标题:Five meal patterns are differently associated with nutrient intakes, lifestyle factors and energy misreporting in a sub-sample of the Malmö Diet and Cancer cohort
摘要:Objective: Examine how meal patterns are associated with nutrient intakes, lifestyle and socioeconomicfactors, and energy misreporting.Design: A cross-sectional study within the Malmö Diet and Cancer (MDC) cohort. Participants reported onthe overall types and frequency of meals consumed, and completed a modified dietary history, a lifestyle andsocioeconomic questionnaire, and anthropometric measurements. Based on the reported intake of sixdifferent meal types, meal pattern groups were distinguished using Ward’s cluster analysis. Associationsbetween meal patterns and nutrient intakes, anthropometric, lifestyle and socioeconomic variables wereexamined using the x2-method and analysis of variance.Subjects: A sub-sample of the MDC study cohort (n=28,098), consisting of 1,355 men and 1,654 women.Results: Cluster analysis identified five groups of subjects with different meal patterns in both men andwomen. These meal pattern groups differed regarding nutrient intakes, lifestyle and socioeconomic factors.Subjects reporting frequent coffee meals were more likely to report an ‘unhealthy’ lifestyle, e.g. smoking, highalcohol consumption and low physical activity, while those with a fruit pattern reported a more ‘healthy’lifestyle. Women were more likely to underreport their energy intake than men, and the degree ofunderreporting varied between the meal pattern groups.Conclusions: The meal pattern groups showed significant differences in dietary quality and socioeconomicand lifestyle variables. This supports previous research suggesting that diet is part of a multifacetedphenomenon. Incorporation of aspects on how foods are combined and eaten into public health advicesmight improve their efficiency.