Journal of Public Health and Epidemiology
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Article Number - 213D23952222


Vol.7(5), pp. 159-169 , May 2015
DOI: 10.5897/JPHE2014.0668
ISSN: 2141-2316



Full Length Research Paper

Assessing healthy diet affordability in a cohort with major depressive disorders



Rachelle S. Opie*
  • Rachelle S. Opie*
  • La Trobe University, Australia.
  • Google Scholar
Leonie Segal
  • Leonie Segal
  • University of South Australia.
  • Google Scholar
Felice N. Jacka
  • Felice N. Jacka
  • Deakin University, Australia
  • Google Scholar
Laura Nicholls
  • Laura Nicholls
  • Deakin University, Australia
  • Google Scholar
Sarah Dash
  • Sarah Dash
  • Deakin University, Australia
  • Google Scholar
Josephine Pizzinga
  • Josephine Pizzinga
  • Deakin University, Australia
  • Google Scholar
Catherine Itsiopoulos
  • Catherine Itsiopoulos
  • La Trobe University, Australia.
  • Google Scholar







 Received: 13 August 2014  Accepted: 23 March 2015  Published: 31 May 2015

Copyright © 2015 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0


Although, the cost of food is commonly described as a barrier to consuming a healthy diet, the evidence for this viewpoint has been inconsistent to date. The purpose of this study was to assess whether a healthy diet is affordable for a sample population with major depressive disorder and current unhealthy eating patterns, enrolled in supporting the modification of lifestyle in lowered emotional states (SMILES) trial. The first 20 participants of the SMILES trial were invited to complete a 7-day food diary at baseline. A cost analysis of a modified Mediterranean diet (recommended for trial participants) and 7-day food diaries of participants enrolled in the randomized controlled trial was conducted. Trial participants spent an estimated mean of $138 per week on food and beverages for personal consumption, whereas the total food and beverage costs per person per week for the recommended modified Mediterranean diet was estimated at $112, both based on mid-range product cost. The modified Mediterranean diet at $1.54 per mega-joules (MJ) was cheaper per energy unit than the cost of the current dietary intake of the SMILES participants included in this study at a mean of $2.35 per MJ. These study findings suggest that the adoption of a healthy modified Mediterranean diet does not cost more than a poor quality diet. Thus, failure to comply with healthy diets is unlikely to reflect affordability. Public health messages should incorporate the finding that healthy eating is not associated with increased costs and in fact may well involve savings to the household budget. Practical strategies and techniques for selecting healthy nutritious foods on a budget could support the achievement of desired dietary goals for preventing and managing chronic disease.

 

Key words: Depression, cost analysis, food cost, healthy diet, Mediterranean diet.

 
Aaron JG, Keim NL, Drewnowski A, Townsend MS (2013). Estimating dietary costs of low-income women in California: a comparison of 2 approaches. Am. J. Clin. Nutr. 97:835-841.
http://dx.doi.org/10.3945/ajcn.112.044453
PMid:23388658 PMCid:PMC3607657
 
Aggarwal A, Monsivais P, Cook AJ, Drewnowski A (2011). Does diet cost mediate the relation between socioeconomic position and diet quality? Eur. J. Clin. Nutr. 65:1059-1066.
http://dx.doi.org/10.1038/ejcn.2011.72
PMid:21559042 PMCid:PMC3157585
 
Ajala O, English P, Pinkney J (2013). Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes. Am. J. Clin. Nutr. 97(3):505-516.
http://dx.doi.org/10.3945/ajcn.112.042457
PMid:23364002
 
Anekwe TD, Rahkovsky I (2013). Economic costs and benefits of healthy eating. Curr. Obes. Rep. 2:225-234.
http://dx.doi.org/10.1007/s13679-013-0064-9
 
Anton SD, Miller PM (2005). Do negative emotions predict alcohol consumption, saturated fat intake, and physical activity in older adults? Behav. Modif. 29(4):677-688.
http://dx.doi.org/10.1177/0145445503261164
PMid:15911688
 
Australian Bureau of Statistics (ABS) (2009). ABS 4102.0 - Australian Social Trends - Mental Health.Canberra: Australian Government. Retrieved from http://www.abs.gov.au/AUSSTATS/[email protected]/DetailsPage/4102.0March%202009?OpenDocument.
 
Australian Bureau of Statistics (ABS) (2010a). ABS 1301.0 - Year Book Australia, 2009 – 2010.Canberra: Australian Government. Retrieved from http://www.abs.gov.au/AUSSTATS/[email protected]/Lookup/1301.0main%20features12009-10.
 
