Association Between Health Perception and Diet Quality in a Sample of Hispanics

Abstract Objectives This study was conducted to evaluate how health perception is associated with diet quality among Hispanics living in South Florida. Methods The research design was a cross-sectional study with a total of 109 people recruited at the end of their grocery event in local supermarkets around the Miami-Dade County area. They were asked to complete a questionnaire and to provide a picture of their grocery receipt. We included only adults ≥18 years and the primary food provider of the household conducting a primary shopping event for the week. Health perception was assessed from a question used in NHANES (Would you say your health in general is…with the following options ‘Excellent’, ‘Very Good’, ‘Good’, ‘Fair’ and ‘Poor’). Diet quality was evaluated using the Grocery Purchase Quality Index 2016 (GPQI-2016) from the grocery receipt. The GPQI-2016 is based on the Healthy Eating Index (HEI)– 2010 and has a total of 31 categories, 29 of those coming from the USDA Food Plan Market Baskets and 2 added by the authors of the GPQI-2016. These are mapped into 11 different components, which are re-grouped into ‘Adequacy’ and ‘Moderation’. Each component can have a maximum score of 5 or 10 with a total maximum score of 75 when all 11 components scores are added up. An analysis of covariance was used to compare GPQI-2016 by health perception which was categorized into three groups: Excellent/Very Good, Good, and Fair/Poor, adjusting for age and gender. Results The mean age of individuals was 45.1 ± 13.5 years, 74% were female, 77% were Hispanics, and 36.7% perceived themselves as having ‘Good’ health. The total average GPQI-2016 score was 40.9 ± 1.0, which is below the maximum score of 75 by almost 50%. Green and Beans Scores were lower among those with ‘Good’ perceived health and higher amongst those with ‘Fair/Poor’ perceived health (P < 0.05). The other individual component scores or the total GPQI-2016 score did not differ by health perception. Conclusions The diet quality score could be considered somewhat poor or regular. Only the Greens and Beans score differed by groups, with a higher score amongst those with ‘Fair/Poor’ perceived health group. Because health perception is subjective, other objective markers of health may be needed to detect differences in diet quality by health status. Funding Sources No funding source was acquired for this study.

Download Full-text

Food Waste and Its Association with Diet Quality of Foods Purchased in South Florida

Nutrients ◽

10.3390/nu13082535 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2535

Author(s):

Vanessa Mijares ◽

Jair Alcivar ◽

Cristina Palacios

Keyword(s):

Food Waste ◽

Diet Quality ◽

Linear Regression Analysis ◽

Cross Sectional Study ◽

South Florida ◽

Analysis Of Covariance ◽

Grocery Stores ◽

Cross Sectional ◽

Grocery Purchase

The objective of this study was to explore the associations between food waste and the diet quality of foods purchased and with grocery purchasing behaviors. This was a cross-sectional study among 109 primary household food providers conducting primary shopping. Participants were recruited outside of local grocery stores and were asked to complete a survey assessing amounts of avoidable food waste and grocery purchasing behaviors. The diet quality of the foods purchased was assessed from grocery receipts using the Grocery Purchase Quality Index-2016 (GPQI-2016). Variables were associated using linear regression, analysis of covariance, and point biserial correlations. We found that fresh fruits (63%) and leafy greens (70%) were the foods that were the most wasted. The GPQI-2016 total score was significantly inversely associated with the total amount of food wasted (β = −0.63; 95% CI: −1.14,−0.12) after adjusting for important confounders. The reason “food past the date printed on the package” was directly correlated with food wasted (r = 0.40; p < 0.01) but inversely correlated with GPQI-2016 score (r = −0.21; p = 0.04). Food wasted, but not the GPQI-2016 score, was significantly higher among those who grocery shop 2–4 times per week compared to 1 time every 1–2 weeks (p = 0.02). In conclusion, food waste is inversely associated with diet quality and directly associated with grocery purchasing frequency.

