scholarly journals Socioeconomic Disadvantage across the Life Course Is Associated with Diet Quality in Young Adulthood

Nutrients ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 242 ◽  
Author(s):  
Erin L. Faught ◽  
Lindsay McLaren ◽  
Sharon I. Kirkpatrick ◽  
David Hammond ◽  
Leia M. Minaker ◽  
...  

Socioeconomic position (SEP) is a key determinant of diet quality across the life course. Young adulthood is a unique period of transition where dietary inequities between groups with lower and higher SEP may widen. This study investigated associations between SEP in both childhood and young adulthood and diet quality in young adulthood. Data from 1949 Canadian young adults aged 18–30 who participated in the Canada Food Study were analyzed. Healthy Eating Index–2015 (HEI-2015) scores were calculated based on one 24-hour dietary recall. Childhood and young adult SEP were represented by self-report of participants’ parent(s)’ and their own highest educational level, respectively. Linear regression was used to examine associations between childhood and adult SEP and adult HEI-2015 score. Mediation analyses examined whether adult SEP mediated the relationship between childhood SEP and adult HEI-2015 score. Lower SEPs in childhood and adulthood were each associated with lower HEI-2015 scores in young adulthood. Adult SEP mediated up to 13.0% of the association between childhood SEP and adult HEI-2015 scores. Study findings provide support for key life course hypotheses and suggest latent, pathway, and cumulative effects of SEP across the early life course in shaping the socioeconomic patterning of diet quality in young adulthood.

2020 ◽  
Vol 23 (13) ◽  
pp. 2384-2394 ◽  
Author(s):  
Julia A Wolfson ◽  
Cindy W Leung ◽  
Caroline R Richardson

AbstractObjective:To examine the association between cooking frequency and Healthy Eating Index (HEI)-2015, overall and by income, among US adults.Design:Cross-sectional analysis using multivariable linear regression models to examine the association between cooking frequency and total HEI-2015 score adjusted for sociodemographic variables, overall and stratified by income.Setting:Nationally representative survey data from the USA.Participants:Adults aged ≥20 years (with 2 d of 24 h dietary recall data) obtained from the 2007 to 2010 National Health and Nutrition Examination Survey (n 8668).Results:Compared with cooking dinner 0–2 times/week, greater cooking frequency was associated with higher HEI-2015 score overall (≥7 times/week: +3·57 points, P < 0·001), among lower-income adults (≥7 times/week: +2·55 points, P = 0·001) and among higher-income adults (≥7 times/week: +5·07 points, P < 0·001). Overall, total HEI-2015 score was higher among adults living in households where dinner was cooked ≥7 times/week (54·54 points) compared with adults living in households where dinner was cooked 0–2 times/week (50·57 points). In households in which dinner was cooked ≥7 times/week, total HEI-2015 score differed significantly based on income status (lower-income: 52·51 points; higher-income: 57·35 points; P = 0·003). Cooking frequency was associated with significant differences in HEI-2015 component scores, but associations varied by income.Conclusions:More frequent cooking at home is associated with better diet quality overall and among lower- and higher-income adults, although the association between cooking and better diet quality is stronger among high-income adults. Strategies are needed to help lower-income Americans consume a healthy diet regardless of how frequently they cook at home.


Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1807
Author(s):  
Erin L. Faught ◽  
Lindsay McLaren ◽  
Sharon I. Kirkpatrick ◽  
David Hammond ◽  
Leia M. Minaker ◽  
...  

The authors wish to make a correction to the published version of their paper [...]


Author(s):  
Hande Nur Onur

A woman’s nutritional status prior to and during pregnancy affects foetal development, the course of the pregnancy and her long-term health. This study aims to determine the diets of pregnant and non-pregnant women using the Healthy Eating Index 2010 (HEI-2010). The study was performed on 43 non-pregnant and 25 pregnant volunteers, who had no chronic diseases, took no diet treatments and had a mean age of 23.0 ± 30.1 years. Their general features were determined through a questionnaire, dietary intake was measured by 24-hour dietary recall method, diet quality was assessed by HEI-2010 and energy and nutrient intake was calculated by the Nutrition Information System programme. The diet quality of 60.3% of the participants was found to be poor, while 39.7% was average. Although pregnant women had a slightly higher HEI-2010 score, the diet quality was low for all; hence, dieticians should provide nutrition education for all child-bearing aged women. Keywords: Diet quality, healthy eating index, pregnancy nutrition.


