How well do Australian women comply with dietary guidelines?
OBJECTIVE
To investigate the proportion of middle-aged Australian women meeting national dietary recommendations and its variation according to selected sociodemographic and behavioural characteristics.


METHODS
This cross-sectional population-based study used a food-frequency questionnaire to investigate dietary patterns and compliance with 13 commonly promoted dietary guidelines among a cohort of middle-aged women participating in the Australian Longitudinal Study on Women's Health.


METHODS
Nation-wide community-based survey.


METHODS
A total of 10,561 women aged 50-55 years at the time of the survey in 2001.


RESULTS
Only about one-third of women complied with more than half of the guidelines, and only two women in the entire sample met all 13 guidelines examined. While guidelines for meat/fish/poultry/eggs/nuts/legumes and 'extra' foods (e.g. ice cream, chocolate, cakes, potatoes, pizza, hamburgers and wine) were met well, large percentages of women (68-88%) did not meet guidelines relating to the consumption of breads, cereal-based foods and dairy products, and intakes of total and saturated fat and iron. Women working in lower socio-economic status occupations, and women living alone or with people other than a partner and/or children, were at significantly increased risk of not meeting guidelines.


CONCLUSIONS
The present results indicate that a large proportion of middle-aged Australian women are not meeting dietary guidelines. Without substantial changes in their diets, and help in making these changes, current national guidelines appear unachievable for many women.
Ball
Kylie
K
School of Health Sciences, Deakin University, 221 Burwood Highway, Burwood, Victoria 3125, Australia. kball@deakin.edu.au
Mishra
Gita D
GD
Thane
Christopher W
CW
Hodge
Allison
A
D001315:Australia; D003430:Cross-Sectional Studies; D004032:Diet; D004034:Diet Surveys; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D017410:Practice Guidelines as Topic