Consumption Patterns of Grain-Based Foods among Children and Adolescents in Canada: Evidence from Canadian Community Health Survey-Nutrition 2015

The current analyses used data from the Canadian Community Health Survey-Nutrition 2015 to investigate grain-based food (GBF) dietary patterns of consumptions among 6,400,000 Canadian children and adolescents 2 to 18 years old. Nutrient intakes, socioeconomic differences, body mass index (BMI) z-scores, and intakes of several food groups were examined across the identified grain patterns of consumption. We employed k-mean cluster analysis to identify the consumption patterns of grain products. Based on the contributions of 21 grain food groups to the total energy intake of each individual, seven GBF consumption patterns were identified including other bread; salty snacks; pasta; rice; cakes and cookies; white bread; and mixed grains. Individuals having less than one serving of grain products were also separately categorized as no-grain consumers. Mean energy intake (kcal/day) was lowest for the “no-grain” consumers and greatest in children/adolescents consuming a “salty snacks” pattern when all GBF patterns were compared. Children and adolescents with “no-grain” and “rice” GBF consumption patterns had significantly lower intakes of several nutrients including dietary fiber, folate, magnesium, calcium, iron, zinc, thiamin, niacin, and riboflavin. No associations were observed with any of the identified GBF patterns and BMI z-scores. In addition, the socioeconomic status (SES) indicators such as household incomes and immigration status of participants were shown to be significantly different across the identified clusters.

Download Full-text

Nutrient Intakes of Canadian Children and Adolescents: Results from the Canadian Community Health Survey (CCHS) 2015 – Nutrition Public Use Microdata Files

10.21203/rs.3.rs-1138934/v1 ◽

2021 ◽

Author(s):

Alena (Praneet) Ng ◽

Mavra Ahmed ◽

Mary L'Abbe

Keyword(s):

Vitamin D ◽

Vitamin A ◽

Children And Adolescents ◽

Community Health ◽

Health Survey ◽

Canadian Community Health Survey ◽

Dietary Reference Intake ◽

Nutrient Intakes ◽

Community Health Survey ◽

Using Data

Abstract Background: Up-to-date and appropriate estimates of the usual intakes of key nutrients are crucial for monitoring the nutritional adequacy of the Canadian population. Comprehensive, nationally-representative nutrient estimates for Canadian children and adolescents are available using data from the Canadian Community Health Survey (CCHS) – Nutrition 2004, however results are scarce for the most-recent 2015 data. The objective of this research was to assess nutrient intakes of Canadian children and adolescents using data from the CCHS 2015 Public Use Microdata Files (PUMF) Methods: Participants’ first 24-hr dietary recall, and the second-day recall from a subset of participants were used to estimate usual intakes of macronutrients, vitamins and minerals in children and adolescents (2-18 years). Usual intakes by Dietary Reference Intake (DRI) age-sex groups were estimated using the National Cancer Institute (NCI) method, adjusted for age, sex, misreporting status, weekend/weekday, and sequence of recall analyzed (first/second), with consideration for outliers (N=5,493). Usual intakes from food and beverages were assessed for prevalence of inadequacy in relation to the DRI recommendations. Results: Children 2-3y consumed a percentage of total energy from protein above the Acceptable Macronutrient Distribution Range (AMDR). Among children and adolescents, 71% met the AMDR for carbohydrates and 63-71% met the AMDR for total fat. With the exception of calcium and vitamin D, a very low prevalence (<10%) of inadequate intakes was observed for select micronutrients among Canadian children 2-8y, while a substantial proportion of adolescents (>15%) did not meet requirements for vitamin A, vitamin C, vitamin D, calcium, magnesium and zinc.Conclusions: Canadian children and adolescents may not be meeting recommendations for short fall nutrients such as calcium, potassium, vitamin A and vitamin D. Fibre intake continues to remain low, while sodium intake exceeded recommendations. These findings provide important, updated baseline estimates on the nutrient intakes of this subpopulation in Canada for continued monitoring of adherence to the 2019 Canada’s Food Guide and may be useful to inform future public health nutrition policies, programs and initiatives.

