scholarly journals Heterogeneities in Consumer Diet Quality and Health Outcomes of Consumers by Store Choice and Income

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1046
Author(s):  
Chandra K. Dhakal ◽  
Savin Khadka
Keyword(s):  
Health Outcomes ◽  
Diet Quality ◽  
The United States ◽  
Healthy Eating Index ◽  
Food Purchase ◽  
Poor Diet ◽  
Income Groups ◽  
Convenience Stores ◽  
Household Food ◽  
Food Budget

Obesity and other diet-related health conditions have received much attention in the public health literature over the past two decades. This study investigates the relationship between household food budget shares at different food outlets with diet quality and weight-related health outcomes in the United States. Our analysis used event-level food purchase data from the national household food acquisition and purchases survey (FoodAPS). We find that, after controlling for observables, food purchase location is significantly associated with diet quality and body mass index (BMI). Our findings indicate that larger food budget shares at convenience stores and restaurants are linked with poor diet quality based on the healthy eating index-2015 (HEI-2015) scores and higher BMI. We further explored potential heterogeneity on outcomes of interest across income groups. Results suggest heterogeneous effects may exist across income groups: low-income households, who spent a larger share of their food budget at convenience stores and fast-food restaurants are related to poor diet quality and more likely to be obese. Our findings will help improve understanding of the causes of diet-related health problems and may illuminate potential avenues of intervention to address obesity.

scholarly journals Consumption of Ultra-Processed Foods and Diet Quality Among U.S. Adults and Children

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 543-543
Author(s):  
Junxiu Liu ◽  
Euridice Steele ◽  
Dimitra Karageorgou ◽  
Renata Micha ◽  
Carlos Monteiro ◽  
...  
Keyword(s):  
Diet Quality ◽  
The United States ◽  
Healthy Eating Index ◽  
Processed Meat ◽  
Processed Foods ◽  
The Third ◽  
Poor Diet ◽  
Adults And Children ◽  
Diet Score ◽  
Score Range

Abstract Objectives Consumption of ultra-processed foods (UPF) has been linked to higher added sugar, sodium, and unhealthful fats, but the association of UPF with overall diet quality is unclear. We investigated how UPF consumption relates to overall diet quality in the U.S. Methods Dietary data were derived from the two most recent cycles of NHANES (2013–2016) including 10,064 adults and 5920 children with one or more 24-hr dietary recalls. UPFs were identified by the degree of processing using the NOVA classification, with total UPF intake (% energy) assessed in quartiles. Diet quality was assessed using the validated American Heart Association (AHA) 2020 continuous primary diet score (range 0–50; based on total fruits/vegetables, whole grains, fish/shellfish, sugar-sweetened beverages, and sodium), AHA secondary diet score (range 0–80; adding nuts/seeds/legumes, processed meat, and saturated fat), and Healthy Eating Index (HEI)-2015 score (range 0–100). Poor diet was defined as < 40% adherence to the AHA primary score. Linear and logistic regressions estimated the relationships between UPF intake and diet quality, accounting for NHANES complex survey design and adjusting for age, sex, race/ethnicity, income, and education. Results Compared to the lowest quartile of UPF consumption (<42.3%E), the multivariable-adjusted AHA primary score was −7.60% (−1.82 points, P < 0.001) lower in the second quartile, −17.9% (−4.31 points, P < 0.001) lower in the third quartile, and −29.3% (−7.04 points, P < 0.001) lower in the highest quartile (>67.8%E). Corresponding values in children were −8.01% (−1.73, P < 0.001), −15.2% (−3.28, P < 0.001), and −29.8% (−6.43, P < 0.001). Compared to the lowest quartile of UPF, adults in the second quartile had 63% higher risk of poor diet quality (multivariable-adjusted OR 1.63; 95% CI 1.35–1.98); in the third quartile, 2.5-fold higher risk (OR, 2.64; 2.13–3.26); and in the highest quartile, nearly 5-fold higher risk (OR 4.85; 3.93–5.97). Corresponding ORs for poor diet quality in children were 1.52 (1.22–1.89), 2.44 (1.94–3.06), and 5.37 (4.16–6.94) across quartiles of UPF, respectively. Findings were similar using the AHA secondary score and HEI-2015 score. Conclusions Higher consumption of UPF associates with substantially lower diet quality in the United States among both adults and children. Funding Sources NIH.

scholarly journals Does Household Food Insecurity Reflects Diet Quality of Children? A Study among the B40 Families in Pendang, Kedah

