scholarly journals The Most Frequently Consumed and the Largest Energy Contributing Foods of U.S. Insulin Takers Using NHANES 2009–2016

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 426-426
Author(s):  
Luotao Lin ◽  
Fengqing Zhu ◽  
Edward Delp ◽  
Heather Eicher-Miller

Abstract Objectives Insulin takers’ diets have rarely been described although insulin dosing is highly dependent on dietary intake. The objective was to determine the most frequently consumed food or beverage items, food subcategories, and food categories, and items that contributing most to total energy intake among U.S. adult insulin takers compared with those with type 2 diabetes without taking insulin (T2D w/o insulin) and those without diabetes. Methods Fasting plasma glucose and hemoglobin A1c concentration from the laboratory tests and diabetic and insulin taking status from questionnaires in the National Health and Nutrition Examination Survey 2009–2016 classified 907 insulin takers, 2 758 T2D w/o insulin, and 34 360 participants without diabetes. U.S. Department of Agriculture Food codes of each item reported in the first reliable 24-hour dietary recall, were categorized by food subcategory and category based on What We Eat in America categories. Raw and weighted frequency and energy contributions of each food item, food subcategory, and food category were calculated and ranked. Results Diet soft drinks ranked 4th and 7th most consumed food subcategory in insulin takers and T2D w/o insulin, respectively. Soft drinks ranked 8th and 6th most consumed food subcategory in T2D w/o insulin and those without diabetes, and contributed 5th and 2nd most to energy, respectively (2.75% and 3.85% of total energy intake, respectively). Eggs and cold cuts were uniquely reported in insulin takers’ top 10 most consumed food subcategory list. Protein foods represented 4 rankings in insulin takers’ top 10 highest energy contributing food subcategory list including chicken, egg, meat dishes, and cold cuts (10.42% of total energy intake), 3 rankings in T2D w/o insulin list including chicken, egg, and meat dishes (7.22% of total energy intake), and only chicken for those without diabetes (2.70% of total energy intake). Conclusions Differences in dietary intake may exist among U.S. adults by diabetic status. Insulin takers are likely to consume more protein foods and less soft drinks compared to those with T2D w/o insulin and those without diabetes. Lists of the most frequently consumed foods and foods contributing most to energy may be helpful for nutrition education, prescribing diets, and technology-based dietary assessment for insulin takers. Funding Sources Eli Lilly and Company.

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1665 ◽  
Author(s):  
Cheng-Chieh Lin ◽  
Chiu-Shong Liu ◽  
Chia-Ing Li ◽  
Chih-Hsueh Lin ◽  
Wen-Yuan Lin ◽  
...  

The best macronutrient percentages of dietary intake supporting longevity remains unclear. The strength of association between dietary intake and mortality in patients with type 2 diabetes (T2DM) should be quantified as a basis for dietary recommendations. Our study cohort consisted of 15,289 type 2 diabetic patients aged 30 years and older in Taiwan during 2001–2014 and was followed up through 2016. Percentages of macronutrient intakes were calculated as dietary energy intake contributed by carbohydrate, protein, and fat, divided by the total energy intake using a 24 h food diary recall approach. Cox proportional hazard models were applied to examine the temporal relation of macronutrient intakes with all-cause and cause-specific mortality. The average follow-up time was 7.4 years, during which 2784 adults with T2DM died. After multivariable adjustment, people with fourth and fifth quintiles of total energy, second and third quintiles of carbohydrate, and fourth quintiles of protein intakes were likely to have lower risks of all-cause and expanded cardiovascular disease (CVD) mortality. People with fifth quintiles of total energy intake were likely to have decreased non-expanded CVD mortality. We found a significant interaction between gender and fat intake on all-cause and expanded CVD mortality. Fat intake was associated with all-cause, expanded and non-expanded CVD mortality among males with T2DM. Total energy, carbohydrate, and protein intakes were associated with lower risks of all-cause and expanded CVD mortality, with minimal risks observed at ≥1673 Kcal total energy, 43–52% carbohydrate intake, and 15–16% protein intake among people with T2DM.


