Awareness and Use of Nutrition Information Predict Measured and Self-Rated Diet Quality of Older Adults in the United States – ERRATUM

Abstract Objectives This study aimed to investigate: 1) the diet quality of older adults, using the Healthy Eating Index 2015 (HEI-2015) and self-rated diet quality, 2) characteristics associated with reported awareness and use of nutrition information, 3) factors associated with HEI-2015 score and self-rated diet quality, including the relationship with awareness and use of nutrition information. Methods A cross-sectional analysis of 24-hour recall and questionnaire data from the National Health and Nutrition Examination Survey 2009–2014, including 4493 subjects, aged 60 years and older. The population ratio method was used in SAS 9.4 to calculate mean HEI scores. Data was stratified by gender, then t-tests and ANOVA were used to compare means and chi-squares were used to compare proportions. Logistic and linear regression were used to test for associations with diet quality, controlling for potential covariates. Results The mean total HEI score for men was significantly lower than for women (63.7 ± 0.8 vs. 66.6 ± 0.8 respectively, P < 0.0001). Compared to men, more women reported nutrition awareness (53.7% vs. 41.1%, P < 0.0001), and use of nutrition information (19.3% vs. 9.2%, P < 0.0001). Nutrition awareness was also associated with race, age, education, socioeconomic status, and food security. In bivariate analyses, nutrition awareness and use of nutrition information were significantly associated with both HEI score and self-rated diet quality in both men and women. In multivariate analyses, nutrition awareness remained a significant predictor of HEI for women but not men, and remained a significant predictor of self-reported diet quality in men but not women. Conclusions Nutrition awareness and use of nutrition information are significantly related to diet quality in older adults, even when controlling for other factors. There are differences in these relationships for older adult men versus women. Gaps in awareness, indicating need for nutrition education, exist in men, non-whites, those participating in nutrition assistance programs, and those with lower education and socioeconomic status. Closing these gaps may lead to improved diet quality in segments of the older adult population. Funding Sources Agricultural Research Service, United States Department of Agriculture.

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National Trends in Emergency Department Use, Care Patterns, and Quality of Care of Older Adults in the United States

Journal of the American Geriatrics Society ◽

10.1111/jgs.12072 ◽

2013 ◽

Vol 61 (1) ◽

pp. 12-17 ◽

Cited By ~ 153

Author(s):

Jesse M. Pines ◽

Peter M. Mullins ◽

James K. Cooper ◽

Lisa B. Feng ◽

Katalin E. Roth

Keyword(s):

United States ◽

Older Adults ◽

Emergency Department ◽

Quality Of Care ◽

The United States ◽

Emergency Department Use ◽

Care Patterns ◽

National Trends

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Consumption of Ready-to-Eat Cereal and Its Associations With Food Group Intake and Diet Quality in the United States, NHANES 2017–2018

Current Developments in Nutrition ◽

10.1093/cdn/nzab053_107 ◽

2021 ◽

Vol 5 (Supplement_2) ◽

pp. 1114-1114

Author(s):

Yong Zhu ◽

Neha Jain ◽

James Normington ◽

Jean-Michel Michno ◽

Nort Holschuh ◽

...

Keyword(s):