2020 ◽  
Vol 2 (1) ◽  
pp. 47-54
Author(s):  
Apeera Prak Chang ◽  
Asma’ Ali
Keyword(s):  
Food Insecurity ◽  
Diet Quality ◽  
Cross Sectional Study ◽  
Healthy Eating Index ◽  
Cross Sectional ◽  
Poor Diet ◽  
Household Food ◽  
Child Hunger ◽  
The Relationship

Food insecurity is interrelated with low food supply consumption which have high disposition to poor diet quality. However, less study has been done in assessing the relationship between food insecurity and diet quality of children in Malaysia. Therefore, this study objectives are to determine food insecurity level and diet quality of children from B40 families in Kedah. This cross-sectional study was carried out among 106 children aged 7 – 12 years old from one selected district in Pendang, Kedah. Radimer/Cornell Hunger was used to determine food insecurity level of the children, while diet quality of the children was assessed by applying modified Healthy Eating Index (HEI) 2005. Based on the result, 43.4% of the household were categorized as food secure while 56.6% were food insecure. Those food insecure were classified into three levels and the study found that 61.0% were household food insecure, 28.0% were individual food insecure and 11.0% of the household were child hunger. About 28.3% of them had poor diet quality, 69.8% of them had diet that needs improvements and only 1.9% of them had good diet quality. However, there was no significant relationship found between food insecurity and diet quality of these children (p = 0.436). This is somehow indicated that food insecurity does not reflect the diet quality of children from the B40 families in this study.

scholarly journals Association between Ready-to-Eat Cereal Consumption and Nutrient Intake, Nutritional Adequacy, and Diet Quality in Adults in the National Health and Nutrition Examination Survey 2015–2016

Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 2952
Author(s):  
Yong Zhu ◽  
Neha Jain ◽  
Vipra Vanage ◽  
Norton Holschuh ◽  
Anne Hermetet Agler ◽  
...  
Keyword(s):  
United States ◽  
Dietary Intake ◽  
National Health ◽  
Diet Quality ◽  
The United States ◽  
Healthy Eating Index ◽  
Nutrition Examination Survey ◽  
Food Groups ◽  
Dietary Recall ◽  
Health And Nutrition

This study examined differences in dietary intake between ready-to-eat cereal eaters and non-eaters in adults from the United States. Participants (n = 5163) from the National Health and Nutrition Examination Survey 2015–2016 were included. One-day dietary recall was used to define ready-to-eat cereal consumption status and estimate dietary intake in eaters and non-eaters. Data from Food Patterns Equivalent Database 2015–2016 were used to compare intakes of food groups by consumption status. Diet quality was assessed by Healthy Eating Index 2015. Nineteen percent of US adults were ready-to-eat cereal eaters; they had a similar level of energy intake as non-eaters, but they had significantly higher intake of dietary fiber, and several vitamins and minerals, such as calcium, iron, magnesium, potassium, zinc, vitamin A, thiamin, riboflavin, niacin, vitamin B6, folate, vitamin B12, and vitamin D. They were also more likely to meet nutrient recommendations. Compared to non-eaters, ready-to-eat cereal eaters had the same level of added sugar intake but they had significantly higher intake of whole grains, total fruits, and dairy products. The diet quality of ready-to-eat cereal eaters was significantly higher than that of non-eaters. The study supports that ready-to-eat cereal eaters have better dietary intake with a healthier dietary pattern than non-eaters in the United States.

scholarly journals Dietary intake and diet quality by weight category among a racially diverse sample of women in Birmingham, Alabama, USA

2020 ◽  
Vol 9 ◽  
Author(s):  
Rebecca B. Little ◽  
Renee Desmond ◽  
Tiffany L. Carson
Keyword(s):  
Diet Quality ◽  
Weight Status ◽  
Vegetable Intake ◽  
The United States ◽  
Healthy Eating Index ◽  
Dietary Guidelines ◽  
Rank Test ◽  
Deep South ◽  
Weight Category ◽  
Maximum Score

