scholarly journals Trends in Vitamin C Consumption in the United States: 1999–2018

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 420
Author(s):  
Mary Brauchla ◽  
Mark J. Dekker ◽  
Colin D. Rehm
Keyword(s):  
United States ◽  
Vitamin C ◽  
Fruits And Vegetables ◽  
Fruit Juice ◽  
The United States ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Dietary Recall ◽  
Health And Nutrition

Low intakes of fruits and vegetables have resulted in suboptimal intakes of several micronutrients, including vitamin C. This cross-sectional study used data from 84,902 children/adults (≥1 y) who completed a 24-h dietary recall as part of the United States National Health and Nutrition Examination Survey (1999–2018). Mean vitamin C intakes from foods/beverages were calculated as were trends in major food/beverage sources of vitamin C. Percentages below the Estimated Average Requirement (EAR) were estimated. Overall, mean vitamin C consumption declined by 23% (97–75 mg/d; p-value for trend < 0.001). 100% fruit juice was the leading source of vitamin C (25.6% of total or 21.7mg/d), but this declined by 48% (25–13 mg/d; p-value for trend < 0.001). Whole fruit increased among children/adolescents (+75.8%;10–17 mg/d; p-value for trend < 0.001), but not adults, while the vegetable contribution was generally unchanged. The proportion of the population below the EAR increased by 23.8% on a relative scale or 9 percentage points on an absolute scale (38.3–47.4%). Declines in vitamin C intake is driven largely by decreases in fruit juice coupled with modest increases in whole fruit. Due to associations between vitamin C intake and numerous health outcomes these trends warrant careful monitoring moving forward.

scholarly journals The Association Between Hours Spent at Work and Obesity Status: Results From NHANES 2015 to 2016

2020 ◽  
Vol 34 (4) ◽  
pp. 359-365
Author(s):  
Caitlin Doerrmann ◽  
S. Cristina Oancea ◽  
Arielle Selya
Keyword(s):  
United States ◽  
National Health ◽  
Leisure Time Physical Activity ◽  
The United States ◽  
Cross Sectional Study ◽  
Nutrition Examination Survey ◽  
Cross Sectional ◽  
Hours Worked ◽  
Health And Nutrition ◽  
Obesity Status

Purpose: To determine whether weekly hours worked is associated with obesity among employed adults in the United States. Design: Data from the 2015 to 2016 National Health and Nutrition Examination Survey were used for this study. National Health and Nutrition Examination Survey is a cross-sectional study. Setting: National Health and Nutrition Examination Survey is conducted annually by the National Center for Health Statistics designed to assess the health and nutritional status of citizens in the United States. Participants: The final study sample size was 2,581. Measures: The outcome was obesity status (yes/no) and the exposure was the number of hours worked per week (<40, =40, >40 h/wk). Covariates of interest included in the analyses were income, age, education level, race, leisure-time physical activity, and gender. Analysis: A weighted and adjusted logistic regression model was conducted in order to investigate the association between the number of hours worked at a job per week and obesity status. Descriptive statistics and weighted and adjusted odds ratios were produced with 95% confidence intervals (CI). Results: After controlling for the covariates of interest, people working 40 or 40+ hours a week had 1.403 (95% CI: 1.06-1.85) and 1.409 (95% CI: 1.03-1.93) times significantly greater odds of obesity than those who work <40 hours a week, respectively. Conclusion: Obesity is a complex and multifactorial disease with genetic and environmental interactions, including the number of hours a person works/week as a potential risk factor.

scholarly journals Educational Attainment Promotes Fruit and Vegetable Intake for Whites but Not Blacks

J ◽  
2018 ◽  
Vol 1 (1) ◽  
pp. 29-41 ◽  
Author(s):  
Shervin Assari ◽  
Maryam Lankarani
Keyword(s):  
United States ◽  
Educational Attainment ◽  
Fruits And Vegetables ◽  
Vegetable Intake ◽  
Health Gain ◽  
Past Research ◽  
The United States ◽  
Cross Sectional Study ◽  
Protective Effects ◽  
Cross Sectional

Background. Although the protective effects of socioeconomic status (SES) on health behaviors are well-known, according to the minorities’ diminished return theory, the health return of SES, particularly educational attainment, is systemically smaller for minorities than Whites. Aims. The current study explored Black–White differences in the effects of educational attainment and income on the consumption of fruits and vegetables. Methods. This cross-sectional study used the Health Information National Trends Survey (HINTS) 2017 (n = 3217). HINTS is a nationally representative survey of American adults. The current analysis included 2277 adults who were either non-Hispanic White (n = 1868; 82%) or non-Hispanic Black (n = 409; 18%). The independent variables in this study were SES (educational attainment and income). The dependent variable was consumption of fruits and vegetables. Race was the focal moderator. Results. In the overall sample, high educational attainment and income were associated with higher consumption of fruits and vegetables. Race moderated the effect of educational attainment but not income on the consumption of fruits and vegetables. Conclusion. In line with the past research in the United States, Whites constantly gain more health benefits from the very same educational attainment than Blacks. The health gain from income is more equal across races than the health gain from educational attainment. Such diminished returns may be due to racism across institutions in the United States.

