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September 2004, Vol 94, No. 9 | American Journal of Public Health 1555-1559
© 2004 American Public Health Association


RESEARCH AND PRACTICE

Replacing Fats and Sweets With Vegetables and Fruits—A Question of Cost

Adam Drewnowski, PhD, Nicole Darmon, PhD and André Briend, PhD

Adam Drewnowski is with the Center for Public Health Nutrition and the Nutritional Sciences Program, University of Washington in Seattle. Nicole Darmon is with the Institut National pour la Science et la Recherche Medicale Unit 557 and the Institut Scientifique et Technique de la Nutrition et de l’Alimentation at the Conservatoire National des Arts et Métiers in Paris, France. André Briend is with the Institut de Recherche pour le Développement in Paris, France.

Correspondence: Requests for reprints should be sent to Adam Drewnowski, PhD, Nutritional Sciences Program, 305 Raitt Hall 353410, University of Washington, Seattle, WA 98195-3410 (e-mail: adamdrew{at}u.washington.edu).

Objectives. We examined the association between diet quality and estimated diet costs.

Methods. Freely chosen diets of 837 French adults were assessed by a dietary history method. Mean national food prices for 57 foods were used to estimate diet costs.

Results. Diets high in fat, sugar, and grains were associated with lower diet costs after adjustment for energy intakes, gender, and age. For most levels of energy intake, each additional 100 g of fats and sweets was associated with a {euro}0.05–0.40 per day reduction in diet costs. In contrast, each additional 100 g of fruit and vegetables was associated with a {euro}0.18–0.29 per day increase in diet costs.

Conclusions. Diets high in fats and sweets represent a low-cost option to the consumer, whereas the recommended "prudent" diets cost more.




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