An overview of findings from quantitative. research conducted across 6 European countries
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1 An overview of findings from quantitative research conducted across 6 European countries Maria Daniel Vaz de Almeida LIPGENE Diet, Genomic and the Metabolic Syndrome
2 Objectives To assess consumers awareness of diet related diseases, including the Metabolic Syndrome attitudes towards genetics in nutrition, and potential agro-food technologies
3 METHODOLOGY Consumers focus groups and stakeholders interviews Interview Assisted Questionnaire: close ended questions + 1 open ended one Omnibus survey Fieldwork: June, July 2005 France, GB, Germany, Italy, Poland and Portugal National representative samples: age, gender, education, region Approximately 1000 adults (aged 15y upwards) in each country
4 Results overview
5 Sample - by gender and age group > n= men (48,2%) e 096 women (51,8%) % 0 0 <25 17, , , FRANCE GB GERMANY ITALY POLAND PORTUGAL 15,6 1 6-COUNTRY
6 Awareness about diet related diseases 78% 68% 6% 89% 8% 5% 26% 21% % n = 5967 Syndrome X Reaven s Syndrome Celiac Disease/Coeliac Disease Insulin Resistance Syndrome Metabolic Syndrome Crohn s Disease Irritable Bowel Syndrome Type 2 Diabetes Anorexia Bulimia Obesity Heart Disease
7 Self-perceived health conditions n = % 90% 80% 70% 60% 50% 40% 0% Don t Know No Yes 20% 10% 0% High cholesterol High blood pressure Central obesity* High blood sugar Stress * A higher than normal amount of fat around your middle
8 Self-perceived STRESS (% by demographics) male female primary secondary tertiary SEX AGE GROUP EDUCATION LEVEL not WORKING STATUS
9 Self-perceived CENTRAL OBESITY (% by demographics) male female primary secondary tertiary SEX AGE GROUP EDUCATION LEVEL not WORKING STATUS
10 Self-perceived HIGH BLOOD PRESSURE (% by demographics) male female primary secondary tertiary SEX AGE GROUP EDUCATION LEVEL not WORKING STATUS
11 Self-perceived HIGH CHOLESTEROL (% by demographics) male female primary secondary tertiary SEX AGE GROUP EDUCATION LEVEL not WORKING STATUS
12 Self-perceived HIGH BLOOD SUGAR (% by demographics) male female primary secondary tertiary AGE GROUP EDUCATION LEVEL SEX not WORKING STATUS
13 Possible MS sufferers Percentage of People with at least health conditions 1,4,8 1, 10,6 7,7 8,4 5,7 FRANCE GB GERMANY ITALY POLAND PORTUGAL 6-country n=98 n=10 n=991 n=979 n=1005 n=104 n=5967
14 Possible MS sufferers Percentage of People with at least health conditions 22,7 10,6 10,6 6,6,0 male female SEX AGE GROUP
15 Risk perception of some health conditions Don t know n = Extremely high health risk Medium health risk No health risk at all % % 1 0% % 27% % 10 0 High cholesterol High blood pressure High blood sugar Central obesity* 10 Stress * A higher than normal amount of fat around your middle
