Creating “Plates” to Evaluate Canadians’ Dietary Intake in Relation to the 2019 Canada’s Food Guide

Publication: Canadian Journal of Dietetic Practice and Research
3 May 2022

Abstract

Purpose: Explore Canadians’ dietary intake in relation to the 2019 Canada’s Food Guide (CFG) Plate using novel volume-based food analyses, by age and meal occasion.
Methods: Foods reported in 24-hour recalls by 20,456 Canadians in the 2015 Canadian Community Health Survey – Nutrition were classified as: Vegetables and Fruits, Whole Grain Foods, Protein Foods, Non-Whole Grain Foods or Other Foods (high in fat, sugar, sodium). Food volumes were used to calculate percent contributions of each grouping to total intake, stratified by age (1–6; 7–12; 13–17; 18–64; 65+years) and meal (breakfast, lunch, supper, snack), applying sample survey weights and bootstrapping.
Results: By volume, the Canadian population diet included: 29% Vegetables and Fruits, 22% Protein Foods, 7% Whole Grains, 24% Non-Whole Grain Foods, and 18% Other Foods. Intakes of Protein Foods (1–6 years) and Other Foods (7–12; 13–17 years) were higher in children than adults by volume, relative to total intake. Whole Grains intake was highest at breakfast. Other Foods intake was highest at snack.
Conclusions: The volume-based population diet of Canadians reported on a single day includes a substantial proportion of non-recommended foods. There are opportunities to design interventions that target specific foods, ages, and meals to align intake with recommendations.

Résumé

Objectif. Comparer l’apport alimentaire des Canadiens à l’assiette du Guide alimentaire canadien (GAC) de 2019 à l’aide d’analyses alimentaires novatrices fondées sur le volume et en fonction de l’âge et du type de repas.
Méthodes. Les aliments rapportés dans des rappels de 24 heures de 20 456 Canadiens lors de l’Enquête sur la santé dans les collectivités canadiennes – Nutrition de 2015 ont été classifiés comme suit : légumes et fruits, aliments à grains entiers, aliments protéinés, aliments non à grains entiers ou autres aliments (riches en gras, sucre et sodium). Les volumes d’aliments ont été utilisés pour calculer le pourcentage de contribution de chaque groupe à l’apport total, puis stratifiés par âge (1-6; 7-12; 13-17; 18-64; 65 et plus) et type de repas (déjeuner, dîner, souper, collation), en appliquant des pondérations à l’échantillon et en utilisant la méthode d’autoamorçage.
Résultats. Sur la base du volume, l’alimentation de la population canadienne incluait : 29 % de légumes et fruits, 22 % d’aliments protéinés, 7 % de grains entiers, 24 % d’aliments non à grains entiers et 18 % d’autres aliments. L’apport en aliments protéinés (1-6 ans) et autres aliments (7-12; 13-17 ans) était plus élevé chez les enfants que chez les adultes sur la base du volume, relativement à l’apport total. L’apport en grains entiers était le plus élevé au déjeuner. L’apport en autres aliments était le plus élevé à la collation.
Conclusions. Sur la base du volume, l’alimentation de la population canadienne rapportée au cours d’une seule journée inclut une proportion substantielle d’aliments non recommandés. Il existe des occasions de concevoir des interventions ciblant des aliments, âges et repas qui permettraient de faire cadrer les apports aux recommandations.

Get full access to this article

View all available purchase options and get full access to this article.

Financial support: This research did not receive any funding.
Conflicts of interest: RP provides pro bono consultation support for FoodFocus to which she also has a familial association. FoodFocus received no financial gain from this work. No other authors declare any conflict of interests.

