scholarly journals Socioeconomic Disparities in Foods/Beverages and Nutrients Consumed by U.S. Adolescents When Snacking: National Health and Nutrition Examination Survey 2005–2018

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2530
Author(s):  
Navika Gangrade ◽  
Janet Figueroa ◽  
Tashara M. Leak
Keyword(s):  
National Health ◽  
Low Socioeconomic Status ◽  
Low Income ◽  
High Income ◽  
Future Research ◽  
Nutrition Examination Survey ◽  
Middle Income ◽  
Low Socioeconomic ◽  
Health And Nutrition ◽  
Income Ratio

Snacking contributes a significant portion of adolescents’ daily energy intake and is associated with poor overall diet and increased body mass index. Adolescents from low socioeconomic status (SES) households have poorer snacking behaviors than their higher-SES counterparts. However, it is unclear if the types of food/beverages and nutrients consumed during snacking differ by SES among adolescents. Therefore, this study examines SES disparities in the aforementioned snacking characteristics by analyzing the data of 7132 adolescents (12–19 years) from the National Health and Nutrition Examination Survey 2005–2018. Results reveal that adolescents from low-income households (poverty-to-income ratio (PIR) ≤ 1.3) have lower odds of consuming the food/beverage categories “Milk and Dairy” (aOR: 0.74; 95% CI: 0.58-0.95; p = 0.007) and “Fruits” (aOR: 0.62, 95% CI: 0.50–0.78; p = 0.001) as snacks and higher odds of consuming “Beverages” (aOR: 1.45; 95% CI: 1.19-1.76; p = 0.001) compared to those from high-income households (PIR > 3.5). Additionally, adolescents from low- and middle-income (PIR > 1.3–3.5) households consume more added sugar (7.98 and 7.78 g vs. 6.66 g; p = 0.012, p = 0.026) and less fiber (0.78 and 0.77 g vs. 0.84 g; p = 0.044, p = 0.019) from snacks compared to their high-income counterparts. Future research is necessary to understand factors that influence snacking among adolescents, and interventions are needed, especially for adolescents from low-SES communities.

Abstract P130: Association Between Ready-to-eat Cereal Consumption And Nutrient Intakes Among Children 2 To 18 Years, Stratified By Household Income: Results From The National Health And Nutrition Examination Survey 2015-2018

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Jessica Smith ◽  
Neha Jain ◽  
James Normington ◽  
Norton Holschuh ◽  
Yong Zhu
Keyword(s):  
Vitamin D ◽  
National Health ◽  
Low Income ◽  
Household Income ◽  
Income Group ◽  
High Income ◽  
Nutrition Examination Survey ◽  
Nutrient Intakes ◽  
Vitamin D Intake ◽  
Health And Nutrition

Ready-to-eat (RTE) cereal has been associated with higher diet quality and dairy intake (it is often consumed with milk) in children and is an affordable source of under-consumed nutrients and whole grains. Because of its affordability and accessibility, the contribution of RTE cereal to nutrient and whole grain intake could potentially differ by household income level. We hypothesized that children living in low income households, which may be more susceptible to poor dietary intakes due to food insecurity, may differentially benefit, in terms of nutrient intake, from RTE cereal consumption compared to children in higher income households. The objective of this study was to quantify the nutrient intakes of U.S. children who reported consuming RTE cereal eater versus those that did not according to household income. We used data from the 2015-2016 and 2017-2018 National Health and Nutrition Examination Survey, a nationally representative, cross-sectional survey. Children 2 to 18 years (n=5,028) were stratified into six groups according to RTE cereal consumption (cereal eaters vs non-eaters) and poverty-to-income ratio (PIR; low-, mid-, and high-income). We calculated the difference in intakes of 28 nutrients between cereal eaters and non-eaters stratified by PIR. Overall, it appeared that there was a greater difference in intake of nutrients between RTE cereal eaters and non-eaters for the low-income compared to the high-income children. For example, in the low-income group, RTE cereal eaters had 23% higher calcium, 70% higher iron, and 90% higher vitamin D intake compared to non-RTE cereal eaters (p<0.0001 for all). In the high-income group, these differences were attenuated with cereal eaters having 12% higher calcium (p=0.03), 58% higher iron (p<0.0001), and 62% higher vitamin D intake (p<0.0001) compared to non-RTE cereal eaters. These data suggest that although cereal eaters had higher intake of under-consumed nutrients across all incomes, children in the low-income group particularly benefited.