Download Full-text

Association Between Diet Quality and Food Waste in South Florida

Current Developments in Nutrition ◽

10.1093/cdn/nzaa042_008 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 143-143

Author(s):

Vanessa Mijares ◽

Jair Alcivar ◽

Cristina Palacios

Keyword(s):

Food Waste ◽

Diet Quality ◽

Inverse Correlation ◽

Cross Sectional Study ◽

Healthy Eating Index ◽

Quality Score ◽

South Florida ◽

Grocery Stores ◽

Cross Sectional ◽

Florida International University

Abstract Objectives In 2015, the USDA/EPA set a goal of reducing food waste in 50% by 2030. This goal will not only lower U.S. methane gas emissions but also redirect food to millions of food insecure Americans. Little is known on food waste and its association with diet quality. Therefore, our objective was to explore the associations between diet quality and food waste. Methods This was a cross sectional study among adults ³18 years in south Florida who are the primary household food provider conducting a primary shopping event for the week. Participants were recruited outside of local grocery stores and asked to fill out a quick food waste survey. Pictures of the participants’ grocery receipts were taken to analyze diet quality using the Grocery Purchase Quality Index 2016 (GPQI-2016). The GPQI-2016 is based on the Healthy Eating Index (HEI)– 2010 and has 11 different components (each with a maximum score of 5 or 10) for a total score of 75. Correlations were used to determine the associations between diet quality and amount of food waste (Pearson) or reasons for food waste (Point-biserial). Results A total of 109 participants were recruited but 103 had complete data. Mean age was 44.6 ± 13.6 years, most were females (74%) and Hispanics (79%). Most usually grocery shop in a main event and then go back for smaller items (44%) once (36%) or twice (28%) a week. Mean diet quality score was 40.9 ± 9.64 out of 75 points and mean amount of food waste was 17.7 ± 19.9 handfuls. Most reported throwing away food mainly because it went bad (90%) or it was past it's due date (80%). Handfuls of bread/rice waste were significantly inversely correlated with diet quality (r = −2.60; p = 0.013). Also, we found a significant inverse correlation between diet quality and food thrown away because it had gone past it's use by date (r = −.196; p = 0.049). Conclusions A lower diet quality score was related to higher amount of bread/rice wasted and with throwing away foods that has past it's use date. These results could justify directing reducing food waste efforts in the community by educating individuals on purchasing frozen products or on proper storage to prolong shelf life, as well as on understanding the different dates placed on products by manufacturers. Funding Sources Internal funds from Florida International University.

Download Full-text

Diet quality in relation to the risk of hypertension among Iranian adults: cross-sectional analysis of Fasa PERSIAN cohort study

Nutrition Journal ◽

10.1186/s12937-021-00717-1 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Amir Motamedi ◽

Maryam Ekramzadeh ◽

Ehsan Bahramali ◽

Mojtaba Farjam ◽

Reza Homayounfar

Keyword(s):

Blood Pressure ◽

Cohort Study ◽

Diet Quality ◽

Dietary Diversity ◽

Antihypertensive Drugs ◽

Healthy Eating Index ◽

Cross Sectional ◽

Common Chronic Disease ◽

History Of ◽

Prevention Of Hypertension

Abstract Background Hypertension is a common chronic disease with various complications and is a main contributing factor to cardiovascular disease (CVD). This study aimed to assess the association of diet quality, assessed by dietary diversity score (DDS), Mediterranean dietary score (MDS), diet quality index-international (DQI-I), and healthy eating index-2015 (HEI-2015) with the risk of hypertension. Methods This study recruited a total of 10,111 individuals (45.14% male) with mean age of 48.63 ± 9.57 years from the Fasa Cohort Study, Iran. Indices of diet quality, including MDS, HEI-2015, DQI-I, and DDS were computed by a 125-item Food Frequency Questionnaire. Participants were diagnosed as hypertensive if they had a diastolic blood pressure (DBP) ≥90 mmHg, systolic blood pressure (SBP) ≥140 mmHg,, or used antihypertensive drugs. Results Hypertension was prevalent in 28.3% of the population (21.59% in males and 33.74% in females). In the whole population, after adjustment for potential covariates, including daily energy intake, age, gender, physical activity, smoking, family history of hypertension, body mass index, and the level of education, higher adherence to the MDS (OR: 0.86, 95%CI = 0.75–0.99) and HEI-2015 (OR: 0.79, 95%CI = 0.68–0.90) was significantly associated with decreased risk of hypertension. The protective effect of HEI-2015 against hypertension remained significant for both males (OR: 0.80, 95%CI = 0.64–0.99) and females (OR: 0.78, 95%CI = 0.66–0.94), while, for MDS, this relationship disappeared in the subgroup analysis by gender. DQI-I and DDS were not related to the odds of hypertension. Conclusions Adhering to MDS and HEI-2015 diets could contribute to the prevention of hypertension.

