Abstract
OBJECTIVES: To examine dietary intake and practices of the adult Hong Kong Chinese population to provide a basis for future public health recommendations with regard to prevention of certain chronic diseases such as cardiovascular disease, hypertension, and osteoporosis. PARTICIPANTS: Age and sex stratified random sample of the Hong Kong Chinese population aged 25 to 74 years (500 men, 510 women). METHOD: A food frequency method over a one week period was used for nutrient quantification, and a separate questionnaire was used for assessment of dietary habits. Information was obtained by interview. RESULTS: Men had higher intakes of energy and higher nutrient density of vitamin D, monounsaturated fatty acids and cholesterol, but lower nutrient density of protein, many vitamins, calcium, iron, copper, and polyunsaturated fatty acids. There was an age related decrease in energy intake and other nutrients except for vitamin C, sodium, potassium, and percentage of total calorie from carbohydrate, which all increased with age. Approximately 50% of the population had a cholesterol intake of < or = 300 mg; 60% had a fat intake < or = 30% of total energy; and 85% had a percentage of energy from saturated fats < or = 10%; criteria considered desirable for cardiovascular health. Seventy eight per cent of the population had sodium intake values in the range shown to be associated with the age related rise in blood pressure with age. Mean calcium intake was lower than the FAO/WHO recommendations. The awareness of the value of wholemeal bread and polyunsaturated fat spreads was lower in this population compared with that in Australia. There was a marked difference in types of cooking oil compared with Singaporeans, the latter using more coconut/palm/mixed vegetable oils. CONCLUSION: Although the current intake pattern for cardiovascular health for fat, saturated fatty acid, and cholesterol fall within the recommended range for over 50% of the population, follow up surveys to monitor the pattern would be needed. Decreasing salt consumption, increasing calcium intake, and increasing the awareness of the health value of fibre may all be beneficial in the context of chronic disease prevention.
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- Blot W. J., Li J. Y., Taylor P. R., Guo W., Dawsey S., Wang G. Q., Yang C. S., Zheng S. F., Gail M., Li G. Y. Nutrition intervention trials in Linxian, China: supplementation with specific vitamin/mineral combinations, cancer incidence, and disease-specific mortality in the general population. J Natl Cancer Inst. 1993 Sep 15;85(18):1483–1492. doi: 10.1093/jnci/85.18.1483. [DOI] [PubMed] [Google Scholar]
- Chan J. C., Cheung J. C., Lau E. M., Wooà J., Chan A. Y., Swaminathan R., Cockrama C. S. The metabolic syndrome in Hong Kong Chinese. The interrelationships among its components analyzed by structural equation modeling. Diabetes Care. 1996 Sep;19(9):953–959. doi: 10.2337/diacare.19.9.953. [DOI] [PubMed] [Google Scholar]
- Cockram C. S., Woo J., Lau E., Chan J. C., Chan A. Y., Lau J., Swaminathan R., Donnan S. P. The prevalence of diabetes mellitus and impaired glucose tolerance among Hong Kong Chinese adults of working age. Diabetes Res Clin Pract. 1993 Jul;21(1):67–73. doi: 10.1016/0168-8227(93)90099-q. [DOI] [PubMed] [Google Scholar]
- Gurr M. I. Dietary lipids and coronary heart disease: old evidence, new perspective. Prog Lipid Res. 1992;31(3):195–243. doi: 10.1016/0163-7827(92)90009-8. [DOI] [PubMed] [Google Scholar]
- Hughes K. Mortality from cardiovascular diseases in Chinese, Malays and Indians in Singapore, in comparison with England and Wales, USA and Japan. Ann Acad Med Singapore. 1989 Nov;18(6):642–645. [PubMed] [Google Scholar]
