, Sundquist J, Sundquist K: Physical activity and body mass index in elderly Iranians in Sweden: a population-based study. Eur J Clin Nutr. 2007 Koochek A, Johansson SE, Kocturk TO, Sundquist J, Sundquist K: Physical activity and body mass index in elderly Iranians in Sweden: a population-based study. Eur J Clin Nutr. 2007
12.
go back to reference Koochek A, Mirmiran P, Azizi T, Padyab M, Johansson SE, Karlstrom B, Azizi F, Sundquist J: Is migration to Sweden associated with increased prevalence of risk factors for cardiovascular disease?. Eur J Cardiovasc Prev Rehabil. 2008, 15 (1): 78-82. 10.1097/HJR.0b013e3282f21968.CrossRefPubMed Koochek A, Mirmiran P, Azizi T, Padyab M, Johansson SE, Karlstrom B, Azizi F, Sundquist J: Is migration to Sweden associated with increased prevalence of risk factors for cardiovascular disease?. Eur J Cardiovasc Prev Rehabil. 2008, 15 (1): 78-82. 10.1097/HJR.0b013e3282f21968.CrossRefPubMed
13.
go back to reference Statistics Sweden: Survey of Living Conditions (ULF). 1999, Stockholm: Statistics Sweden Statistics Sweden: Survey of Living Conditions (ULF). 1999, Stockholm: Statistics Sweden
14.
go back to reference Azizi F, Rahmani M, Emami H, Madjid M: Tehran Lipid and Glucose Study: Rationale and design. 2003; 3: 242-7. CVD Prevention. 2000, 3: 242-247. Azizi F, Rahmani M, Emami H, Madjid M: Tehran Lipid and Glucose Study: Rationale and design. 2003; 3: 242-7. CVD Prevention. 2000, 3: 242-247.
15.
go back to reference Teymoori F, Dadkhah A, Shirazikhah M: Social Welfare and Health (Mental, Social, Physical) Status of Aged People in Iran. Middle East Journal of Age and Ageing. 2006, 3: 1- Teymoori F, Dadkhah A, Shirazikhah M: Social Welfare and Health (Mental, Social, Physical) Status of Aged People in Iran. Middle East Journal of Age and Ageing. 2006, 3: 1-
16.
go back to reference Becker W, Pearson M: Riksmaten 1997-1998. Befolkningens kostvanor och näringsintag. Metod- och resultatanalys. 2002, Uppsala, Sweden: Livsmedelsverket Becker W, Pearson M: Riksmaten 1997-1998. Befolkningens kostvanor och näringsintag. Metod- och resultatanalys. 2002, Uppsala, Sweden: Livsmedelsverket
17.
go back to reference Swedish National Food Administration: The Meal Model. 1997, Uppsala Swedish National Food Administration: The Meal Model. 1997, Uppsala
18.
go back to reference Azadbakht L, Mirmiran P, Esmaillzadeh A, Azizi F: Dietary diversity score and cardiovascular risk factors in Tehranian adults. Public Health Nutr. 2006, 9 (6): 728-736.CrossRefPubMed Azadbakht L, Mirmiran P, Esmaillzadeh A, Azizi F: Dietary diversity score and cardiovascular risk factors in Tehranian adults. Public Health Nutr. 2006, 9 (6): 728-736.CrossRefPubMed
19.
go back to reference Kostdata: DIETIST XP. 2006, Stockholm: Kost & Näringsdata Kostdata: DIETIST XP. 2006, Stockholm: Kost & Näringsdata
20.
go back to reference Swedish National Food Administration: Food Composition Tables. 2006 Swedish National Food Administration: Food Composition Tables. 2006
21.
