The association between purchasing locally produced food and diet quality among adults in Puerto Rico

Abstract Objective: Diminished diet quality in the Caribbean and other island settings may be related to a dietary transition from local foods towards imported products. The current study aimed to characterise the association between intentionally purchasing local foods (IPLF) and diet quality in Puerto Rico (PR). Design: Cross-sectional study. Setting: Primary care clinics in the PR metropolitan area. Participants: Data were obtained from adult participants (30–75 years; n 243) of the Puerto Rico Assessment of Diet, Lifestyle, and Diseases. IPLF was probed by asking: ‘How often do you purposely purchase foods from PR (like fruits, vegetables, meat and other products that are produced on the island rather than being imported)?’ Dietary intake was measured using a FFQ, and diet quality was assessed by the Alternate Healthy Eating Index (range 0–110; higher scores indicating higher diet quality). Multivariate-adjusted generalised linear models tested the association between IPLF and Alternate Healthy Eating Index 2010 (AHEI) and its component scores. Results: A third (33·9 %) of participants reported seldom, 33·5 % reported often and 30·6 % reported always IPLF. Compared with seldom IPLF, fully adjusted mean AHEI scores were 3·6 (P = 0·038) points higher among those often IPLF and 9·3 (P < 0·0001) points higher among those always IPLF. Compared with seldom IPLF, those who always IPLF had significantly higher fully adjusted mean component scores for vegetables, fruits, whole grains, nuts and legumes, trans fat and n-3 fats. Conclusions: Adults in PR who intentionally purchase local foods had higher diet quality, especially for intake of plant-based foods and healthy fats, highlighting potential dietary benefits associated with improved local food availability in PR.

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Healthy Eating Index: Assessment of the Diet Quality of a Brazilian Elderly Population

Nutrition and Metabolic Insights ◽

10.1177/1178638818818845 ◽

2018 ◽

Vol 11 ◽

pp. 117863881881884

Author(s):

Dalila Pinto de Souza Fernandes ◽

Maria Sônia Lopes Duarte ◽

Milene Cristine Pessoa ◽

Sylvia do Carmo Castro Franceschini ◽

Andréia Queiroz Ribeiro

Keyword(s):

Healthy Eating ◽

Diet Quality ◽

Saturated Fat ◽

Population Based ◽

Cross Sectional Study ◽

Whole Grains ◽

Healthy Eating Index ◽

Cross Sectional ◽

Global Quality

Background: The food consumption assessment is necessary to monitor elderly’s nutritional status because it allows detecting nutrition deficits and guiding the elaboration of effective conducts. Objective: The objective of this study is to assess the global quality of the elderly’s diet in Viçosa—MG, Brazil. Methods: This is a population-based cross-sectional study, involving noninstitutionalized elderly. Diet quality was assessed through the Brazilian Healthy Eating Index-Revised (BHEI-R) validated to the Brazilian population. Results: The study comprised 620 elderly individuals. The mean total BHEI-R score was 64.28. The worse consumption scores concerned the components Whole grains, Milk and derivatives, Sodium, Total fruit, and Whole fruit. Approximately 82% scored zero (0%) for Whole grains and 67% for Sodium. Men presented significantly lower scores than women, who have presented maximal score in the same items. Women’s scores were not only significantly higher for Total fruit, Whole fruit, Milk and derivatives, but also significantly lower for Saturated fat. Discussion: Most elderly need to improve their diet quality. Strategies heading toward the improvement of diet quality must be priority in policies to health promotion toward the healthy and active aging.

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Is The Healthy Eating Index-2015 Associated With Rheumatoid Arthritis?

10.21203/rs.3.rs-1061469/v1 ◽

2021 ◽

Author(s):

Atiyeh Nayebi ◽

Davood Soleimani ◽

Shayan Mostafaei ◽

Negin Elahi ◽

Homayoun Elahi ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Disease Activity ◽