2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Zach Conrad ◽  
Nicole Tichenor Blackstone ◽  
Eric D. Roy

Abstract Background There is an urgent need to assess the linkages between diet patterns and environmental sustainability in order to meet global targets for reducing premature mortality and improving sustainable management of natural resources. This study fills an important research gap by evaluating the relationship between incremental differences in diet quality and multiple environmental burdens, while also accounting for the separate contributions of retail losses, inedible portions, and consumer waste. Methods Cross sectional, nationally-representative data on food intake in the United States were acquired from the National Health and Nutrition Examination Survey (2005–2016), and were linked with nationally-representative data on food loss and waste from published literature. Survey-weighted procedures estimated daily per capita food retail loss, food waste, inedible portions, and consumed food, and were summed to represent Total Food Demand. Diet quality was measured using the Healthy Eating Index-2015 and the Alternative Healthy Eating Index-2010. Data on food intake, loss, and waste were inputted into the US Foodprint Model to estimate the amount of agricultural land, fertilizer nutrients, pesticides, and irrigation water used to produce food. Results This study included dietary data from 50,014 individuals aged ≥2 y. Higher diet quality (HEI-2015 and AHEI-2010) was associated with greater per capita Total Food Demand, as well as greater retail loss, inedible portions, consumer waste, and consumed food (P < 0.001 for all comparisons). Consumed food accounted for 56–74% of agricultural resource use (land, fertilizer nutrients, pesticides, and irrigation water), retail loss accounted for 4–6%, inedible portions accounted for 2–15%, and consumer waste accounted for 20–23%. Higher diet quality was associated with lower use of agricultural land, but the relationship to other agricultural resources was dependent on the tool used to measure diet quality (HEI-2015 vs. AHEI-2010). Conclusions Over one-quarter of the agricultural inputs used to produce Total Food Demand were attributable to edible food that was not consumed. Importantly, this study also demonstrates that the relationship between diet quality and environmental sustainability depends on how diet quality is measured. These findings have implications for the development of sustainable dietary guidelines, which requires balancing population-level nutritional needs with the environmental impacts of food choices.


2017 ◽  
Vol 20 (9) ◽  
pp. 1564-1573 ◽  
Author(s):  
Zach Conrad ◽  
Micaela Karlsen ◽  
Kenneth Chui ◽  
Lisa Jahns

AbstractObjectiveTo compare diet quality scores between adult non-meat eaters and meat eaters, and to compare the consumption of diet components across quintiles of diet quality.DesignCross-sectional analysis. The Healthy Eating Index-2010 (HEI-2010) and Alternative Healthy Eating Index-2010 (AHEI-2010) were used to assess mean diet quality. Differences in consumption of diet components between quintiles of diet quality were tested usingpost hocWald tests andztests.SettingThe National Health and Nutrition Examination Survey (NHANES), 2007–2012.SubjectsThe sample consisted of 16810 respondents aged≥18 years, including 280 individuals who reported not consuming meat, poultry, game birds or seafood on two non-consecutive days of dietary recall. Dietary data were obtained from one dietary recall per individual.ResultsNon-meat eaters had substantially greater HEI-2010 and AHEI-2010 scores than meat eaters (P<0·05). Among non-meat eaters, mean consumption across HEI-2010 quintiles demonstrated different (P<0·05) amounts of empty calories and unsaturated:saturated fatty acids. Mean consumption across AHEI-2010 quintiles demonstrated different (P<0·05) amounts of nuts and legumes, vegetables and PUFA.ConclusionsPublic health messages targeted at vegetarians and others who may choose to eat meat-free on certain days should emphasize decreased consumption of empty calories, and increased consumption of nuts and legumes, PUFA and vegetables, as a way to improve overall dietary quality.