Gender Differences in Risk Factors for Depressive Symptoms in Patients with COPD: The 2014 and 2016 Korea National Health and Nutrition Examination Survey

2020 ◽  
Author(s):  
Ji Soo Choi ◽  
Se Hyun Kwak ◽  
San Lee ◽  
Eun Hye Lee
Keyword(s):  
Risk Factors ◽  
Gender Differences ◽  
Depressive Symptoms ◽  
National Health ◽  
Low Income ◽  
Significant Risk ◽  
Living Alone ◽  
Nutrition Examination Survey ◽  
Health And Nutrition ◽  
Low Bmi

Abstract Background: Although depression is a common comorbidity of chronic obstructive pulmonary disease (COPD), the role of gender remains unexplored. We evaluated gender differences of risk factors of depressive symptoms in adults with COPD. Methods: This was a population-based cross-sectional study using data from the 2014 and 2016 Korea National Health and Nutrition Examination Survey. Spirometry was used to identify patients with COPD, defined as a FEV1/FVC ratio <0.7. Presence of depressive symptoms was defined as a total score ≥5 on the Patient Health Questionnaire-9. Results: Overall, 17.8% of participants expressed depressive symptoms, with 13.1% being men and 29.6% being women. Multivariable regression analysis revealed that low BMI (adjusted OR, 2.62), female gender (adjusted OR, 3.48), living alone (adjusted OR, 1.75), currently smoking (adjusted OR, 2.52), and GOLD Stage III/IV (adjusted OR, 2.34) were significant risk factors for depressive symptoms. In a subgroup analysis, low BMI, low income, living alone, and multiple chronic disorders were risk factors of depressive symptoms in men, whereas low educational attainment, urban living, and currently smoking were risk factors in women.Conclusions: As risk factors of depressive symptoms in COPD patients vary according to gender, different approaches are needed to manage depression in men and women with COPD.

scholarly journals Influence of Residence Area and Basic Livelihood Conditions on the Prevalence and Diagnosis Experience of Osteoporosis in Postmenopausal Women Aged over 50 Years: Evaluation Using Korea National Health and Nutrition Examination Survey Data

2021 ◽  
Vol 18 (18) ◽  
pp. 9478
Author(s):  
Suk-Woong Kang ◽  
Ji-Hee Yang ◽  
Won-Chul Shin ◽  
Yoon-Ji Kim ◽  
Min-Hyeok Choi
Keyword(s):  
Socioeconomic Status ◽  
Postmenopausal Women ◽  
Low Socioeconomic Status ◽  
Rural Areas ◽  
Odds Ratio ◽  
Nutrition Examination Survey ◽  
Low Socioeconomic ◽  
Health And Nutrition ◽  
Diagnosis Rate ◽  
Osteoporosis Prevalence

Patients with osteoporosis are asymptomatic and are at risk for fractures. Therefore, early detection and interventions are important. We found that a population with a low socioeconomic status living in rural areas was reported to have a high osteoporosis prevalence but a relatively low diagnosis rate. Research on the disparity of osteoporosis prevalence and treatment from the socioeconomic perspective was conducted. This study aimed to investigate the influence of residence area and basic livelihood conditions on osteoporosis prevalence and diagnosis in postmenopausal women aged over 50 years. The cross-sectional data of 1477 postmenopausal women aged over 50 years obtained from the Korea National Health and Nutrition Examination Survey V-2 were analyzed. Univariate analyses were performed to calculate the prevalence and diagnosis rate according to risk factor categories. A multivariate logistic regression analysis was performed to identify the influence of residence area and basic livelihood conditions after controlling for other factors. The osteoporosis prevalence in basic livelihood beneficiaries (53.7%) and rural area residents (41.9%) was higher than that in non-beneficiaries (33.1%) and urban area residents (31.8%). There was no significant difference in the diagnosis rates in relation to the basic livelihood conditions or residence areas. The adjusted odds ratio for the prevalence among the beneficiaries living in rural areas was 2.08 (95% confidence interval: 1.06–4.10). However, the odds ratio for diagnosis was not significantly different. Earlier screening examination policies for osteoporosis in postmenopausal women with a low socioeconomic status living in rural areas are needed.

scholarly journals Income Disparities in Snacking Characteristics Among U.S. Adolescents 12 to 19 Years: National Health and Nutrition Examination Survey 2005–2018

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 406-406
Author(s):  
Navika Gangrade ◽  
Janet Figueroa ◽  
Tashara Leak
Keyword(s):  
Low Income ◽  
Saturated Fat ◽  
Total Sugar ◽  
High Income ◽  
Nutrition Examination Survey ◽  
Added Sugar ◽  
Health And Nutrition ◽  
Income Disparities ◽  
Nutrient Density ◽  
Total Fat