Healthy Eating ◽

Diet Quality ◽

Linear Trend ◽

Cross Sectional Study ◽

Healthy Eating Index ◽

Dietary Guidelines ◽

P Value ◽

Cross Sectional

Abstract Objective: Healthy Eating Index-2015 (HEI-2015) is a multidimensional criterion of diet quality utilized to evaluate how well people’s dietary behaviors align with major recommendations of the 2015–2020 Dietary Guidelines for Americans. We aim to investigate the association between the diet quality and Rheumatoid arthritis (RA) activity.Design: Cross-sectional studySetting: This study was done on 184 patients with RA in rheumatology clinic in Kermanshah city, Iran, in 2020. RA was diagnosed according to the criteria of the 2010 American College of Rheumatology/ European League against Rheumatism. The overall quality diet was extracted from a validated 168-item food frequency questioner (FFQ) to calculate the HEI-2015 score. RA disease activity was assessed using Disease Activity Score 28 (DAS28) scores. One-way ANOVA and ANCOVA were done to find the associations.Participants: RA patientsResults: Individuals in the highest HEI-2015 quartile had a lower mean Erythrocyte Sedimentation Rate (ESR) than those in the lowest quartiles of the HEI scores (P-value: 0.014). A linear trend towards decreasing waist circumference in patients was observed with increasing quartiles of the HEI-2015 scores (P-value= 0.005). After controlling for all potential confounders, patients in the highest HEI-2015 quartile had the lowest DAS28 scores than those in the lowest quartile of the HEI-2015 scores (Q1= 3.65; 95% CI= 3.29 – 4.02 vs. Q4= 2.35; 95% CI= 1.94 - 2.67; P-value<0.001).Conclusion: Our results indicated that following a high diet quality might be one of the therapeutic strategies to control or reduce the disease activity in RA patients.

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Association Between Intentional Purchase of Local Food Products and Diet Quality Among Adults in Puerto Rico (P04-148-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz051.p04-148-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Abrania Marrero-Hernandez ◽

Martha Tamez ◽

Josiemer Mattei

Keyword(s):

Puerto Rico ◽

Puerto Rican ◽

Diet Quality ◽

Food Environment ◽

Linear Models ◽

Local Food ◽

Food Products ◽

Healthy Eating Index ◽

Cross Sectional ◽

Poor Diet

Abstract Objectives Adults in Puerto Rico have a high prevalence of poor diet quality, behavior that, in other United States territories, has previously been associated with increased access to imported food products. These trends raise the question of whether consumption of local food, which accounts for only 15% of the Puerto Rican food environment, may contribute to healthy dietary intake. We aimed to investigate the association between purposefully purchasing local foods (PPLF) and diet quality in Puerto Rico. Methods The Puerto Rico Assessment of Diet, Lifestyle, and Diseases (PRADLAD) is a 2015 cross-sectional study of 380 adults (35–75y) sampled in San Juan. To assess PPLF, participants were asked, ‘How often do you purposely purchase foods from Puerto Rico (like fruits, vegetables, meat and other products that are produced here rather than being imported)? ’ Diet was assessed through a culturally-adapted food frequency questionnaire, and diet quality was defined using the Alternative Healthy Eating Index-2010 (AHEI). Statistical analysis was conducted among participants with valid dietary data (n = 248). Multivariable generalized linear models tested the association between PPLF and AHEI, adjusted for relevant sociodemographic and behavioral factors. Results Nearly a third (33.9%) of participants reported never/sometimes, 33.5% reported often, and 30.6% reported always PPLF. As compared to never/sometimes PPLF, fully-adjusted mean AHEI scores were 3.56 (P = 0.0383) points higher among those often PPLF and 9.34 (P < 0.0001) points higher among those always PPLF. Compared to never/sometimes PPLF, those who always PPLF had higher fully-adjusted mean component scores for vegetables (P < 0.0001), fruits (P = 0.0002), whole grain (P = 0.0391), nuts and legumes (P = 0.034), trans fat (P = 0.0003), and long-chain (Ω-3) fats (P = 0.002). Conclusions Adults in Puerto Rico who intentionally purchase local products had significantly higher diet quality, especially regarding plant-based foods and healthy fats intake. These findings point to possible dietary benefits associated with improving local food availability. Further research on the Puerto Rican food environment is needed, including potential poor diet quality associated with imported products. Funding Sources Private anonymous donations, Dry Bean Health Research Program Incentive Award, and institutional funds. Supporting Tables, Images and/or Graphs

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Assessment of Diet Quality in Chilean Urban Population through the Alternate Healthy Eating Index 2010: A Cross-Sectional Study

Nutrients ◽

10.3390/nu11040891 ◽

2019 ◽

Vol 11 (4) ◽

pp. 891 ◽

Cited By ~ 1

Author(s):

Victoria Pinto ◽

Leslie Landaeta-Díaz ◽

Oscar Castillo ◽

Luis Villarroel ◽

Attilio Rigotti ◽

...