2019 ◽  
Vol 35 (2) ◽  
Author(s):  
Paula Martins Horta ◽  
Eliseu Verly Junior ◽  
Luana Caroline dos Santos

Abstract: Nutritional surveys are important information sources for public policy in the food and nutrition field. They focus on assessing usual dietary patterns, because health outcomes result from the long-term intake. Here we aimed to evaluate diet quality adjusted for day-to-day variance among Brazilian children. Data were collected between March 2013 and August 2015. The sample included 8- to 12-year-old children (n = 1,357) from public schools from all administrative regions of a Brazilian city. One 24-h dietary recall (24HR) was collected for the whole sample and two 24HR for two non-consecutive days of the same week for a subsample. The Healthy Eating Index-2010 (HEI-2010) was adapted to Brazilian food habits and the Brazilian dietary guidelines were used to evaluate diet quality. Statistical analysis included a multipart, nonlinear mixed model with correlated random effects proposed by the U.S. National Cancer Institute to correct diet quality for day-to-day variance. The adapted HEI-2010 total score was 51.8. Children with poorer diet quality (< 10th percentile) scored less than 41.1, and children with higher diet quality (> 90th percentile) scored more than 62.4. The overall adequacy of adapted HEI-2010 components was low. Higher adequacy percentages were identified for total protein foods (94.9%), greens (62.3%), and seafood and plant proteins (52.2%). Seven components showed less than 10% of adequacy: refined grains, fatty acids, dairy, sodium, total vegetable, whole grains, and empty calories. This study identified the main inadequacies among children’s diet quality, which can guide promotion actions for healthy eating.


Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Demetrius A Abshire ◽  
Terry A Lennie ◽  
Misook L Chung ◽  
Martha J Biddle ◽  
Debra K Moser

Background: Although depressive symptoms have been linked to poor diet quality, little is known about this relationship among overweight and obese adults in rural Kentucky where rates of cardiovascular disease (CVD) are high. Identifying the impact of depressive symptoms on diet quality by obesity status may aid in identifying those at highest risk for CVD due to poor dietary habits. Purpose: To determine if obesity moderates the association between depressive symptoms and diet quality in overweight and obese rural adults at high risk for CVD. Methods: Rural adults in Kentucky (n=948; age=53±15; 73% female; 96% Caucasian; body mass index [BMI]=34±7; 67% obese) completed an assessment of depressive symptoms using the 9-item Patient Health Questionnaire and diet quality using a food frequency questionnaire that generated the 2005 Healthy Eating Index score. They were grouped into overweight (BMI 25-29.99kg/m 2 ) and obese (BMI ≥30kg/m 2 ) groups. Multiple linear regression was used to determine the moderation effect by entering the interaction term of depressive symptoms and obesity level. Results: Depressive symptom scores were higher in obese adults than overweight adults (5.9 ± 4.8 vs. 4.6 ± 4.1, p<0.001). Depressive symptoms predicted poor diet quality (B= -0.618, p<0.001, R 2 =0.019). The interaction between depressive symptoms and obesity status was significant (Figure 1) in predicting diet quality and indicated the relationship between depressive symptoms and poor diet quality was stronger in the overweight group than obese group. Conclusion: Although obese rural Kentuckians have more depressive symptoms, the negative impact of depressive symptoms on diet quality is stronger among those who are overweight. Treating depressive symptoms may facilitate healthy eating in this population, particularly those who are overweight.


Nutrients ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1335 ◽  
Author(s):  
Zehra Buyuktuncer ◽  
Aylin Ayaz ◽  
Damla Dedebayraktar ◽  
Elif Inan-Eroglu ◽  
Basma Ellahi ◽  
...  

The use of the nutrition facts label has been associated with healthy eating behaviors for adults. However, the relationship between nutrition facts label use and overall diet quality is not well known in young adults, a vulnerable group that acquire lifelong eating behaviors during this period of life. This study aimed to assess if the use of information on the nutrition facts label is associated with a higher diet quality in young adults. In this cross-sectional study, 958 university students aged 18–34 years were recruited. Nutrition facts label use was recorded. Dietary intake was assessed using 24-h dietary recall. Healthy Eating Index-2005 (HEI-2005) scores were calculated. HEI-2005 score was significantly associated with using nutrition facts label (p < 0.001). The mean total HEI-2005 score was 60.7 ± 10.11, 62.4 ± 11.43 and 67.1 ± 12.23 respectively for never, sometimes and everytime users of nutrition facts label (p < 0.001). Sub-group scores of HEI-2005 for total fruits, whole fruits, total vegetables, whole grains, milk, oils, saturated fat, and calories from solid fat, alcohol and added sugar (SoFAAS) were significantly higher in regular nutrition facts label users (p < 0.05, for each). This study showed that young adults who regularly use the nutrition facts label have a higher diet quality.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 540-540
Author(s):  
Jia Li ◽  
Aynur Demirel ◽  
Andres Azuero ◽  
Amie McLain ◽  
Ceren Yarar-Fisher

