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Nutrition and lifestyle in the Baltic Republics

Ecohost coordinators:  Joceline Pomerleau, Martin McKee

In 1996, WHO facilitated the Baltic Project, funded by the Luxembourg Government, to support Estonia, Latvia, and Lithuania to carry out their first cross-sectional surveys of nutrition and lifestyle behaviours, using a common methodology.

The final report for this project, Nutrition and lifestyle in the Baltic Republics, is now available.

Backgound of the project:

  • The wide gap in life expectancy observed between Western European countries and countries of Central and Eastern Europe (CCEE) and Newly Independent States (NIS) is mainly due to differences in premature mortality from cardiovascular diseases.
  • While improvements in dietary patterns have contributed to the reduction in cardiovascular mortality in Western countries, the dietary habits of the populations of some CCEE and NIS countries remain less favourable.
  • Information on food availability and dietary patterns in the Baltic Republics is limited. This information is essential for the development of food policies and health promotion strategies designed to ensure sufficient food supply, improve wellbeing and reduce mortality.
  • The main objective of the Baltic Nutrition Surveys was to provide national representative information on of food security, dietary intake, nutritional beliefs, obesity, alcohol consumption, smoking, and physical activity.
Results:
  • Fat intake was high in all three countries while the mean daily consumption of fruits and vegetables was lower than recommended. Complete dependence on home grown foods was twice as high in Lithuania as in Latvia and Estonia.
  • 13% of the respondents were obese and almost half were overweight. Between-country variations in the prevalence of obesity were particularly large in women.
  • Half the respondents participated only in sedentary physical activities during their leisure time. More than half the male respondents smoked cigarette. Women from Estonia were more than twice as likely as other women to smoke regularly. The proportion of heavy alcohol drinkers was higher in Estonia than in Latvia or Lithuania in men of all age groups.
Conclusions:
  • The surveys showed important variations in dietary patterns and lifestyle behaviours among the Baltic countries, and have highlighted areas where further development of national nutrition policies and health promotion campaigns are most required.
  • Information from the surveys could also be used as baseline data against which future dietary consumption patterns would be compared.
Key publications:
  • Baltic Nutrition and Health Surveys: a summary report. LSHTM
  • Patterns of smoking in the Baltic Republics.
    Pudule I, Grinberga D, Kadziauskiene J, Abaravicius A, Vaask S, Robertson A, McKee M.
    J Epidemiol Comm Health 1999; 53: 277-83.
  • Alcohol consumption in the Baltic Republics.
    McKee M, Pomerleau J, Robertson A, Pudule I, Grinberga D, Kadziauskiene K, Abaravicius A, Vaask S.
    J Epidemiol Comm Health 2000; 54: 361-366 [PubMed]
  • Patterns of body weight in the Baltic Republics.
    Pomerleau J, Pudule I, Grinberga D, Kadziauskiene K, Abaravicius A, Bartkeviciute R, Vaask S, Robertson A, McKee M.
    Publ Health Nutr 2000; 3: 3-10 [PubMed]
  • Dietary beliefs in the Baltic Republics.
    Pomerleau J, McKee M, Robertson A, Kadziauskiene K, Abaravicius A, Bartkeviciute R, Vaask S, Pudule I, Grinberga D.
    Public Health Nutrition 2001; 4: 217-25. [PubMed
  • Macronutrient and food intake in the Baltic Republics.
    Pomerleau J, McKee M, Robertson A, Kadziauskiene K, Abaravicius A, Vaask S, Pudule I, Grinberga D.
    Eur J Clin Nutr 2001; 55: 200-207. [PubMed]