Objective:
Excessive alcohol consumption during reproductive years may impact the integrity of developing eggs and sperm, potentially affecting the life-long health of future children. Inadequate diets could aggravate these preconception effects of alcohol. The aim of the present study was to assess the prevalence of excessive alcohol consumption and explore whether weekly alcohol intake is associated with energy and nutrient intake and adequacy of micronutrient intake among students.
Design:
Cross-sectional survey using a validated and reproducibility-tested food frequency questionnaire
Setting:
University of Agder, Norway, in 2018
Participants:
622 students (71% female)
Results:
More than 80% reported having consumed alcoholic beverages the past four weeks. One-third of men and 13% of women exceeded the upper recommended limit of 14 UK alcohol units per week. An inverse association between increasing alcohol intake and energy-adjusted micronutrient intake was evident for thiamine, phosphate, iron, zinc and selenium in men, and for vitamin A, β-carotene, vitamin E and C, thiamine, vitamin B6, folate, phosphorus, magnesium, potassium, iron, zinc and copper in women. A substantial proportion had vitamin D, folate, iron and iodine intakes below average requirement regardless of alcohol consumption level. The combination of prevalent alcohol use, decreasing micronutrient density of diet across alcohol consumption level, and a high probability of micronutrient inadequacy indicate reason for concern in a preconception public health perspective.
Conclusions:
Our findings call for investigations into young adults’ knowledge, reflections and beliefs regarding diet and alcohol use to understand how these behaviours could be improved ahead of parenthood.