Australian Bureau of Statistics (ABS) (2010b). ABS 4102.0 - Australian Social Trends, Dec 2010.Canberra: Australian Government. Retrieved from http://www.abs.gov.au/AUSSTATS/[email protected]/DetailsPage/4102.0Dec%202010?OpenDocument.
 
Australian Bureau of Statistics (ABS) (2011). ABS 6530.0 - Household Expenditure Survey, Australia: Summary of Results, 2009-2010.Canberra: Australian Government. Retrieved from http://www.abs.gov.au/AUSSTATS/[email protected]/DetailsPage/6530.02009-10?OpenDocument.
 
Australian Bureau of Statistics (ABS) (2014). ABS 6401.0 - Consumer Price Index, Australia.Canberra: Australian Government. Retrieved from http://www.abs.gov.au/ausstats/[email protected]/mf/6401.0.
 
Bailey RL, Miller PE, Mitchell DC, Hartman TJ, Lawrence FR, Sempos CT, Smiciklas-Wright H (2009). Dietary screening tool identifies nutritional risk in older adults. Am. J. Clin. Nutr. 90:177–183.
http://dx.doi.org/10.3945/ajcn.2008.27268
PMid:19458013 PMCid:PMC2697000
 
Ball K, Mishra GD, Thane CW, Hodge A (2003). How well do Australian women comply with dietary guidelines? Public Health Nutr. 7:443-452.
 
Bernstein AM, Bloom DE, Rosner BA (2010). Relation of food cost to healthfulness of diet among US women. Am. J. Clin. Nutr. 92(5):1197-1203.
http://dx.doi.org/10.3945/ajcn.2010.29854
PMid:20810972 PMCid:PMC2954451
 
Black AE (2000). The sensitivity and specificity of the Goldberg cut-off for EI:BMR for identifying diet reports of poor validity. Eur. J. Clin. Nutr. 54(5):395-404.
http://dx.doi.org/10.1038/sj.ejcn.1600971
PMid:10822286
 
Borushek A (Ed.) (2012). Calorie, fat and carbohydrate counter (2012 ed.). Western Australia: Family Health Publications.
 
Christensen L, Brooks A (2006). Changing food preference as a function of mood. J. Psychol. 140(4):293-306.
http://dx.doi.org/10.3200/JRLP.140.4.293-306
PMid:16967737
 
Darnton-Hill I (1992). Psychosocial aspects of nutrition and aging. Nutr. Rev. 50 (12):476-479.
http://dx.doi.org/10.1111/j.1753-4887.1992.tb02506.x
PMid:1488193
 
Department of Primary Industries, Parks, Water and Environment (2014). Market Opportunies. Hobart: Tasmanian Government. Retrieved from http://dpipwe.tas.gov.au/agriculture/investing-in-irrigation/market-opportunities.
 
Dieticians Association of Austrialia (DAA), NSW Branch Diabetes Interest Group (2006). Evidence based practice guidelines for the nutritional management of type 2 diabetes mellitus for adults. New South Wales: DAA. Retrieved from http://www.healthylivingnt.org.au/content/?action=getfile&id=60.
 
Dietitians Association of Australia (DAA) (2005). DAA Best Practice Guidelines for the Treatment of Overweight and Obesity in Adults.Deakin, ACT: DAA. Retrieved from http://dmsweb.daa.asn.au/files/DINER/Obesity%20Guidelines%20(Final).pdf.
 
Drewnowski A, Specter SE (2004). Poverty and obesity: the role of energy density and energy costs. Am. J. Clin. Nutr. 79(1):6-16.
PMid:14684391
 
Garrow JS, James WPT, Ralph A (2002). Human Nutrition and Dietetics, Tenth Edition. London, UK: Churchill Livingstone.
 
Glover JD, Hetzel DMS, Tennant SK (2004). The socioeconomic gradient and chronic illness and associated risk factors in Australia. Aust. New Zealand Health Policy 1(1):8-15.
http://dx.doi.org/10.1186/1743-8462-1-8
PMid:15679942 PMCid:PMC546403
 
Goulet J, Lamarche B, Lemieux S (2008). A nutritional intervention promoting a mediterranean food pattern does not affect total daily dietary cost in North American women in free-living conditions. J. Nutr. 138(1):54-59.PMid:18156404
PMid:18156404
 
Hoidrup S, Andreasen AH, Osler M, Pedersen AN, Jorgensen LM, Schroll M, Heitmann BL (2002). Assessment of habitual energy and macronutrient intake in adults: comparison of a seven day food record with dietary history interview. Eur. J. Clin. Nutr. 56(2):105-113.
http://dx.doi.org/10.1038/sj.ejcn.1601292
PMid:11857043
 
Joint WHO/FAO Expert Consultation on Diet, Nutrition and the Prevention of Chronic Diseases. (2002). Diet, nutrition and the prevention of chronic diseases: Report of a joint WHO/FAO expert consultation,Technical report series 916. Available at: http://whqlibdoc.who.int/trs/who_trs_916.pdf. (Retrieved January 21, 2014).
 