Keyword(s):

Latin American ◽

Healthy Eating ◽

Diet Quality ◽

Urban Population ◽

Sodium Intake ◽

Risk Groups ◽

Cross Sectional Study ◽

Healthy Eating Index ◽

Dietary Factors ◽

Cross Sectional

Most worldwide causes of disease and death are strongly associated with dietary factors and the application of eating indexes has proved to be a useful tool to determine diet quality in populations. The aim of this study was to evaluate the diet quality in Chile through the application of the Alternate Healthy Eating Index 2010 (AHEI-2010). A representative sample (n = 879) of Chilean urban population aged 15–65 years old from the Latin American Study of Nutrition and Health (Estudio Latinoamericano de Nutrición y Salud; ELANS) was used. Dietary intake data were obtained through two 24-hour food recalls and one beverage frequency questionnaire, which were used to calculate AHEI-2010 and its association with sociodemographic and anthropometric variables. In this Chilean sample, the AHEI-2010 score was 43.7 ± 7.8 points (mean ± SD). Trans fats and sodium intake were the highest scoring AHEI-2010 components whereas sugar-sweetened beverages and whole grains had the lowest score. Women, older subjects, and individuals in medium-high socioeconomic levels had significantly higher mean AHEI-2010 scores. No association was found between AHEI-2010 and body mass index (BMI), or nutritional status. Conclusions: Diet quality in the Chilean urban population aged 15–65 years old is far from optimal. Thus, there is room for significant improvement of diet quality in Chile through design and implementation of public health policies, particularly in high-risk groups for chronic diseases.

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Promoting a Healthy Diet in Young Adults: The Role of Nutrition Labelling

Nutrients ◽

10.3390/nu10101335 ◽

2018 ◽

Vol 10 (10) ◽

pp. 1335 ◽

Cited By ~ 6

Author(s):

Zehra Buyuktuncer ◽

Aylin Ayaz ◽

Damla Dedebayraktar ◽

Elif Inan-Eroglu ◽

Basma Ellahi ◽

...

Keyword(s):

Young Adults ◽

Healthy Eating ◽

Diet Quality ◽

Eating Behaviors ◽

Saturated Fat ◽

Cross Sectional Study ◽

Healthy Eating Index ◽

Cross Sectional ◽

Dietary Recall ◽

Label Use

The use of the nutrition facts label has been associated with healthy eating behaviors for adults. However, the relationship between nutrition facts label use and overall diet quality is not well known in young adults, a vulnerable group that acquire lifelong eating behaviors during this period of life. This study aimed to assess if the use of information on the nutrition facts label is associated with a higher diet quality in young adults. In this cross-sectional study, 958 university students aged 18–34 years were recruited. Nutrition facts label use was recorded. Dietary intake was assessed using 24-h dietary recall. Healthy Eating Index-2005 (HEI-2005) scores were calculated. HEI-2005 score was significantly associated with using nutrition facts label (p < 0.001). The mean total HEI-2005 score was 60.7 ± 10.11, 62.4 ± 11.43 and 67.1 ± 12.23 respectively for never, sometimes and everytime users of nutrition facts label (p < 0.001). Sub-group scores of HEI-2005 for total fruits, whole fruits, total vegetables, whole grains, milk, oils, saturated fat, and calories from solid fat, alcohol and added sugar (SoFAAS) were significantly higher in regular nutrition facts label users (p < 0.05, for each). This study showed that young adults who regularly use the nutrition facts label have a higher diet quality.

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Meal and snack frequency in relation to diet quality in Japanese adults: a cross-sectional study using different definitions of meals and snacks

British Journal Of Nutrition ◽

10.1017/s0007114520002317 ◽

2020 ◽

Vol 124 (11) ◽

pp. 1219-1228 ◽

Cited By ~ 1

Author(s):

Kentaro Murakami ◽

Nana Shinozaki ◽

M. Barbara E. Livingstone ◽

Aya Fujiwara ◽

Keiko Asakura ◽

...