Download Full-text

Caregiver Status and Diet Quality in Community-Dwelling Adults

Nutrients ◽

10.3390/nu13061803 ◽

2021 ◽

Vol 13 (6) ◽

pp. 1803

Author(s):

Sharmin Hossain ◽

May A. Beydoun ◽

Michele K. Evans ◽

Alan B. Zonderman ◽

Marie F. Kuczmarski

Keyword(s):

Diet Quality ◽

Healthy Aging ◽

Healthy Eating Index ◽

Community Dwelling ◽

Rate Of Change ◽

Least Square ◽

Inverse Association ◽

Linear Regression Models ◽

Middle Aged ◽

Cross Sectional

Objective: We investigated cross-sectional and longitudinal associations of diet quality with middle-aged caregiver status. Methods: Caregiving in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study (57.7% women, 62% African American (AA)) was measured at waves 3 (2009–2013) and 4 (2013–2017) (mean follow-up time 4.1 years). Diet quality was assessed by the Healthy Eating Index 2010 (HEI-2010) derived from two separate 24 h diet recalls. Multivariable ordinary least square regression was performed for cross-sectional analyses of the association of wave 4 caregiving with wave 4 HEI-2010. Wave 3 caregiving was examined both cross-sectionally and with annual rate of change in HEI using mixed-effects linear regression Models. Multivariable models were adjusted for age, sex, and poverty status. Results: Cross-sectional analyses at wave 4 demonstrate an inverse association of frequent caregiving (“Daily or Weekly” vs. “Never”) for grandchildren with HEI-2010 total score (i.e., lower diet quality) among Whites (β = −2.83 ± 1.19, p = 0.03, Model 2) and AAs (β = −1.84 ± 0.79, p = 0.02,). The “cross-sectional” analysis pertaining to grandchildren caregiving frequency suggested that frequent caregiving (i.e., “Daily or Weekly” vs. “Never” (β = −2.90 ± 1.17, p = 0.04)) only among Whites was inversely related to HEI-2010 total score. Total HEI-2010 score was also related to caring (Model 1), for the elderly over “5 years vs. Never” among Whites (−7.31 ± 3.54, p = 0.04, Model 2). Longitudinally, we found slight potential improvement in diet quality over time (“Daily or Weekly” vs. Never by TIME interaction: +0.88 ± 0.38, p = 0.02) with frequent caregiving among Whites, but not so among AAs. Conclusions: Frequent caring for grandchildren had an inverse relationship with the diet quality of White and AA urban middle-aged caregivers, while caring for elderly was inversely linked to diet quality among Whites only. Longitudinal studies should address the paucity of research on caregivers’ nutritional quality.

Download Full-text

Intake of Potatoes Is Associated with Higher Diet Quality, and Improved Nutrient Intake and Adequacy among US Adolescents: NHANES 2001–2018 Analysis

Nutrients ◽

10.3390/nu13082614 ◽

2021 ◽

Vol 13 (8) ◽

pp. 2614

Author(s):

Sanjiv Agarwal ◽

Victor L. Fulgoni

Keyword(s):

Vitamin C ◽

Vitamin K ◽

Diet Quality ◽

Vitamin B6 ◽

Nutrient Intake ◽

Healthy Eating Index ◽

Cross Sectional ◽

Recall Data ◽

Fiber Protein ◽

Potato Consumption

Potatoes are nutrient rich white vegetables, however, research on their impact on public health is limited. The objective of this study was to provide updated evaluation of the cross-sectional association between potato consumption and diet quality, nutrient intake and adequacy. Twenty-four hour diet recall data from adolescents (n = 16,633; age 9–18 years) were used to assess intakes. Usual intakes of nutrients were determined using the National Cancer Institute method and diet quality was calculated using the Healthy Eating Index-2015 (HEI-2015) after adjusting for demographic factors. Consumers of potatoes (baked or boiled potatoes, mashed potatoes and potato mixtures, fried potatoes, and potato chips) had higher (p < 0.05) HEI-2015 total score and subcomponent scores for total vegetables, total protein foods, and refined grain than non-consumers. Consumers also had higher (p < 0.05) intake of energy, dietary fiber, protein, copper, magnesium, phosphorus, potassium, selenium, sodium, zinc, niacin, vitamin B6, vitamin C, vitamin K and total choline; and higher (p < 0.05) adequacy for protein, copper, magnesium, phosphorus, potassium, zinc, thiamine, niacin, vitamin B6, vitamin C, and vitamin K than non-consumers. In conclusion, adolescent potato consumption was associated with higher diet quality, nutrient intake, and adequacy and therefore encouraging their consumption may be an effective strategy for improving nutritional status.

