Diet Quality of Americans Differs by Age, Sex, Race/Ethnicity, Income, and Education Level

Hiza, Hazel; Casavale, Kellie; Guenther, Patricia M.; Davis, Carole

doi:10.1016/j.jand.2012.08.011

Cited by 630 publications

(637 citation statements)

References 28 publications

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“…Similar to our findings, multiple other analyses have confirmed lower prevalence of physical activity and healthy diet among race/ethnic minorities 19, 20. In addition to differences in weight perception, other barriers may be present that negatively impact these and other healthy lifestyle practices in minority groups.…”

Section: Discussionsupporting

confidence: 91%

Race/Ethnic and Sex Differences in the Association of Atherosclerotic Cardiovascular Disease Risk and Healthy Lifestyle Behaviors

Morris

Hutcheson

et al. 2018

JAHA

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BackgroundLifestyle behaviors influence atherosclerotic cardiovascular disease (ASCVD) risk. We examined race and sex differences in the association of ASCVD risk with obesity and lifestyle behaviors.Methods and ResultsWe used multivariable logistic regression to examine the association of race/ethnicity and sex with obesity and lifestyle behaviors among 12 351 adults in the National Health and Nutrition Examination Surveys cycles 2005 to 2014. Ten‐year ASCVD risk was estimated using the 2013 American College of Cardiology/American Heart Association pooled cohort equations. Among overweight/obese subjects, whites were more likely to consider themselves overweight, to report a desire to weigh less, and to report a healthy diet, and physical activity. Despite higher body mass index and/or ASCVD risk, black women (adj odds ratio [OR] 0.8, 95% confidence interval [CI], 0.7–0.9) were less likely to attempt weight loss, and Hispanic women (OR 0.8, 95% CI 0.6–0.9) were less likely to report physical activity than white women. Black women (adj OR 0.6, 95% CI 0.5–0.7) were less likely than white women, and Hispanics (women adj OR 0. 6, 95% CI 0.5–0.7; men adj OR 0.7, 95% CI 0.6–0.9) were less likely than whites to report a healthy diet. Among those with ASCVD risk >7.5%, there were even greater disparities in the likelihood of healthy diet between black and Hispanic versus white women, and among Hispanic versus white men.ConclusionsRace/ethnic minorities are less likely to engage in healthy lifestyle behaviors despite higher body mass index and ASCVD risk. These findings underscore the need for culturally sensitive recommendations to improve cardiovascular outcomes in high‐risk populations, particularly minority women.

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Section: Discussionsupporting

confidence: 91%

Race/Ethnic and Sex Differences in the Association of Atherosclerotic Cardiovascular Disease Risk and Healthy Lifestyle Behaviors

Morris

Hutcheson

et al. 2018

JAHA

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“…Ao analisarem idosos com 65 anos ou mais incluídos no National Health and Nutrition Examination Survey (NHANES), Juan et al 22 e Hiza et al 23 também encontraram escores baixos para grãos integrais, sódio e leite, no entanto a pontuação de frutas totais foi bastante elevada 1 . O governo brasileiro definiu um conjunto de estratégias para elevar o consumo de frutas e vegetais e diminuir o de sal, destacando-se o crescimento da produção, oferta e queda dos preços de alimentos in natura, além de estabelecer acordos com o setor produtivo para reduzir o teor de sal dos produtos industrializados 24 .…”

Section: Resultsunclassified

Qualidade da dieta e fatores associados entre idosos: estudo de base populacional em Campinas, São Paulo, Brasil

