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Effect of social variation on the Irish diet

Published online by Cambridge University Press:  05 March 2007

Cecily Kelleher*
Affiliation:
National Nutrition Surveillance Centre, Department of Health Promotion, Clinical Sciences Institute, National University of Ireland Galway, Costello Road, Shantalla, Galway City, Republic of Ireland
Sharon Friel
Affiliation:
National Nutrition Surveillance Centre, Department of Health Promotion, Clinical Sciences Institute, National University of Ireland Galway, Costello Road, Shantalla, Galway City, Republic of Ireland
Geraldine Nolan
Affiliation:
National Nutrition Surveillance Centre, Department of Health Promotion, Clinical Sciences Institute, National University of Ireland Galway, Costello Road, Shantalla, Galway City, Republic of Ireland
Betty Forbes
Affiliation:
Department of Dietetics, College of Agriculture, Forestry and Consumer Sciences, 702 Allen Hall, West Virginia University, PO Box 6124, Morgantown, WV 26506, USA
*
*Corresponding author: Professor Cecily Kelleher, fax +353 91 750547, email cecily.kelleher@nuigalway.ie
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Abstract

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Both jurisdictions of Ireland have high rates of chronic degenerative diseases, particularly of the cardiovascular system, and Irish migrants have worse health profiles, often lasting at least two generations. The influence of socio-demographic variation over the life course, and what role diet plays, has not been well researched in epidemiological terms. There is a long history of an unusual Irish diet. Estimated dietary fat intake (% total energy intake) in 1863 was only 9, but had reached 30 in 1948 and 34 in 1999. Conversely, carbohydrate intake has fallen steadily over 150 years. From 1948 onwards household budget survey data illustrate patterns of increasing urbanisation and socio-economic gradients in food availability. The National Survey of Lifestyles, Attitudes and Nutrition, (n 6539, 622 % response rate) provides clear evidence of inverse social-class gradients in intake of fruit and vegetables and dairy products and in reported patterns of healthy eating. Median carbohydrate and vitamin C levels are higher among social classes 1-2 and mean saturated fat intake is lower. International comparisons indicate a continuing, if narrowing, north-south gradient across Europe. Data from the Boston-Ireland study suggest a crossover in both dietary intake patterns and risk of heart disease in Ireland and the USA in the 1970s. Contemporary comparative data of middle-aged Irish and American women demonstrate patterns of diet intake and inactivity consistent with the modern epidemic of obesity and non-insulin-dependent diabetes. Thus, dietary variations within and between countries and over time are consistent with chronic disease patterns in contemporary Ireland.

Type
Symposium on ‘Influence of social and cultural variations on diet’
Copyright
Copyright © The Nutrition Society 2002

References

Abbotts, J, Williams, R, Ford, G, Hunt, K & West, P (1997) Morbidity and Irish Catholic descent in Britain: an ethnic and religious minority 150 years on. Social Science and Medicine 45, 314.CrossRefGoogle Scholar
Barker, DJP (1994) Mothers, Babies, and Disease in Later Life. London: BMJ Publishing Group.Google Scholar
Bingham, SA, Gill, C, Welch, A, Cassidy, A, Runswick, SA, Oakes, S, Lubin, R, Thurnham, DI, Key, TJ, Roe, L, Khaw, KT & Day, N (1997) Validation of dietary assessment methods in the UK arm of EPIC using weighed records and a 24-hour urinary nitrogen and potassium and serum vitamin C and carotenoids as biomarkers. International Journal of Epidemiology 26, S137-S151.CrossRefGoogle Scholar
Black, AE, Coward, WA, Cole, TJ & Prentice, AM (1996) Human energy expenditure in affluent societies; an analysis of 574 doubly-labelled water measurements. European Journal of Nutrition 50, 7292.Google ScholarPubMed
