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Fogelholm M, Vepsäläinen H, Meinilä J, McRae C, Saarijärvi H, Erkkola M, Nevalainen J. The dynamics in food selection stemming from price awareness and perceived income adequacy: a cross-sectional study using 1-year loyalty card data. Am J Clin Nutr 2024; 119:1346-1353. [PMID: 38458401 DOI: 10.1016/j.ajcnut.2024.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Revised: 02/07/2024] [Accepted: 03/04/2024] [Indexed: 03/10/2024] Open
Abstract
BACKGROUND Higher cost of healthy foods may explain unhealthy dietary patterns in lower-income households. Unfortunately, combining food selection and nutrient intake data to price and expenditure is challenging. Food retailer's customer loyalty card data, linked to nutrient composition database, is a novel method for simultaneous exploration of food purchases, price, and nutrition. OBJECTIVES We studied the associations between perceived income adequacy (PIA) as a grouping variable with price (per kilogram or megajoule) and the volume of purchases (percentage of expenditure or energy) simultaneously as outcome variables for 17 most purchased food groups. METHODS We used 1-year (2018) loyalty card data from the largest grocery chain in Finland. Participants were 28,783 loyalty cardholders who made ≥41% of food purchases from the retailer and answered an online questionnaire at the midpoint of data collection. The 5-level PIA described the perceived financial situation in the household. Energy and nutrient content of foods purchased were from the Finnish Food Composition Database Fineli. We calculated the Nutrient Rich Food Index per 100 g food using 11 nutrients. Trends in prices and expenditures between PIA levels were analyzed using 2-sided Jonckheere-Terpstra tests, with false discovery rate control (Benjamini-Hochberg method) and confounder adjustments (inverse probability weighting). RESULTS Lower PIA participants selected cheaper foods per kilogram and megajoule within most food groups. They also favored unhealthy food groups cheap in energy [<1 € (USD 1.18)/MJ]. Despite lower purchase price, the expenditure (%) among lower PIA was higher on alcohol, snacks, sugar-sweetened beverages, and sweets and chocolates. CONCLUSIONS Participants with lower PIA showed stronger price awareness. It is crucial to consider the pricing of competing alternative food groups, when steering toward environmentally sustainable and healthier food purchases. Package labeling might also direct the selection of healthier choices among the less expensive items within a food group.
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Affiliation(s)
- Mikael Fogelholm
- Department of Food and Nutrition, University of Helsinki, Helsinki, Finland.
| | - Henna Vepsäläinen
- Department of Food and Nutrition, University of Helsinki, Helsinki, Finland
| | - Jelena Meinilä
- Department of Food and Nutrition, University of Helsinki, Helsinki, Finland
| | - Cameron McRae
- Desautels Faculty of Management, McGill University, Montreal, Canada; McGill Centre for the Convergence of Health and Economics, McGill University, Montreal, Canada
| | - Hannu Saarijärvi
- Faculty of Management and Business, Tampere University, Tampere, Finland
| | - Maijaliisa Erkkola
- Department of Food and Nutrition, University of Helsinki, Helsinki, Finland
| | - Jaakko Nevalainen
- Faculty of Social Sciences, Unit of Health Sciences, Tampere University, Tampere, Finland
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Willer DF, Newton R, Malcorps W, Kok B, Little D, Lofstedt A, de Roos B, Robinson JPW. Wild fish consumption can balance nutrient retention in farmed fish. Nat Food 2024; 5:221-229. [PMID: 38509235 DOI: 10.1038/s43016-024-00932-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Accepted: 02/06/2024] [Indexed: 03/22/2024]
Abstract
Wild fish used as aquafeeds could be redirected towards human consumption to support sustainable marine resource use. Here we use mass-balance fish-in/fish-out ratio approaches to assess nutrient retention in salmon farming and identify scenarios that provide more nutrient-rich food to people. Using data on Norway's salmon farms, our study revealed that six of nine dietary nutrients had higher yields in wild fish used for feeds, such as anchovies and mackerel, than in farmed salmon production. Reallocating one-third of food-grade wild feed fish towards direct human consumption would increase seafood production, while also retaining by-products for use as aquafeeds, thus maximizing nutrient utilization of marine resources.
