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Fueling an epidemic of non-communicable disease in the Balkans: a nutritional survey of Bosnian adults

  • Selma GicevicEmail author
  • Audrey J. Gaskins
  • Teresa T. Fung
  • Bernard Rosner
  • Edin Sabanovic
  • Mirjana Gurinovic
  • Agnes Kadvan
  • Emir Kremic
  • Walter Willett
Original article

Abstract

Objectives

Dietary surveys are essential for guiding national efforts to reduce the burden of non-communicable disease, but individual-level dietary data are lacking in many low- and middle-income countries. We aimed to estimate the prevalence of inadequate and excessive intakes of specific nutrients in Bosnia and Herzegovina.

Methods

A dietary survey among 853 adults using two 24-h recalls.

Results

The majority of men (73%) and women (66%) were overweight/obese, and > 50% of participants had elevated blood pressure. Low intakes of N-3 polyunsaturated fatty acids, specifically α-linolenic acid (men: 94.4 mg/day among, women: 96.6 mg/day) and DHA + EPA (men: 18.2 mg/day, women: 16.0 mg/day), low fiber intake (women: 21.5 g/day), and high sodium (men: 3244 mg/day, women: 2291 mg/) and saturated fatty acids intakes (men: 29.2 g/day) were reported. There was also a suggestion of low intakes of vitamins A, B6, C and D (in both sexes), and of riboflavin, folate, B12 and calcium (in women).

Conclusions

Our findings provide initial evidence on the Bosnian population’s dietary habits and identify aspects that need attention. As the survey evolves into a continuing surveillance system, it will allow evaluation of dietary changes over time.

Keywords

Diet survey Nutrition assessment Nutrient intake Low- and middle-income countries SFA PUFA Usual nutrient intakes 

Notes

Funding

This study was funded by the Department of Nutrition, Harvard T.H. Chan School of Public Health and the Institute for Statistics of the Federation on Bosnia and Herzegovina.

Compliance with ethical standards

Conflict of interest

Selma Gicevic declares that she has no conflict of interest. Audrey J. Gaskins declares that she has no conflict of interest. Teresa T. Fung declares that she has no conflict of interest. Bernard Rosner declares that he has no conflict of interest. Edin Sabanovic declares that he has no conflict of interest. Mirjana Gurinovic declares that she has no conflict of interest. Agnes Kadvan declares that she has no conflict of interest. Emir Kremic declares that he has no conflict of interest. Walter Willett declares that he has no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

38_2019_1222_MOESM1_ESM.docx (72 kb)
Supplementary material 1 (DOCX 71 kb)

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Copyright information

© Swiss School of Public Health (SSPH+) 2019

Authors and Affiliations

  1. 1.Department of NutritionHarvard T.H. Chan School of Public HealthBostonUSA
  2. 2.Channing Division of Network Medicine, Department of MedicineBrigham and Women’s HospitalBostonUSA
  3. 3.Department of NutritionSimmons UniversityBostonUSA
  4. 4.Department of BiostatisticsHarvard T.H. Chan School of Public HealthBostonUSA
  5. 5.Agency for Statistics of Bosnia and HerzegovinaSarajevoBosnia and Herzegovina
  6. 6.Centre of Research Excellence in Nutrition and Metabolism, Institute for Medical ResearchUniversity of BelgradeBelgradeSerbia
  7. 7.Capacity Development Network in Nutrition in Central and Eastern EuropeCAPNUTRABelgradeSerbia
  8. 8.Institute for Statistics of the Federation of Bosnia and HerzegovinaSarajevoBosnia and Herzegovina
  9. 9.Department of EpidemiologyHarvard T.H. Chan School of Public HealthBostonUSA

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