Timing of eating across ten European countries - Results from the European Prospective Investigation into Cancer and Nutrition (EPIC) calibration study

Ena Huseinovic, Anna Winkvist, Heinz Freisling, Nadia Slimani, Heiner Boeing, Genevieve Buckland, Lukas Schwingshackl, Anja Olsen, Anne Tjonneland, Magdalena Stepien, Marie Christine Boutron-Ruault, Francesca Mancini, Fanny Artaud, Tilman Kühn, Verena Katzke, Antonia Trichopoulou, Androniki Naska, Philippos Orfanos, Rosario Tumino, Giovanna MasalaVittorio Krogh, Maria Santucci De Magistris, Marga C. Ocké, Magritt Brustad, Torill Enget Jensen, Guri Skeie, Miguel Rodríguez-Barranco, José María Huerta, Eva Ardanaz, José Ramón Quirós, Paula Jakszyn, Emily Sonestedt, Ulrika Ericson, Maria Wennberg, Timothy J. Key, Dagfinn Aune, Elio Riboli, Elisabete Weiderpass, Heléne Bertéus Forslund

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Abstract

Objective To examine timing of eating across ten European countries.Design Cross-sectional analysis of the European Prospective Investigation into Cancer and Nutrition (EPIC) calibration study using standardized 24 h diet recalls collected during 1995-2000. Eleven predefined food consumption occasions were assessed during the recall interview. We present time of consumption of meals and snacks as well as the later:earlier energy intake ratio, with earlier and later intakes defined as 06.00-14.00 and 15.00-24.00 hours, respectively. Type III tests were used to examine associations of sociodemographic, lifestyle and health variables with timing of energy intake.Setting Ten Western European countries.Subjects In total, 22 985 women and 13 035 men aged 35-74 years (n 36 020).Results A south-north gradient was observed for timing of eating, with later consumption of meals and snacks in Mediterranean countries compared with Central and Northern European countries. However, the energy load was reversed, with the later:earlier energy intake ratio ranging from 0·68 (France) to 1·39 (Norway) among women, and from 0·71 (Greece) to 1·35 (the Netherlands) among men. Among women, country, age, education, marital status, smoking, day of recall and season were all independently associated with timing of energy intake (all P<0·05). Among men, the corresponding variables were country, age, education, smoking, physical activity, BMI and day of recall (all P<0·05).Conclusions We found pronounced differences in timing of eating across Europe, with later meal timetables but greater energy load earlier during the day in Mediterranean countries compared with Central and Northern European countries.

Original languageEnglish
Pages (from-to)324-335
Number of pages12
JournalPublic Health Nutrition
Volume22
Issue number2
DOIs
Publication statusPublished - Feb 1 2019

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Keywords

  • 24 h diet recall
  • Chrono-nutrition
  • Diurnal eating
  • EPIC
  • Meal patterns
  • Meals
  • Snacks
  • Standardization

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

Cite this

Huseinovic, E., Winkvist, A., Freisling, H., Slimani, N., Boeing, H., Buckland, G., Schwingshackl, L., Olsen, A., Tjonneland, A., Stepien, M., Boutron-Ruault, M. C., Mancini, F., Artaud, F., Kühn, T., Katzke, V., Trichopoulou, A., Naska, A., Orfanos, P., Tumino, R., ... Bertéus Forslund, H. (2019). Timing of eating across ten European countries - Results from the European Prospective Investigation into Cancer and Nutrition (EPIC) calibration study. Public Health Nutrition, 22(2), 324-335. https://doi.org/10.1017/S1368980018002288