Kettings C, Sinclair AJ, Voevodin M (2009). A healthy diet consistent with Australian health recommendations is too expensive for welfare-dependent families. Aust. N.Z. J. Public Health 33(6):566-572.
http://dx.doi.org/10.1111/j.1753-6405.2009.00454.x
PMid:20078575
 
Lai JS, Hiles S, Bisquera A, Hure AJ, McEvoy M, Attia J (2013). A systematic review and meta-analysis of dietary patterns and depression in community-dwelling adults. Am. J. Clin. Nutr. 99(1):181-197.
http://dx.doi.org/10.3945/ajcn.113.069880
PMid:24196402
 
Lopez CN, Martinez-Gonzalez MA, Sanchez-Villegas A, Alonso A, Pimenta AM, Bes-Rastrollo M (2009). Costs of mediterranean and western dietary patterns in a Spanish cohort and their relationship with prospective weight change. J. Epidemiol. Community Health 63(11):920-927.
http://dx.doi.org/10.1136/jech.2008.081208
PMid:19762456
 
Meyer BJ, Kolanu N, Griffiths DA, Grounds B, Howe RCP, Kreis IA (2013). Food groups and fatty acids associated with self-reported depression: An analysis from the Australian National Nutrition and Health Surveys. Nutrition 29(7-8):1042-1047.
http://dx.doi.org/10.1016/j.nut.2013.02.006
PMid:23759265
 
Mikolajczyk RT, Ansari WE, Maxwell AE (2009). Food consumption frequency and perceived stress and depressive symptoms among students in three European countries. Nutr. J. 8:31.
http://dx.doi.org/10.1186/1475-2891-8-31
PMid:19604384 PMCid:PMC2716364
 
Müller MJ, Himmerich H, Kienzle B, Szegedi A (2003). Differentiating moderate and severe depression using the Montgomery-Asberg depression rating scale (MADRS). J. Affect. Disord. 77(3):255-260.
http://dx.doi.org/10.1016/S0165-0327(02)00120-9
 
National Association of Retail Grocers of Australia (NARGA) (2010). The challenge to feed a growing nation.Canberra: Parliament of Australia. Retrieved from http://www.aph.gov.au/DocumentStore.ashx?id=df66894e-c9c3-4b2e-b1bd-935a6d00eb64.
 
National Health and Medical Research Council (NHMRC) (2013). Australian Dietary Guidelines (2013).Retrieved from https://www.eatforhealth.gov.au/sites/default/files/files/the_guidelines/n55_australian_dietary_guidelines.pdf.
 
National Stroke Foundation. (2010). Clinical Guidelines for Stroke Management: A quick guide for dietetics. Available at: http://strokefoundation.com.au/site/media/NSF_concise_guidelines_dietetics_2010.pdf. (Retrieved January 21, 2014).
 
O'Neil A, Berk M, Itsiopoulos C, Castle D, Opie R, Pizzinga J, Brazionis L, Hodge A, Mihalopoulos C, Chatterton ML, Dean OM, FN J (2013). A randomised, controlled trial of a dietary intervention for adults with major depression (the "SMILES" trial): study protocol. BMC Psychiatry. 13:114-120.
http://dx.doi.org/10.1186/1471-244X-13-114
PMid:23587364 PMCid:PMC3636120
 
Oliver G, Wardle J (1999). Perceived effects of stress on food choice. Physiol. Behav. 66(3):511-515.
http://dx.doi.org/10.1016/S0031-9384(98)00322-9
 
Opie RS, O'Neil A, Itsiopoulos C, Jacka FN (2014). The impact of whole of diet interventions on depression and anxiety: A systematic review of randomised controlled trials. Public Health Nutr. Accepted Oct 2014.
http://dx.doi.org/10.1017/S1368980014002614
PMid:25465596
 
Palermo C, Wilson A (2007). Development of a healthy food basket for Victoria. Aust. N.Z. J. Public Health 31(4):360-363.
http://dx.doi.org/10.1111/j.1753-6405.2007.00087.x
PMid:17725017
 
Palermo CE, Walker KZ, Hill P, McDonald J (2008). The cost of healthy food in rural Victoria. Rural Remote Health 8:1074.
PMid:19053178
 