United States ◽

Older Adults ◽

Diet Quality ◽

Dairy Products ◽

Age Groups ◽

The United States ◽

Food Group ◽

Whole Grains ◽

Added Sugar ◽

Health And Nutrition

Abstract Objectives Ready-to-eat cereal (RTEC) is a nutrient-dense food that has been associated with better nutrient intake. This study was conducted to examine the association between consumption of RTEC and food group intake and diet quality in the United States using the most recent nationally representative data. Methods Participants from National Health and Nutrition Examination Survey (NHANES) 2017–2018 were classified as RTEC eaters or non-eaters depending on whether RTEC was reported in their day-1 dietary recall. Food group intake was estimated from Food Patterns Equivalence Database 2017–2018. Diet quality was assessed by the Healthy Eating Index 2015 (HEI-2015). Differences in food group intake and diet quality by RTEC consumption status were compared by ANOVA for survey, and were analyzed separately in children (2–17 y, N = 2135), adults 18–64 y (N = 3675), and older adults (65 y or older, N = 1221). Results Consumption of RTEC was associated with significantly higher intake of whole grains and dairy products, in all age groups examined (all P < 0.01). Children who consumed RTEC had a significantly lower intake of total protein foods (3.7 cup eq. vs 4.6 cup eq., P < 0.001) and vegetables (0.7 cup eq. vs 0.9 cup eq., P < 0.001) than non-eaters, however, intake of these food groups was not significantly different in adults 18–64 y or older adults by RTEC consumption status. Consumption of RTEC was not significantly associated with intake of added sugar in all age groups examined (all P > 0.05). Diet quality, as measured by HEI-2015 total score, was significantly higher in RTEC eaters than non-eaters in children, adults 18–64y, and older adults (all P < 0.01). Conclusions The results demonstrated that consumption of RTEC was associated with higher intake of whole grains and dairy products, but not with added sugar in the US population. RTEC consumption was also associated with better diet quality. Funding Sources The study was supported by Bell Institute of Health and Nutrition, General Mills, Inc.

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Differences in Diet Quality between School Lunch Participants and Nonparticipants in the United States by Income and Race

Nutrients ◽

10.3390/nu12123891 ◽

2020 ◽

Vol 12 (12) ◽

pp. 3891

Author(s):

Elizabeth C. Gearan ◽

Kelley Monzella ◽

Leah Jennings ◽

Mary Kay Fox

Keyword(s):

United States ◽

Diet Quality ◽

School Lunch ◽

The United States ◽

School Nutrition ◽

Healthy Eating Index ◽

Lower Income ◽

Cost Study ◽

Hispanic White

Prior research has shown that participation in the United States’ National School Lunch Program (NSLP) is associated with consuming higher-quality lunches and diets overall, but little is known about differences by income and race/ethnicity. This analysis used 24 h dietary recall data from the School Nutrition and Meal Cost Study to examine how NSLP participation affects the diet quality of students in different income and racial/ethnic subgroups. Diet quality at lunch and over 24 h was assessed using the Healthy Eating Index (HEI)-2010, where higher scores indicate higher-quality intakes. HEI-2010 scores for NSLP participants and nonparticipants in each subgroup were estimated, and two-tailed t-tests were conducted to determine whether participant–nonparticipant differences in scores within each subgroup were statistically significant. NSLP participants’ lunches received significantly higher total HEI-2010 scores than those of nonparticipants for lower-income, higher-income, non-Hispanic White, and non-Hispanic Black students, suggesting that participating in the NSLP helps most students consume healthier lunches. These significantly higher total scores for participants’ lunch intakes persisted over 24 h for higher-income students and non-Hispanic White students but not for lower-income students or students of other races/ethnicities. For NSLP participants in all subgroups, the nutritional quality of their 24 h intakes was much lower than at lunch, suggesting that the positive influence of the NSLP on their overall diet quality was negatively influenced by foods consumed the rest of the day (outside of lunch).

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Diet quality of children in the United States by body mass index and sociodemographic characteristics

Obesity Science & Practice ◽

10.1002/osp4.388 ◽

2019 ◽

Vol 6 (1) ◽

pp. 84-98 ◽

Cited By ~ 3

Author(s):

Jessica L. Thomson ◽

Alicia S. Landry ◽

Lisa M. Tussing‐Humphreys ◽

Melissa H. Goodman

Keyword(s):

United States ◽

Body Mass Index ◽

Body Mass ◽

Diet Quality ◽

The United States ◽

Sociodemographic Characteristics

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Integrative Nursing in Senior Living

Integrative Nursing ◽

10.1093/med/9780190851040.003.0032 ◽

2018 ◽

pp. 474-490

Author(s):

Laura N. Kirk ◽

Rachel Trelstad Porter ◽

Amy Quarberg ◽

Linda Halcon

Keyword(s):

Quality Of Life ◽

United States ◽

Older Adults ◽

Chronic Disease ◽

Living Arrangements ◽

The United States ◽

Living Environment ◽

Care Models ◽

Health Function

The aging of the population, both nationally and globally, necessitates the development of innovative care models and living arrangements that will allow older adults to maintain health, function, engagement, and purpose even as they encounter increases in chronic disease and disability. Approximately 15% of adults ≥65 years of age in the United States reside in settings other than traditional community housing. The implementation of care practices guided by the principles of integrative nursing provides a unique and profound opportunity to enhance the quality of life of individuals within the senior living environment. Several case studies are presented, including the Hacienda in Arizona, The Waters Senior Living, and Woodbury Senior Living.