2021 ◽  
pp. 1-24
Author(s):  
Jackie Shinwell ◽  
Melissa Bateson ◽  
Daniel Nettle ◽  
Gillian V. Pepper

Abstract The aim of this study was to identify the dietary-intake correlates of food insecurity in UK adults. We recruited groups of low-income participants who were classified as food insecure (n = 196) or food secure (n = 198). Participants completed up to five 24h dietary recalls. There was no difference in total energy intake by food insecurity status (βFI = −0.06, 95% CI −0.25 to 0.13). Food insecure participants consumed a less diverse diet, as evidenced by fewer distinct foods per meal (βFI = −0.27, 95% CI −0.47 to −0.07), and had more variable time gaps between meals (βFI = 0.21, 95% CI 0.01 to 0.41). These associations corresponded closely to those found in a recent U.S. study using similar measures, suggesting that the dietary intake signature of food insecurity generalizes across populations. The findings suggest that the consequences of food insecurity for weight gain and health are not due to increased energy intake. We suggest that there may be important health and metabolic effects of temporal irregularity in dietary intake, which appears to be an important component of food insecurity.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Yong Zhu ◽  
Jessica Smith ◽  
Vipra Vanage ◽  
Neha Jain ◽  
Mitesh Sharma ◽  
...  

Abstract Objectives To understand consumption pattern of ready to eat cereal (RTEC) in the Hispanic population in the United States and investigate associations between RTEC consumption and dietary intake as well as diet quality in this population. Methods Children aged between 2–17 years old (N = 899) and adults aged 18 years or older (N = 1593) who were Mexican American or other Hispanics from the National Health and Nutrition Examination Survey 2015–2016 were included in the study. Day 1 dietary data were used to determine RTEC consumption status, energy intake, nutrient and food group intake. Diet quality was measured as the Healthy Eating Index 2015 (HEI-2015). Multiple linear regression analyses for surveys were conducted to estimate covariates-adjusted associations between RTEC consumption and dietary intake, as well as diet quality. Results About 40% of Hispanic children reported RTEC consumption whereas only 14% of Hispanic adults were RTEC eaters. RTEC eaters were more likely from lower income families. Compared to non-eaters, both children and adults who reported RTEC consumption had significantly higher intake of whole grains, dairy products, and vitamins and minerals such as calcium, iron, zinc, folate, thiamin, riboflavin, niacin, vitamin B12, vitamin B6, vitamin A, vitamin D; as well as significantly lower intake of sodium and dietary cholesterol (P < 0.05 for all). Total energy intake and added sugar intake did not differ by RTEC consumption status in both age groups. HEI-2015 total score was significantly higher in RTEC eaters than non-eaters in both Hispanic children and adults (P < 0.05 for both). Conclusions Consumption of RTEC is associated with improved diet quality including higher intake of whole grain and dairy products, as well as several vitamins and minerals in both Hispanic children and adults. Consumption of RTEC is not associated with total energy intake or added sugar in the Hispanic population. Funding Sources The study was funded by General Mills, Inc.


2013 ◽  
Vol 17 (3) ◽  
pp. 479-485 ◽  
Author(s):  
Daisy Abreu ◽  
Isabel Cardoso ◽  
Jean-Michel Gaspoz ◽  
Idris Guessous ◽  
Pedro Marques-Vidal

AbstractObjectiveTo assess nutrition trends of the Geneva population for the period 1999–2009.DesignBus Santé Geneva study, which conducts annual health surveys in random samples of the Geneva population. Dietary intake was assessed using a validated FFQ and trends were assessed by linear regression.SettingPopulation-based survey.SubjectsData from 9283 participants (50 % women, mean age 51·5 (sd10·8) years) were analysed.ResultsIn both genders total energy intake decreased from 1999 to 2009, by 2·9 % in men and by 6·3 % in women (both trendsP< 0·005). Vegetable protein and total carbohydrate intakes, expressed as a percentage of total energy intake, increased in women. MUFA intake increased while SFA, PUFA and alcohol intakes decreased in both genders. Intakes of Ca, Fe and carotene decreased in both genders. No changes in fibre, vitamin D and vitamin A intakes were found. Similar findings were obtained after excluding participants with extreme dietary intakes, except that the decreases in SFA, vegetable protein and carbohydrate were no longer significant in women.ConclusionsBetween 1999 and 2009, a small decrease in total energy intake was noted in the Geneva population. Although the decrease in alcohol and SFA intakes is of interest, the decrease in Ca and Fe intakes may have adverse health effects in the future.


