Assessing the Changes in Iranian Household Food Basket Using National Household Budget and Expenditure Survey Data, 1991–2017

Seyyed Reza Sobhani, Hassan Eini‑Zinab, Arezoo Rezazadeh


Background: The aim of the present study was assessing the changes in Iranian household food basket. The Households Income and Expenditure Survey (HIES) data of 717,432 of Iranian households from 1991 to 2017 were used in this repeated cross‑sectional study. Methods: A cross‑classified random‑effects modeling (CCREM) specifications of hierarchical age‑period‑cohort (HAPC) in two models, one without controlling for the effects of key individual characteristics, namely socioeconomic status; household size; place; and household head sex, and another one with controlling for the effect of mentioned variables, was used in the present study. Results: The present study showed that the equivalent to an adult male daily consumption of “total calorie” (P value = 0.0001) and “fats, oils, sugars, and sweets” (P value = 0.0002) had an increasing trend from 1991 to 2004 and a decreasing trend from 2005 to 2017 among Iranian households. The daily consumption of “bread, cereal, rice, and pasta” (P value = 0.0001) had a decreasing and “fruits” (P value = 0.0002) had a rising trend during periods. After an increasing trend for the “meat, poultry, fish, eggs, legumes, and nuts” (P value = 0.0002) and “vegetable” (P value=<0.0001) by 2004, there was a decreasing trend from 2004 to 2017, but the share of them in the total calorie consumption increased. The “dairy” (P value = 0.0002) consumption had a decreasing trend in recent years. Conclusions: Iranian household food basket, during these years, had significant changes that some of them (increase in the share of the vegetables and fruits in the total calorie intake) are positive and some of them are negative (decrease in the consumption of dairy).


Food preference; health transition; Iran; nutritional status

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Popkin BM, Gordon‑Larsen P. The nutrition transition:

Worldwide obesity dynamics and their determinants. Int J Obes


Organization WH. Diet, Nutrition, and the Prevention of Chronic

Diseases: Report of a Joint WHO/FAO Expert Consultation. Vol

World Health Organization; 2003.

Shetty P. Nutrition transition and its health outcomes. Indian J

Pediatr 2013;80:21‑7.

Thow AM. Trade liberalisation and the nutrition transition:

Mapping the pathways for public health nutritionists. Public

Health Nutr 2009;12:2150‑8.

Popkin BM. An overview of the nutrition transition and its

health implications: The Bellagio meeting. Public Heal Nutr


Ghassemi H, Harrison G, Mohammad K. An accelerated nutrition

transition in Iran. Public Health Nutr 2002;5:149‑55.

Jessri M, Mirmiran P, Golzarand M, Rashidkhani B,

Hosseini‑Esfahani F, Azizi F. Comparison of trends in dietary

pattern in Iran, Middle Eastern and North African countries from

to 2005. Pajoohandeh J 2011;16:1‑10.

Statistical Center of Iran. Household, Expenditure and Income

[Internet]. Available from:

Statistics-by-Topic/Household-Expenditure-and-Income. [Last

accessed on 2021 Jun 20].

Weisell R, Dop MC. The adult male equivalent

concept and its application to Household Consumption

and Expenditures Surveys (HCES). Food Nutr Bull

;33 (3 Suppl 2):S157‑62.

Joint FAO. Human energy requirements. Report of a Joint FAO/

WHO/UNU Expert Consultation, Rome, 17‑24 October 2001.

Claro RM, Levy RB, Bandoni DH, Mondini L. Per capita versus

adult‑equivalent estimates of calorie availability in household

budget surveys. Cad Saude Publica 2010;26:2188‑95.

Gustafsson J, Cederberg C, Sonesson U, Emanuelsson A. The

methodology of the FAO study: Global Food Losses and Food

Waste‑extent, causes and prevention”‑FAO, 2011. SIK Institutet

för livsmedel och bioteknik; 2013.

Yang Y, Land KC. Age‑Period‑Cohort Analysis: New Models,

Methods, and Empirical Applications. Chapman and Hall/CRC;

Dave D, Doytch N, Kelly IR. Nutrient intake: A cross‑national

analysis of trends and economic correlates. Soc Sci Med


Vasileska A, Rechkoska G. Global and regional food

consumption patterns and trends. Procedia‑Social Behav Sci


Moret ES. Humanitarian impacts of economic sanctions on Iran

and Syria. Eur Secur 2015;24:120–40.

Golzarand M, Mirmiran P, Jessri M, Toolabi K, Mojarrad M,

Azizi F. Dietary trends in the Middle East and North Africa:

An ecological study (1961 to 2007). Public Health Nutr


Lipoeto NI, Lin KG, Angeles‑Agdeppa I. Food consumption

patterns and nutrition transition in South‑East Asia. Public

Health Nutr 2013;16:1637‑43.

Alexandratos N, Bruinsma J, Bödeker G, Schmidhuber J,

Broca S, Shetty P, et al. World agriculture: Towards 2030/2050,

Interim report. Rome Glob Perspect Stud Unit, Food Agric

Organ United Nations. 2006.

Micha R, Khatibzadeh S, Shi P, Andrews KG, Engell RE,

Mozaffarian D. Global, regional and national consumption of

major food groups in 1990 and 2010: A systematic analysis

including 266 country‑specific nutrition surveys worldwide. BMJ

Open 2015;5:e008705.

Schmidhuber J, Traill WB. The changing structure of diets in the

European Union in relation to healthy eating guidelines. Public

Health Nutr 2006;9:584‑95.

Sans P, Combris P. World meat consumption patterns: An

overview of the last fifty years (1961–2011). Meat Sci


Siervo M, Montagnese C, Mathers JC, Soroka KR, Stephan BC,

Wells JC. Sugar consumption and global prevalence of obesity

and hypertension: An ecological analysis. Public Health Nutr


Delgado CL. Rising consumption of meat and milk in

developing countries has created a new food revolution. J Nutr


Popkin BM. Global nutrition dynamics: The world is

shifting rapidly toward a diet linked with noncommunicable

diseases. Am J Clin Nutr 2006;84:289‑98.

Kearney J. Food consumption trends and drivers. Philos Trans R

Soc B Biol Sci 2010;365:2793‑807.

Hawkes C. Uneven dietary development: Linking the policies

and processes of globalization with the nutrition transition,

obesity and diet‑related chronic diseases. Global Health 2006;2:4.

Adham‑Maleki E. Resisting economy, dairy products

consumption and public health Policy: Current status and future

planning. Int J Med Rev 2014;1:53.

Rahnama H, Rajabpour S. Factors for consumer choice of dairy

products in Iran. Appetite 2017;111:46‑55.

Minaie M, Movahedi A, Motlagh AD, Abdollahi Z, Djazayery A.

Association of socioeconomic status and food security with

anthropometric indices among 2–5‑year‑old urban children in

eight different cities in Iran. Int J Prev Med 2019;10:173.

Vos T, Abajobir AA, Abate KH, Abbafati C, Abbas KM,

Abd‑Allah F, et al. Global, regional, and national incidence,

prevalence, and years lived with disability for 328 diseases

and injuries for 195 countries, 1990–2016: A systematic

analysis for the Global Burden of Disease Study 2016. Lancet


Rahimi H, Kalantari A, Rafiee N, Khosravi A. Social trends

affecting the future of Iran’s health system: A qualitative study

using focus group discussion. Int J Prev Med 2019;10:115.