Download Full-text

Association between Grain Intake, Nutrient Intake, and Diet Quality of Canadians: Evidence from the Canadian Community Health Survey–Nutrition 2015

Nutrients ◽

10.3390/nu11081937 ◽

2019 ◽

Vol 11 (8) ◽

pp. 1937 ◽

Cited By ~ 2

Author(s):

Seyed H Hosseini ◽

Julie M Jones ◽

Hassan Vatanparast

Keyword(s):

Children And Adolescents ◽

Community Health ◽

Health Survey ◽

Diet Quality ◽

Specific Treatment ◽

Canadian Community Health Survey ◽

Whole Grains ◽

Whole Grain ◽

Community Health Survey ◽

Adolescents And Adults

The new Canada’s Food Guide (CFG) recommends whole grains foods as the primary choice of grain products in the daily diet. This study examined whether higher shares of whole-grain consumption, beyond the recommended levels (i.e., above half) of the daily grain intake, are linked with optimal diet quality and intakes of some key nutrients, for both children and adolescents and adults in Canada. To meet the objective of this study, we used the Canadian Community Health Survey (CCHS)–Nutrition 2015, which is a nationally representative data. We employed the propensity score matching (PSM) method in this study. PSM estimates the exposure effect when a set of individuals are exposed to a specific treatment (food group intake in this study) in a non-experimental setting. The results of our analyses implied that a high consumption of whole grains is associated with a good diet quality. However, after a certain level of whole-grain consumption, no significant differences can be observed in diet quality scores of children and adolescents and adults. Moreover, it was observed that the proportion of obese and overweight individuals was significantly lower among adults that had balanced intakes of whole and non-whole grains. The results of logistic regression analyses also showed the probability of being obese and overweight is significantly lower in the case of adults with balanced intakes of grains. However, no significant differences were observed in the prevalence of obesity and overweight across whole grains consumption patterns for children and adolescents.

Download Full-text

Nutritional implications of dietary gluten avoidance among Canadians: results from the 2015 Canadian Community Health Survey

British Journal Of Nutrition ◽

10.1017/s000711452000450x ◽

2020 ◽

pp. 1-9 ◽

Cited By ~ 1

Author(s):

Adriana N. Mudryj ◽

Anne K. Waugh ◽

Joyce J. Slater ◽

Donald R. Duerksen ◽

Charles N. Bernstein ◽

...

Keyword(s):

Vitamin D ◽

Community Health ◽

Health Survey ◽

Secondary Analysis ◽

Canadian Community Health Survey ◽

Food Groups ◽

Nutrient Intakes ◽

Nutrition Survey ◽

Cross Sectional ◽

Community Health Survey

Abstract Adherence to a gluten-free diet (GFD) is the only available treatment for gluten-related disorders, although a GFD may also be followed for discretionary reasons. The main objectives of the present study were to (1) describe and test for differences in key nutrient intakes among Canadians who follow a GFD compared with Canadians with no dietary exclusions and (2) describe additional dietary avoidances adhered to by Canadians who avoid gluten. We conducted a secondary analysis of the cross-sectional 2015 Canadian Community Health Survey-Nutrition Survey, which included a general health survey and 24-h dietary recall (n 20 487). Participants were categorised as those who avoid dietary gluten and those who reported no avoidances. Key nutrient intakes were assessed, as a percentage of Dietary Recommended Intakes, including fibre, B vitamins, vitamin D, Ca, Fe, Na and Zn, and compared between the two groups using t tests. Canadians who avoided gluten had significantly lower intakes of folate, vitamin B12, vitamin D, Fe, Na and Ca compared with those who did not avoid any food groups. However, Canadians who reported following a GFD were significantly more likely to use vitamin or mineral supplements in the past 30 d. More than 20 % of those who avoided gluten also avoided dairy products. Findings suggest that following a GFD places Canadians at risk for nutrient inadequacies, particularly folate, Ca and vitamin D. Further research is required to further examine how multiple dietary avoidances among those who avoid gluten may contribute to dietary inadequacies.

Download Full-text

Intakes of nutrients and food categories in Canadian children and adolescents across levels of sugars intake: Cross-sectional analyses of the Canadian Community Health Survey 2015 Public Use Microdata File

Applied Physiology Nutrition and Metabolism ◽

10.1139/apnm-2021-0517 ◽

2022 ◽

Author(s):

Laura Chiavaroli ◽

Ye (Flora) Wang ◽

Mavra Ahmed ◽

Alena (Praneet) Ng ◽

Chiara DiAngelo ◽

...

Keyword(s):

