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Individual characteristics associated with changes in the contribution of plant foods to dietary intake in a French prospective cohort

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Abstract

Purpose

Rebalancing the contribution of animal- and plant-based foods is needed to achieve sustainable diet. However, little is known concerning individual characteristics that may influence intake of plant-based foods and their changes over time. We aimed to assess changes in the contribution of plant-based foods to dietary intake over time and their association with individual characteristics.

Methods

The contribution of plant-based foods was assessed by percent energy intake provided by plant proteins in diet (PEIPP) and a score of adherence to a pro-vegetarian diet, using repeated 24-h records in 15,615 French adults participating in the NutriNet-Santé cohort study. Associations between baseline individual characteristics and changes in the two indicators over a 4–6-year follow-up were assessed using a linear mixed model.

Results

At baseline, PEIPP and pro-vegetarian score were positively associated with age [β65+ = 0.80, 95% CI = (0.71, 0.88), β65+ = 3.30, 95% CI = (2.97, 3.64), respectively] and education [βpostgraduate = 0.23, 95% CI = (0.12, 0.34), βpostgraduate = 1.19, 95% CI = (0.75, 1.62)], while they were inversely associated with BMI class [βobesity = − 0.48, 95% CI = (0.56, 0.41), βobesity = − 2.31, 95% CI = (− 2.63, − 1.98)]. Men had higher PEIPP than women [β = 0.06, 95% CI = (0.01, 0.11)]. Pro-vegetarian score significantly increased over time [β = 0.23, 95% CI = (0.08, 0.37)]. The older the individual at baseline, the greater the decrease in the two indicators during follow-up. Pro-vegetarian score increased during follow-up for obese participants at baseline.

Conclusions

The contribution of plant-based foods was associated with several socio-demographic and economic characteristics at baseline, whereas change over time was related to age and weight status. Further analysis of individual obstacles and lever to consume plant-based foods is needed.

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Abbreviations

95% CI:

95% Confidence Interval

ANOVA:

Analysis of Variance

BMI:

Body Mass Index

BMR:

Basal Metabolic Rate

CARDIA:

Coronary Artery Risk Development in Young Adults

ENNS:

Etude Nationale Nutrition Santé

INCA2:

Individual and National Consumption Survey 2

PEIPP:

Percent Energy Intake Provided by Plant Proteins

SD:

Standard Deviation

SE:

Standard Error

UU:

Urban Unit

WHO:

World Health Organization

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Colombet, Z., Allès, B., Si Hassen, W. et al. Individual characteristics associated with changes in the contribution of plant foods to dietary intake in a French prospective cohort. Eur J Nutr 58, 1991–2002 (2019). https://doi.org/10.1007/s00394-018-1752-8

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