Practice Paper of the Academy of Nutrition and Dietetics Abstract: The Role of Nutrition in Health Promotion and Chronic Disease Prevention

Fitzgerald, Nurgül; Morgan, Kathleen T.; Slawson, Deborah

doi:10.1016/j.jand.2013.05.007

Cited by 18 publications

(9 citation statements)

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“…Excess intakes of energy, sodium, saturated fat, and trans fat are associated with elevated risk for cardiometabolic disorders ( 1 – 3 ). For this reason, Dietary Guidelines for Americans ( 1 ) and health advocacy organizations ( 4 – 6 ) recommend limiting intakes and maintaining a healthy weight. Nevertheless, intakes of these nutrients exceed recommendations ( 1 – 7 ).…”

Section: Introductionmentioning

confidence: 99%

Temporal Trends in Fast-Food Restaurant Energy, Sodium, Saturated Fat, andTransFat Content, United States, 1996–2013

Urban¹,

Roberts²,

Fierstein³

et al. 2014

Prev. Chronic Dis.

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IntroductionExcess intakes of energy, sodium, saturated fat, and trans fat are associated with increased risk for cardiometabolic syndrome. Trends in fast-food restaurant portion sizes can inform policy decisions. We examined the variability of popular food items in 3 fast-food restaurants in the United States by portion size during the past 18 years.MethodsItems from 3 national fast-food chains were selected: French fries, cheeseburgers, grilled chicken sandwich, and regular cola. Data on energy, sodium, saturated fat, and trans fat content were collated from 1996 through 2013 using an archival website. Time trends were assessed using simple linear regression models, using energy or a nutrient component as the dependent variable and the year as the independent variable.ResultsFor most items, energy content per serving differed among chain restaurants for all menu items (P ≤ .04); energy content of 56% of items decreased (β range, −0.1 to −5.8 kcal) and the content of 44% increased (β range, 0.6–10.6 kcal). For sodium, the content of 18% of the items significantly decreased (β range, −4.1 to −24.0 mg) and the content for 33% increased (β range, 1.9–29.6 mg). Absolute differences were modest. The saturated and trans fat content, post-2009, was modest for French fries. In 2013, the energy content of a large-sized bundled meal (cheeseburger, French fries, and regular cola) represented 65% to 80% of a 2,000-calorie-per-day diet, and sodium content represented 63% to 91% of the 2,300-mg-per-day recommendation and 97% to 139% of the 1,500-mg-per-day recommendation.ConclusionFindings suggest that efforts to promote reductions in energy, sodium, saturated fat, and trans fat intakes need to be shifted from emphasizing portion-size labels to additional factors such as total calories, frequency of eating, number of items ordered, menu choices, and energy-containing beverages.

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Section: Introductionmentioning

confidence: 99%

Temporal Trends in Fast-Food Restaurant Energy, Sodium, Saturated Fat, andTransFat Content, United States, 1996–2013

Urban¹,

Roberts²,

Fierstein³

et al. 2014

Prev. Chronic Dis.

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show abstract

“…Thus, it is extremely difficult to maintain weight loss, even in studies where the intervention is still in full force and the enrolees are extremely well motivated. In addition, more evidence is needs to establish whether such intensive face-to-face individual implementation strategies are feasible in the long-term, whether group-based or remote contacts provides comparable efficacy in a more cost effective manner, and whether lessskilled personnel can deliver these same interventions [83,84,[92][93][94][95][96][97][98][99]. Actually, the most successful interventions were obtained using many personnel and intensive supervision while the current practice requests less expensive, simple interventions which can be easily carried out in daily practice.…”

Section: Discussionmentioning

confidence: 99%

“…It has been shown to reduce diabetes risk factors, including body weight and blood glucose levels, and has shown success in diabetes management. The provision of medical nutrition therapy by registered dieticians or other nutrition professionals, who are experts in offering individualized nutrition counseling, will improve the quality of counseling offered to patients and alleviate the burden on physicians to provide nutrition education [65,[78][79][80][81][82][83][84]. Although the cost of medical nutrition therapy is less than an intensive lifestyle intervention, more research is needed in the area of this form of intervention and community diabetes prevention programs to assess the effectiveness at decreasing diabetes incidence in the long term.…”

Section: Cost-effectiveness Of Diabetes Preventionmentioning

confidence: 99%

Type 2 Diabetes Prevention Programs; How Far are we?

G¹

2014

J Diabetes Metab

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“…Populations with low incomes in the US experience a disproportionate chronic disease burden, in particular cardiovascular disease (CVD), diabetes, and obesity, than those with higher earnings [ 20 , 21 ]. Acculturation issues and language barriers can worsen the health of immigrants and minority groups with low incomes even further.…”

Section: Introductionmentioning

confidence: 99%

Low-Income US Women Under-informed of the Specific Health Benefits of Consuming Beans

2016

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BackgroundBean consumption can reduce chronic disease risk and improve nutrition status. Consumer knowledge of bean health benefits could lead to increased intakes. Low-income women have poorer health and nutrition, but their level of knowledge about bean health benefits is unknown. Beans are a familiar food of reasonable cost in most settings and are cultural staples for Hispanics and other ethnicities. Study objectives were to assess awareness of bean health benefits among low-income women, and to evaluate any differences by acculturation status for Hispanic women in the Southwestern United States.MethodsA convenience sample of 406 primarily Mexican-origin (70%) low-income women completed a survey on knowledge of bean health benefits and general food behaviors. Principal components analysis of responses identified two summary scale constructs representing “bean health benefits” and “food behaviors.” Acculturation level was the main independent variable in chi-square or ANOVA.ResultsThe survey completion rate was 86% (406/471). Most women agreed or strongly agreed that beans improved nutrition (65%) and were satiating (62%). Over 50% answered ‘neutral’ to statements that beans could lower LDL cholesterol (52%), control blood glucose (56%) or reduce cancer risk (56%), indicating indifference or possible lack of knowledge about bean health benefits. There were significant differences by acculturation for beliefs that beans aid weight loss and intestinal health. Scores on the bean health benefits scale, but not the food behavior scale, also differed by acculturation.ConclusionsLimited resource women have a favorable view of the nutrition value of beans, but the majority did not agree or disagreed with statements about bean health benefits. Greater efforts to educate low-income women about bean health benefits may increase consumption and improve nutrition.

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Practice Paper of the Academy of Nutrition and Dietetics Abstract: The Role of Nutrition in Health Promotion and Chronic Disease Prevention

Cited by 18 publications

References 0 publications

Temporal Trends in Fast-Food Restaurant Energy, Sodium, Saturated Fat, andTransFat Content, United States, 1996–2013

Temporal Trends in Fast-Food Restaurant Energy, Sodium, Saturated Fat, andTransFat Content, United States, 1996–2013

Type 2 Diabetes Prevention Programs; How Far are we?

Low-Income US Women Under-informed of the Specific Health Benefits of Consuming Beans

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