REFERENCES

1
Health Canada. Evidence review for dietary guidance: summary of results and implications for Canada’s Food Guide; 2015 [cited 2021 Aug 3]. Available from: https://www.canada.ca/en/health-canada/services/publications/food-nutrition/evidence-review-dietary-guidance-summary-results-implications-canada-food-guide.html.
2
Health Canada. History of Canada’s food guides from 1942 to 2007; 2019 [cited 2021 Aug 3]. Available from: https://www.canada.ca/en/health-canada/services/canada-food-guide/about/history-food-guide.html.
3
World Health Organization. Preparation and use of food-based dietary guidelines; 1998 [cited 2021 Aug 3]. Available from: https://apps.who.int/iris/bitstream/handle/10665/42051/WHO_TRS_880.pdf;jsessionid=9F8239FA09B988D57DA95A8ECEC2A53A?sequence=1.
4
Health Canada. Canada’s dietary guidelines for health professionals and policy makers; 2019 [cited 2021 Aug 3]. Available from: https://food-guide.canada.ca/static/assets/pdf/CDG-EN-2018.pdf.
5
Health Canada. Canada’s food guide: Food guide snapshot; 2021 [cited 2021 Aug 3]. Available from: https://food-guide.canada.ca/en/food-guide-snapshot/.
6
Health Canada. Make healthy meals with the eat well plate; 2021 [cited 2021 Aug 3]. Available from: https://food-guide.canada.ca/en/tips-for-healthy-eating/make-healthy-meals-with-the-eat-well-plate/.
7
Herforth A, Arimond M, Álvarez-Sánchez C, Coates J, Christianson K, and Muehlhoff E. A global review of food-based dietary guidelines. Adv Nutr. 2019;10(4):590–605.
8
Truman E. Exploring the visual appeal of food guide graphics: a compositional analysis of dinner plate models. Br Food J. 2018;120(8):1682.
9
Food and Agriculture Organization of the United Nations. Food-based dietary guidelines; 2020 [cited 2021 Aug 3]. Available from: http://www.fao.org/nutrition/education/food-dietary-guidelines/home/en/.
10
Camelon KM, Hådell K, Jämsén PT, Ketonen KJ, Kohtamäki HM, Mäkimatilla S, et al. The plate model: a visual method of teaching meal planning. J Am Diet Assoc. 1998;98(10):1155–8.
11
Centers for Disease Control and Prevention. Diabetes meal planning; 2020 [cited 2021 Aug 3]. Available from: https://www.cdc.gov/diabetes/managing/eat-well/meal-plan-method.html.
12
HealthLink BC. Diabetes: using a plate format to plan meals; 2018 [cited 2021 Aug 3]. Available from: https://www.healthlinkbc.ca/health-topics/aa21357.
13
Wolff K, Cavanaugh K, Malone R, Hawk V, Pratt Gregory B, Davis D, et al. The Diabetes Literacy and Numeracy Education Toolkit (DLNET): materials to facilitate diabetes education and management in patients with low literacy and numeracy skills. Diabetes Educ. 2009;35(2):233–6.
14
Black JL and Billette J. Do Canadians meet Canada’s Food Guide’s recommendations for fruits and vegetables? Appl Physiol Nutr Metab. 2013;38(3):234–42.
15
Ekwaru JP, Ohinmaa A, Loehr S, Setayeshgar S, Thanh NX, and Veugelers PJ. The economic burden of inadequate consumption of vegetables and fruit in Canada. Public Health Nutr. 2017;20(3):515–23.
16
Jessri M, Nishi SK, and L’Abbe MR. Assessing the nutritional quality of diets of Canadian adults using the 2014 Health Canada surveillance tool tier system. Nutrients 2015;7(12):10447–68.
17
Jessri M, Nishi SK, and L’Abbe MR. Assessing the nutritional quality of diets of Canadian children and adolescents using the 2014 Health Canada Surveillance Tool Tier System. BMC Public Health 2016;16:381.
18
Pomerleau J, Ostbye T, and Bright-See E. Food intake of immigrants and non-immigrants in Ontario: food group comparison with the recommendations of the 1992 Canada’s food guide to healthy eating. J Can Diet Assoc. 1997;58:68–76.
19
Rossiter MD, Evers SE, and Pender AC. Adolescents’ diets do not comply with 2007 Canada’s food guide recommendations. Appetite 2012;59(3):668–72.
20
Health Canada. Reference guide to understanding and using the data: 2015 Canadian community health survey – nutrition; 2017 [cited 2021 Aug 3]. Available from: https://www.canada.ca/content/dam/hc-sc/documents/services/food-nutrition/food-nutrition-surveillance/ReferenceGuide2015CCHS-Nutr_Eng_Final_06192017.pdf.
21
Statistics Canada. 2015 Canadian community health survey (CCHS) – nutrition user guide. Ottawa: Government of Canada; 2018.
22
Health Canada. The development and use of a surveillance tool: the classification of foods in the Canadian nutrient file according to eating well with Canada’s food guide. Ottawa: Government of Canada; 2014 [cited 2021 Aug 3]. Available from: http://publications.gc.ca/site/eng/9.698720/publication.html?pedisable=true&wbdisable=true.
23
Statistics Canada. Bureau of Nutritional Sciences (BNS) food group codes and descriptions: 2015 Canadian Community Health Survey – Nutrition. Ottawa: Government of Canada; n.d.
24
Freedman LS, Guenther PM, Krebs-Smith SM, and Kott PS. A population’s mean healthy eating index-2005 scores are best estimated by the score of the population ratio when one 24-hour recall is available. J Nutr. 2008;138(9):1725–9.
25
Krebs-Smith SM, Kott PS, and Guenther PM. Mean proportion and population proportion: two answers to the same question? J Acad Nutr Diet. 1989;89(5):671–6.
26
Cruz F, Ramos E, Lopes C, and Araújo J. Tracking of food and nutrient intake from adolescence into early adulthood. Nutrition 2018;55:84–90.
27
Hoy MK, Sebastian RS, Goldman JD, Enns CW, and Moshfegh AJ. Consuming vegetable-based salad is associated with higher nutrient intakes and diet quality among US adults, what we eat in America, national health and nutrition examination survey 2011–2014. J Acad Nutr Diet. 2019;119(12):2085–92.
28
Maguire JL, Lebovic G, Kandasamy S, Khovratovich M, Mamdani M, Birken CS, et al. The relationship between cow’s milk and stores of vitamin D and iron in early childhood. Pediatrics 2013;131(1):e144–51.
29
Hack S, Jessri M, and L’Abbe MR. Evaluating diet quality of Canadian adults using health Canada’s surveillance tool tier system: findings from the 2015 Canadian community health survey-nutrition. Nutrients 2020;12(4):1113.
30
Hack S, Jessri M, and L’Abbe MR. Nutritional quality of the food choices of Canadian children. BMC Nutrition 2021;7(1):16.
31
Vatanparast H, Naorin Islam M, and Ramdath DD. Increasing plant-based meat alternatives and decreasing red and processed meat in the diet differentially affect the diet quality and nutrient intakes of Canadians. Nutrients 2020;12(7):2034.
32
Lieffers JRL, Ekwaru JP, Ohinmaa A, and Veugelers PJ. The economic burden of not meeting food recommendations in Canada: the cost of doing nothing. PloS One. 2018;13(4):e0196333.
33
Springmann M, Spajic L, Clark MA, Poore J, Herforth A, Webb P, et al. The healthiness and sustainability of national and global food based dietary guidelines: modelling study. BMJ. 2020;15:370.
34
Charlebois S, Somogyi S, and Kirk SF. Fragmented food habits and the disintegration of traditional meal patterns: a challenge to public health nutrition in Canada? J Int Food Agribusiness Mark. 2020;32(1):69–78.
35
Ries NM and Von Tigerstrom B. Roadblocks to laws for healthy eating and activity. Can Med Assoc J. 2010;182(7):687–92.
36
Story M, Kaphingst KM, Robinson-O’Brien R, and Glanz K. Creating healthy food and eating environments: policy and environmental approaches. Annu Rev Public Health. 2008;29:253–72.
37
Tugault-Lafleur CN, Black JL, and Barr SI. Examining school-day dietary intakes among Canadian children. Appl Physiol Nutr Metab. 2017;42(10):1064–72.
38
Martyniuk OJ, Vanderloo LM, Irwin JD, Burke SM, and Tucker P. Comparing the nutrition environment and practices of home-and centre-based child-care facilities. Public Health Nutr. 2016;19(4):575–84.
39
Tugault-Lafleur CN, Barr SI, and Black JL. Examining differences in school hour and school day dietary quality among Canadian children between 2004 and 2015. Public Health Nutr. 2019;22(16):3051–62.
40
Statistics Canada Beverage consumption of children and teens [Internet]. Ottawa, ON; 2015 [cited 9 Nov 2020]. Available from: https://www150.statcan.gc.ca/n1/pub/82-003-x/2008004/article/10715/6500232-eng.htm.