scholarly journals Prescription Antibiotic Use among the US population 1999-2018: National Health and Nutrition Examination Surveys

2021 ◽  
Author(s):  
Molly Petersen ◽  
Sara E Cosgrove ◽  
Thomas C Quinn ◽  
Eshan Patel ◽  
M Kate Grabowski ◽  
...  
Keyword(s):  
United States ◽  
Antibiotic Resistance ◽  
National Health ◽  
Prevalence Ratio ◽  
Antibiotic Use ◽  
The United States ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Health And Nutrition ◽  
Poverty Status

Abstract Background Antibiotic resistance has been identified as a public health threat both in the United States and globally. The United States published the “National Strategy for Combating Antibiotic Resistance” in 2014, which included goals to reduce inappropriate outpatient antibiotic use. Methods This cross-sectional study was conducted using National Health and Nutrition Examination Surveys (NHANES) years 1999-2018. Weighted prevalence of past 30-day non-topical outpatient antibiotic use was calculated, as well as the change in prevalence from 1999-02 to 2015-18 and 2007-10 to 2015-18, both overall and for subgroups. Associations with past 30-day non-topical outpatient antibiotic use in 2015-18 were examined using predictive margins calculated by multivariable logistic regression. Results The overall prevalence of past 30-day non-topical outpatient antibiotic use adjusted for age, sex, race/ethnicity, poverty status, time of year of the interview, and insurance status from 1999-2002 to 2015-2018 changed significantly from 4.9% (95% CI 3.9%, 5.0%) to 3.0% (95% CI 2.6%, 3.0%), with the largest decrease among children 0-1 years. From 2007-2010 to 2015-2018, there was no significant change (adjusted Prevalence Ratio [adjPR] 1.0 [95% CI 0.8, 1,2. Age was significantly associated with antibiotic use, with children age 0-1 years having significantly higher antibiotic use than all other age categories &gt;6 years. Being non-Hispanic Black was negatively associated with antibiotic use as compared to being non-Hispanic White (adjPR 0.6 [95% CI 0.4, 0.8]). Conclusions While there were declines in antibiotic use from 1999-02 to 2015-18, there were no observed declines during the last decade.

scholarly journals Sex Differences in Sleep Duration among Older Adults with Self-Reported Diagnosis of Arthritis: National Health and Nutrition Examination Survey, 2009-2012

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
R. Constance Wiener ◽  
Alcinda K. Trickett Shockey ◽  
Christopher Waters
Keyword(s):  
United States ◽  
Older Adults ◽  
Sleep Duration ◽  
National Health ◽  
The United States ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Health And Nutrition ◽  
The People

Objective. Sleep is restorative, essential, and beneficial to health. Prevalences of some diseases have been associated with sleep duration. There are few studies in the literature on the relationship of sleep duration and arthritis stratified by sex in older adults. The purpose of this research is to investigate sleep duration among older adults in the United States who have self-reported diagnosis of arthritis. Methods. A cross-sectional study design was used. The data source was the National Health and Nutrition Examination 2009-2010 and 2011-2012. Self-reported diagnosis of arthritis and sleep duration were the variables of interest. Results. There were 4,888 participants, aged 50 years and above, of whom 41.6% self-reported having a diagnosis of arthritis, and 60.6% were female. Of the people who had a self-reported diagnosis of arthritis, 15.2% reported sleeping 2-5 hours as compared with 10.9% of the people who did not have a self-reported diagnosis of arthritis (P=.0004). In bivariate analysis of self-reported diagnosis of arthritis and sleep stratified by sex, there were significantly more people with self-reported diagnosis of arthritis who slept 2-5 hours for both women (P=0.0192) and men (P=0.0231). The overall relationship remained significant in adjusted overall logistic regression comparing for self-reported diagnosis of arthritis for 2-5 hours of sleep (with 6-7 hours of sleep as the reference) (odds ratio: 1.35 [95% CI: 1.08, 1.70; P=0.0103]); however, when the data were stratified by sex, the association failed to reach significance. Conclusion. In this analysis of noninstitutionalized older adults in the United States, the prevalence of a self-reported diagnosis of arthritis was associated with shorter sleep duration in the overall analyses, but the association failed to reach significance when stratified by sex.

scholarly journals Prevalence of Overweight and Obesity Among Adult Women in China, Mali and United States: Evolution of Trends over Ten Years

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1695-1695 ◽  
Author(s):  
Stanislav Seydou Traore ◽  
Adwoa Nyantakyiwaa Amoah ◽  
Huanan Chen ◽  
Yuan Cao ◽  
Yanfang Qiu ◽  
...  
Keyword(s):  
United States ◽  
Chinese Women ◽  
The United States ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
P Value ◽  
Sample Population ◽  
Adult Women ◽  
Cross Sectional ◽  
The Usa