Abstract Diet is a modifiable contributor to health. The lack of adherence to recommended dietary guidelines may contribute to the disproportionate burden of obesity and other chronic conditions observed in the Deep South region of the United States. The objective of this cross-sectional study was to describe food group intake and diet quality by race and weight status of women in the Deep South. Study participants were eighty-nine healthy female volunteers (56 % black, 44 % white, mean age 39⋅7 ± 1⋅4 years) recruited from Birmingham, AL, USA. Body Mass Index (BMI) determined weight status (non-obese/obese). Healthy Eating Index-2010 (HEI-2010) calculated from dietary recalls assessed diet quality. Wilcoxon sum-rank test compared HEI-2010 scores by race and weight status. χ2 analysis compared the percentage of women who achieved maximum points for HEI-2010 index food components by subgroup. Caloric and macronutrient intake did not differ by race or weight status (mean kcal 1863⋅0 ± 62⋅0). Median Total HEI-2010 Score for the sample was 51⋅9 (IQR: 39⋅1–63⋅4). Although there was no statistical difference in diet quality by race, more whites achieved the maximum score for vegetable intake compared to blacks, while blacks reported higher total fruit intake. Non-obese women reported better diet quality (56⋅9 v. 46⋅1; P = 0⋅04) and eating more whole fruits, and more achieved the maximum score for protein from plant and seafood sources. In summary, differences in diet quality were observed by weight status, but not race among this sample. These results point to tailored dietary interventions for women in metropolitan areas of Alabama, USA.

scholarly journals Yogurt Consumption Is Associated with Better Dietary Intake and Diet Quality in School-aged Children (P18-112-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Yong Zhu ◽  
Jessica Smith ◽  
Valerie Benoit ◽  
Neha Jain ◽  
Vipra Vanage ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Diet Quality ◽  
The United States ◽  
Healthy Eating Index ◽  
Health Concern ◽  
School Aged Children ◽  
Funding Sources ◽  
Health And Nutrition ◽  
Calcium Magnesium ◽  
Total Fat

Abstract Objectives To assess associations between yogurt consumption and dietary intake as well as diet quality in school-aged children in the United States. Methods A total of 3709 children aged 6–12 years from the National Health and Nutrition Examination Survey 2011–2012, 2013–2014 and 2015–2016 were included in the study. Day 1 dietary data were used to determine yogurt consumption status, energy and nutrient intake. Healthy Eating Index 2015 (HEI-2015) was used as a measure of diet quality. Multiple linear regression analyses for surveys were conducted to estimate associations between yogurt consumption and dietary intake, as well as diet quality, adjusting for sociodemographic characteristics. Results About 9% of children aged 6–12 years were yogurt eaters. Compared to non-eaters, children who reported yogurt consumption had significantly higher intake of calcium, magnesium, phosphorus, potassium, total sugar and carbohydrate, as well as significantly less intake of total fat and sodium (P < 0.05 for all). There were no significant differences on intake of added sugar and total energy intake. HEI-2015 total score, as well as sub scores for greens and beans, whole fruit, dairy, and sodium were significantly higher in yogurt eaters than non-eaters (P < 0.05 for all). Conclusions Consumption of yogurt is associated with increased intake of several key vitamins and minerals, including nutrients of public health concern such as calcium and potassium, in school-aged children. Yogurt consumption is also associated with better diet quality in this population. Funding Sources The study was funded by General Mills, Inc.

scholarly journals Quality of diet related to food insecurity and food stamps use among older people

2011 ◽  
Vol 2 (1) ◽  
pp. 3 ◽  
Author(s):  
Maria F Montoya ◽  
Andre W Hite ◽  
Patricia Rohrbeck ◽  
Binky Bawa ◽  
Oladayo O Akinwolemiwa ◽  
...  
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Diet Quality ◽  
The United States ◽  
Healthy Eating Index ◽  
Food Stamps ◽  
Older Individuals ◽  
Cross Sectional Survey ◽  
Food Security Status

We explore the association between quality of diet and food security status among older persons. Cross-sectional survey of large national samples, from the National Health & Nutrition Examination Surveys (1988-1994 & 2001-2002), in the United States. A total of 5,039 and 2,040 men and women aged 60 and older, respectively. The dependent variable was the healthy eating index (HEI; 2000 and 2005) as a measure of diet quality. The independent variable of interest was food security status and was categorized as food secure, food insecurity receiving food stamps and food insecurity not receiving food stamps. In multivariate analyses, food insecure individuals not receiving food stamps had lower total HEI-2000 scores compared to food secure individuals (b=-3.91, SE=1.81, P=0.0310). Factors independently associated with high HEI (2000 or 2005) scores were female gender, being married, highly educated or wealthy, with very good/ excellent perceived health, or without functional limitations. Food secure individuals had better quality of diet than food insecure individuals. Among food insecure individuals, receiving food stamps was not associated with diet quality. Food insecure families with older individuals may need new methods of dissemination of food and nutrition programs – methods that yield positive and promising changes in the health status of this special population group.