go back to reference Black AE, Coward WA, Cole TJ, Prentice AM: Human energy expenditure in affluent societies: an analysis of 574 doubly-labelled water measurements. Eur J Clin Nutr. 1996, 50 (2): 72-92.PubMed Black AE, Coward WA, Cole TJ, Prentice AM: Human energy expenditure in affluent societies: an analysis of 574 doubly-labelled water measurements. Eur J Clin Nutr. 1996, 50 (2): 72-92.PubMed
22.
go back to reference Black AE, Welch AA, Bingham SA: Validation of dietary intakes measured by diet history against 24 h urinary nitrogen excretion and energy expenditure measured by the doubly-labelled water method in middle-aged women. Br J Nutr. 2000, 83 (4): 341-354.CrossRefPubMed Black AE, Welch AA, Bingham SA: Validation of dietary intakes measured by diet history against 24 h urinary nitrogen excretion and energy expenditure measured by the doubly-labelled water method in middle-aged women. Br J Nutr. 2000, 83 (4): 341-354.CrossRefPubMed
23.
go back to reference Black AE: Critical evaluation of energy intake using the Goldberg cut-off for energy intake:basal metabolic rate. A practical guide to its calculation, use and limitations. Int J Obes Relat Metab Disord. 2000, 24 (9): 1119-1130. 10.1038/sj.ijo.0801376.CrossRefPubMed Black AE: Critical evaluation of energy intake using the Goldberg cut-off for energy intake:basal metabolic rate. A practical guide to its calculation, use and limitations. Int J Obes Relat Metab Disord. 2000, 24 (9): 1119-1130. 10.1038/sj.ijo.0801376.CrossRefPubMed
24.
go back to reference Goldberg GR, Black AE, Jebb SA, Cole TJ, Murgatroyd PR, Coward WA, Prentice AM: Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr. 1991, 45 (12): 569-581.PubMed Goldberg GR, Black AE, Jebb SA, Cole TJ, Murgatroyd PR, Coward WA, Prentice AM: Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. Eur J Clin Nutr. 1991, 45 (12): 569-581.PubMed
25.
go back to reference Schofield WN: Predicting basal metabolic rate, new standards and review of previous work. Hum Nutr Clin Nutr. 1985, 39 (Suppl 1): 5-41.PubMed Schofield WN: Predicting basal metabolic rate, new standards and review of previous work. Hum Nutr Clin Nutr. 1985, 39 (Suppl 1): 5-41.PubMed
26.
go back to reference Johansson G, Hagfors L, Westerterp K: Validation with doubly labelled water of a very short questionnaire on physical activity. 8th Nordic Nutrition Conference. 2004, Tonsberg, Norway Johansson G, Hagfors L, Westerterp K: Validation with doubly labelled water of a very short questionnaire on physical activity. 8th Nordic Nutrition Conference. 2004, Tonsberg, Norway
27.
go back to reference Mirmiran P, Noori N, Zavareh MB, Azizi F: Fruit and vegetable consumption and risk factors for cardiovascular disease. Metabolism. 2009, 58 (4): 460-468. 10.1016/j.metabol.2008.11.002.CrossRefPubMed Mirmiran P, Noori N, Zavareh MB, Azizi F: Fruit and vegetable consumption and risk factors for cardiovascular disease. Metabolism. 2009, 58 (4): 460-468. 10.1016/j.metabol.2008.11.002.CrossRefPubMed
28.
go back to reference Mirmiran P, Esfahani FH, Mehrabi Y, Hedayati M, Azizi F: Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study. Public Health Nutr. 2010, 13 (5): 654-662. 10.1017/S1368980009991698.CrossRefPubMed Mirmiran P, Esfahani FH, Mehrabi Y, Hedayati M, Azizi F: Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study. Public Health Nutr. 2010, 13 (5): 654-662. 10.1017/S1368980009991698.CrossRefPubMed
29.
go back to reference Willett W: Nutritional Epidemiology. 1998, New York: Oxford University Press, 30: SecondCrossRef Willett W: Nutritional Epidemiology. 1998, New York: Oxford University Press, 30: SecondCrossRef
30.
go back to reference StataCorp: Stata Statistical Software. 2007, Texas: Stata press, 10.0 StataCorp: Stata Statistical Software. 2007, Texas: Stata press, 10.0
31.
go back to reference Box GEP, Cox DR: An Analysis of Transformations. Journal of the Royal Statistical Society Series B (Methodological). 1964, 26 (2): 211-252. Box GEP, Cox DR: An Analysis of Transformations. Journal of the Royal Statistical Society Series B (Methodological). 1964, 26 (2): 211-252.