16 What are the most effective actions to reduce your personal risk of Type 2 Diabetes or Heart Disease?
17 In c re a se p h ysic a la c tiv ity/t a k e mo re e xe rc ise E a tmo re fru ita n d v e g e ta b le s C u td o w n o n fa tyfo o d sg e n e ra ly C u td o w n o n su g a r/u se sw e e te n e rs in te a,c o fe e e tc,in ste a d o fsu g a r C u tb a c k o n o rsto p smo k in g D rin k le sa lc o h o l C h o o se fo o d slo w in sa tu ra te d fa t(e.g.o liv e o il,su n flo w e ro il,fish,o me g a - p ro d u c ts,ma rg a rin e ) E a tle sfo o d E a tle sa lt/so d iu m C h o o se slim m in g fo o d s/fo o d sw ith re d u c e d fa t T a k e me d ic in e E a to n lya tse tme a ltim e s S ta rta sp e c ific d ie ta ryre g ime n (e.g. W e ig h tw a tc h e rs,a tk in s,lo w c a rb o h yd ra te d ie t) T a k e n u trie n tsu p p le me n ts(e g v ita min s,min e ra ls,fish o il,e tc ) Most effective actions in reducing personal risk of Type 2 Diabetes or Heart Disease Increase physical activity/take more exercise 9 Eat more fruit and vegetables 2 Cut down on fatty foods generally 29 Cut down on sugar/ Use sweeteners 2 Cut back on or stop smoking 21 Drink less alcohol 19 Choose foods low in saturated fat Eat less food Eat less salt/sodium Choose slimming foods/foods with reduced fat n = 5967 Take medicine Eat only at set meal times Start a specific dietary regimen 7 Take nutrient supplements (%)
18 Most effective actions in reducing personal risk of Type 2 Diabetes or Heart Disease Take nutrient supplements Start a specific dietary regimen Take medicine Increase physical activity e le male female primary secondary SEX AGE GROUP EDUCATION LEVEL + ry ry ry tertiary not WORKING STATUS ng ing
19 Most effective actions in reducing personal risk of Type 2 Diabetes or Heart Disease Eat only at set meal times Eat less salt/sodium Eat less food Cut down on sugar/use sweeteners Eatmore fruitandvegetables male female primary secondary tertiary SEX AGE GROUP EDUCATION LEVEL not WORKING STATUS
20 Most effective actions in reducing personal risk of Type 2 Diabetes or Heart Disease Choose slimming foods/foods with reduced fat Choose foods low in saturated fat Drink less alcohol Cut back on or stop smoking Cut down on fatty foods generally male female primary secondary tertiary SEX AGE GROUP EDUCATION LEVEL not WORKING STATUS
21 What barriers to reduce your personal risk of Type 2 Diabetes or Heart Disease do you identify?
22 F a lta d e mo tiv a ç ã o p e so a l F a lta d e in fo rma ç ã o F a lta d e c o n h e c ime n to S e n tirq u e já so u su fic ie n te me n te sa u d á v e l In fo rma ç ã o C o n fu sa F a lta d e te mp o C u sto se le v a d o s N ã o a c re d id a rq u e re a lme n te re su lte F a lta d e a p o io p ro fisio n a l N ã o c o mo in c lu irh á b ito sa u d á v e isn o d ia a d ia S e p tic ismo á c e rc a d e me n sa g e n sa u d á v e is F a lta d e a p o io d e a mig o se fa m ilia re s N ã o "h á v o lta a d a r"/d e v o v iv e ra v id a e m p le n o Barriers to take healthy actions to reduce type 2 DM or Heart Disease risk Lack of personal motivation 26 Lack of information 25 Lack of knowledge 20 Feeling that is healthy enough already 16 Confusing information Lack of time Cost/Cost too much to take action Lack of belief that it will work 1 n = 5967 Lack of professional support/advice Not knowing how to make it part of daily routine Scepticism about health claims 8 Lack of support from relatives or friends Action would make no difference/there is no point/live life to the full 5 6 (%)
23 Barriers to reduce personal risk of type 2 DM or HD (% by demographics) Lack of support from relatives or friends Cost/Cost too much to take action Lack of time Lack of personal motivation male female primary secondary tertiary SEX AGE GROUP EDUCATION LEVEL not WORKING STATUS
24 Barriers to reduce personal risk of type 2 DM or HD (% by demographics) Lack of professional support/advice Not knowing how to make it part of daily routine Confusing information Lack of knowledge Lack of information male female primary secondary tertiary SEX AGE GROUP EDUCATION LEVEL not WORKING STATUS
25 Barriers to reduce personal risk of type 2 DM or HD (% by demographics) Action would make no difference/there is no point/live life to the full Scepticism about health claims Lack of belief that it will work Feeling that is healthy enough already male female primary secondary tertiary SEX AGE GROUP EDUCATION LEVEL not WORKING STATUS
26 What health benefits would you like to obtain from foods in order to reduce your risk of Type 2 Diabetes or Heart Disease?