Keyword(s):

Diet Quality ◽

Cross Sectional Study ◽

Time Of Day ◽

Healthy Eating Index ◽

Meal Frequency ◽

Sectional Study ◽

Cross Sectional ◽

Japanese Adults ◽

Dietary Record ◽

Component Scores

AbstractEpidemiological evidence on the association between eating frequency and overall diet quality does not represent a consistent picture. This cross-sectional study examined the associations of meal frequency and snack frequency with diet quality, using different definitions of meals and snacks. Based on 4-d weighed dietary record data obtained from 639 Japanese adults aged 20–81 years, all eating occasions were divided into meals or snacks based on either the participant-identified or time-of-day definitions. Diet quality was assessed by the Healthy Eating Index-2015 (HEI-2015) and Nutrient-Rich Food Index 9.3 (NRF9.3). One additional meal per d increased the HEI-2015 total score by 3·6 and 1·3 points based on the participant-identified and time-of-day definitions, respectively. A higher meal frequency was also associated with higher values of some of the HEI-2015 component scores (total vegetables, greens and beans, and total protein foods), irrespective of how meals were defined. Additionally, one additional participant-identified snack per d increased the HEI-2015 total score by 0·7 points. The frequency of participant-identified snacks also showed positive associations with some of the HEI-2015 component scores (total fruits, whole fruits, total vegetables, greens and beans, dairy products, and Na). However, the frequency of time-of-day defined snacks was not associated with the total scores of HEI-2015, although there were some associations for its components. Similar findings were obtained when the NRF9.3 was used. In conclusion, higher meal frequency was consistently associated with higher diet quality, while associations between snack frequency and diet quality varied depending on the definition of snacks.

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Social and demographic inequalities in diet quality in a population-based study

Revista de Nutrição ◽

10.1590/1678-98652016000200001 ◽

2016 ◽

Vol 29 (2) ◽

pp. 151-162 ◽

Cited By ~ 11

Author(s):

Daniela de ASSUMPÇÃO ◽

Semíramis Martins Álvares DOMENE ◽

Regina Mara FISBERG ◽

Marilisa Berti de Azevedo BARROS

Keyword(s):

Healthy Eating ◽

Diet Quality ◽

Population Based ◽

Cross Sectional Study ◽

Whole Grains ◽

Healthy Eating Index ◽

Education Level ◽

Cross Sectional ◽

Added Sugars ◽

The City

Objective : To evaluate sociodemographic inequalities in the diet quality of the urban population of the city of Campinas, São Paulo, Brazil. Methods: A population-based, cross-sectional study was performed using data from a health survey conducted in the city of Campinas in 2008-2009. Diet quality was evaluated using the Brazilian Healthy Eating Index Revised. A total of 3,382 individuals aged 10 years old and older were analyzed. Results : Brazilian Healthy Eating Index Revised scores increased with age and education level. Women consumed more vegetables, fruits, and milk, and less sodium, meat and eggs, oils, saturated and solid fats, alcohol, and added sugars than men. Scores for whole grains, vegetables, and fruits also increased with age and education level. Conclusion: These findings point to sociodemographic segments that are more vulnerable to an inappropriate diet and identify the need of strategies to increase the consumption of whole grains, dark green vegetables, fruits, and milk, and decrease the consumption of sodium, solid fats, alcohol, and added sugar.

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Healthy Eating Index, Genomics and Metabolomics; Insights into the Mechanisms Driving Dietary Pattern to Metabolic Disorders

Current Developments in Nutrition ◽

10.1093/cdn/nzaa046_006 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 506-506

Author(s):

Minoo Bagheri ◽

Rachana D Shah ◽

Jonathan D Mosley ◽

Jane F Ferguson

Keyword(s):