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Affiliation(s)
- David F Willer
- Department of Zoology, University of Cambridge, Cambridge, UK.
| | - Richard Newton
- Institute of Aquaculture, Faculty of Natural Science, University of Stirling, Stirling, UK
| | - Wesley Malcorps
- Institute of Aquaculture, Faculty of Natural Science, University of Stirling, Stirling, UK
| | - Bjorn Kok
- Institute of Aquaculture, Faculty of Natural Science, University of Stirling, Stirling, UK
| | - David Little
- Institute of Aquaculture, Faculty of Natural Science, University of Stirling, Stirling, UK
| | | | - Baukje de Roos
- The Rowett Institute, University of Aberdeen, Aberdeen, UK
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Love DC, Asche F, Fry J, Nguyen L, Gephart J, Garlock TM, Jenkins LD, Anderson JL, Brown M, Viglia S, Nussbaumer EM, Neff R. Aquatic food loss and waste rate in the United States is half of earlier estimates. Nat Food 2023; 4:1058-1069. [PMID: 38093119 PMCID: PMC10727981 DOI: 10.1038/s43016-023-00881-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 10/27/2023] [Indexed: 12/20/2023]
Abstract
Food loss and waste (FLW) is a major challenge to food system sustainability, including aquatic foods. We investigated aquatic FLW in the food supply of the United States, the largest importer of aquatic food globally, using primary and secondary data and life cycle methodology. We show that there are significant differences in FLW among species, production technology, origin and stage of supply chain. We estimate total aquatic FLW was 22.7%, which is 43-55% lower than earlier estimates reported in the literature, illustrating the importance of applying a disaggregated approach. Production losses associated with imported food contribute over a quarter of total FLW, and addressing these losses requires multinational efforts to implement interventions along the supply chain. These findings inform prioritization of solutions-including areas of need for innovations, government incentives, policy change, infrastructure and equity.
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Affiliation(s)
- David C Love
- Johns Hopkins Center for a Livable Future, Johns Hopkins University, Baltimore, MD, USA.
- Department of Environmental Health and Engineering, Bloomberg School of Public Health, Baltimore, MD, USA.
| | - Frank Asche
- School of Forest, Fisheries and Geomatics Sciences, University of Florida, Gainesville, FL, USA
- Department of Safety, Economics and Planning, University of Stavanger, Stavanger, Norway
| | - Jillian Fry
- Department of Health Sciences, College of Health Professions, Towson University, Towson, MD, USA
| | - Ly Nguyen
- Food and Resource Economics Department, University of Florida, Gainesville, FL, USA
| | - Jessica Gephart
- Department of Environmental Science, American University, Washington, DC, USA
| | - Taryn M Garlock
- School of Forest, Fisheries and Geomatics Sciences, University of Florida, Gainesville, FL, USA
- School of Fisheries, Aquaculture, and Aquatic Sciences, Auburn University, Auburn, AL, USA
| | - Lekelia D Jenkins
- School for the Future of Innovation in Society, Arizona State University, Tempe, AZ, USA
| | - James L Anderson
- Center for Environmental Policy, University of Florida, Gainesville, FL, USA
| | - Mark Brown
- Center for Environmental Policy, University of Florida, Gainesville, FL, USA
| | - Silvio Viglia
- Center for Environmental Policy, University of Florida, Gainesville, FL, USA
- ENEA, Italian National Agency for New Technologies, Energy and Sustainable Economic Development, Casaccia Research Centre, Rome, Italy
| | - Elizabeth M Nussbaumer
- Johns Hopkins Center for a Livable Future, Johns Hopkins University, Baltimore, MD, USA
- Department of Environmental Health and Engineering, Bloomberg School of Public Health, Baltimore, MD, USA
| | - Roni Neff
- Johns Hopkins Center for a Livable Future, Johns Hopkins University, Baltimore, MD, USA
- Department of Environmental Health and Engineering, Bloomberg School of Public Health, Baltimore, MD, USA
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Rodriguez D, Lavie CJ, Elagizi A, Milani RV. Update on Omega-3 Polyunsaturated Fatty Acids on Cardiovascular Health. Nutrients 2022; 14:nu14235146. [PMID: 36501174 PMCID: PMC9739673 DOI: 10.3390/nu14235146] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 11/30/2022] [Accepted: 12/01/2022] [Indexed: 12/12/2022] Open
Abstract
Twenty percent of deaths in the United States are secondary to cardiovascular diseases (CVD). In patients with hyperlipidemia and hypertriglyceridemia, studies have shown high atherosclerotic CVD (ASCVD) event rates despite the use of statins. Given the association of high triglyceride (TG) levels with elevated cholesterol and low levels of high-density lipoprotein cholesterol, the American Heart Association (AHA)/American College of Cardiology (ACC) cholesterol guidelines recommend using elevated TGs as a "risk-enhancing factor" for ASCVD and using omega 3 fatty acids (Ω3FAs) for patients with persistently elevated severe hypertriglyceridemia. Ω3FA, or fish oils (FOs), have been shown to reduce very high TG levels, hospitalizations, and CVD mortality in randomized controlled trials (RCTs). We have published the largest meta-analysis to date demonstrating significant effects on several CVD outcomes, especially fatal myocardial infarctions (MIs) and total MIs. Despite the most intensive research on Ω3FAs on CVD, their benefits have been demonstrated to cluster across multiple systems and pathologies, including autoimmune diseases, infectious diseases, chronic kidney disease, central nervous system diseases, and, most recently, the COVID-19 pandemic. A review and summary of the controversies surrounding Ω3FAs, some of the latest evidence-based findings, and the current and most updated recommendations on Ω3FAs are presented in this paper.