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.

scholarly journals Physical activity level in Korean adults: the Korea National Health and Nutrition Examination Survey 2017

2019 ◽  
Vol 41 ◽  
pp. e2019047 ◽  
Author(s):  
Ki-Yong An
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
National Health ◽  
Low Income ◽  
Activity Level ◽  
Nutrition Examination Survey ◽  
Physical And Mental Health ◽  
Psychological Variables ◽  
Korean Adults ◽  
Health And Nutrition

OBJECTIVES: This study investigated physical activity (PA) participation based on demographic, physical, and psychological variables in Korean adults.METHODS: Participants were divided into four groups (combined, aerobic only, resistance only, and neither) based on meeting the PA guidelines using moderate and vigorous PA time and resistance exercise frequency from the Korea National Health and Nutrition Examination Survey 2017. The association between meeting the PA guidelines and demographic, medical, fitness, lifestyle, and psychological variables were analyzed using complex samples crosstabs and a general linear model.RESULTS: Of the 5,820 Korean adults, 66.0% did not meet any of the guidelines. Among demographic factors, sex, age, marital status, income, education level, occupation, and employment status were associated with meeting the PA guidelines. Chronic disease prevalence, weight, waist circumference, body mass index, diastolic blood pressure, glucose, high-density lipoprotein and triglyceride levels, hand-grip strength, resting heart rate, and family history of chronic disease in the medical and fitness variables; frequency of drinking and eating breakfast, total calorie, water, protein, and fat intake in the lifestyle variables; and perceived stress, depression, suicidal thoughts, and quality of life in the psychological variables were associated with meeting PA guidelines.CONCLUSIONS: Most Korean adults participate in insufficient PA. Moreover, individuals who are socially underprivileged, have low-income or poor physical and mental health conditions participated in relatively less PA. Our findings suggest that government and individual efforts are required to increase PA and resolve health inequality in Korean adults.

Abstract P160: Conflicting Associations of Acculturation and Cardiovascular Risk in Hispanics in the National Health and Nutrition Examination Survey 1999-2010: What Are We Measuring?

Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Lenny Lopez ◽  
Fatima Rodriguez ◽  
James B Meigs ◽  
Jeffrey M Ashburner
Keyword(s):  
Risk Factors ◽  
National Health ◽  
Future Research ◽  
Nutrition Examination Survey ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Sampling Weights ◽  
Health And Nutrition ◽  
The Us ◽  
At Home

Background: Acculturation is the process by which immigrant groups adopt the cultural practices and values of the host country. Research has produced conflicting results in the association between acculturation and cardiovascular disease (CVD) risk among Hispanics. The National Health and Nutrition Examination Survey (NHANES) has collected multiple acculturation measures. We evaluated the hypothesis that the acculturation measure utilized impacts the association with CVD risk. Methods: The following measures of acculturation were available: Nativity, Language spoken at home (‘mostly English,’ ‘Equal English/Spanish,’ ‘Mostly Spanish’), Years in the US (0-5, 6-10, 11-15, 16-20, >20), and US citizenship. The validated Short Acculturation Scale (SAS) was only used between 1999 and 2004. Chi-squared analyses and logistic regression models were used to examine the independent association of acculturation with CVD risk factors: hypertension, BMI, diabetes (HgbA1c ≥6.5), total cholesterol ≥ 240 mg/dl, HDL (male: <40 mg/dl, female <50 mg/dl). Models were adjusted for age, gender, insurance, education, income, having a usual place of care, and appropriate sampling weights. Nominal association between acculturation variables was assessed with the uncertainty coefficient (UC) (Range: -1 [100% negative association] to 1 [100% positive association]). Results: Of 8707 Hispanics, less acculturated adults, as measured through language, were slightly older (mean age 41 vs. 39), were more likely to have less than a high school education (66 vs. 25%), less likely to have a usual source of care (61 vs.79%), and more likely to be uninsured (57 vs. 27%). Only 8% were born in the US, 31% were US citizens, and 58% reported 15 yrs or less in the US. In fully adjusted models, the SAS and other language based acculturation measures showed null association with CVD risk while increasing years in the US was consistently associated with increasing risk over time of hypertension (ORs range: 1.1-2.3), obesity (ORs range: 1.2-2.4) and diabetes (ORs range: 1.0-2.6). Only obesity had similar point estimates and confidence intervals across acculturation measures (ORs range: 1.0 - 2.4). Moderate positive correlation was highest between language usually spoken at home and country of birth (UC=0.4) followed by US citizenship (UC=0.3). Conclusions: NHANES is widely used in the study of Hispanic health. Different acculturation measures demonstrate differing associations with CVD risk factors. In contrast to language-based measures, only length of residence in the US showed consist associations across CVD risk factors. Future research is needed to further characterize acculturation metrics among heterogeneous Hispanic populations.