2021 ◽  
Vol 10 ◽  
Author(s):  
Oscar F. Herrán ◽  
Edna M. Gamboa-Delgado ◽  
María Del Pilar Zea

Abstract The present study was aimed at (1) the differences between current weight v. ideal weight, (2) total energy intake and comparing it with required energy (Rkeer), (3) absolute protein intake in g/kg per d and g/1000 calories, (4) how energy and protein intake relate to the nutritional status of the subjects in terms of overall overweight (OEW) [overweight + obesity] and conservative overweight (CEW) [obesity] and (5) the contribution (%) of protein to total energy intake based on the acceptable macronutrient distribution range (AMDR). A dietary study was carried out in Colombia with 29 259 subjects between 1 and 64 years of age, based on cross-sectional data collected in 2015 by a 24-h dietary recall (24HR) administered as part of the National Nutrition Survey. Energy and protein intake did not differ by nutritional status. In the general population, energy intake was 2117 kcal/d (95 % CI 1969, 2264). The total protein intake was 64⋅3 g/d (95 % CI 61⋅4, 67⋅3). Adequate energy intake ranged from 90 to 100 %, except for the 1–4-year-old group, which ranged from 144 to 155 %. Protein intake was 1⋅64 g/kg per d (95 % CI 1⋅53, 1⋅75). The mean AMDR for protein to total energy intake was 13⋅3 % (95 % CI 12⋅9, 13⋅7). Excess weight began during the first 4 years of age. In conclusion, it is worth reviewing and updating energy and protein intake recommendations and dietary guidelines for the Colombian population and designing and modifying public policy.


Author(s):  
Daniel Afrifa ◽  
Kwabena Nsiah ◽  
Collins Afriyie Appiah ◽  
Omoniyi Monday Moses

Background: It has been well documented that adequate body composition characteristics and good nutrition practices play significant roles in maintaining good health, proper immune functioning, muscle growth and repair, and delaying fatigue in continuously intense athletic performance. It would be incumbent, however, to support imported information with local data to enhance effective implementation. Objectives: To examine dietary intake and body composition characteristics of National Football League Players in the Ashanti region of Ghana. Methods: Cross-sectional study was used. 95 football players from the premier, 1st and 2nd divisions of the Ghana National Football League were recruited. A 24-hour dietary recall was used to assess the dietary intake of the players. Body composition characteristics of body mass index, percentage (%) body fat, visceral fat and percentage (%) muscle mass were measured. Results: There were 8 (9.3%) goalkeepers, 29 (33.7%) defenders, 34 (39.5%) midfielders and 15 (17.4%) strikers. 42 (44.2%) of the players ate twice per day. Players within age group of 20 - 25 (49, 51.6%) had the highest mean total energy intake (2342.96 ± 848.18), carbohydrates (324.18 ± 106.35), proteins (75.54 ± 23.94) and fats (83.00 ± 50.76). Midfield players had the highest mean total energy intake (2216.26 ± 803.87), carbohydrates (315.74 ± 121.02), proteins (74.23 ± 26.35) and fats (71.59 ± 34.32). 82 (86.3%) had normal weight, 79 (83.2%) normal % body fat, 45 (47.4%) had very high % muscle mass. Conclusions: The sample in this study has low total energy intake compared to other studies. Insufficient nutritional diets could suggest the reason for the low energy intake. If low energy intake persists, the players might be at high risk of chronic cardiovascular diseases and diabetes conditions.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Yong Zhu ◽  
Jessica Smith ◽  
Neha Jain ◽  
Vipra Vanage ◽  
Mitesh Sharma ◽  
...  