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Robinson JPW, Mills DJ, Asiedu GA, Byrd K, Mancha Cisneros MDM, Cohen PJ, Fiorella KJ, Graham NAJ, MacNeil MA, Maire E, Mbaru EK, Nico G, Omukoto JO, Simmance F, Hicks CC. Small pelagic fish supply abundant and affordable micronutrients to low- and middle-income countries. Nat Food 2022; 3:1075-1084. [PMID: 37118295 DOI: 10.1038/s43016-022-00643-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 10/20/2022] [Indexed: 04/30/2023]
Abstract
Wild-caught fish provide an irreplaceable source of essential nutrients in food-insecure places. Fishers catch thousands of species, yet the diversity of aquatic foods is often categorized homogeneously as 'fish', obscuring an understanding of which species supply affordable, nutritious and abundant food. Here, we use catch, economic and nutrient data on 2,348 species to identify the most affordable and nutritious fish in 39 low- and middle-income countries. We find that a 100 g portion of fish cost between 10 and 30% of the cheapest daily diet, with small pelagic fish (herring, sardine, anchovy) being the cheapest nutritious fish in 72% of countries. In sub-Saharan Africa, where nutrient deficiencies are rising, <20% of small pelagic catch would meet recommended dietary fish intakes for all children (6 months to 4 years old) living near to water bodies. Nutrition-sensitive policies that ensure local supplies and promote consumption of wild-caught fish could help address nutrient deficiencies in vulnerable populations.
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Affiliation(s)
| | - David J Mills
- WorldFish, Jalan Batu Maung, Batu Maung, Bayan Lepas, Malaysia
- Centre for Sustainable Tropical Fisheries and Aquaculture, James Cook University, Townsville, Australia
| | | | - Kendra Byrd
- WorldFish, Jalan Batu Maung, Batu Maung, Bayan Lepas, Malaysia
- Natural Resources Institute, University of Greenwich, Chatham, UK
| | - Maria Del Mar Mancha Cisneros
- Nicholas School of the Environment, Duke University, Durham, NC, USA
- Scripps Institution of Oceanography, University of California, San Diego, CA, USA
| | - Philippa J Cohen
- WorldFish, Jalan Batu Maung, Batu Maung, Bayan Lepas, Malaysia
- College of Science and Engineering, James Cook University, Townsville, Queensland, Australia
| | - Kathryn J Fiorella
- Department of Public & Ecosystem Health, Cornell University, Ithaca, NY, USA
| | | | - M Aaron MacNeil
- Ocean Frontier Institute, Department of Biology, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Eva Maire
- Lancaster Environment Centre, Lancaster University, Lancaster, UK
| | - Emmanuel K Mbaru
- Lancaster Environment Centre, Lancaster University, Lancaster, UK
- Kenya Marine and Fisheries Research Institute, Mombasa, Kenya
| | - Gianluigi Nico
- Fisheries and Aquaculture Department, Food and Agriculture Organization of the United Nations, Rome, Italy
| | - Johnstone O Omukoto
- Lancaster Environment Centre, Lancaster University, Lancaster, UK
- Kenya Marine and Fisheries Research Institute, Mombasa, Kenya
| | - Fiona Simmance
- WorldFish, Jalan Batu Maung, Batu Maung, Bayan Lepas, Malaysia
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