Abstract P354: Percent of Americans Meeting Food Group Recommendations and Top Food Sources of Key Nutrients in the American Diet

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Jessica D Smith ◽  
Yong Zhu ◽  
Vipra Vanage ◽  
Neha Jain ◽  
Norton Holschuh
Keyword(s):  
Public Health ◽  
Ethnic Groups ◽  
Whole Grains ◽  
Dietary Guidelines ◽  
Food Sources ◽  
Health Concern ◽  
Food Groups ◽  
Public Health Concern ◽  
Childbearing Age ◽  
Racial Ethnic

The 2015-2020 Dietary Guidelines for Americans recommends consumption of a healthy dietary pattern that includes nutrient-dense vegetables, fruits, whole grains, dairy, protein foods, and oils. However, many Americans are falling short on consuming the recommended amount of these food groups and greater disparities may exist within certain sociodemographic groups. Objectives: The objectives of this study were to determine where Americans were falling short in intake of food groups when stratified by sociodemographic characteristics and to determine which foods in the American diet were the top sources of whole grains and nutrients of public health concern (calcium, vitamin D, potassium, fiber and iron [for women and adolescent girls of childbearing age]). Methods: Data on consumption of food groups for Americans 2 years and older (excluding pregnant and lactating women; n=7,814) were taken from the Food Patterns Equivalent Database (FPED) 2015-2016. Usual intake of food groups was calculated based on 2 24-hr recalls using the National Cancer Institute method and National Health and Nutrition Examination Survey (NHANES) study weights. Top food sources of nutrients in the diet were calculated using NHANES 2015-2016 day 1 24-hr dietary recall data and foods were grouped according to the What We Eat in America categorization. Results: Over half of Americans 2 years and older met the intake recommendations for protein foods, oils, and total grains; however, far fewer met the recommendations for vegetables (12%), fruits (15%), whole grains (1%), or dairy (8%) intake. Patterns were similar across age groups although children and older adults were generally more likely to meet recommendations than adolescents and younger adults. Compared to men and boys, women and girls were more likely to meet recommendations for vegetables (14% vs 9%) and fruits (17% vs. 13%), and less likely to meet recommendations for total grains (50% vs 62%), dairy (5% vs 12%) and protein foods (43% vs 62%). The percent meeting recommendations for fruits, vegetables, whole grains and dairy remained low across racial/ethnic groups. Milk, ready-to-eat cereals, pizza, sandwiches, and breads were among the top sources of whole grains and the nutrients of public health concern for children. For adults, key foods included breads, ready-to-eat cereals, milk, and Mexican mixed dishes. Conclusion: Shifts in dietary patterns are needed to meet current recommendations across all age, gender, and racial/ethnic groups in the U.S. Increasing the intake of key foods such as milk, ready-to-eat cereal, bread and mixed dishes may help Americans increase intake of under-consumed food groups and nutrients.

scholarly journals Defining Nutritional and Functional Niches of Legumes: A Call for Clarity to Distinguish a Future Role for Pulses in the Dietary Guidelines for Americans

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1100
Author(s):  
Chelsea Didinger ◽  
Henry J. Thompson
Keyword(s):  
Public Health ◽  
Health Care Professionals ◽  
Weight Status ◽  
Dietary Guidelines ◽  
Health Concern ◽  
Healthy Weight ◽  
Food Groups ◽  
Rich Diversity ◽  
Dietary Guidelines For Americans ◽  
Dietary Components

Legume food crops can contribute to the solution of diet-related public health challenges. The rich diversity of the botanical family Fabaceae (Leguminosae) allows legumes to fill numerous nutritional niches. Pulses (i.e., a subgroup of legumes including chickpeas, cowpeas, dry beans, dry peas, and lentils) are a nutrient-dense food that could play a key role in eliminating the dramatic underconsumption of dietary fiber and potassium, two dietary components of public health concern, all while maintaining a caloric intake that promotes a healthy weight status. However, incorrect use of terminology—in the commercial and scientific literature as well as in publications and materials prepared for the consuming public—creates confusion and represents a barrier to dissemination of clear dietary guideline messaging. The use of accurate terminology and a simple classification scheme can promote public health through differentiation among types of legumes, better informing the development and implementation of nutritional policies and allowing health care professionals and the public to capitalize on the health benefits associated with different legumes. Although inconsistent grouping of legumes exists across countries, the recently released 2020–2025 Dietary Guidelines for Americans (DGA) were chosen to illustrate potential challenges faced and areas for clarification. In the 2020–2025 DGA, pulses are included in two food groups: the protein food group and ‘beans, peas, lentils’ vegetable subgroup. To evaluate the potential of pulses to contribute to intake of key dietary components within calorie recommendations, we compared 100 kilocalorie edible portions of pulses versus other foods. These comparisons demonstrate the unique nutritional profile of pulses and the opportunity afforded by this type of legume to address public health concerns, which can be greatly advanced by reducing confusion through global harmonization of terminology.