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COVID- 19 and Americans' Perceptions of Change in Diet Quality

Journal of Family & Consumer Sciences ◽

10.14307/jfcs113.1.17 ◽

2021 ◽

Vol 113 (1) ◽

pp. 17-24

Author(s):

Jay Kandiah ◽

Jagdish Khubchandani ◽

Diana Saiki

Keyword(s):

United States ◽

Young Adults ◽

Random Sample ◽

Diet Quality ◽

Online Survey ◽

Healthcare Professionals ◽

The United States ◽

Sociodemographic Characteristics ◽

Perceived Change

The objective of this research was to conduct an assessment of perceived diet quality from a national random sample of American adults and explore how the perceived change in diet quality varied by key sociodemographic characteristics during the COVID-19 pandemic. A total of 835 adults across the United States completed a multi-item online survey. Statistically significant differences were observed with diets worsening during the pandemic for females, young adults, racial minorities (except Asians), unemployed individuals, widowed/divorced or engaged/cohabitating individuals, those not working from home, non-healthcare professionals, and overweight and obese individuals; the pandemic had an impact on the diet quality of these groups.

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The relationship between body mass index and quality of life in community-living older adults living in the United States

The journal of nutrition health & aging ◽

10.1007/s12603-013-0022-y ◽

2013 ◽

Vol 17 (6) ◽

pp. 495-501 ◽

Cited By ~ 19

Author(s):

Frank G. Bottone ◽

K. Hawkins ◽

S. Musich ◽

Y. Cheng ◽

R. J. Ozminkowski ◽

...

Keyword(s):

Quality Of Life ◽

United States ◽

Older Adults ◽

Body Mass Index ◽

Body Mass ◽

The United States ◽

Community Living ◽

The Relationship

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Awareness and use of nutrition information predict measured and self-rated diet quality of older adults in the USA

Public Health Nutrition ◽

10.1017/s1368980020004681 ◽

2020 ◽

pp. 1-11

Author(s):

Anna Vaudin ◽

Edwina Wambogo ◽

Alanna Moshfegh ◽

Nadine R Sahyoun

Keyword(s):

Older Adults ◽

Diet Quality ◽

Economic Status ◽

Adult Population ◽

Healthy Eating Index ◽

Dietary Guidelines ◽

Nutrition Information ◽

Cross Sectional ◽

Nutrition Assistance

Abstract Objectives: To examine: (1) diet quality of older adults, using the Healthy Eating Index 2010 (HEI-2010) and self-rated diet quality, (2) characteristics associated with reported awareness and use of nutrition information and (3) factors associated with HEI score and self-rated diet quality. Design: Cross-sectional study. Based on Day 1 and/or Day 2 dietary recalls, the Per-Person method was used to estimate HEI-2010 component and total scores. T-tests and ANOVA were used to compare means. Logistic and linear regressions were used to test for associations with diet quality, controlling for potential confounders. Setting: National Health and Nutrition Examination Survey, 2009–2014. Participants: Three thousand and fifty-six adults, aged 60 years and older, who completed at least one 24-h recall and answered questions on awareness and use of nutrition information. Results: Mean HEI score for men was significantly lower than for women (56·4 ± 0·6 v. 60·2 ± 0·6, P < 0·0001). Compared with men, more women were aware of (44·8 % v. 33·7 %, P < 0·05) and used (13·7 % v. 5·9 %, P < 0·05) nutrition information. In multivariable analyses, awareness and use of nutrition information were significant predictors of both HEI and self-rated diet quality for both women and men. Groups with lower nutrition awareness included men, non-Whites, participants in nutrition assistance programmes and those with lower education and socio-economic status. Conclusions: Nutrition awareness and use of nutrition information are associated with diet quality in adults 60 years and older. Gaps in awareness of dietary guidelines in certain segments of the older adult population suggest that targeted education may improve diet quality for these groups.

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