Interpretation and Understanding of the Dietary Guidelines for Americans Consumer Messages Among Low-Income Adults

Chea, Molika; Mobley, Amy R.

doi:10.1080/07315724.2019.1610918

Cited by 6 publications

(9 citation statements)

References 22 publications

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“…Moreover, they might have used 100% fruit juice to substitute for whole fruits because of the perception that juice is relatively cheaper and easier to consume than whole fruits. Moreover, they might have misinterpreted or not fully understood dietary messages related to fruit consumption and portion size [24]. We also found that high SSB consumption was moderately associated with high 100% FJ consumption.…”

Section: Discussionmentioning

confidence: 70%

Factors Associated with Beverage Intake in Low-Income, Overweight, or Obese Pregnant Women

et al. 2022

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This study examined consumption proportions and factors associated with sugar-sweetened beverages (SSBs), artificially sweetened beverages (ASBs), and 100% fruit juice (FJ) consumption. We recruited Non-Hispanic Black (n = 136) and White (n = 192) low-income overweight or obese pregnant women aged 18 to 46 years (mean = 25.7 years) from the Special Supplemental Nutrition Program for Women, Infants, and Children clinics in Michigan, USA. Independent variables included weight status, trimester, smoking, stress, education, employment, race, and age. Dependent variables were high (consuming ≥ 1 serving/day) versus low consumptions of SSB, ASB, and 100% FJ. Multivariate logistic regression modeling was performed to examine factors associated with beverage consumption. Out of the sample, 48.2%, 6.7%, and 31.3% reported high SSB, ASB, and 100% FJ consumption, respectively. SSB consumption was associated with smoking (OR: 3.77, p < 0.001), education (OR: 0.57, p = 0.03), and race (OR: 1.69, p = 0.03). Artificially sweetened beverage consumption was not associated with any factors examined. One hundred percent FJ consumption was associated with stress (OR: 0.90, p = 0.03) and race (OR: 4.48, p < 0.001). Clinicians may advocate for reductions in SSB and 100% FJ consumption tailored to client consumption characteristics.

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Section: Discussionmentioning

confidence: 70%

Factors Associated with Beverage Intake in Low-Income, Overweight, or Obese Pregnant Women

et al. 2022

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“…In a study among 98 adults that investigated their understanding of the Dietary Guidelines for Americans, a minority of the participants misinterpreted the guidelines, suggesting a lack of understanding. 38 In a randomized control trial conducted among 90 patients with T2D, those who had received group discussion-based education where information and understanding were emphasized showed better adherence to diet (t = 5.22, p < 0.001). 39 …”

Section: Resultsmentioning

confidence: 99%

Diet Adherence among Adults with Type 2 Diabetes Mellitus: A Concept Analysis

Salmi¹,

Cook²,

D’Souza³

2022

Oman Med J

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Aim: To analyze the concept of diet adherence in type 2 diabetes mellitus (T2DM). Background: Different healthcare providers widely use the concept of adherence. In the 1970s, the term compliance was commonly used as the patients' views on treatment decisions were neglected. With consideration of patients' perspectives in treatment choices and treatment management, the concept of "compliance" has been increasingly replaced by "adherence." Adhering to a healthy diet is very challenging among patients with T2DM, and empirical studies show a low adherence rate to a healthy diet. Methods: The Walker and Avant (2011) method of concept analysis was implemented. Scientific databases were probed for research articles in the English language published between 2010-2020 using the search terms: compliance, adherence, treatment adherence, diet adherence, T2DM, and concept analysis. Results: Diet adherence as a concept includes, following diet recommendations, self-monitoring, maintenance, and relapse prevention. Antecedents include motivation, understanding of diet recommendations, health beliefs, self-efficacy, goal setting, and social support. Consequences include overall health promotion, health-related quality of life, and improved disease-specific parameters such as lower body mass index, HbA1c, a better level of triglycerides, LDL-cholesterol, non-HDL-cholesterol, and lower diastolic blood pressure. Diet adherence is frequently measured using the Perceived Dietary Adherence Questionnaire, Patient Diet Adherence in Diabetes Scale, the Compliance Praxis Survey-Diet, multiday food diaries, 24-hour recalls, and food frequency questionnaires. Conclusion: Adherence to a healthy diet for patients with T2DM is a primary determinant of management, but diet adherence is frequently inadequate. Poor diet adherence attenuates optimum expected outcomes; hence more research is needed to promote diet adherence.

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“…There is a high level of inconsistency in national FBDG with regards to how unhealthy foods are described, which impacts consumer attitudes towards these foods [57,85]. Other terms included in sustainable healthy FBDG which may not be well understood by consumers include plant-based [93], whole grains [107], legumes [65], balance [76] and dietary variety [109]. It is therefore necessary to ensure clarity and understanding of the terms used in FBDG communications.…”

Section: Language and Tonementioning

confidence: 99%

“…We acknowledge that although nutrition communication plays a significant role in changing individual knowledge, attitudes and intentions, these wider factors significantly influence the adoption of FBDG and should be considered in parallel to an effective communication strategy. Food and agricultural policies need to support implementation of FBDG, for example, by improving access to and affordability of healthy food [107] and restricting media and retail promotion of foods not aligned with FBDG [67].…”

Section: Multi-level Approachmentioning

confidence: 99%

Improving Communication of the UK Sustainable Healthy Dietary Guidelines the Eatwell Guide: A Rapid Review

Culliford¹,

Bradbury

Medici³

2023

Sustainability

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Background: Food-based dietary guidelines (FBDG) are a key public health tool, providing evidence-based recommendations for a healthy and more environmentally sustainable diet. Current adherence to national FBDG in the UK is poor with only 0.1% of the population meeting all of the recommendations set out in the Eatwell Guide. Communication of the Eatwell Guide is one of the many essential strategies needed to improve adherence and to support the necessary shift towards sustainable diets in the UK. An effective strategy is needed to communicate this information to policy makers, the food industry, health professionals and the public in order to drive dietary behaviour change. Methods: The authors conducted a rapid review of the scientific literature available in the SCOPUS database published between 2012 and 2022 (inclusive). Keywords searched related to the communication and implementation of FBDG. Additionally, examples of communication strategies for national FBDG globally are presented to demonstrate examples of good practice in this field. Results: The review highlighted several key themes relating to effective communication of FBDG. As a result, five recommendations are made for how communication of the Eatwell Guide could be improved to drive better adherence to these sustainable healthy guidelines. The recommendations are (1) review of language and tone of nutrition and sustainability related messages; (2) targeting of FBDG and communications to specific population segments; (3) addressing barriers to and benefits of adopting the Eatwell Guide recommendations; (4) development of practical tools and resources to support implementation of the guidelines; and (5) leveraging social media and social marketing techniques to increase public engagement. Conclusions: This research summarises the current scientific literature on the effective communication of FBDG. The recommendations may be used to improve future communication strategies for the Eatwell Guide as well as other national and international sustainable healthy FBDG.

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Interpretation and Understanding of the Dietary Guidelines for Americans Consumer Messages Among Low-Income Adults

Cited by 6 publications

References 22 publications

Factors Associated with Beverage Intake in Low-Income, Overweight, or Obese Pregnant Women

Factors Associated with Beverage Intake in Low-Income, Overweight, or Obese Pregnant Women

Diet Adherence among Adults with Type 2 Diabetes Mellitus: A Concept Analysis

Improving Communication of the UK Sustainable Healthy Dietary Guidelines the Eatwell Guide: A Rapid Review

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