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Association of the consumption of common food groups and beverages with mortality from cancer, ischaemic heart disease and diabetes mellitus in Serbia, 1991–2010: an ecological study
  1. Milena Ilic1,
  2. Irena Ilic2,
  3. Goran Stojanovic3,
  4. Ivana Zivanovic-Macuzic4
  1. 1Department of Epidemiology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
  2. 2Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
  3. 3Medical College for Professional Studies, University of Belgrade, Belgrade, Serbia
  4. 4Department of Anatomy, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
  1. Correspondence to Professor Milena Ilic; drmilenailic{at}yahoo.com

Abstract

Objectives This paper reports association between mortality rates from cancer, ischaemic heart disease and diabetes mellitus and the consumption of common food groups and beverages in Serbia.

Design In this ecological study, data on both mortality and the average annual consumption of common food groups and beverages per household's member were obtained from official data-collection sources. The multivariate linear regression analysis was used to determine the strength of the associations between consumption of common food groups and beverages and mortality rates.

Results Markedly increasing trends of cancer, ischaemic heart disease and diabetes mellitus mortality rates were observed in Serbia in the period 1991–2010. Mortality rates from cancer were negatively associated with consumption of vegetable oil (p=0.005) and grains (p=0.001), and same was found for ischaemic heart disease (p=0.002 and 0.021, respectively), while consumption of other dairy products showed a significant positive association (p<0.001 and p=0.032, respectively). In men and women, mortality rates from diabetes mellitus showed a significant positive association with consumption of poultry (p=0.014 and 0.004, respectively). Consumption of beef and grains showed a significant negative association with cancer mortality rates in both genders (p=0.002 and p<0.001 in men, and p<0.001 and p=0.014 in women, respectively), while consumption of cheese was negatively associated only in men (p<0.001). Mortality from diabetes mellitus showed a significant positive association with consumption of animal fat and other dairy products only in women (p=0.003 and 0.046, respectively).

Conclusions Association between unfavourable mortality trends from cancer, ischaemic heart disease and diabetes mellitus, and common food groups and beverages consumption was observed and should be assessed in future analytical epidemiological studies. Promotion of healthy diet is sorely needed in Serbia.

  • Cancer;
  • Ischemic heart disease;
  • Diabetes mellitus;
  • Mortality trend;
  • Food groups and beverages consumption;
  • Ecological study.

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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