Download Full-text

Dietary intake and diet quality by weight category among a racially diverse sample of women in Birmingham, Alabama, USA

Journal of Nutritional Science ◽

10.1017/jns.2020.51 ◽

2020 ◽

Vol 9 ◽

Author(s):

Rebecca B. Little ◽

Renee Desmond ◽

Tiffany L. Carson

Keyword(s):

Diet Quality ◽

Weight Status ◽

Vegetable Intake ◽

The United States ◽

Healthy Eating Index ◽

Dietary Guidelines ◽

Rank Test ◽

Deep South ◽

Weight Category ◽

Maximum Score

Abstract Diet is a modifiable contributor to health. The lack of adherence to recommended dietary guidelines may contribute to the disproportionate burden of obesity and other chronic conditions observed in the Deep South region of the United States. The objective of this cross-sectional study was to describe food group intake and diet quality by race and weight status of women in the Deep South. Study participants were eighty-nine healthy female volunteers (56 % black, 44 % white, mean age 39⋅7 ± 1⋅4 years) recruited from Birmingham, AL, USA. Body Mass Index (BMI) determined weight status (non-obese/obese). Healthy Eating Index-2010 (HEI-2010) calculated from dietary recalls assessed diet quality. Wilcoxon sum-rank test compared HEI-2010 scores by race and weight status. χ2 analysis compared the percentage of women who achieved maximum points for HEI-2010 index food components by subgroup. Caloric and macronutrient intake did not differ by race or weight status (mean kcal 1863⋅0 ± 62⋅0). Median Total HEI-2010 Score for the sample was 51⋅9 (IQR: 39⋅1–63⋅4). Although there was no statistical difference in diet quality by race, more whites achieved the maximum score for vegetable intake compared to blacks, while blacks reported higher total fruit intake. Non-obese women reported better diet quality (56⋅9 v. 46⋅1; P = 0⋅04) and eating more whole fruits, and more achieved the maximum score for protein from plant and seafood sources. In summary, differences in diet quality were observed by weight status, but not race among this sample. These results point to tailored dietary interventions for women in metropolitan areas of Alabama, USA.

Download Full-text

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.

Download Full-text

Development and evaluation of a diet quality screener to assess adherence to the Dutch food-based dietary guidelines

British Journal Of Nutrition ◽

10.1017/s0007114521004499 ◽

2021 ◽

pp. 1-28

Author(s):

Mariëlle G de Rijk ◽

Anne I Slotegraaf ◽

Elske M Brouwer-Brolsma ◽

Corine WM Perenboom ◽

Edith JM Feskens ◽

...

Keyword(s):

Diet Quality ◽

Intraclass Correlation ◽

Total Sample ◽

Cross Sectional Study ◽

Dietary Guidelines ◽

Full Length ◽

Cross Sectional ◽

Maximum Score ◽

The Mean ◽

Excellent Reproducibility

Abstract The Eetscore FFQ was developed to score the Dutch Healthy Diet index 2015 (DHD2015-index) representing the Dutch food-based dietary guidelines of 2015. This paper describes the development of the Eetscore FFQ, a short screener assessing diet quality, examines associations between diet quality and participants’ characteristics, and evaluates the relative validity and reproducibility of the Eetscore FFQ in a cross-sectional study with Dutch adults. The study sample consisted of 751 participants, aged 19-91 y, recruited from the EetMeetWeet research panel. The mean DHD2015-index score based on the Eetscore FFQ of the total sample was 111 (SD 17.5) out of a maximum score of 160 points and was significantly higher in women than in men, positively associated with age and education level, and inversely associated with BMI. The Kendall’s tau-b coefficient of the DHD2015- index between the Eetscore FFQ and the full-length FFQ (on average 1.7-month interval, n=565) was 0.51 (95% CI 0.47, 0.55), indicating an acceptable ranking ability. The intraclass correlation coefficient (ICC) between DHD2015-index scores derived from two repeated Eetscore FFQs (on average 3.8-month interval, n=343) was 0.91 (95% CI: 0.89, 0.93) suggesting a very good reproducibility. In conclusion, the Eetscore FFQ was considered acceptable in ranking participants according to their diet quality compared with the full-length FFQ and showed good to excellent reproducibility.

