scholarly journals U.S. Adolescents’ Diet Consumption Patterns Differ between Grocery and Convenience Stores: National Health and Nutrition Examination Survey 2011–2018

Author(s):  
Felicia J. Setiono ◽  
Navika Gangrade ◽  
Tashara M. Leak

Among U.S. adolescents, foods/beverages that are store-bought (i.e., from grocery and convenience stores) are significant contributors of energy intake. However, it remains unclear (1) what foods/beverages are consumed by U.S. adolescents from grocery and convenience stores and (2) if there are differences in foods/beverages consumed by store type. Therefore, we analyzed 29,216 eating occasions from adolescents (12–19 years; n = 4065) in the National Health and Nutrition Examination Survey 2011–2018 to report food/beverage groups and nutrients consumed from grocery and convenience stores. Differences in food/beverage groups and nutrient densities by store type were calculated using multiple logistic and linear regressions. Adolescents were more likely to consume “Beverages” and “Snacks and Sweets” and less likely to consume “Grains”, “Protein”, “Milk and Dairy”, “Condiments and Sauces”, and “Fruits” from convenience compared to grocery stores (all p < 0.0025). Foods/beverages from convenience stores were higher in carbohydrates, total sugar, and added sugar and lower in protein, fat, saturated fat, sodium, and fiber than those from grocery stores (all p < 0.0025). In conclusion, while foods/beverages from convenience stores are more energy-dense and nutrient-poor, there is a critical need to increase the availability, accessibility, and affordability of healthier foods/beverages in both store types to encourage healthier dietary behaviors among U.S. adolescents.

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 406-406
Author(s):  
Navika Gangrade ◽  
Janet Figueroa ◽  
Tashara Leak

Abstract Objectives Adolescents from low-income homes are shown to consume energy-dense snacks. However, less is known about the nutrient composition of snacks and the types of foods/beverages consumed as snacks. The overall aim of this study is to examine income disparities in, 1) nutrients consumed from snacks and 2) food/beverages consumed as snacks, among a nationally representative sample of U.S. adolescents. Methods Adolescents (12–19 years) who participated in the National Health and Nutrition Examination Survey 2005–2018, had reliable Day 1 24-h diet recall data, and reported at least 1 snacking occasion were included in the analyses (n = 7132). Nutrient density (g or mg/100 kcal) of snacks was reported for the following: protein, total fat, saturated fat, carbohydrates, total sugar, added sugar, fiber, sodium. We also reported the proportion of adolescents that consume various foods/beverages as snacks, using What We Eat in America (WWEIA) categories. We examined disparities in the aforementioned snacking characteristics by household poverty-to-income ratio (PIR): low-income (PIR ≤ 1.3), middle-income (PIR &gt; 1.3–3.5), and high-income (PIR &gt; 3.5). Data were analyzed using multiple linear and logistic regression models, adjusting for age, sex, and race/ethnicity. Significance was set at P &lt; 0.05. Results On average, adolescents consumed 185.35 kcal (9.30% of total energy intake) per snacking occasion. For every 100 kcals, adolescent consumed 2.02g protein, 2.87g total fat, 0.99g saturated fat, 17.16g carbohydrates, 10.62g total sugar, 1.69g added sugar, 0.88g fiber, and 120.11mg sodium. Adolescents from low-income homes consumed more energy (9.63%) and added sugar (1.76g) per 100 kcals than those from high-income homes (8.52%, 1.49g, respectively; P&lt; 0.05). The top 3 WWEIA categories of snacks were Snacks & Sweets (e.g., potato chips, cakes and pies; 73.3%), Beverages (51.9%), and Milk & Dairy (25.0%). Compared to adolescents from low-income homes, those from high-income homes were more likely to consume Snacks & Sweets (OR: 1.34, 95% CI: 1.05–1.71), but less likely to consume Beverages (OR: 0.69, 95% CI: 0.57–0.84). Conclusions Among U.S. adolescents, there exist income disparities in both the nutrient density of snacks and the types of foods/beverages consumed as snacks. Funding Sources N/A.


Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4561
Author(s):  
Shristi Rawal ◽  
Valerie B. Duffy ◽  
Lauren Berube ◽  
John E. Hayes ◽  
Ashima K. Kant ◽  
...  

We identified associations between self-reported olfactory dysfunction (OD) and dietary attributes in participants aged ≥40 years (n = 6,356) from the nationally representative 2011–2014 National Health and Nutrition Examination Survey (NHANES). The chemosensory questionnaire and 24-hour dietary recalls were administered by trained interviewers. OD was defined as self-report of either smell problems in the last year, worse smell relative to age 25, or perceiving phantom odors. Dietary outcomes included Healthy Eating Index 2015 score (HEI) with adequacy and moderation components (higher scores indicated higher diet quality), dietary diversity, energy density, and intake of major food groups. Survey-weighted linear regression models estimated OD–diet associations, adjusting for socio-demographic, lifestyle, and clinical factors. Adjusted mean difference (95% CI) between those with versus without OD, showed that adults with OD had significantly lower HEI moderation score (−0.67 (−1.22, −0.11)) and diets higher in energy density (0.06 (0.00, 0.11)), and percent energy from saturated fat (0.47 (0.12, 0.81)), total fat (0.96 (0.22, 1.70)), and added sugar (1.00 (0.33, 1.66)). Age and sex-stratified analyses showed that younger females (40–64 years) primarily accounted for the associations with diet quality and total/saturated fat intake. These findings inform dietary screening and recommendations for adults who report OD, including those experiencing transient or persistent smell loss with COVID-19.


2014 ◽  
Vol 17 (12) ◽  
pp. 2641-2649 ◽  
Author(s):  
Tiffany M Powell-Wiley ◽  
Paige E Miller ◽  
Priscilla Agyemang ◽  
Tanya Agurs-Collins ◽  
Jill Reedy

AbstractObjectiveThe Dietary Approaches to Stop Hypertension (DASH) dietary pattern has been shown to reduce cardiometabolic risk. Little is understood about the relationship between objective diet quality and perceived diet quality (PDQ), a potential psychosocial barrier to appropriate dietary intake. We compared PDQ and diet quality measured by a nutrient-based DASH index score in the USA.DesignCross-sectional study. Participants in the 2005–2006 National Health and Nutrition Examination Survey (NHANES) rated diet quality on a 5-point Likert scale and PDQ scores were generated (low, medium, high). A single 24 h dietary recall was used to estimate DASH index scores (range 0–9 points) by assigning 0, 0·5 or 1 point (optimal) for nine target nutrients: total fat, saturated fat, protein, cholesterol, fibre, Ca, Mg, K and Na.SettingNationally representative sample of the US population.SubjectsAdults aged ≥19 years in 2005–2006 NHANES (n 4419).ResultsParticipants with high PDQ (33 %) had higher DASH index scores (mean 3·0 (sd 0·07)) than those with low PDQ (mean 2·5 (sd 0·06), P < 0·001), but average scores did not align with targets for intermediate or optimal DASH accordance. Adults with high PDQ reported higher total fat, saturated fat and Na intakes compared with optimal DASH nutrient goals. Differences between those with high v. low PDQ were similar for Whites and Blacks, but there was no difference between PDQ groups for Mexican Americans.ConclusionsAmong Whites and Blacks, but not Mexican Americans, high PDQ may be associated with higher diet quality, but not necessarily a diet meeting DASH nutrient goals. This disconnect between PDQ and actual diet quality may serve as a target in obesity prevention.