Abstract Objectives Studies have shown ready to eat cereal (RTEC) eaters had better dietary intake than non-eaters, however, little is known about within-subject differences by RTEC consumption. The study was conducted to compare differences in dietary intake and diet quality between the day with and without RTEC consumption in adults from the United States. Methods Data from the National Health and Nutrition Examination Survey 2013–2014 and 2015–2016 were used in the study. The sample comprised of 1818 adults aged 18 years or older who reported consumption of RTEC in one day but not the other day based on two 24-hour dietary recalls. Energy and nutrient intake were obtained from the dietary data, whereas intake of whole grains and added sugar were estimated using Food Patterns Equivalent Database. Diet quality was measured by Healthy Eating Index 2015 (HEI-2015). Multiple linear regression analyses for surveys were conducted to estimate within-subject differences in each outcome by RTEC consumption while adjusting for recall day, recall method, as well as a separate fixed effect of each person to control for demographic characteristics. Results Subjects had significantly higher intake of vitamin A, vitamin D, vitamin B12, vitamin B6, thiamin, riboflavin, niacin, folate, calcium, magnesium, iron, zinc, potassium, phosphorus, carbohydrate, as well as dietary fiber and whole grains, together with significantly lower intake of total fat and sodium, on the day when they consumed RTEC than the day when RTEC was not consumed (P < 0.05 for all). Total energy intake, intake of protein and total sugar as well as added sugar did not differ significantly between the day with and without RTEC consumption. On days when RTEC was consumed, HEI-2015 total score, as well as sub scores for adequacy components including whole fruits, whole grains, dairy, and moderation components including saturated fat, added sugar, and sodium, were significantly higher (P < 0.05 for all). Conclusions When adults consumed RTEC on a given day, they had a healthier diet with higher daily intake of dietary fiber, whole grains, as well as many key vitamins and minerals than the day when they did not consume RTEC. RTEC consumption is not associated with total energy intake and intake of total sugar or added sugar. Funding Sources The study was funded by General Mills, Inc.


2018 ◽  
Vol 120 (4) ◽  
pp. 454-463 ◽  
Author(s):  
Maisa C. Martins ◽  
Janet Trujillo ◽  
Ana Amélia Freitas-Vilela ◽  
Dayana R. Farias ◽  
Eliane L. Rosado ◽  
...  

AbstractGenetic variants associated with dietary intake may be important as factors underlying the development of obesity. We investigated the associations between the obesity candidate genes (fat mass and obesity-associated (FTO), melanocortin-4 receptor (MC4R), leptin (LEP) and leptin receptor) and total energy intake and percentage of energy from macronutrients and ultra-processed foods before and during pregnancy. A sample of 149 pregnant women was followed up in a prospective cohort in Rio de Janeiro, Brazil. A FFQ was administered at 5–13 and 30–36 weeks of gestation. Genotyping was performed using real-time PCR. Associations between polymorphisms and the outcomes were investigated through multiple linear regression and ANCOVA having pre-pregnancy dietary intake as a covariate. The A-allele of FTO-rs9939609 was associated with a −6·5 % (95 % CI −12·3, −0·4) decrease in the percentage of energy from protein and positively associated with the percentage of energy from carbohydrates before pregnancy (β=2·6; 95 % CI 0·5, 4·8) and with a 13·3 % (95 % CI 0·7, 27·5) increase in the total energy intake during pregnancy. The C-allele of MC4R-rs17782313 was associated with a −7·6 % (95 % CI −13·8, −1·0) decrease in the percentage of energy from protein, and positively associated with the percentage of energy from ultra-processed foods (β=5·4; 95 % CI 1·1, 9·8) during pregnancy. ANCOVA results revealed changes in dietary intake from pre-pregnancy to pregnancy for FTO-rs9939609 (percentage of energy from ultra-processed foods, P=0·03), MC4R-rs17782313 (total energy intake, P=0·02) and LEP-rs7799039 (total energy intake, P=0·04; percentage of energy from protein, P=0·04). These findings suggest significant associations between FTO-rs9939609, MC4R-rs17782313 and LEP-rs7799039 genes and the components of dietary intake in pregnant women.


