Identifying gaps between perceived and actual intakes in Finnish adults: self-assessment of macronutrient intakes in relation to nutrition recommendations is challenging

Background: Population adherence to nutrition recommendations measured by dietary surveys is well known, but people’s perceptions in adherence to nutrition recommendations are less explored. For macronutrients, nutrition recommendations suggest broad intake ranges. Objective: To study individuals’ p...

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Main Authors: Sari Bäck, Tiina Pellinen, Essi Päivärinta, Petra Rautio, Antti Isokangas, Maijaliisa Erkkola, Anne-Maria Pajari
Format: Article
Language:English
Published: Swedish Nutrition Foundation 2025-02-01
Series:Food & Nutrition Research
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Online Access:https://foodandnutritionresearch.net/index.php/fnr/article/view/10535/18828
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author Sari Bäck
Tiina Pellinen
Essi Päivärinta
Petra Rautio
Antti Isokangas
Maijaliisa Erkkola
Anne-Maria Pajari
author_facet Sari Bäck
Tiina Pellinen
Essi Päivärinta
Petra Rautio
Antti Isokangas
Maijaliisa Erkkola
Anne-Maria Pajari
author_sort Sari Bäck
collection DOAJ
description Background: Population adherence to nutrition recommendations measured by dietary surveys is well known, but people’s perceptions in adherence to nutrition recommendations are less explored. For macronutrients, nutrition recommendations suggest broad intake ranges. Objective: To study individuals’ perceptions of their macronutrient intakes compared to the Nordic Nutrition Recommendations and discrepancies between perceived and actual macronutrient intakes. Design: The ScenoProt trial investigated nutritional and health effects of replacing animal-source proteins with plant-source proteins in Finnish adults (n = 102, 78% women, mean age 47 years). This cross-sectional sub-study utilized data collected at the baseline of the trial. Participants’ perceptions of intakes and sources of carbohydrates, fibers, fats, and proteins were collected by a questionnaire developed for the study. Actual macronutrient intakes and sources were assessed with 4-day food records. Logistic regression analysis was used to examine associations between sociodemographic factors and the capacity to self-assess macronutrient intakes relative to the nutrition recommendations. Results: Discrepancies were found in relative proportions of three categories, below/according to/above the recommendation, between perceived and actual macronutrient intakes regarding the nutrition recommendations. Participants rated themselves rather according to or above than below the recommendation. The most distinct gap was discovered between perceived and actual carbohydrate intakes, for example, proportions of participants being below the recommendation: 8% measured as perceived intake; 70% measured as actual mean intake. Gaps were also observed for fat and protein. Cereals were one of the most common protein sources but only 8% of the participants named them. No associations emerged between age, gender, or education (46% with a master’s degree or higher) and the capacity to self-assess macronutrient intakes. Discussion & conclusions: Our study suggests that self-assessment of macronutrient intakes is challenging. Misperceptions can be obstacles in shifting to healthier and more sustainable diets. Interpretation of nutrition recommendations to the public could still be improved.
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spelling doaj-art-29d9ea5ffd7b465bb2a31a8c811d90a32025-08-20T02:48:37ZengSwedish Nutrition FoundationFood & Nutrition Research1654-661X2025-02-016911310.29219/fnr.v69.1053510535Identifying gaps between perceived and actual intakes in Finnish adults: self-assessment of macronutrient intakes in relation to nutrition recommendations is challengingSari Bäck0Tiina Pellinen1Essi PäivärintaPetra Rautio2Antti Isokangas3Maijaliisa Erkkola4Anne-Maria Pajari5University of Helsinki, Department of Food and Nutrition, Helsinki, Finland;University of Helsinki, Department of Food and Nutrition, Helsinki, Finland;Makery Oy, Helsinki, FinlandMakery Oy, Helsinki, FinlandUniversity of Helsinki, Department of Food and Nutrition, Helsinki, Finland;University of Helsinki, Department of Food and Nutrition, Helsinki, Finland;Background: Population adherence to nutrition recommendations measured by dietary surveys is well known, but people’s perceptions in adherence to nutrition recommendations are less explored. For macronutrients, nutrition recommendations suggest broad intake ranges. Objective: To study individuals’ perceptions of their macronutrient intakes compared to the Nordic Nutrition Recommendations and discrepancies between perceived and actual macronutrient intakes. Design: The ScenoProt trial investigated nutritional and health effects of replacing animal-source proteins with plant-source proteins in Finnish adults (n = 102, 78% women, mean age 47 years). This cross-sectional sub-study utilized data collected at the baseline of the trial. Participants’ perceptions of intakes and sources of carbohydrates, fibers, fats, and proteins were collected by a questionnaire developed for the study. Actual macronutrient intakes and sources were assessed with 4-day food records. Logistic regression analysis was used to examine associations between sociodemographic factors and the capacity to self-assess macronutrient intakes relative to the nutrition recommendations. Results: Discrepancies were found in relative proportions of three categories, below/according to/above the recommendation, between perceived and actual macronutrient intakes regarding the nutrition recommendations. Participants rated themselves rather according to or above than below the recommendation. The most distinct gap was discovered between perceived and actual carbohydrate intakes, for example, proportions of participants being below the recommendation: 8% measured as perceived intake; 70% measured as actual mean intake. Gaps were also observed for fat and protein. Cereals were one of the most common protein sources but only 8% of the participants named them. No associations emerged between age, gender, or education (46% with a master’s degree or higher) and the capacity to self-assess macronutrient intakes. Discussion & conclusions: Our study suggests that self-assessment of macronutrient intakes is challenging. Misperceptions can be obstacles in shifting to healthier and more sustainable diets. Interpretation of nutrition recommendations to the public could still be improved.https://foodandnutritionresearch.net/index.php/fnr/article/view/10535/18828actual dietary intakefood-related behaviournutrition knowledgenutrition literacyperceived dietary intake
spellingShingle Sari Bäck
Tiina Pellinen
Essi Päivärinta
Petra Rautio
Antti Isokangas
Maijaliisa Erkkola
Anne-Maria Pajari
Identifying gaps between perceived and actual intakes in Finnish adults: self-assessment of macronutrient intakes in relation to nutrition recommendations is challenging
Food & Nutrition Research
actual dietary intake
food-related behaviour
nutrition knowledge
nutrition literacy
perceived dietary intake
title Identifying gaps between perceived and actual intakes in Finnish adults: self-assessment of macronutrient intakes in relation to nutrition recommendations is challenging
title_full Identifying gaps between perceived and actual intakes in Finnish adults: self-assessment of macronutrient intakes in relation to nutrition recommendations is challenging
title_fullStr Identifying gaps between perceived and actual intakes in Finnish adults: self-assessment of macronutrient intakes in relation to nutrition recommendations is challenging
title_full_unstemmed Identifying gaps between perceived and actual intakes in Finnish adults: self-assessment of macronutrient intakes in relation to nutrition recommendations is challenging
title_short Identifying gaps between perceived and actual intakes in Finnish adults: self-assessment of macronutrient intakes in relation to nutrition recommendations is challenging
title_sort identifying gaps between perceived and actual intakes in finnish adults self assessment of macronutrient intakes in relation to nutrition recommendations is challenging
topic actual dietary intake
food-related behaviour
nutrition knowledge
nutrition literacy
perceived dietary intake
url https://foodandnutritionresearch.net/index.php/fnr/article/view/10535/18828
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