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

Author

Listed:
  • Selma Gicevic

    (Harvard T.H. Chan School of Public Health)

  • Audrey J. Gaskins

    (Harvard T.H. Chan School of Public Health
    Brigham and Women’s Hospital)

  • Teresa T. Fung

    (Harvard T.H. Chan School of Public Health
    Simmons University)

  • Bernard Rosner

    (Brigham and Women’s Hospital
    Harvard T.H. Chan School of Public Health)

  • Edin Sabanovic

    (Agency for Statistics of Bosnia and Herzegovina)

  • Mirjana Gurinovic

    (University of Belgrade)

  • Agnes Kadvan

    (CAPNUTRA)

  • Emir Kremic

    (Institute for Statistics of the Federation of Bosnia and Herzegovina)

  • Walter Willett

    (Harvard T.H. Chan School of Public Health
    Brigham and Women’s Hospital
    Harvard T.H. Chan School of Public Health)

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.

Suggested Citation

  • Selma Gicevic & Audrey J. Gaskins & Teresa T. Fung & Bernard Rosner & Edin Sabanovic & Mirjana Gurinovic & Agnes Kadvan & Emir Kremic & Walter Willett, 2019. "Fueling an epidemic of non-communicable disease in the Balkans: a nutritional survey of Bosnian adults," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(6), pages 873-885, July.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:6:d:10.1007_s00038-019-01222-3
    DOI: 10.1007/s00038-019-01222-3
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    References listed on IDEAS

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    1. -, 2014. "A World that Counts: Mobilising the Data Revolution for Sustainable Development," Coediciones, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL), number 40319 edited by United Nations.
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    1. Gurinovic, Mirjana & Milesevic, Jelena & Zekovic, Milica & Kadvan, Agnes & Ranic, Maria & Glibetic, Maria, 2020. "Capacity development in food and nutrition in central and Eastern Europe: A decade of achievements," Food Policy, Elsevier, vol. 96(C).

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