32.
go back to reference Efron B: Bootstrap Methods: Another Look at the Jackknife. Ann Statist. 1979, 7 (1): 1-26. 10.1214/aos/1176344552.CrossRef Efron B: Bootstrap Methods: Another Look at the Jackknife. Ann Statist. 1979, 7 (1): 1-26. 10.1214/aos/1176344552.CrossRef
33.
go back to reference Wahlqvist ML: Asian migration to Australia: food and health consequences. Asia Pac J Clin Nutr. 2002, 11 (Suppl 3): S562-568.CrossRefPubMed Wahlqvist ML: Asian migration to Australia: food and health consequences. Asia Pac J Clin Nutr. 2002, 11 (Suppl 3): S562-568.CrossRefPubMed
34.
go back to reference McKie L, MacInnes A, Hendry J, Donald S, Peace H: The food consumption patterns and perceptions of dietary advice of older people. J Hum Nutr Diet. 2000, 13 (3): 173-183. 10.1046/j.1365-277x.2000.00226.x.CrossRefPubMed McKie L, MacInnes A, Hendry J, Donald S, Peace H: The food consumption patterns and perceptions of dietary advice of older people. J Hum Nutr Diet. 2000, 13 (3): 173-183. 10.1046/j.1365-277x.2000.00226.x.CrossRefPubMed
35.
go back to reference Lindstrom M, Sundquist K: The impact of country of birth and time in Sweden on overweight and obesity: a population-based study. Scand J Public Health. 2005, 33 (4): 276-284. 10.1080/14034940510005653.CrossRefPubMed Lindstrom M, Sundquist K: The impact of country of birth and time in Sweden on overweight and obesity: a population-based study. Scand J Public Health. 2005, 33 (4): 276-284. 10.1080/14034940510005653.CrossRefPubMed
36.
go back to reference Eiben G, Andersson CS, Rothenberg E, Sundh V, Steen B, Lissner L: Secular trends in diet among elderly Swedes -- cohort comparisons over three decades. Public Health Nutr. 2004, 7 (5): 637-644.CrossRefPubMed Eiben G, Andersson CS, Rothenberg E, Sundh V, Steen B, Lissner L: Secular trends in diet among elderly Swedes -- cohort comparisons over three decades. Public Health Nutr. 2004, 7 (5): 637-644.CrossRefPubMed
37.
go back to reference Swedish National Food Administration: Half a kilo a day!. Edited by: Nutrition Fa. 2007 Swedish National Food Administration: Half a kilo a day!. Edited by: Nutrition Fa. 2007
38.
go back to reference Aller R, de Luis DA, Izaola O, La Calle F, del Olmo L, Fernandez L, Arranz T, Hernandez JM: Effect of soluble fiber intake in lipid and glucose levels in healthy subjects: a randomized clinical trial. Diabetes Res Clin Pract. 2004, 65 (1): 7-11. 10.1016/j.diabres.2003.11.005.CrossRefPubMed Aller R, de Luis DA, Izaola O, La Calle F, del Olmo L, Fernandez L, Arranz T, Hernandez JM: Effect of soluble fiber intake in lipid and glucose levels in healthy subjects: a randomized clinical trial. Diabetes Res Clin Pract. 2004, 65 (1): 7-11. 10.1016/j.diabres.2003.11.005.CrossRefPubMed
39.