Abstract Objectives The Healthy Eating Index (HEI)-2015 is a measure of diet quality in reference to the 2015 Dietary Guidelines for Americans. We examined the relationship between HEI-2015 and several indices of cardiometabolic risk factors among individuals with chronic spinal cord injury (SCI) (&gt;3 years after injury). Methods Twenty-four participants without type 2 diabetes were included (45 ± 12 y, 8F/16 M, 9 Tetraplegia/15 Paraplegia, time since injury: 20 ± 13 y). All participants underwent a 2-hour oral glucose tolerance test (OGTT), a Dual-energy X-ray absorptiometry scan (DXA), and 3 24-hour multiple-pass dietary recalls. HEI-2015 was calculated using the dietary recall data. To build the regression model, firstly, principal component (PC) analysis was used to reduce the number of covariates from 3 (level of injury, gender, percentage body fat estimated from the DXA) to 2 PCs. Multiple linear regression analyses were run to predict indices of lipid metabolism and glucose homeostasis as well as C-reactive protein (CRP) from the HEI and the 2 PC scores. Results The average HEI-2015 score was lower for participants with SCI compared to the general American population (48 ± 11 vs. 59, P &lt; 0.05). The regression models for fasting glucose (FG), Cholesterol, HDL, LDL, and CRP had moderate to large effect sizes (adjusted R2 &gt; 13%), indicating good explanatory ability of the predictors. Small or limited effect sizes were observed for other models (glucose tolerance, fasting insulin, triaglycerides, and Matsuda index, adjusted R2 &lt; 13% for all). Furthermore, the HEI accounted for a moderate amount of variation in FG as evidenced by partial Omega-squared of 13%. Each 10-point increase of the HEI was associated with a 3.3 mg/dL decrease in FG concentrations. However, HEI accounted for a limited amount of variations in other indices (ωP2 &lt; 5% for all). Conclusions Our exploratory analyses suggest that HEI-2015 has limited effects on blood lipids and CRP but may be associated with lower FG concentrations in our sample group. Future larger studies are warranted to delineate the relationship between diet quality and cardiometabolic health outcomes in individuals with SCI. Funding Sources The National Institute on Disability, Independent Living, and Rehabilitation Research.


Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1210
Author(s):  
Kyungho Ha ◽  
Kijoon Kim ◽  
Junichi R. Sakaki ◽  
Ock K. Chun

While traditionally diet quality index scores (DQIS) as noted later in this abstract have been used to predict health outcomes, dietary total antioxidant capacity (TAC), a useful tool for assessing total antioxidant power in the diet, may also be a novel predictor. This study evaluated the associations between dietary TAC and DQIS and all-cause mortality. Based on the National Health and Nutrition Examination Survey (NHANES) 1988–1994 and 1999–2006, 23,797 US adults were followed-up until 2015. Dietary TAC and DQIS including the Healthy Eating Index-2015 (HEI-2015), Alternative Healthy Eating Index-2010 (AHEI-2010), alternate Mediterranean Diet (aMED), and Dietary Approaches to Stop Hypertension (DASH) were calculated using a 1-day 24 h dietary recall. US adults in the highest quintiles of DQIS had lower rates of all-cause mortality compared to those in the lowest quintiles (HEI-2015 hazard ratio (HR): 0.87, 95% confidence interval (CI): 0.77–0.98; AHEI-2010 HR: 0.84, 95% CI: 0.74–0.94; aMED HR: 0.79, 95% CI: 0.69–0.90; DASH HR: 0.80, 95% CI: 0.70–0.92). Similarly, those in the highest quintile of dietary TAC also had a lower all-cause mortality than those in the lowest quintile (HR: 0.88, 95% CI: 0.79–0.98). These findings suggest that dietary TAC might be a relatively valid predictor of all-cause mortality in the US population compared to the DQIS.


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