Supplementary Material

File (cjdpr-2022-010suppla.docx)
File (cjdpr-2022-010supplb.docx)
File (cjdpr-2022-010supplc.docx)
File (cjdpr-2022-010suppld.docx)

Information & Authors

Information

Published In

cover image Canadian Journal of Dietetic Practice and Research
Canadian Journal of Dietetic Practice and Research
Volume 83Number 4December 2022
Pages: 152 - 159
Editor: Naomi Cahill

History

Received: 3 August 2021
Accepted: 11 February 2022
Version of record online: 3 May 2022

Key Words

  1. dietary intake
  2. dietary guidelines
  3. food-based dietary guidelines
  4. healthy eating
  5. population health
  6. nutrition

Mots-clés

  1. apport alimentaire
  2. lignes directrices en matière d’alimentation
  3. recommandations alimentaires
  4. saine alimentation
  5. santé populationnelle
  6. nutrition

Authors

Affiliations

Rachel Prowse PhD, RD
Division of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, NL
Natalie Doan MSc
Health Promotion, Chronic Disease and Injury Prevention, Public Health Ontario, Toronto, ON
Anne Philipneri MSc
Health Promotion, Chronic Disease and Injury Prevention, Public Health Ontario, Toronto, ON
Justin Thielman PhD
Health Promotion, Chronic Disease and Injury Prevention, Public Health Ontario, Toronto, ON
Salma Hack MSc
Health Promotion, Chronic Disease and Injury Prevention, Public Health Ontario, Toronto, ON
Dan W. Harrington PhD
Health Promotion, Chronic Disease and Injury Prevention, Public Health Ontario, Toronto, ON
Mahsa Jessri PhD, RD
Food, Nutrition and Health, Faculty of Land and Food Systems, University of British Columbia, Vancouver, BC

Metrics & Citations

Metrics

Other Metrics

Citations

Cite As

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

There are no citations for this item

View Options

Login options

Check if you access through your login credentials or your institution to get full access on this article.

Subscribe

Click on the button below to subscribe to Canadian Journal of Dietetic Practice and Research

Purchase options

Purchase this article to get full access to it.

Restore your content access

Enter your email address to restore your content access:

Note: This functionality works only for purchases done as a guest. If you already have an account, log in to access the content to which you are entitled.

View options

PDF

View PDF

Full Text

View Full Text

Media

Media

Other

Tables

Share Options

Share

Share the article link

Share on social media