1998 ◽  
Vol 1 (3) ◽  
pp. 147-156 ◽  
Author(s):  
Barbara Thorand ◽  
Lenore Kohlmeier ◽  
Naal Simonsen ◽  
Carry Croghan ◽  
Michael Thamm

AbstractObjective:To determine the role of fruit and vegetable consumption and dietary intake of folic acid and related nutrients such as methionine, cysteine and alcohol in the aetiology of breast cancer.Design:Population based case-control study.Setting:Part of the European Community Multicentre Study on Antioxidants, Myocardial Infarction, and Cancer of the Breast (EURAMIC) in Berlin, Germany.subjects:As part of the EURAMIC study, dietary intake data were collected in 43 postmenopausal women diagnosed with breast cancer between 191 and 1992 in Berlin, Germany, and compared to 106 population-based controls.Results:Odds ratios (ORs) adjusted for major risk factors of breast cancer but not for total energy intake showed a non-significant inverse association between a high intake of vegetables (OR=0.76, 95% CI=0.48–1.20) and fruits (OR=0.74, 95% CI=0.48–1.15) and breast cancer. Once results were adjusted for total energy intake the associations became much weaker (vegetables: OR=0.86, 95% CI=0.51–1.46; fruits: OR=0.82, 95% CI=0.51–1.32). For all nutrients, the effect of energy adjustment was more profound and the inverse associations disappeared when results were adjusted for energy intake (total folate—not energy adjusted: OR=0.79, 95% CI=O.51–1.21; energy adjusted: OR=1.14, 95% CI=0.73–1.79; folate equivalents-not energy adjusted: OR=0.81, 95% CI= 0.53–1.23; energy adjusted: OR=1.16, 95% CI=0.78–1.74; methionine—not energy adjusted: OR=0.60, 95% CI=0.35–1.03; energy adjusted: OR=1.29, 95% CI=0.76–2.19; cysteine—not energy adjusted: OR=0.52, 95% CI=0.29–0.94; energy adjusted: OR=1.22, 95% CI=0.75–1.97). Alcohol intake was inversely associated with breast cancer in a non-significant way, possibly due to the relatively low alcohol intake of the study population.Conclusions:The results of this study do not provide firm evidence that a high intake of fruits and vegetables, folic acid, methionine or cysteine reduces the risk of getting breast cancer.


Nutrients ◽  
2018 ◽  
Vol 10 (9) ◽  
pp. 1149
Author(s):  
Asli Özen ◽  
Maria Bibiloni ◽  
Cristina Bouzas ◽  
Antoni Pons ◽  
Josep Tur

The paper seeks to describe beverage consumption and examine the association between beverage consumption and total water intake and total energy intake of the adult population in the Balearic Islands. Beverage consumption, total water intake, and total energy intake were obtained by using two 24-h diet recalls from a cross-sectional nutritional survey carried out in the Balearic Islands (n = 1386). The contribution of beverages to total water intake and total energy intake were also assessed. Beverages accounted for 65–71% of total water intake and 29–35% of it provided by drinking water. Food moisture contributed 31–37% of total water intake. The mean daily total water intake from all sources was around 2.2 L for men and 1.9 L for women and slightly lower than the proposed adequate intake (AI) recommendations of the European Food Safety Authority (EFSA). The mean total energy intake was 2222 kcal/day and beverages contributed 10.3% of total energy intake for men and 9.5% for women. Energy intake from beverages varied with age. In both sexes, milk was the main beverage contributed to total energy intake. The energy contribution of caloric soft drinks was 1.8% for men and 1.2% for women and energy intake from these beverages was significantly higher among younger adults. Water was the main beverage in the diet, followed by milk and hot beverages. Beverages were mainly consumed in the main meal times (breakfast, lunch, and dinner) in both sexes. The main findings of this study indicate that consumption of sugar-sweetened beverages (caloric soft drinks and commercial fruit juice) is higher among young adults, consumption of alcoholic beverages is higher among males aged 26 and older, and TWI (total water intake) is lower than the EFSA recommendations. These findings may be used to develop effective, healthy eating and drinking policies and campaigns.


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