- Hughes K., Yeo P. P., Lun K. C., Sothy S. P., Thai A. C., Wang K. W., Cheah J. S. Ischaemic heart disease and its risk factors in Singapore in comparison with other countries. Ann Acad Med Singapore. 1989 May;18(3):245–249. [PubMed] [Google Scholar]
- Hughes K., Yeo P. P., Lun K. C., Thai A. C., Sothy S. P., Wang K. W., Cheah J. S., Phoon W. O., Lim P. Cardiovascular diseases in Chinese, Malays, and Indians in Singapore. II. Differences in risk factor levels. J Epidemiol Community Health. 1990 Mar;44(1):29–35. doi: 10.1136/jech.44.1.29. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jha P., Flather M., Lonn E., Farkouh M., Yusuf S. The antioxidant vitamins and cardiovascular disease. A critical review of epidemiologic and clinical trial data. Ann Intern Med. 1995 Dec 1;123(11):860–872. doi: 10.7326/0003-4819-123-11-199512010-00009. [DOI] [PubMed] [Google Scholar]
- Khaw K. T., Barrett-Connor E. Dietary potassium and stroke-associated mortality. A 12-year prospective population study. N Engl J Med. 1987 Jan 29;316(5):235–240. doi: 10.1056/NEJM198701293160502. [DOI] [PubMed] [Google Scholar]
- Koo L. C., Ho J. H. Diet as a confounder of the association between air pollution and female lung cancer: Hong Kong studies on exposures to environmental tobacco smoke, incense, and cooking fumes as examples. Lung Cancer. 1996 Mar;14 (Suppl 1):S47–S61. doi: 10.1016/s0169-5002(96)90210-x. [DOI] [PubMed] [Google Scholar]
- Lau E. M., Woo J., Leung P. C., Swaminathan R., Leung D. The effects of calcium supplementation and exercise on bone density in elderly Chinese women. Osteoporos Int. 1992 Jul;2(4):168–173. doi: 10.1007/BF01623922. [DOI] [PubMed] [Google Scholar]
- Lau E. M., Woo J. Osteoporosis in Asia. Adv Nutr Res. 1994;9:101–118. doi: 10.1007/978-1-4757-9092-4_6. [DOI] [PubMed] [Google Scholar]
- Lau E., Woo J., Cockram C. S., Chan A., Lam C. W., Swaminathan R., Donnan S. P. Serum lipid profile and its association with some cardiovascular risk factors in an urban Chinese population. Pathology. 1993 Oct;25(4):344–350. doi: 10.3109/00313029309090854. [DOI] [PubMed] [Google Scholar]
- Reilly J. J., Lord A., Bunker V. W., Prentice A. M., Coward W. A., Thomas A. J., Briggs R. S. Energy balance in healthy elderly women. Br J Nutr. 1993 Jan;69(1):21–27. doi: 10.1079/bjn19930005. [DOI] [PubMed] [Google Scholar]
- Schachter J., Harper P. H., Radin M. E., Caggiula A. W., McDonald R. H., Diven W. F. Comparison of sodium and potassium intake with excretion. Hypertension. 1980 Sep-Oct;2(5):695–699. doi: 10.1161/01.hyp.2.5.695. [DOI] [PubMed] [Google Scholar]
- Whitehead R. G. Lowered energy intake and dietary macronutrient balance: potential consequences for micronutrient status. Nutr Rev. 1995 Sep;53(9 Pt 2):S2–S8. [PubMed] [Google Scholar]
- Woo J., Lau E., Chan A., Cockram C., Swaminathan R. Blood pressure and urinary cations in a Chinese population. J Hum Hypertens. 1992 Aug;6(4):299–304. [PubMed] [Google Scholar]
- Young R. P., Lau E. M., Birjandi Z., Critchley J. A., Woo J. Interethnic differences in hip fracture rate and the vitamin D receptor polymorphism. Lancet. 1996 Sep 7;348(9028):688–689. doi: 10.1016/s0140-6736(05)65116-1. [DOI] [PubMed] [Google Scholar]
- Yu T. S., Wong S. L., Lloyd O. L., Wong T. W. Ischaemic heart disease: trends in mortality in Hong Kong, 1970-89. J Epidemiol Community Health. 1995 Feb;49(1):16–21. doi: 10.1136/jech.49.1.16. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ziegler R. G. A review of epidemiologic evidence that carotenoids reduce the risk of cancer. J Nutr. 1989 Jan;119(1):116–122. doi: 10.1093/jn/119.1.116. [DOI] [PubMed] [Google Scholar]