title: Low compliance with dietary recommendations for food intake among adults.
abstract: OBJECTIVE
  To assess the adherence to the national dietary recommendations and to identify factors contributing to dietary compliance in Switzerland.
  
  
  METHODS
  Population-based cross-sectional study in Lausanne, Switzerland (CoLaus study), 2009-2012. Dietary intake was assessed using a validated food frequency questionnaire. Participants were dichotomized according to whether they followed the national recommendations for fruits, vegetables, meat, fish and dairy products.
  
  
  RESULTS
  Data from 4371 participants (54% women, mean age ± SD: 57.6 ± 10.5 years) were analyzed. Compliance with the recommendations was low: only 39.4%, 7.1%, 61.3%, 66.4%, and 8.4% complied with the Swiss recommendations for fruit (≥2/day), vegetables (≥3/day), meat (≤5/week), fish (≥1/week) and dairy products (≥3/day), respectively. In multivariate analyses, gender, age, smoking status, Swiss-born status, education, being on a diet and body mass index were associated with dietary compliance, while no difference was found between women before and after menopause. Factors specifically associated with fruits, vegetables, meat, fish or dairy products recommendations were identified.
  
  
  CONCLUSIONS
  The low degree of compliance with dietary recommendations calls for a continued effort to increase the population awareness of the importance of a healthy and balanced diet, especially for vegetables and dairy products. This study identified determinants that should guide this effort.
authors.affiliation: Institute of Social and Preventive Medicine (IUMSP), University of Lausanne, Switzerland. Electronic address: Daideabreu@gmail.com.
authors.forename: Daisy
authors.initials: D
authors.lastname: de Abreu
authors.forename: Idris
authors.initials: I
authors.lastname: Guessous
authors.forename: Julien
authors.initials: J
authors.lastname: Vaucher
authors.forename: Martin
authors.initials: M
authors.lastname: Preisig
authors.forename: Gérard
authors.initials: G
authors.lastname: Waeber
authors.forename: Peter
authors.initials: P
authors.lastname: Vollenweider
authors.forename: Pedro
authors.initials: P
authors.lastname: Marques-Vidal
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D003611:Dairy Products; D004032:Diet / Q000009:adverse effects* / Q000208:ethnology; D004038:Diet, Reducing / Q000208:ethnology; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D018673:Nutrition Policy; D050177:Overweight / Q000178:diet therapy / Q000453:epidemiology / Q000208:ethnology / Q000209:etiology; D010349:Patient Compliance / Q000208:ethnology; D015995:Prevalence; D012907:Smoking / Q000009:adverse effects / Q000208:ethnology; D013557:Switzerland / Q000453:epidemiology; D014675:Vegetables