Centers for Disease Control and Prevention, Department of Health and Human Services (2000) CDC Fact Book 2000/2001. Atlanta, GA: Centers for Disease Control and Prevention.Google Scholar
Centers for Disease Control and Prevention, Department of Health and Human Services (2001) Diabetes: A Serious Public Health Problem 2001. Atlanta, GA:Centers for Disease Control and Prevention.Google Scholar
Central Statistics Office (1954) Household Budget Survey 1951-52. Dublin: The Stationery Office.Google Scholar
Central Statistics Office (1969) Household Budget Survey 1965-66. Dublin: The Stationery Office.Google Scholar
Central Statistics Office (1977) Household Budget Survey 1973. Dublin: The Stationery Office.Google Scholar
Central Statistics Office (1982) Household Budget Survey 1980. Dublin: The Stationery Office.Google Scholar
Central Statistics Office (1989) Household Budget Survey 1987. Dublin: The Stationery Office.Google Scholar
Central Statistics Office (1997) Household Budget Survey 1994-95. Dublin: The Stationery Office.Google Scholar
Crawford, M (1984) Death, diet and disease in Ireland, 1850. A case study of nutritional deficiency. Medical History 28, 151161.CrossRefGoogle Scholar
Cremin, FN & Morrissey, PA (1976) Food consumption trends in Ireland. Irish Journal of Medical Science 4, 1825.CrossRefGoogle Scholar
Calabresi, M (1945) The relation of country of origin to mortality for various causes in New York state. Human Biology 17, 340367.Google ScholarPubMed
Departmentof Health. (1951) National Nutrition Survey. Parts 14, 1948-1950. Dublin: The Stationery Office.Google Scholar
Department of Health and Children. (1999) Building Healthier Hearts. The Report of the Cardiovascular Strategy Group. Dublin: Government Publications Office.Google Scholar
Department of Health and Children. (2001) Health Statistics Report. Dublin: Government Publications Office.Google Scholar
Diner, HR (2001) Hungering for America. Italian, Irish & Jewish Foodways in the Age of Migration. Cambridge, MA: Harvard University Press.Google Scholar
Doyle, S (1975) Nutrition and the Irish. Journal of the Irish Colleges of Physicians and Surgeons 44, 133140.Google Scholar
Friel, S, Hope, A, Kelleher, C, Comer, S & Sadlier, D (2002a) Impact evaluation of an oral health intervention amongst primary school children in Ireland. Health Promotion International 17, 127137.CrossRefGoogle ScholarPubMed
Friel, S, Kelleher, CC & Nolan, G (2002b) Health and lifestyle inequalities: the emerging Ireland. Proceedings of the Nutrition Society 61, 90A.Google Scholar
Friel, S, Kelleher, CC, Nolan, G & Harrington, J (2002c) Social variation in Irish adults’ dietary habits. European Journal of Clinical Nutrition (In the Press).Google Scholar
Friel, S, Nelson, M, McCormack, K, Kelleher, C & Thriskos, P (2001) Methodological issues using household budget survey expenditure data for individual food availability estimation: Irish experience in the DAFNE pan-European project. Public Health Nutrition 4, 11431148.Google ScholarPubMed
Friel, S, Nic Gabhainn, S & Kelleher, C (1999) Main Results of the National Health and Lifestyle Surveys, SLAN and HBSC. Galway: Centre for Health Promotion Studies, National University of Ireland and Department of Health and Children.Google Scholar
Friel, S & Nolan, G (1995) Changes in the Food Chain since the Time of the Great Irish Famine. Galway: National Nutrition Centre, National University of Ireland.Google Scholar
Friel, S, Nolan, G & Kelleher, C (1997) A Review of the Health Promotion Framework for Action Nutrition Plan. Galway: The National Nutrition Surveillance Centre, National University of Irelandand Department of Health and Children.Google Scholar
Goldberg, GR, Black, AE, Jebb, SA, Cole, TJ, Murgatroyd, PR, Coward, WA & Prentice, AM (1991) Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording. European Journal of Clinical Nutrition 45, 569581.Google ScholarPubMed