Healthy Eating ◽

Diet Quality ◽

Cross Sectional Study ◽

Healthy Eating Index ◽

Nucleotide Polymorphisms ◽

Cross Sectional ◽

Microbiome Composition ◽

Beta Alanine ◽

Funding Sources ◽

Caffeine Metabolism

Abstract Objectives Higher diet quality measured by healthy eating index (HEI) is associated with improved metabolic function, however the molecular basis remains unclear. We assessed associations between HEI and the metabolome in plasma and stool and explored interaction between genotype and HEI on circulating and gut metabolites. Methods We analyzed data from heathy individuals recruited to a single cross-sectional study visit (ABO Study, N = 75). HEI score was calculated from food frequency questionnaire. Metabolites in plasma (n = 800) and stool (n = 767) were measured at Metabolon Inc. Genotyping was performed by Exome chip (Illumina, CoreExome, N > 540,000 variants). Multivariable linear regression was used to assess the association of HEI score with metabolites adjusting for age, sex and body mass index. Plasma associations were replicated in the Fish oils and Adipose Inflammation Reduction (FAIR) study (N = 29). Metaboanalyst 4.0 was used to determine metabolic pathways. The interaction of single nucleotide polymorphisms (SNPs) and HEI on metabolites was tested using Plink. Results Metabolites in plasma (n = 74) and stool (n = 77) were associated with the HEI index (P < 0.05). One metabolite (N-acetyl-beta-alanine) overlapped between plasma (B = 0.003, P = 0.035) and stool (B = 0.008, P = 0.02). Glycine replicated between ABO (B = −0.001, P = 0.02) and FAIR studies (B = −0.01, P = 0.02). In plasma there was significant pathway enrichment in glycerophospholipid metabolism, glycine, serine-threonine metabolism and caffeine metabolism. In stool, histidine and caffeine metabolism pathways were significantly enriched. Significant (Pinteraction <5 × 10−8) interactions were observed between HEI and multiple independent SNPs for metabolites including circulating Valylleucine and gut Sedoheptulose-7-phosphate. Conclusions Diet quality, measured by HEI, is associated with differences in plasma and stool metabolites. The observed associations might aid understanding the link between food patterns and metabolic health outcomes. Further, our data support gene-nutrient interactions between HEI and SNPs contributing to plasma and gut metabolomic profiles. Future work will explore the relationship between HEI and gut microbiome composition. Funding Sources This project was supported by the National Institutes of Health.

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A healthy eating index to measure diet quality in pregnant women in Singapore: a cross-sectional study

BMC Nutrition ◽

10.1186/s40795-015-0029-3 ◽

2015 ◽

Vol 1 (1) ◽

Cited By ~ 14

Author(s):

Chad Yixian Han ◽

◽

Marjorelee Colega ◽

Elaine Phaik Ling Quah ◽

Yiong Huak Chan ◽

...

Keyword(s):

Pregnant Women ◽

Healthy Eating ◽

Diet Quality ◽

Cross Sectional Study ◽

Healthy Eating Index ◽

Sectional Study ◽

Cross Sectional

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Nutritional intake and overall diet quality of female soccer players before the competition period

Revista de Nutrição ◽

10.1590/1678-98652016000400010 ◽

2016 ◽

Vol 29 (4) ◽

pp. 555-565 ◽

Cited By ~ 2

Author(s):

Daniel dos SANTOS ◽

Jacqueline Queiroz da SILVEIRA ◽

Thais Borges CESAR

Keyword(s):

Nutritional Status ◽

Dietary Intake ◽

Healthy Eating ◽

Diet Quality ◽

Protein Quality ◽

Healthy Eating Index ◽

Soccer Players ◽

Cross Sectional ◽

Professional Soccer

ABSTRACT Objective: To assess the dietary intake and overall diet quality of female soccer players before the competitive games. Methods: This descriptive and cross-sectional study included 21 women aged 20.8±4.5 years from a professional soccer team. Their nutritional status and dietary adequacy during the training period, before competition season, were assessed. Dietary intake was assessed by three 24-hour recalls, one food frequency questionnaire, and the Healthy Eating Index, an overall diet quality index based on food group intake. Results: The athletes have shown proper nutritional status, but a diet deficient in energy due largely to low carbohydrate intake. On the other hand, the intakes of protein, fatty acids, and sodium were above the recommended intakes, even for athletes. Diet quality assessment by the Healthy Eating Index - 2010 resulted in a mean score of 54.6 points of a maximum of 100, indicating a need of improving the overall diet quality. Conclusion: The study found that the dietary patterns of female football players were both quantitatively and qualitatively inappropriate. A nutritional intervention is indicated to improve diet quality, with the inclusion of various foods, such as whole grains, fruits, vegetables, dairy products, and better protein quality, along with a reduction in saturated fats, sodium, and added sugar.

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