scholarly journals Comprehensive Assessment of Diet Quality and Risk of Precursors of Early-Onset Colorectal Cancer

2020 ◽  
Author(s):  
Xiaobin Zheng ◽  
Jinhee Hur ◽  
Long H Nguyen ◽  
Jie Liu ◽  
Mingyang Song ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
High Risk ◽  
Diet Quality ◽  
Early Onset ◽  
Strong Support ◽  
Healthy Eating Index ◽  
Malignant Potential ◽  
Poor Diet ◽  
Increased Risk

Abstract Background The role of poor diet quality in the rising incidence of colorectal cancer (CRC) diagnosed under age 50 has not been explored. Based on molecular features of early-onset CRC, early-onset adenomas are emerging surrogate endpoints. Methods In a prospective cohort study (Nurses’ Health Study II), we evaluated two empirical dietary patterns (Western and prudent) and three recommendation-based indexes (Dietary Approaches to Stop Hypertension [DASH], Alternative Mediterranean Diet [AMED], and Alternative Healthy Eating Index [AHEI]-2010) with risk of early-onset adenoma overall and by malignant potential (high-risk: ≥1 cm, tubulovillous/villous histology, high-grade dysplasia, or ≥ 3 adenomas), among 29474 women with ≥1 lower endoscopy before age 50 (1991-2011). Multivariable logistic regressions were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs). Results We documented 1157 early-onset adenomas with 375 of high-risk. Western diet was positively, whereas prudent diet, DASH, AMED, and AHEI-2010 were inversely associated with risk of early-onset adenoma. The associations were largely confined to high-risk adenomas (OR [95% CI] for the highest versus lowest quintile: Western = 1.67 [1.18 to 2.37]; prudent = 0.69 [0.48 to 0.98]; DASH = 0.65 [0.45 to 0.93]; AMED = 0.55 [0.38 to 0.79]; AHEI-2010 = 0.71 [0.51 to 1.01]; all P  trend≤.03), driven by those identified in the distal colon and rectum (all P  trend≤.04 except AMED: Ptrend=.14). Conclusion Poor diet quality was associated with an increased risk of early-onset distal and rectal adenomas of high malignant potential. These findings provide preliminary but strong support to the role of diet in early-onset CRC.

scholarly journals Soup consumption is associated with a lower dietary energy density and a better diet quality in US adults

2014 ◽  
Vol 111 (8) ◽  
pp. 1474-1480 ◽  
Author(s):  
Yong Zhu ◽  
James H. Hollis
Keyword(s):  
Body Weight ◽  
Energy Density ◽  
Energy Intake ◽  
Diet Quality ◽  
The United States ◽  
Healthy Eating Index ◽  
Food Type ◽  
United States Department ◽  
Dietary Energy ◽  
Dietary Energy Density

Epidemiological studies have revealed that soup consumption is associated with a lower risk of obesity. Moreover, intervention studies have reported that soup consumption aids in body-weight management. However, little is known about mechanisms that can explain these findings. The objective of the present study was to investigate associations between soup consumption and daily energy intake, dietary energy density (ED), nutrient intake and diet quality. Adults aged 19–64 years who participated in the National Health and Nutrition Examination Surveys during 2003–8 were included in the study. Soup consumers were identified from the first dietary recall using the United States Department of Agriculture food codes and combination food type from the dietary data. Compared with non-consumers (n9307), soup consumers (n1291) had a lower body weight (P= 0·002), a lower waist circumference (P= 0·001) and a trend towards a lower total energy intake (P= 0·087). Soup consumption was associated with a lower dietary ED (P< 0·001); this was independent of whether data on beverage or water consumption were included. Diet quality, as measured by the Healthy Eating Index 2005, was significantly better in soup consumers (P= 0·008). Soup consumption was also associated with a reduced intake of total fat and an increased intake of protein, carbohydrate and dietary fibre, as well as several vitamins and minerals (P< 0·05 for all). However, it was also associated with a higher intake of Na (P< 0·001). The relationship between soup consumption and body weight could be due to a reduced dietary ED and an improved diet quality. Consumers need to pay attention to their Na intake and choose low-Na products for a healthier diet.