scholarly journals Comparing the cost of essential nutrients from different food sources in the American diet using NHANES 2011–2014

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Julie M. Hess ◽  
Christopher J. Cifelli ◽  
Sanjiv Agarwal ◽  
Victor L. Fulgoni
Keyword(s):  
Vitamin D ◽  
Fruits And Vegetables ◽  
Cost Effective ◽  
Dietary Guidelines ◽  
Food Sources ◽  
Health Concern ◽  
Eating Patterns ◽  
Food Groups ◽  
Daily Food ◽  
The Cost

Abstract Background One reason that some Americans do not meet nutrient needs from healthy eating patterns is cost. Food cost affects how people eat, and healthy diets tend to be more expensive. Cost is also important for diet sustainability. Sustainable eating patterns must be both nutritionally adequate and affordable. The objective of this study was to compare the cost of obtaining shortfall nutrients from different food groups to help identify cost-effective ways Americans can move towards healthy and sustainable eating patterns. Methods This analysis used dietary intake data from the National Health and Nutrition Examination Survey from 2011 to 2012 and 2013–2014 (n = 5876 children 2–18 years and n = 9953 adults 19–99 years). Americans’ nutrient intake from food categories in “What We Eat in America” and the 2015–2020 Dietary Guidelines for Americans was determined using the Food and Nutrient Database for Dietary Studies. Food cost and the cost of nutrients were obtained from Center for Nutrition Promotion and Policy food cost database 2001–2002 and 2003–2004 (adjusted for inflation). Results The daily mean cost of food was $4.74 ± 0.06 for children and $6.43 ± 0.06 for adults. “Protein foods” and “mixed dishes” were the two most expensive food categories (43–45% of daily food costs), while “grains,” “fruits,” and “vegetables” combined accounted for ~ 18% of the daily cost, and “milk and dairy” accounted for 6–12% of total daily food costs in both adults and children. “Milk and dairy” were the least expensive dietary sources of calcium and vitamin D in the American diet, while “grains” were the least expensive sources of iron and magnesium, and “protein foods” were the least expensive sources of choline. “Fruits” and “vegetables” were the least expensive sources of potassium and vitamin C, respectively, and “snacks and sweets” were the least expensive sources of vitamin E. Conclusion “Milk and dairy” were inexpensive sources of three of the four nutrients of public health concern (calcium, vitamin D, and potassium), while “grains” were the least expensive source of fiber. The results of this work reinforce the importance of consuming a variety of nutrient-rich foods for cost-effective, sustainable eating patterns.

scholarly journals Comparing the Cost of Essential Nutrients from Different Food Sources in the American Diet (OR20-04-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Julie Hess ◽  
Christopher Cifelli ◽  
Sanjiv Agarwal ◽  
Victor Fulgoni
Keyword(s):  
Vitamin D ◽  
Fruits And Vegetables ◽  
Dietary Guidelines ◽  
Food Sources ◽  
Health Concern ◽  
Eating Patterns ◽  
Food Groups ◽  
Essential Nutrients ◽  
Daily Food ◽  
The Cost

Abstract Objectives The cost of food, along with several other factors, influences how people eat and is an important facet of sustainability. Sustainable eating patterns are both nutritionally adequate and affordable. The objective of this study was to compare the cost to the consumer of obtaining shortfall nutrients from different food groups: milk and dairy, protein foods, mixed dishes, grains, snacks & sweets, fruits, and vegetables. Methods This analysis used dietary intake data from the National Health and Nutrition Examination Survey from 2011–2012 and 2013–2014 (n = 5876 children age 2–18 years and 9953 adults age 19–99 years). Americans’ nutrient intake from food categories in “What We Eat in America” and the 2015–2020 Dietary Guidelines for Americans was determined using the Food and Nutrient Database for Dietary Studies. Food cost and the cost of nutrients were obtained from Center for Nutrition Promotion and Policy food cost database 2001–2002 and 2003–2004 and adjusted for inflation. Results The daily mean cost of food was $4.74 ± 0.06 for children and $6.43 ± 0.06 for adults. “Protein foods” and “mixed dishes” were the two most expensive food categories (43–45% of daily food costs), and “milk and dairy” accounted for 6–12% of total daily food costs in both adults and children. “Milk and dairy” were also the least expensive dietary sources of calcium and vitamin D in the American diet. “Protein foods” and “grains” were the main dietary sources of choline, and “protein foods” were also the least expensive sources of choline. “Grains” were the least expensive sources of iron and magnesium, while “fruits” and “vegetables” were the least expensive sources of potassium and vitamin C, respectively. “Snacks & sweets” were the least expensive sources of vitamin E. Although “milk and dairy” were not the least costly sources of potassium, magnesium and vitamin A, they were the second least expensive. Conclusions In addition to contributing essential nutrients to the American diet, “milk and dairy” are also inexpensive sources for several of these nutrients, including three of the four “nutrients of public health concern” (calcium, vitamin D, and potassium), indicating that dairy foods can be part of sustainable eating patterns. Funding Sources National Dairy Council.

