Association between Healthy Eating Index-2015 and physical frailty among the United States elderly adults: the National Health and Nutrition Examination Survey (NHANES) 2011–2014

Author(s):  
Yameng Fan ◽  
Yinyin Zhang ◽  
Jiaqiao Li ◽  
Yamei Liu ◽  
Long Zhou ◽  
...  
2021 ◽  
Author(s):  
Yameng Fan ◽  
Yinyin Zhang ◽  
Jiaqiao Li ◽  
Yamei Liu ◽  
Huan Chang ◽  
...  

Abstract BackgroundDiet quality plays an important role in the development of age-related chronic diseases. However, the association between dietary quality assessed by Healthy Eating Index (HEI)-2015 and cognitive function among the United States (US) elderly adults remains unclear. The present study aims to explore the association between HEI-2015 and cognitive function in elderly adults using data from National Health and Nutrition Examination Survey (NHANES) 2011-2012. MethodsHEI-2015 scores were calculated from two days 24-hour recall interviews. The cognitive function was evaluated by Digit Symbol Substitution Test (DSST), Animal Fluency Test (AFT) and a global cognition level derived by summing the z scores of individual tests. The associations between HEI-2015 and cognitive function were explored using multiple linear regression and binary logistic regression models. ResultsA total of 1278 participants aged 60 years or older were included. Compared to the lowest HEI-2015 tertile, the elderly adults in highest tertile had a higher global cognition, DSST and AFT scores (P<0.05); with the lowest quartile of global cognition as cognitive impairment, those who were in the highest HEI-2015 tertile had 38% lower odds of cognitive impairment (OR: 0.62; 95%CI: 0.42-0.91). Among HEI-2015 components, the elderly adults adhering to recommended intake of whole grains and whole fruits components were more likely to have better performance on global cognition (P<0.05). ConclusionThe higher HEI-2015 was positively associated the better cognitive performance on the global cognition, DSST, and AFT in the US elderly adults.


Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 2952
Author(s):  
Yong Zhu ◽  
Neha Jain ◽  
Vipra Vanage ◽  
Norton Holschuh ◽  
Anne Hermetet Agler ◽  
...  

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.


2021 ◽  
pp. 1-29
Author(s):  
Zach Conrad ◽  
Sarah Reinhardt ◽  
Rebecca Boehm ◽  
Acree McDowell

Abstract Objectives: To evaluate the association between diet quality and cost for foods purchased for consumption at home and away from home. Design: Cross-sectional analysis. Multivariable linear regression models evaluated the association between diet quality and cost for all food, food at home, and food away from home. Setting: Daily food intake data from the National Health and Nutrition Examination Survey (2005-2016). Food prices were derived using data from multiple, publicly available databases. Diet quality was assessed using the Healthy Eating Index-2015 and the Alternative Healthy Eating Index-2010. Participants: 30,564 individuals ≥20 y with complete and reliable dietary data. Results: Mean per capita daily diet cost was $14.19 (95% CI: $13.91-14.48), including $6.92 ($6.73-7.10) for food consumed at home and $7.28 ($7.05-7.50) for food consumed away from home. Diet quality was higher for food at home compared to food away from home (P<0.001). Higher diet quality was associated with higher food costs overall, at home, and away from home (P<0.001 for all comparisons). Conclusions: These findings demonstrate that higher diet quality is associated with higher costs for all food, food consumed at home, and food consumed away from home. This research provides policymakers, public health professionals, and clinicians with information needed to support healthy eating habits. These findings are particularly relevant to contemporary health and economic concerns that have worsened because of the COVID-19 pandemic.


2011 ◽  
Vol 21 (5) ◽  
pp. 318-326 ◽  
Author(s):  
Sung Sug (Sarah) Yoon ◽  
Margaret D. Carroll ◽  
Clifford L. Johnson ◽  
Qiuping Gu

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