Children And Adolescents ◽

Community Health ◽

Health Survey ◽

Canadian Community Health Survey ◽

Food Sources ◽

Dietary Recommendations ◽

Cross Sectional ◽

Total Sugars ◽

Community Health Survey ◽

Older Adolescents

Dietary recommendations to reduce sugars consumption may influence choices of sugars-containing foods and affect the intake of key micronutrients. We compared intakes of nutrients and food sources stratified by quintiles of total sugars in Canadian children (2-8y) and adolescents (9-13y, 14-18y) using 24-hour dietary recalls from the 2015 Canadian Community Health Survey-Nutrition. Energy intakes did not differ across quintiles of sugars intake. Those with lower sugars intakes (Q1/Q3) generally had higher protein, fat, sodium, niacin, folate and zinc and lower vitamin C compared to those with the highest sugars intakes (Q5). Q1 also had lower potassium but higher saturated fat compared to Q5. Further, Q1 generally had higher protein, fats and niacin compared to Q3, while children in Q3 had higher potassium and riboflavin and older adolescents had higher calcium and fibre. Q5 had highest intakes of multiple sugar-containing food categories (e.g. fruit, confectionary, milks, cakes/pies/pastries), with higher sugars-sweetened beverages in adolescents. Q3 had higher fruit, milks and fruit juice compared to Q1 and lower sugars/syrups/preserves, confectionary, and fruit juices compared to Q5. Certain nutrient-dense food sources of sugars (fruit, milks) may help increase key nutrients (potassium, calcium, fibre) in older adolescents with low sugars intakes. However, in those with the highest sugars intakes, nutrient-poor foods may displace nutrient-dense foods. Novelty: • Canadian children and adolescents with lower sugars intake have better intakes of some nutrients • Energy intakes did not differ across sugars intake • Older adolescents with mean intakes of total sugars had better intakes of some key nutrients (potassium, calcium, fibre)

Download Full-text

Consumption Patterns of Grain-Based Foods among Adults in Canada: Evidence from Canadian Community Health Survey—Nutrition 2015

Nutrients ◽

10.3390/nu11040784 ◽

2019 ◽

Vol 11 (4) ◽

pp. 784 ◽

Cited By ~ 2

Author(s):

Seyed H Hosseini ◽

Yanni Papanikolaou ◽

Naorin Islam ◽

Patil Rashmi ◽

Arash Shamloo ◽

...

Keyword(s):

Community Health ◽

Health Survey ◽

Dietary Patterns ◽

Dietary Pattern ◽

Daily Intake ◽

Canadian Community Health Survey ◽

Consumption Patterns ◽

Health Concern ◽

Considerable Proportion ◽

Community Health Survey

In this study, we used the Canadian Community Health Survey-Nutrition (CCHS) 2015 data to examine the consumption patterns of grain-based foods (GBFs) for Canadian adults. We used a k-mean cluster analysis based on the contribution of 21 grain-based foods to total energy intake of adults in Canada to find the dietary patterns of GBFs. Cluster analyses rendered seven dietary patterns including: ‘other bread’, ‘cake and cookies’, ‘pasta’, ‘rice’, ‘mixed’, ‘white bread’, and finally ‘whole wheat and whole-grain bread’. ‘No grain’ and ‘rice’ consumers had lower intakes of dietary fibre, folate, iron and calcium, which are the nutrients of public health concern in Canada. Adults consuming a ‘mixed grain’ dietary pattern had a greater daily intake of calcium, potassium, magnesium, riboflavin, and vitamin B6 than those in the ‘no grain’ dietary pattern. We also observed that a considerable proportion of individuals clustered in the ‘rice’ group are immigrants and belong to households with lower income levels.

Download Full-text

Association between whole grain food intake in Canada and nutrient intake, food group intake and diet quality: Findings from the 2015 Canadian Community Health Survey

PLoS ONE ◽

10.1371/journal.pone.0253052 ◽

2021 ◽

Vol 16 (7) ◽

pp. e0253052

Author(s):

Jessica Smith ◽

Yong Zhu ◽

Neha Jain ◽

Norton Holschuh

Keyword(s):

Community Health ◽

Health Survey ◽

Diet Quality ◽

Canadian Community Health Survey ◽

Whole Grains ◽

Food Sources ◽

Wheat Bread ◽

Food Groups ◽

Whole Grain ◽

Community Health Survey

Whole grains have been associated with numerous beneficial health outcomes and are recommended in Canada’s Food Guide; however, there is little research on whole grains specific to Canada. Therefore, the objective of this study was to characterize the association between Canadians’ WG intake and nutrients, food groups and diet quality and to understand top sources of WG in the diets of Canadians. We used data from the Canadian Community Health Survey 2015: a cross-sectional survey that collected information on diet (using a 24-hour recall) and health from 20,487 Canadians 1 year and older. We classified study participants according to their WG intake: non-WG (n = 10,883) and three groups based on age-specific tertiles of WG intake, low-WG (n = 3,322), mid-WG (n = 3,180), and high-WG (n = 3,102). Results were analyzed using population-based survey methods and were adjusted for energy, age, gender, overweight/obesity, income, and supplement use. We found differences in nutrients and food groups by WG group: there was a significant linear trend across groups of increasing WG for increased fiber (children and adults), vitamin B6 (children), thiamin (adults), potassium (children and adults), zinc (adults), calcium (children and adults), iron (children and adults), magnesium (children and adults), fruit (adults), and legumes, nuts and seeds (adults); and decreased total fat (adults), saturated fat (adults), folate (children and adults), refined grains (adults and children), and meat and poultry (adults) intake. We found that there were no differences in total sugar or sodium intake across WG intake groups. The high WG intake group for both children and adults had higher diet quality, measured by the Nutrient Rich Food Index 9.3, compared to non-WG eaters. The top 2 food sources of WG across WG intake groups for children and adults were whole grain oat and high fiber breakfast cereal and whole grain and whole wheat bread. Other top sources of WG included rice, bread products, other breakfast cereals, salty snacks, cereal grains and flours, pasta, and sweet snacks. This research supports recommendations to increase WG foods intake as a means to improve diet quality of Canadians.