et al. 2014

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O objetivo foi avaliar a qualidade da dieta de idosos segundo variáveis sociodemográficas, comportamentos relativos à saúde e morbidades. Trata-se de estudo transversal de base populacional em amostra de 1.509 idosos, obtida por inquérito de saúde conduzido em 2008-2009, em Campinas, São Paulo, Brasil. A qualidade alimentar foi avaliada pelo Índice de Qualidade da Dieta Revisado (IQD-R). Foram estimadas médias do IQD-R segundo as variáveis independentes e desenvolvido modelo de regressão linear múltipla para as análises ajustadas. Os segmentos de idosos que apresentaram escores superiores de qualidade da dieta foram os de 80 anos e mais, evangélicos, que praticavam atividade física de lazer e os diabéticos; escores inferiores foram observados nos que residiam com três ou mais pessoas, nos tabagistas e nos que relataram preferência por refrigerantes e bebidas alcoólicas. Os achados apontam para a necessidade de melhora da qualidade da dieta dos idosos em geral, mas especialmente nos segmentos com outros comportamentos não saudáveis, indicando, ainda, a relevância de intervenções integradas e não focadas em um fator.

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“…HEI has been previously used to assess whether diet quality changes over time [Juan, Guenther, & Kott, 2008], the effectiveness of dietary interventions, and to validate research tools and nutrition indices [Fulgoni, Keast, & Drewnowski, 2009]. It has also been effectively used to evaluate diets of population subgroups [Hiza, Casavale, Guenther, & Davis, 2013] and food environments [Reedy, Krebs‐Smith, & Bosire, 2010]. Several recent studies have also used HEI to assess relationships between intakes of nutrients, specific foods, and dietary patterns with health‐related outcomes [Fulgoni et al., 2017; Nicklas, O'Neil, & Fulgoni, 2012; Chiuve et al., 2012; Reedy et al., 2008; O'Neil, Nicklas, Rampersaud, & Fulgoni, 2011].…”

Section: Discussionmentioning

confidence: 99%

Association of raisin and raisin‐containing food consumption with nutrient intake and diet quality in US children: NHANES 2001‐2012

Fulgoni

Painter²,

Carughi³

2018

Food Science & Nutrition

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BackgroundRaisins are a commonly consumed dried fruit and given their nutrient profile may offer nutritional and health benefits.ObjectiveTo examine the association between consumption of raisins and raisin‐containing foods with nutrient intake and dietary quality in children.MethodsNational Health and Nutrition Examination Survey (NHANES) data for 2001–2012 in those 2–18 years of age (n = 20,175) were used. Consumers of raisins (n = 154, 51.6% female) and raisin‐containing foods (n = 1,993, 52.5% female) were defined as reporting any consumption of raisins and raisin‐containing foods, respectively, during the first 24‐hr diet recall. Diet quality was assessed using the Healthy Eating Index (HEI)‐2010. Regression analyses were conducted comparing consumers and nonconsumers using appropriate sample weights and adjusted for demographic and lifestyle covariates with significance set at p < 0.01.ResultsRegarding “nutrients of public health concern/shortfall nutrients” and “nutrients to limit,” raisin consumers had higher intakes of dietary fiber (23%), potassium (16%), magnesium (12%) with lower intakes of added sugars (−19%) than nonconsumers. Similarly, consumers of raisin‐containing foods also had higher intakes of dietary fiber (15%), potassium (5%), magnesium (11%), iron (6%), vitamin A (10%), and vitamin E (13%) and lower intake of sodium (−5%). Consumers of raisin and raisin‐containing foods had higher intakes of fruits (60%, 16%, respectively), whole fruits (119%, 23%, respectively) and whole grains (44%, 93%, respectively) and had a better diet quality as per higher total HEI 2010 scores (22%, 8%, respectively) than nonconsumers.ConclusionIn conclusion, consumption of raisins or raisin‐containing foods was associated with better nutrient intake and diet quality in American children.

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Diet Quality of Americans Differs by Age, Sex, Race/Ethnicity, Income, and Education Level

Cited by 630 publications

References 28 publications

Race/Ethnic and Sex Differences in the Association of Atherosclerotic Cardiovascular Disease Risk and Healthy Lifestyle Behaviors

Race/Ethnic and Sex Differences in the Association of Atherosclerotic Cardiovascular Disease Risk and Healthy Lifestyle Behaviors

Qualidade da dieta e fatores associados entre idosos: estudo de base populacional em Campinas, São Paulo, Brasil

Association of raisin and raisin‐containing food consumption with nutrient intake and diet quality in US children: NHANES 2001‐2012

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