Harding, S & Balarajan, R (1996) Patterns of mortality in second generation Irish living in England and Wales: Longitudinal study. British Medical Journal 312, 13891392.CrossRefGoogle ScholarPubMed
Harding, S & Balarjan, R (2001) Mortality of third generation Irish people living in England and Wales: longitudinal study. British Medical Journal 322, 466467.CrossRefGoogle ScholarPubMed
Harrington, J (1997) Validation of food frequency questionnaire as a tool for assessing nutrient intake. MA Dissertation, National University of Ireland, Galway.Google Scholar
Harrington, J & Friel, S (2002) Food poverty in rural Ireland. Proceedings of the Nutrition Society 61, 90A.Google Scholar
Harrington, KE, McGowan, MJ, Kiely, M, Robson, PJ, Livingstone, MBE, Morrissey, PA & Gibney, MJ (2001a) Macronutrient intakes and food sources in Irish adults: findings of the North/South Ireland Food Consumption Survey. Public Health Nutrition 4, 10511060.CrossRefGoogle ScholarPubMed
Harrington, KE, Robson, PJ, Kiely, M, Livingstone, MBE, Lambe, J & Gibney, MJ (2001b) The North/South Ireland Food Consumption Survey: survey design and methodology. Public Health Nutrition 4, 10371043.CrossRefGoogle ScholarPubMed
Hertzman, C, Power, C, Matthews, S & Manor, O (2001) Using an interactive framework of society and lifecourse to explain self-rated health in early adulthood. Social Science and Medicine 53, 15751585.CrossRefGoogle ScholarPubMed
Howell, F, O'Mahony, M, Devlin, J, O'Reilly, O & Buttanshaw, C (1993) A geographical distribution of mortality and deprivation. Irish Medical Journal 86, 9699.Google ScholarPubMed
Hu, FB, Stampfer, MJ, Manson, JE, Grodstein, F, Colditz, GA, Speizer, FE & Willett, WC (2000) Trends in the incidence of coronary heart disease and changes in diet and lifestyle in women. New England Journal of Medicine 343, 530537.CrossRefGoogle ScholarPubMed
Kelleher, C (1998) Evaluating health promotion in four key settings. In Quality, Evidence and Effectiveness in Health Promotion. Striving for Certainties, pp. 4767 [Davies, JK and Macdonald, M, editors]. London: Routledge.Google Scholar
Kelleher, CC (1999) Health and the Celtic Tiger: progress of health promotion in modern Ireland. Health Education Research 14, 14.CrossRefGoogle ScholarPubMed
Kelleher, C & Friel, S (1996) Nutritional surveillance: its contribution to food policy. Proceedings of the Nutrition Society 55, 689697.CrossRefGoogle Scholar
Kelleher, C, Friel, S, Nolan, G & Harrington, J (1999) Dietary Habits of the Irish Population: Results from SLAN, Annual Report of the National Nutrition Surveillance Centre. Galway: National University of Ireland.Google Scholar
Kelleher, CC, Harrington, J & Friel, S (2002b) Measures of self reported morbidity according to age, gender and general medical services eligibility in the national survey of Lifestyles, Attitudes and Nutrition (SLAN). Irish Journal of Medical Science (In the Press).Google Scholar
Kelleher, CC, Timoney, A, Friel, S & McKeown, D (2002a) The relationship between indicators of deprivation, voting patterns and health status in the Republic of Ireland. Journal of Epidemiology and Community Health 56, 3644.CrossRefGoogle Scholar
Kelly, A (1986) Nutritional Surveillance in Ireland. Dublin: National Nutrition Surveillance Centre, Trinity College.Google Scholar
Kuh, D & Ben-Shlomo, Y (editors) (1998) A Life Course Approach to Chronic Disease Epidemiology: Tracing the Origins of Ill-health from Early to Adult Life. Oxford: Oxford Medical Publications.Google Scholar
Kushi, LH, Lew, RA, Stare, FJ, Ellison, CR, el, Lozy M, Bourke, G et al. (1985) Diet and 20-year mortality from coronary heart disease. New England Journal of Medicine 312, 811817.CrossRefGoogle ScholarPubMed
Lee, P & Cunningham, K (1990) The Irish National Nutrition Survey. Dublin: Irish Nutrition and Dietetic Institute.Google Scholar