Download Full-text

Gambling and Problem Gambling in Canada in 2018: Prevalence and Changes Since 2002: Le Jeu et le Jeu Problématique au Canada en 2018 : Prévalence et Changements Depuis 2002

The Canadian Journal of Psychiatry ◽

10.1177/0706743720980080 ◽

2020 ◽

pp. 070674372098008

Author(s):

Robert J. Williams ◽

Carrie A. Leonard ◽

Yale D. Belanger ◽

Darren R. Christensen ◽

Nady el-Guebaly ◽

...

Keyword(s):

Problem Gambling ◽

Community Health ◽

Health Survey ◽

Canadian Community Health Survey ◽

Problem Gamblers ◽

Type Of Gambling ◽

Community Health Survey ◽

Electronic Gambling ◽

Time Periods ◽

Electronic Gambling Machine

Objective: The purpose of this study was to provide an updated profile of gambling and problem gambling in Canada and to examine how the rates and pattern of participation compare to 2002. Method: An assessment of gambling and problem gambling was included in the 2018 Canadian Community Health Survey and administered to 24,982 individuals aged 15 and older. The present analyses selected for adults (18+). Results: A total of 66.2% of people reported engaging in some type of gambling in 2018, primarily lottery and/or raffle tickets, the only type in which the majority of Canadians participate. There are some significant interprovincial differences, with perhaps the most important one being the higher rate of electronic gambling machine (EGM) participation in Manitoba and Saskatchewan. The overall pattern of gambling in 2018 is very similar to 2002, although participation is generally much lower in 2018, particularly for EGMs and bingo. Only 0.6% of the population were identified as problem gamblers in 2018, with an additional 2.7% being at-risk gamblers. There is no significant interprovincial variation in problem gambling rates. The interprovincial pattern of problem gambling in 2018 is also very similar to what was found in 2002 with the main difference being a 45% decrease in the overall prevalence of problem gambling. Conclusions: Gambling and problem gambling have both decreased in Canada from 2002 to 2018 although the provincial patterns are quite similar between the 2 time periods. Several mechanisms have likely collectively contributed to these declines. Decreases have also been reported in several other Western countries in recent years and have occurred despite the expansion of legal gambling opportunities, suggesting a degree of inoculation or adaptation in the population.

Download Full-text

Determinants of food insecurity among elderly people: findings from the Canadian Community Health Survey

Ageing and Society ◽

10.1017/s0144686x20002081 ◽

2021 ◽

pp. 1-15

Author(s):

Moses Mosonsieyiri Kansanga ◽

Yujiro Sano ◽

Isaac Bayor ◽

Joseph Asumah Braimah ◽

Abraham Marshall Nunbogu ◽

...

Keyword(s):

Food Security ◽

Food Insecurity ◽

Community Health ◽

Elderly People ◽

Health Survey ◽

Policy Issue ◽

Integrated Approach ◽

Canadian Community Health Survey ◽

Health Concern ◽

Community Health Survey

Abstract Food insecurity among elderly people is a major public health concern due to its association with several health conditions. Despite growing research and implementation of diverse income-based policy measures, food insecurity among elderly people remains a major policy issue in Canada. Additional research could inform food policy beyond strategies that target improving the financial resources of elderly people. Drawing data from the Canadian Community Health Survey (N = 24,930), we explored the correlates of food insecurity among older adults using negative log-log logistic regression techniques. Our findings show that certain categories of elderly people are more prone to food insecurity. These segments include seniors who are visible minorities (OR = 1.29, p < 0.01), live alone (OR = 1.13, p < 0.05), have a very weak sense of community belonging (OR = 1.40, p < 0.001), in poor physical health (OR = 1.20, p < 0.01), and those in lower age and income categories. These findings corroborate previous studies that demonstrate that food insecurity among elderly people is a complex phenomenon influenced by diverse socio-economic factors. In Canada, food security policies targeted at elderly people have largely prioritised poverty alleviation through income support programmes. While these programmes can improve the purchasing power of elderly people, they may not be sufficient in ensuring food security. There is a need to embrace and further investigate an integrated approach that pays attention to other contextual socio-economic dynamics.

Download Full-text