Abstract Objectives This article assessed trends in the prevalence of overweight and obesity over ten years among adult women. Methods A cross-sectional study was conducted using National Surveys Data from China, Mali and the United States between 2001–2002 and 2012–2013. The sample population consisted of all adult women: 140,022 (2002) and 157,850 (2012) adults aged 18 and above in China, 10,424 (2002) and 4502 (2012) women aged 15–49 in Mali, 4413 (2001) and 5181 (2012) adults aged 20 and above in the USA. The proportion test (Z test) was used to evaluate the 10-year prevalence differences in different countries. Results In ten-year period, overweight has significantly increased from 22.7% to 29.9% among Chinese women with a growth of 7.2% (P-value &lt; 0.05) and, 11.2% to 12.9% in Malian women with a growth of 1.7% (P-value &lt; 0.05). Among US women, overweight has increased from 28.2% to 29.7% with a non-significant growth of 1.5% (P-value &gt;0.05). The prevalence of women's obesity in all three countries has significantly increased, more particularly in China. Conclusions Data from the National Survey over ten years showed an increase in the prevalence of overweight as well as obesity in Chinese, Malian and US women. Funding Sources This work was supported by the National Natural Science Foundation of China [Project number 81,673,165].

scholarly journals Estimated Sweetness in US Diet Among Children and Adults Declined From 2001 to 2018: A Serial Cross-Sectional Surveillance Study Using NHANES 2001–2018

2021 ◽  
Vol 8 ◽  
Author(s):  
Alison Kamil ◽  
Alissa R. Wilson ◽  
Colin D. Rehm
Keyword(s):  
Population Level ◽  
The United States ◽  
Cross Sectional Study ◽  
Sensitivity Analyses ◽  
Matched Pair ◽  
Dietary Energy ◽  
Cross Sectional ◽  
Dietary Recall ◽  
Health And Nutrition ◽  
Recall Data

An agreed-upon measure of total dietary sweetness is lacking hindering assessments of population-level patterns and trends in dietary sweetness. This cross-sectional study used 24-h dietary recall data for 74,461 participants aged ≥ 2 y from nine cycles (2001–2018) of the National Health and Nutrition Examination Survey (NHANES) to evaluate trends in the sweetness of the diet in the United States (US). LCS-containing items were matched to a sugar-sweetened counterpart (e.g., diet cola–regular cola or sucralose sugar). The matched pair was used to estimate the sugar equivalents from LCS-sweetened foods or beverages to estimate dietary level sweetness, which was described as grams of approximate sugar equivalent (ASE) per day. Trends in ASE were estimated overall and by subgroup, and trends were further disaggregated by food or beverage category. Overall, LCS sources contributed about 10.5% of ASE. Total ASE declined from 152 g/d to 117 g/d from 2001–2002 to 2017–2018 (p-trend &lt; 0.001), with comparable declines in children and adults. Declines in total ASE were predominantly driven by beverages (−36.7% from 2001–2002 to 2017–2018) and tabletop sweeteners (−23.8%), but not food (−1.5%). Observed trends were robust to sensitivity analyses incorporating random, systematic, and sensory trial informed estimates of sweetness and also an analysis excluding possible under-reporters of dietary energy. This practical approach and underlying data may help researchers to apply the technique to other dietary studies to further these questions.

scholarly journals Association between Ready-to-Eat Cereal Consumption and Nutrient Intake, Nutritional Adequacy, and Diet Quality in Adults in the National Health and Nutrition Examination Survey 2015–2016

Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 2952
Author(s):  
Yong Zhu ◽  
Neha Jain ◽  
Vipra Vanage ◽  
Norton Holschuh ◽  
Anne Hermetet Agler ◽  
...  
Keyword(s):  
United States ◽  
Dietary Intake ◽  
National Health ◽  
Diet Quality ◽  
The United States ◽  
Healthy Eating Index ◽  
Nutrition Examination Survey ◽  
Food Groups ◽  
Dietary Recall ◽  
Health And Nutrition

This study examined differences in dietary intake between ready-to-eat cereal eaters and non-eaters in adults from the United States. Participants (n = 5163) from the National Health and Nutrition Examination Survey 2015–2016 were included. One-day dietary recall was used to define ready-to-eat cereal consumption status and estimate dietary intake in eaters and non-eaters. Data from Food Patterns Equivalent Database 2015–2016 were used to compare intakes of food groups by consumption status. Diet quality was assessed by Healthy Eating Index 2015. Nineteen percent of US adults were ready-to-eat cereal eaters; they had a similar level of energy intake as non-eaters, but they had significantly higher intake of dietary fiber, and several vitamins and minerals, such as calcium, iron, magnesium, potassium, zinc, vitamin A, thiamin, riboflavin, niacin, vitamin B6, folate, vitamin B12, and vitamin D. They were also more likely to meet nutrient recommendations. Compared to non-eaters, ready-to-eat cereal eaters had the same level of added sugar intake but they had significantly higher intake of whole grains, total fruits, and dairy products. The diet quality of ready-to-eat cereal eaters was significantly higher than that of non-eaters. The study supports that ready-to-eat cereal eaters have better dietary intake with a healthier dietary pattern than non-eaters in the United States.

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