scholarly journals Food Sources of Energy and Nutrients of Public Health Concern and Nutrients to Limit with a Focus on Milk and other Dairy Foods in Children 2 to 18 Years of Age: National Health and Nutrition Examination Survey, 2011–2014

Nutrients ◽  
2018 ◽  
Vol 10 (8) ◽  
pp. 1050 ◽  
Author(s):  
Carol O’Neil ◽  
Theresa Nicklas ◽  
Victor Fulgoni
Keyword(s):  
Public Health ◽  
Age Groups ◽  
Food Group ◽  
Food Sources ◽  
Health Concern ◽  
Bakery Products ◽  
Public Health Concern ◽  
Added Sugars ◽  
Dairy Foods ◽  
Sweetened Beverages

Many children are not meeting current nutrient recommendations. The objective of this study was to determine the food sources of energy, nutrients of public health concern, and nutrients to limit with a focus on dairy foods. Twenty-four-hour dietary recall data from children 2–5 (n = 1511), 6–11 (n = 2193), and 12–18 years (n = 2172) participating in NHANES 2011–2014 were analyzed. Energy, fiber, calcium, potassium, vitamin D, added sugars, saturated fatty acids (SFA), and sodium intakes were sample-weighted and ranked on percentage contribution to the diet using specific food group intake and disaggregated data for dairy foods. For children 2–5, 6–11, and 12–18 years, milk, sweet bakery products, and sweetened beverages, respectively were the top food sources of energy, respectively. For calcium, potassium, and vitamin D, milk was the top ranked food source in all age groups. For children 2–5, 6–11, and 12–18 years, milk, sweet bakery products, and pizza, respectively were the top three ranked food sources of SFA; and sugar sweetened beverages and sweet bakery products were to top two food group sources of added sugars. Cured meats/poultry, pizza, and pizza, respectively, were the top ranked food sources of sodium for the three age groups. Identification of food sources of these nutrients can help health professionals implement appropriate dietary recommendations and plan age-appropriate interventions.

Reframing Fatness: Critiquing ‘Obesity’

2018 ◽  
Author(s):  
Bethan Evans ◽  
Charlotte Cooper
Keyword(s):  
Public Health ◽  
Weight Loss ◽  
Michel Foucault ◽  
Overweight And Obesity ◽  
Health Concern ◽  
Public Health Concern ◽  
Policy Language ◽  
Religious Imagery ◽  
Fat Bodies

Over the last twenty years or so, fatness, pathologised as overweight and obesity, has been a core public health concern around which has grown a lucrative international weight loss industry. Referred to as a ‘time bomb’ and ‘the terror within’, analogies of ‘war’ circulate around obesity, framing fatness as enemy.2 Religious imagery and cultural and moral ideologies inform medical, popular and policy language with the ‘sins’ of ‘gluttony’ and ‘sloth’, evoked to frame fat people as immoral at worst and unknowledgeable victims at best, and understandings of fatness intersect with gender, class, age, sexuality, disability and race to make some fat bodies more problematically fat than others. As Evans and Colls argue, drawing on Michel Foucault, a combination of medical and moral knowledges produces the powerful ‘obesity truths’ through which fatness is framed as universally abject and pathological. Dominant and medicalised discourses of fatness (as obesity) leave little room for alternative understandings.

European Surveillance of Antimicrobial Consumption: the ESAC programme

2004 ◽  
Vol 8 (32) ◽  
Author(s):  
Keyword(s):  
Public Health ◽  
Antimicrobial Resistance ◽  
Health Concern ◽  
Antimicrobial Consumption ◽  
Public Health Concern ◽  
Major Public Health Concern

Resistance to antimicrobials has become a major public health concern, and it has been shown that there is a relationship, albeit complex, between antimicrobial resistance and consumption

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