go back to reference Mellin-Olsen T, Wandel M: Changes in food habits among Pakistani immigrant women in Oslo, Norway. Ethn Health. 2005, 10 (4): 311-339. 10.1080/13557850500145238.CrossRefPubMed Mellin-Olsen T, Wandel M: Changes in food habits among Pakistani immigrant women in Oslo, Norway. Ethn Health. 2005, 10 (4): 311-339. 10.1080/13557850500145238.CrossRefPubMed
40.
go back to reference Drewnowski A, Darmon N: Food choices and diet costs: an economic analysis. J Nutr. 2005, 135 (4): 900-904.PubMed Drewnowski A, Darmon N: Food choices and diet costs: an economic analysis. J Nutr. 2005, 135 (4): 900-904.PubMed
41.
go back to reference Darmon N, Ferguson EL, Briend A: A cost constraint alone has adverse effects on food selection and nutrient density: an analysis of human diets by linear programming. J Nutr. 2002, 132 (12): 3764-3771.PubMed Darmon N, Ferguson EL, Briend A: A cost constraint alone has adverse effects on food selection and nutrient density: an analysis of human diets by linear programming. J Nutr. 2002, 132 (12): 3764-3771.PubMed
42.
go back to reference Glanz K, Basil M, Maibach E, Goldberg J, Snyder D: Why Americans eat what they do: taste, nutrition, cost, convenience, and weight control concerns as influences on food consumption. J Am Diet Assoc. 1998, 98 (10): 1118-1126. 10.1016/S0002-8223(98)00260-0.CrossRefPubMed Glanz K, Basil M, Maibach E, Goldberg J, Snyder D: Why Americans eat what they do: taste, nutrition, cost, convenience, and weight control concerns as influences on food consumption. J Am Diet Assoc. 1998, 98 (10): 1118-1126. 10.1016/S0002-8223(98)00260-0.CrossRefPubMed
43.
go back to reference Riediger ND, Moghadasian MH: Patterns of fruit and vegetable consumption and the influence of sex, age and socio-demographic factors among Canadian elderly. J Am Coll Nutr. 2008, 27 (2): 306-313.CrossRefPubMed Riediger ND, Moghadasian MH: Patterns of fruit and vegetable consumption and the influence of sex, age and socio-demographic factors among Canadian elderly. J Am Coll Nutr. 2008, 27 (2): 306-313.CrossRefPubMed
44.
go back to reference Nelson KM, Reiber G, Boyko EJ: Diet and exercise among adults with type 2 diabetes: findings from the third national health and nutrition examination survey (NHANES III). Diabetes Care. 2002, 25 (10): 1722-1728. 10.2337/diacare.25.10.1722.CrossRefPubMed Nelson KM, Reiber G, Boyko EJ: Diet and exercise among adults with type 2 diabetes: findings from the third national health and nutrition examination survey (NHANES III). Diabetes Care. 2002, 25 (10): 1722-1728. 10.2337/diacare.25.10.1722.CrossRefPubMed
45.
go back to reference Hansen AR, Ekholm O, Kjoller M: Health behaviour among non-Western immigrants with Danish citizenship. Scand J Public Health. 2008, 36 (2): 205-210. 10.1177/1403494807085065.CrossRefPubMed Hansen AR, Ekholm O, Kjoller M: Health behaviour among non-Western immigrants with Danish citizenship. Scand J Public Health. 2008, 36 (2): 205-210. 10.1177/1403494807085065.CrossRefPubMed
Metadata
Title
Dietary differences between elderly Iranians living in Sweden and Iran a cross-sectional comparative study
Authors
Afsaneh Koochek
Parvin Mirmiran
Kristina Sundquist
Firoozeh Hosseini
Tohid Azizi
Ali S Moeini
Sven-Erik Johansson
Brita Karlström
Fereidoun Azizi
Jan Sundquist
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-411

Other articles of this Issue 1/2011

BMC Public Health 1/2011 Go to the issue