2016 ◽  
Vol 19 (14) ◽  
pp. 2508-2512 ◽  
Author(s):  
M Katherine Hoy ◽  
Joseph D Goldman ◽  
Rhonda S Sebastian

AbstractObjectiveEstimates of fruit and vegetable (FV) consumption vary depending on intake definition, which may be determined by research purpose. Researchers have used two methods to evaluate intake: epidemiological and behavioural. The present study describes FV intake by adults using epidemiological v. behavioural approaches.DesignOne-day dietary intake data from What We Eat In America, National Health and Nutrition Examination Survey 2009–2012 were used. Sample weights were used to produce nationally representative estimates. FV intake (in cup-equivalents (CE)) was estimated using the Food Patterns Equivalents Database. The epidemiological method considered all FV after disaggregating foods and beverages. The behavioural method included foods that provided at least 0·2 CE FV per 100 g, and excluded sources high in fat, added sugar and Na.SettingNationally representative survey of the US population.SubjectsAdults (n 10 563) aged ≥20 years.ResultsFor epidemiological v. behavioural, fruit intake was 1·1 v. 1·0 CE for males and 1·0 v. 0·9 CE for females. Vegetable intake was 1·8 v. 1·1 CE for males and 1·5 v. 1·0 CE for females.ConclusionsThe definition of FV intake affects estimates of consumption by the population and is an important consideration when planning and comparing research studies. The method used should align with research goals to assure accurate interpretation and validity of results.


2016 ◽  
Vol 19 (13) ◽  
pp. 2424-2434 ◽  
Author(s):  
Luis A Rodríguez ◽  
Kristine A Madsen ◽  
Carolyn Cotterman ◽  
Robert H Lustig

AbstractObjectiveTo examine the association between added sugar intake and metabolic syndrome among adolescents.DesignDietary, serum biomarker, anthropometric and physical activity data from the US National Health and Nutrition Examination Survey cycles between 2005 and 2012 were analysed using multivariate logistic regression models. Added sugar intake in grams per day was estimated from two 24 h standardized dietary recalls and then separated into quintiles from lowest to highest consumption. Multivariate logistic regression analyses were adjusted for physical activity, age, BMI Z-score and energy intake, and their interactions with race were included.SettingNationally representative sample, USA.SubjectsUS adolescents aged 12–19 years (n 1623).ResultsAdded sugar was significantly associated with metabolic syndrome. The adjusted prevalence odds ratios for having metabolic syndrome comparing adolescents in the third, fourth and fifth quintiles v. those in the lowest quintile of added sugar were 5·3 (95 % CI 1·4, 20·6), 9·9 (95 % CI 1·9, 50·9) and 8·7 (95 % CI 1·4, 54·9), respectively.ConclusionsOur findings suggest that higher added sugar intake, independent of total energy intake, physical activity or BMI Z-score, is associated with increased prevalence of metabolic syndrome in US adolescents. Further studies are needed to determine if reducing intake of added sugar may help US adolescents prevent or reverse metabolic syndrome.


Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 1989 ◽  
Author(s):  
Jessica D. Smith ◽  
Yong Zhu ◽  
Vipra Vanage ◽  
Neha Jain ◽  
Norton Holschuh ◽  
...  

Ready-to-eat (RTE) cereal is a popular food among children. However, there are no recent data on the associations between RTE cereal consumption and dietary outcomes in the U.S. Therefore, we sought to investigate how RTE cereal was associated with nutrient and food group intakes and overall dietary quality among children aged 0.5 to 17 years using the latest data from the National Health and Nutrition Examination Survey (NHANES 2015–2016). Thirty-six percent of children reported consuming RTE cereal. RTE cereal eaters consumed the same number of calories as non-eaters but had higher intakes of total carbohydrates, total sugar, fiber, calcium, iron, magnesium, potassium, zinc, vitamin A, thiamin, riboflavin, niacin, vitamin B6, folate, vitamin B12, and vitamin D, as well as lower intakes of total fat and saturated fat (p ≤ 0.0007). We also found that children who consumed RTE cereal had 29% higher total dairy intake (p < 0.0001) and 61% higher whole grain intake (p < 0.0001). Lastly, children who ate RTE cereal had higher diet quality than the children that did not eat RTE cereal, as shown by Healthy Eating Index 2015 total score (52.6 versus 47.7, p < 0.0001). Therefore, consumption of whole-grain fortified RTE cereals should be encouraged as part of healthy dietary patterns for children.


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