Smokers’ perceptions of incentivised smoking cessation programmes: Examining how payment thresholds change with income

2021 ◽  
Author(s):  
Rachel J Breen ◽  
Stuart G Ferguson ◽  
Matthew A Palmer
Keyword(s):  
Smoking Cessation ◽  
Low Income ◽  
Financial Incentive ◽  
Growth Models ◽  
Income Group ◽  
High Income ◽  
Future Research ◽  
Quadratic Trend ◽  
Middle Income ◽  
Low And Middle Income

Abstract Introduction Studies demonstrate that financial incentive programmes increase smoking cessation. However, there is little guidance on which incentive magnitudes will ensure optimal enrolment and motivation levels. This study investigates current smokers’ perceptions of varying incentive magnitudes to identify whether there is evidence for optimal amount(s), and whether perceptions differ by income group. Methods Studies 1 (N = 56) and 2 (N = 147) were conducted online via Prolific.co. Current smokers were randomly shown multiple hypothetical incentive programmes which differed only in the incentive amount offered. For each programme, smokers rated its appeal, their likelihood of enrolling, and predicted their motivation to quit if enrolled. Growth models were used to investigate the relationship between perspectives and the incentive amount. Results An increasing quadratic trend in smokers’ perceptions of programmes as the incentive amount increased was identified. Incentive amounts beyond approximately £50-75/week (£500 to £750 total) did not significantly alter perceptions of programmes. In Study 2, high-income smokers found programmes significantly less appealing and motivating than low-income smokers, although no significant between-group differences were observed in the likelihood of enrolment. No significant differences were observed between low- and middle-income smokers. Conclusions Increasing the incentive amount increased smoker’s perceptions of programmes. This relationship was curvilinear, meaning there may be a point beyond which further increasing the amount will not improve enrolment or motivation levels. Incentives appear equally appealing to low- and middle-income smokers; the population among whom smoking is most prevalent. Future research could explore other elements of programme design, and whether findings hold under real-world conditions. Implications While acknowledging that they work, policymakers frequently request information about the monetary amount needed for incentive programmes to be effective, and if this differs by income level. We investigated these questions using smokers’ perceptions of hypothetical cessation programmes which differed in the amount offered. An increasing quadratic trend in perceptions of programmes by the amount and potential cut-points were observed, suggesting a point may exist beyond which increasing the incentive will not improve perceptions of programmes or enrolment levels. High-income smokers may not perceive incentives to be as appealing as other income groups, but appear equally willing to enrol.

Food Insecurity and Depression among Low-Income Adults in the United States: Does Diet Diversity Play a Role? Findings from the 2013-14 National Health and Nutrition Examination Survey

2020 ◽  
pp. 1-39
Author(s):  
Marie-Rachelle Narcisse Jean-Louis ◽  
Holly C. Felix ◽  
Christopher R. Long ◽  
Emily S. English ◽  
Mary M. Bailey ◽  
...  
Keyword(s):  
United States ◽  
Food Insecurity ◽  
National Health ◽  
Low Income ◽  
The United States ◽  
Moderating Effect ◽  
Nutrition Examination Survey ◽  
Cross Sectional ◽  
Diet Diversity ◽  
Health And Nutrition

ABSTRACT Objective Food insecurity is associated with a greater risk of depression among low-income adults in the United States. Members of food-insecure households have lower diet diversity than their food-secure counterparts. This study examined whether diet diversity moderates the association between food insecurity and depression. Design Multiple logistic regression was conducted to examine independent associations between food insecurity and depression, between diet diversity and depression, and the moderating effect of diet diversity in the food insecurity-depression link. Setting Cross-sectional data from the National Health and Nutrition Examination Survey (2013-14). Participants 2,636 low-income adults aged 18 years and older. Results There was a positive association between food insecurity and depression among low-income adults. Diet diversity was not associated with depression. Diet diversity had a moderating effect on the association between food insecurity and depression among low-income adults Conclusion Food insecurity is independently associated with depression among low-income adults in the United States. However, this association differs across levels of diet diversity. Longitudinal studies are needed to confirm the role diet diversity may play in the pathway between food insecurity and depression.

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