Download Full-text

Diet Quality Profile of Track-and-Field Paralympic Athletes

International Journal of Sport Nutrition and Exercise Metabolism ◽

10.1123/ijsnem.2018-0361 ◽

2019 ◽

Vol 29 (6) ◽

pp. 589-595

Author(s):

Daniel P. Joaquim ◽

Claudia R. Juzwiak ◽

Ciro Winckler

Keyword(s):

Nutrition Education ◽

Healthy Eating ◽

Diet Quality ◽

Dairy Products ◽

Female Athletes ◽

Healthy Eating Index ◽

Track And Field ◽

Analysis Model ◽

Male Athletes ◽

Maximum Score

This study aimed to assess the diet quality of Brazilian Paralympic track-and-field team sprinters and its variation between days. All sprinters (n = 28) were invited, and 20 (13 men and seven women) accepted the invitation consisting of 13 athletes with visual impairment, four with cerebral palsy, and three with limb deficiency. The dietary intake was recorded by photographic register on four consecutive days, and diet quality was determined using a revised version of the Healthy Eating Index for the Brazilian population. Physical activity was assessed using an accelerometer, and metabolic unit information was used to classify exercise intensity. Variance Analysis Model and Bonferroni multiple comparisons were used to assess relationships between variables. The correlations between variables used Pearson linear correlation coefficient. The results show that revised version of the Healthy Eating Index score was classified as “needs to be modified” for all athletes. The maximum score for the components “Whole fruits,” “Total vegetables,” and “Dark green and orange vegetables and legumes” was achieved by 23.1% and 14.3%, 7.7% and 14.3%, and 46.2% and 57.8% of male and female athletes, respectively. Only 38.5% of the male athletes achieved the maximum score for the “Total cereal” component. Female athletes achieved higher scores than male athletes for the “Milk and dairy products” component (p = .03). Intake of whole grain cereals, dairy products, vegetables, and whole fruits needs modifications to improve adequate intake of vitamins and antioxidants, highlighting the need of continuous actions of nutrition education for this population.

Download Full-text

Three-year trends in dietary behaviours among mothers, teenagers and children from SNAP-Ed (Supplemental Nutrition Assistance Program–Education) eligible households across California

Public Health Nutrition ◽

10.1017/s1368980019003197 ◽

2019 ◽

Vol 23 (1) ◽

pp. 3-12 ◽

Cited By ~ 1

Author(s):

Fred Molitor ◽

Celeste Doerr ◽

John Pugliese ◽

Lauren Whetstone

Keyword(s):

Diet Quality ◽

Low Income ◽

Vegetable Intake ◽

Age Groups ◽

Healthy Eating Index ◽

Poverty Level ◽

Cross Sectional ◽

Assistance Program ◽

Dietary Behaviours ◽

Nutrition Assistance

AbstractObjective:To examine trends from 2015 to 2017 in dietary behaviours and diet quality among low-income mothers, teenagers and children.Design:Cross-sectional telephone surveys using a validated 24 h dietary assessment.Setting:Randomly sampled households with incomes ≤185 % of the US federal poverty level across California.Participants:Survey participants were 13 247 mothers (≥18 years), 3293 teenagers (12–17 years) and 6043 children (5–11 years). Respondents were mostly Latino.Results:Over the 3-year study period, consumption of fruits and vegetables with and without 100 % fruit juice increased (P ≤ 0·05) by at least 0·3 cups/d for mothers, teenagers and children. Intake of water also increased (P ≤ 0·001) by more than 1 cup/d for mothers and children and 2 cups/d for teenagers. Sugar-sweetened beverage (SSB) consumption was unchanged over the 3 years. Overall diet quality, as assessed by the Healthy Eating Index-2015, improved (P ≤ 0·01) for mothers, teenagers and children. Covariates for the fifteen regression models (three age groups by five outcome variables) included race/ethnicity, age, education for mothers, and gender for teenagers and children.Conclusions:The observed increases in fruit and vegetable intake and improvements in overall diet quality during the 3-year period suggest that low-income Californians may have lowered their risk of preventable diseases. However, more intense or strategic SSB-reduction interventions are required. Regional- or state-level, population-based surveillance of dietary behaviours is useful for public health nutrition policy and programme decision making, and can be used to assess potential trends in future negative health outcomes and related costs associated with poor dietary behaviours within at-risk populations.

Download Full-text