Improvements In US Diet Helped Reduce Disease Burden And Lower Premature Deaths, 1999–2012; Overall Diet Remains Poor

Wang, Dong D.; Li, Yanping; Chiuve, Stephanie E; Hu, Frank B.; Willett, Walter C.

doi:10.1377/hlthaff.2015.0640

Cited by 72 publications

(52 citation statements)

References 18 publications

(22 reference statements)

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“…Recent studies utilizing NHANES data showed that whereas overall dietary quality remains poor, there have been improvements to the quality of diet in America. [26][27][28] The increase in sedentary lifestyle could in part be responsible, as there has been a documented increase in sedentary lifestyle. 11,12 Sedentary lifestyle has been shown to negatively affect insulin sensitivity 29 and increase the relative risk of diabetes.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Prediabetes and Abdominal Obesity Among Healthy-Weight Adults: 18-Year Trend

Mainous

Tanner

et al. 2016

The Annals of Family Medicine

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PURPOSE Trends in sedentary lifestyle may have influenced adult body composition and metabolic health among individuals at presumably healthy weights. This study examines the nationally representative prevalence of prediabetes and abdominal obesity among healthy-weight adults in 1988 through 2012. METHODSWe analyzed the National Health and Nutrition Examination Survey (NHANES) III (1988III ( -1994 and NHANES for the years 1999 to 2012, focusing on adults aged 20 years and older who have a body mass index (BMI) of 18.5 to 24.99 and do not have diabetes, either diagnosed or undiagnosed. We defined prediabetes using glycated hemoglobin (HbA 1c ) level ranges from 5.7% to 6.4%, as specified by the American Diabetes Association. Abdominal obesity was measured by waist circumference and waist-to-height ratio. RESULTSThe prevalence of prediabetes among healthy-weight adults, aged 20 years and older and without diagnosed or undiagnosed diabetes, increased from 10.2% in 1988-1994 to 18.5% in 2012. Among individuals aged 45 years and older, the prevalence of prediabetes increased from 22.0% to 33.1%. The percentage of adults aged 20 years and older with an unhealthy waist circumference increased from 5.6% in 1988-1994 to 7.6% in 2012. The percentage of individuals with an unhealthy waist-to-height ratio increased from 27.2% in 1988-1994 to 33.7% in 2012. Adjusted models found that measures of abdominal obesity were not independent predictors of prediabetes among adults with a healthy BMI.CONCLUSIONS Among individuals within a healthy BMI range, the prevalence of prediabetes and abdominal obesity has substantially increased. Abdominal obesity does not appear to be the primary cause of the increase.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Prediabetes and Abdominal Obesity Among Healthy-Weight Adults: 18-Year Trend

Mainous

Tanner

et al. 2016

The Annals of Family Medicine

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“…For example, the inverse association observed between bean intake and BMI in this study suggests that increasing seasoning variety to increase intake of beans among urban Costa Rican adults may favorably affect obesity-related health outcomes. Among US adults, even small improvements in dietary quality are related to a reduced incidence of cardiovascular disease, type 2 diabetes, and cancer [36], and among Costa Rican adults, higher intake of beans has been shown to be associated with a healthy cardiovascular profile [8, 13]. In particular, Mattei et al [8] found that substituting one serving of beans for one serving of white rice would reduce the risk of metabolic syndrome by 35% in the same population, and meta-analyses suggests that an isocaloric increase of 1 serving per day of beans (typically in place of other dietary carbohydrate or animal protein) would reduce total and LDL cholesterol [37, 38].…”

Section: Discussionmentioning

confidence: 99%

Seasoning ingredient variety, but not quality, is associated with greater intake of beans and rice among urban Costa Rican adults

2016

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Exposure to a variety of flavors may promote food enjoyment, but few studies have examined the relationship between food seasoning and food intake. We hypothesized that using a higher variety (number) of eleven seasonings to prepare two staple foods (beans, white rice) would be associated with intake of those foods in a population-based case-control study of Costa Rican adults in urban vs. rural areas (n=1,025), where cooking and dietary practices differ. Participants were surveyed about the variety of seasoning ingredients added when preparing beans or rice. Ingredients were also categorized by their dietary quality (healthfulness), and scores for seasoning variety and quality were created. Multivariable linear regression was used to determine the association between variety and quality scores (continuously and in tertiles (T)) and intake of each staple food. Seasoning variety was positively associated with daily servings of beans (β=0.02, p=0.01; 1.31 and 1.23 servings/day in T2 and T3 versus 1.02 servings/day in T1, p<0.05) and rice (β=0.04, p=0.005) in the urban areas only. No differences in ingredient quality across increasing intakes of beans or rice were noted, and the joint associations between variety and quality were not significant. In conclusion, a greater variety, but not quality, of seasoning ingredients was positively associated with intakes of beans and rice in urban Costa Rican adults. Our results suggest that increasing the variety of seasonings added to beans may be a culturally-appropriate strategy to improve intake of this healthy staple food among urban Costa Rican adults.

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“…The medical and economic toll of this problem remains huge. It is estimated that the obesity epidemic carries a $117 billion medical price tag ( Wang, Li, Chiuve, Hu, & Willett, 2015).…”

Section: Consequences Of Juvenile Obesity and How It Affects Central mentioning

confidence: 99%

Childhood, Adolescent, and Teenage Obesity: Recommendations for Community Initiatives in Central Harlem

Maidenberg

2016

Health Social Work

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Because of poverty, the high prevalence of obesity, and the lack of adequate supports, Central Harlem's children, adolescents, and teenagers are at risk for major physiological, psychological, and social issues. This article discusses the public health concerns related to this population, especially the prevalence of obesity. This article identifies the prevalence of illness and obesity in the inner city and stipulates the causes and consequences of obesity among children, adolescents, and teenagers. In addition, it reports on the appropriate community intervention, using a coalition and a community collaborative organization that serve as models to build support for Central Harlem. A proposal is offered for reducing obesity among youths in the community. The intervention outlines a logic model that identifies a multi systemic approach at the micro and macro level for community intervention and policy initiatives to advocate for fundamental change. Further research recommendations are described to reduce the prevalence of childhood, adolescent, and teenage obesity in urban communities.

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Improvements In US Diet Helped Reduce Disease Burden And Lower Premature Deaths, 1999–2012; Overall Diet Remains Poor

Cited by 72 publications

References 18 publications

Prevalence of Prediabetes and Abdominal Obesity Among Healthy-Weight Adults: 18-Year Trend

Prevalence of Prediabetes and Abdominal Obesity Among Healthy-Weight Adults: 18-Year Trend

Seasoning ingredient variety, but not quality, is associated with greater intake of beans and rice among urban Costa Rican adults

Childhood, Adolescent, and Teenage Obesity: Recommendations for Community Initiatives in Central Harlem

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