Abstract

PurposeThe UK Biobank study collected detailed dietary data using a web-based self-administered 24 h assessment tool, the Oxford WebQ. We aimed to describe a comprehensive food grouping system for this questionnaire and to report dietary intakes and key sources of selected nutrients by sex and education.MethodsParticipants with at least one valid 24-h questionnaire were included (n = 208,200). Dietary data were grouped based on the presence of nutrients as well as culinary use, processing, and plant/animal origin. For each food group, we calculated the contribution to energy intake, key macronutrients, and micronutrients. We also identified the top contributors to energy intake, free sugars and saturated fat by sex and education.ResultsFrom the 93 food groups, the top five contributors to energy intake (in descending order) were: desserts/cakes/pastries; white bread; white pasta/rice; bananas/other fruit; semi-skimmed milk. Wine, beer, and fruit juices were the top beverage contributors to overall energy intake. Biscuits, and desserts/cakes/pastries were the highest contributors to free sugars, total fat, and saturated fat intakes, but also contributed to the calcium and iron intakes. Top contributors to energy, saturated fat, and free sugars were broadly similar by sex and education category, with small differences in average nutrient intakes across the population.ConclusionThis new food classification system will support the growing interest in the associations between food groups and health outcomes and the development of food-based dietary guidelines. Food group variables will be available to all users of the UK Biobank WebQ questionnaire.

Highlights

  • A poor diet is one of the most important modifiable risk factors for chronic disease, especially cardiovascular disease, diabetes, and cancer [1, 2]

  • These differences in food patterns may be associated with different health outcomes since dairy products will contribute important micronutrients such as calcium, while sweet snacks will be high in free sugars

  • We have developed a comprehensive food grouping system to help analyse the UK Biobank dietary data

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Summary

Introduction

A poor diet is one of the most important modifiable risk factors for chronic disease, especially cardiovascular disease, diabetes, and cancer [1, 2]. A previous study using purchasing data from UK households showed that the overall saturated fat content of purchases did not differ between socio-economic groups, there was a higher proportion of energy from cheese and dairy among higher socioeconomic status (SES) households, but a higher proportion of energy from sweet snacks and puddings among lower SES households [4]. These differences in food patterns may be associated with different health outcomes since dairy products will contribute important micronutrients such as calcium, while sweet snacks will be high in free sugars. Studying the selection of foods and drinks provides insights into eating behaviours which might offer new approaches to interventions to support a healthier diet

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