27 Wanted health benefits in foods, to help in reducing Type 2 Diabetes or Heart Disease risk n = 5967 % To lower cholesterol To control blood sugar To reduce weight To lower blood pressure To reduce stress/anxiety To control appetite
28 Wanted health benefits in foods, to help in reducing DM2 or HD risk To control blood sugar To lower cholesterol male female primary secondary tertiary SEX AGE GROUP EDUCATION LEVEL not WORKING STATUS
29 Wanted health benefits in foods, to help in reducing DM2 or HD risk To lower blood pressure To reduce weight male female primary secondary tertiary SEX AGE GROUP EDUCATION LEVEL not WORKING STATUS
30 Wanted health benefits in foods, to help in reducing DM2 or HD risk To control apetite To reduce stress/anxiety male female primary secondary tertiary SEX AGE GROUP EDUCATION LEVEL not WORKING STATUS
31 What foods with healthy fat would you prefer to choose?
32 Food preferences with healthy fat n = 5967 FISH peixe CHEESE queijo RED MEAT carne de vaca YOGURT iogurt e POULTRY aves BUTTER mant eiga MILK leite EGGS ovos
33 Food preferences between food with healthy fat and GM food with healthy fat n = 5967 FISH peixe peixe CHEESE queijo queijo RED carne MEAT de vaca carne de vaca YOGURT iogurt e iogurt POULTRY leite aves BUTTER aves mant eiga mant MILK eiga leite EGGS ovos ovos Food with healthy fat GM food with healthy fat
34 Reasons to choose GM food If they provided health benefits 7 If the food was grown without artificial pesticides or fertilizers 21 If they were cheaper 19 If they tasted better 17 If they were clearly labeled (including the origin of the food) If they were nutritionally improved 15 If food & ingredients were produced entirely within the EU 5 n = 99 If it was a food from an animal which was fed on GM feed If it was a food from a GM plant None of these/i do not eat GM food 4% (n = 2029) %
35 Reasons to choose GM food If they were nutritionally improved If they tasted better If they were cheaper If they provided health benefits male female primary secondary tertiary SEX AGE GROUP EDUCATION LEVEL not WORKING STATUS
36 Reasons to choose GM food If it was a food from a GM plant If it was a food from an animal which was fed on GM feed If food & ingredients were produced entirely within the EU If they were clearly labeled (including the origin of the food) If the food was grown without artificial pesticides or fertilizers male female primary secondary tertiary SEX AGE GROUP EDUCATION LEVEL not WORKING STATUS
37 ra l a ste e Likelihood to have a genetic test to assess type 2 DM or Heart Disease risk n = 5967 Have a test done for general interest only Have a test done specifically to follow a diet tailored to needs 28 9 Not have a test done 22 Don t Know %
38 Reasons to have a genetic test done n = 217 I worry about how the test information might be used by authorities/police etc I worry about how the test information might be used by employers I m not interested in a genetic test because we should live life to the full/not worry too much about what tests say I worry about how the test information might be used by insurers Don t know I m not interested in specifically designed food based on my genetic profile I m not interested in a genetic test because changing my lifestyle would be enough to get health benefits 5% 6% No particular reason Other n = % Its good to know whether 7% 10% I worry that the foods might be GM/ developed through genetic modification Other you are genetically at risk 72% 1 Have a test done for general interest only 1 Have a test done to follow a diet tailored to needs
39 Conclusions
40 Consumers from these 6 countries Are aware of diet-related diseases and associated risks Identify actions to reduce risk as well as barriers Identify wanted health benefits in foods Accept genetic testing to know their disease risk and to have a diet tailored to their needs Accept GM foods if they provide health benefits
An overview of findings from quantitative. research conducted across 6 European countries
An overview of findings from quantitative research conducted across 6 European countries Maria Daniel Vaz de Almeida Faculty of Nutrition and Food Sciences University of Porto, Portugal www.fcna.up.pt
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