Psaltopoulou T, Sergentanis TN, Panagiotakos DB, Sergentanis IN, Kosti R, Scarmeas N (2013). Mediterranean diet, stroke, cognitive impairment, and depression: a meta-analysis. Ann. Neurol. 74:580.
http://dx.doi.org/10.1002/ana.23944
PMid:23720230
 
Rangan AM, Schindeler S, Hector DJ, Gill TP (2009). Assessment of typical food portion sizes consumed among Australian adults. Nutr. Diet. 66(4):227-233.
http://dx.doi.org/10.1111/j.1747-0080.2009.01375.x
 
Rao M, Afshin A, Singh G, Mozaffarian D (2013). Do healthier foods and diet patterns cost more than less healthy options? A systematic review and meta-analysis. BMJ Open 3:e004277.
http://dx.doi.org/10.1136/bmjopen-2013-004277
PMid:24309174 PMCid:PMC3855594
 
Ross J, Huczko T, Palmer M (2010). Wine Markets and Consumers: Opportunities and Challenges for the Langhorne Creek wine region South Australia Primary Industries and Resources South Australia (PIRSA). Retrieved from http://www.pir.sa.gov.au/data/assets/pdf_file/0005/167540/langhorne_wine_report_web.pdf.
 
Ryden P, Sydner YM, Hagfors L (2008). Counting the cost of healthy eating: A Swedish comparison of Mediterranean–style and ordinary diets. Int. J. Consumer Stud. 32(2):138-146.
http://dx.doi.org/10.1111/j.1470-6431.2007.00656.x
 
Stewart R (Ed.) (2009). Griffith Handbook of Clinical Nutrition and Dietetics (3rd ed.). Southport, Qld: Griffith University, School of Public Health.
 
Thomas B (Ed.) (2002). Manual of Dietetic Practice (3rd ed.). Oxford: Blackwell Science.
 
Trabulsi J, Schoeller DA (2001). Evaluation of dietary assessment instruments against double labeled water, a biomarker of habitual energy intake. Am. J. Physiol. Endocrinol. Metab. 281(5):E891-E899.
PMid:11595643
 
Turrell G, Kavanagh AM (2005). Socio-economic pathways to diet: modelling the association between socio-economic position and food purchasing behaviour. Public Health Nutr. 9(3):375-383.
http://dx.doi.org/10.1079/PHN2006850
 
Vlismas K, Panagiotakos DB, Pitsavos C, Chrysohoou C, Skoumas Y, Sitara M, Yfantopoulos J, Stavrinos V, Stefanadis C (2010). Quality, but not cost, of diet is associated with 5-year incidence of CVD: the ATTICA study. Public Health Nutr. 13:1890-1897.
http://dx.doi.org/10.1017/S1368980010000649
PMid:20359379
 
Ward PR, Coveney J, Verity F, Carter P, Schilling M (2012). Cost and affordability of healthy food in rural South Australia. Rural Remote Health 12:1938.
PMid:22533350
 
Wong KC, Coveney J, Ward P, Muller R, Carter P, Verity F, Tsourtos G (2011). Availability, affordability and quality of a healthy food basket in Adelaide, South Australia. Nutr. Dietetics 68(1):8-14.
http://dx.doi.org/10.1111/j.1747-0080.2010.01490.x
 
World Health Organization (WHO). (2014a). Chronic Diseases. Available at: http://www.who.int/topics/chronic_diseases/en/. (Retrieved January 21, 2014).
 
World Health Organization (WHO). (2014b). Chronic Diseases and Health Promotion. Available at: http://www.who.int/chp/about/integrated_cd/en/index.html. (Retrieved January 21, 2014).
 
Xyris Software (Australia) Pty Ltd. (2012). FoodWorks 7: professional edition (7.0.3016). Kenmore Hills, Qld: Xyris Software (Australia) Pty Ltd. Available from https://www.xyris.com.au

 


APA Opie, R.S., Segal, L. , Jacka, F.N., Nicholls, L., Dash, S., Pizzinga, J., & Itsiopoulos, C. (2015). Assessing healthy diet affordability in a cohort with major depressive disorders. Journal of Public Health and Epidemiology, 7(5), 159-169.
Chicago Rachelle S. Opie, Leonie Segal, Felice N. Jacka, Laura Nicholls, Sarah Dash, Josephine Pizzinga and Catherine Itsiopoulos. "Assessing healthy diet affordability in a cohort with major depressive disorders." Journal of Public Health and Epidemiology 7, no. 5 (2015): 159-169.
MLA Rachelle S. Opie, et al. "Assessing healthy diet affordability in a cohort with major depressive disorders." Journal of Public Health and Epidemiology 7.5 (2015): 159-169.
   
DOI 10.5897/JPHE2014.0668
URL http://academicjournals.org/journal/JPHE/article-abstract/213D23952222

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