scholarly journals Association Between Intentional Purchase of Local Food Products and Diet Quality Among Adults in Puerto Rico (P04-148-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Abrania Marrero-Hernandez ◽  
Martha Tamez ◽  
Josiemer Mattei
Keyword(s):  
Puerto Rico ◽  
Puerto Rican ◽  
Diet Quality ◽  
Food Environment ◽  
Linear Models ◽  
Local Food ◽  
Food Products ◽  
Healthy Eating Index ◽  
Cross Sectional ◽  
Poor Diet

Abstract Objectives Adults in Puerto Rico have a high prevalence of poor diet quality, behavior that, in other United States territories, has previously been associated with increased access to imported food products. These trends raise the question of whether consumption of local food, which accounts for only 15% of the Puerto Rican food environment, may contribute to healthy dietary intake. We aimed to investigate the association between purposefully purchasing local foods (PPLF) and diet quality in Puerto Rico. Methods The Puerto Rico Assessment of Diet, Lifestyle, and Diseases (PRADLAD) is a 2015 cross-sectional study of 380 adults (35–75y) sampled in San Juan. To assess PPLF, participants were asked, ‘How often do you purposely purchase foods from Puerto Rico (like fruits, vegetables, meat and other products that are produced here rather than being imported)? ’ Diet was assessed through a culturally-adapted food frequency questionnaire, and diet quality was defined using the Alternative Healthy Eating Index-2010 (AHEI). Statistical analysis was conducted among participants with valid dietary data (n = 248). Multivariable generalized linear models tested the association between PPLF and AHEI, adjusted for relevant sociodemographic and behavioral factors. Results Nearly a third (33.9%) of participants reported never/sometimes, 33.5% reported often, and 30.6% reported always PPLF. As compared to never/sometimes PPLF, fully-adjusted mean AHEI scores were 3.56 (P = 0.0383) points higher among those often PPLF and 9.34 (P < 0.0001) points higher among those always PPLF. Compared to never/sometimes PPLF, those who always PPLF had higher fully-adjusted mean component scores for vegetables (P < 0.0001), fruits (P = 0.0002), whole grain (P = 0.0391), nuts and legumes (P = 0.034), trans fat (P = 0.0003), and long-chain (Ω-3) fats (P = 0.002). Conclusions Adults in Puerto Rico who intentionally purchase local products had significantly higher diet quality, especially regarding plant-based foods and healthy fats intake. These findings point to possible dietary benefits associated with improving local food availability. Further research on the Puerto Rican food environment is needed, including potential poor diet quality associated with imported products. Funding Sources Private anonymous donations, Dry Bean Health Research Program Incentive Award, and institutional funds. Supporting Tables, Images and/or Graphs

scholarly journals Differences in Diet Quality between School Lunch Participants and Nonparticipants in the United States by Income and Race

Nutrients ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3891
Author(s):  
Elizabeth C. Gearan ◽  
Kelley Monzella ◽  
Leah Jennings ◽  
Mary Kay Fox
Keyword(s):  
United States ◽  
Diet Quality ◽  
School Lunch ◽  
The United States ◽  
School Nutrition ◽  
Healthy Eating Index ◽  
Lower Income ◽  
Cost Study ◽  
Hispanic White

Prior research has shown that participation in the United States’ National School Lunch Program (NSLP) is associated with consuming higher-quality lunches and diets overall, but little is known about differences by income and race/ethnicity. This analysis used 24 h dietary recall data from the School Nutrition and Meal Cost Study to examine how NSLP participation affects the diet quality of students in different income and racial/ethnic subgroups. Diet quality at lunch and over 24 h was assessed using the Healthy Eating Index (HEI)-2010, where higher scores indicate higher-quality intakes. HEI-2010 scores for NSLP participants and nonparticipants in each subgroup were estimated, and two-tailed t-tests were conducted to determine whether participant–nonparticipant differences in scores within each subgroup were statistically significant. NSLP participants’ lunches received significantly higher total HEI-2010 scores than those of nonparticipants for lower-income, higher-income, non-Hispanic White, and non-Hispanic Black students, suggesting that participating in the NSLP helps most students consume healthier lunches. These significantly higher total scores for participants’ lunch intakes persisted over 24 h for higher-income students and non-Hispanic White students but not for lower-income students or students of other races/ethnicities. For NSLP participants in all subgroups, the nutritional quality of their 24 h intakes was much lower than at lunch, suggesting that the positive influence of the NSLP on their overall diet quality was negatively influenced by foods consumed the rest of the day (outside of lunch).

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