Livingstone, MBE, Robson, PJ, McCarthy, SN, Kiely, M, Harrington, KE, Browne, P, Galvin, M, Wareham, NJ & Rennie, KL (2001) Physical activity patterns in a nationally representative sample of adults in Ireland. Public Health Nutrition 4, 11071116.CrossRefGoogle Scholar
McCance, RA (1962a) Food, growth, and time. Part 1. Lancet ii, 621626.CrossRefGoogle Scholar
McCance, RA (1962b) Food, growth, and time. Part 2. Lancet ii, 671675.CrossRefGoogle Scholar
McCarthy, SN, Harrington, KE, Kiely, M, Flynn, A, Robson, PJ, Livingstone, MBE & Gibney, MJ (2001) Analyses of the anthropometric data from the North/South Ireland Food Consumption Survey. Public Health Nutrition 4, 10991107.CrossRefGoogle ScholarPubMed
Marmot, M & Wilkinson, RG (2001) Psychosocial and material pathways in the relation between income and health: a response to Lynch et al. British Medical Journal 322, 12331236.CrossRefGoogle Scholar
Milio, N (1986) Promoting Health through Public Policy. Ottawa, Ont: Canadian Public Health Association.Google Scholar
Nic Gabhainn, S, Kelleher, CC, Naughton, AM, Carter, F, Flanagan, M & McGrath, MJ (1999) Socio-demographic variations in attitudes to cardio-vascular disease and associated risk factors. Health Education Research 14, 619628.CrossRefGoogle Scholar
Nic Gabhainn, S, Nolan, G, Kelleher, C & Friel, S (2002) Dieting patterns and related lifestyles of school-aged children in the Republic of Ireland. Public Health Nutrition 5, 457463.CrossRefGoogle Scholar
Newell, J, Nolan, G & Kelleher, C (1993) Nutritional Surveillance in Ireland 1993. Galway: National Nutrition Surveillance Centre, National University of Ireland.Google Scholar
Nutrition Advisory Group (1995) Recommendations for a Food and Nutrition Policy for Ireland. Dublin: Department of Health.Google Scholar
O'Shea, E & Kelleher, CC (2001) Health Inequalities in Ireland. In Rich and Poor. pp. 263300 [Cantillon, S, Corrigan, C, Kirby, P and O'Flynn, J, editors]. Dublin: Oak Tree Press.Google Scholar
Power, C, Matthews, S & Manor, O (1998) Inequalities in self-rated health: explanations from different stages of life. Lancet 351, 10091014.CrossRefGoogle ScholarPubMed
Pringle, DG (1998) Hypothesised foetal and early life influences on adult heart disease mortality: an ecological analysis of data for the Republic of Ireland. Social Science and Medicine 46, 683693.CrossRefGoogle Scholar
Riboli, E & Kaaks, R (1997) The EPIC project: rationale and study design. International Journal of Epidemiology 26, S6-S13.CrossRefGoogle ScholarPubMed
Rosenwaike, I & Hempstead, K (1989) Differential mortality by ethnicity: foreign-born Irish, Italians and Jews in New York City, 1979-1981. Social Science and Medicine 29, 885889.CrossRefGoogle Scholar
Stamler, J, Kjelsberg, M & Hall, Y (1960) Epidemiologic studies on cardiovascular-renal diseases: I. Analysis of mortality by age, race, sex, and occupation. Journal of Chronic Diseases 12, 440455.CrossRefGoogle Scholar
Trichopoulou, A (2001) The DAFNE databank as a simple tool for nutrition policy. Public Health Nutrition 4, 11871198.Google ScholarPubMed
Trulson, MF, Clancy, RE, Jessop, WJ, Childers, RW & Stare, FJ (1964) Comparisons of siblings in Boston and Ireland. Journal of the American Dietetic Association 45, 225229.CrossRefGoogle ScholarPubMed
US Department of Agriculture (1992) Food Guide Pyramid: A Guide to Food Choice. Home and Garden Bulletin no. 252. Washington, DC: US Department of Agriculture.Google Scholar
Wilkinson, RG (1996) Unhealthy Societies: The Afflictions of Inequality. London and New York: Routledge.Google Scholar
Willett, WC (2001) Eat, Drink and be Healthy. The Harvard School of Public Health Guide to Healthy Eating.New York: Simon and Schuster Source.Google Scholar
Winslow, EA & Wang, PL (1931) The relation between changes in nationality stock and increasing death rates in adult life. American Journal of Hygiene 14, 7988.Google Scholar