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Monetary Value of Diet Is Associated with Dietary Quality and Nutrient Adequacy among Urban Adults, Differentially by Sex, Race and Poverty Status

OBJECTIVE: The association between monetary value of the diet (MVD, $/day) with dietary quality was examined using a large sample of urban US adults, differentially by socio-demographic factors. METHODS: This was a cross-sectional study of 2,111 participants, aged 30–64y, using data from the Healthy...

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Autores principales: Beydoun, May A., Fanelli-Kuczmarski, Marie T., Allen, Allyssa, Beydoun, Hind A., Popkin, Barry M., Evans, Michele K., Zonderman, Alan B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4633204/
https://www.ncbi.nlm.nih.gov/pubmed/26536243
http://dx.doi.org/10.1371/journal.pone.0140905
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author Beydoun, May A.
Fanelli-Kuczmarski, Marie T.
Allen, Allyssa
Beydoun, Hind A.
Popkin, Barry M.
Evans, Michele K.
Zonderman, Alan B.
author_facet Beydoun, May A.
Fanelli-Kuczmarski, Marie T.
Allen, Allyssa
Beydoun, Hind A.
Popkin, Barry M.
Evans, Michele K.
Zonderman, Alan B.
author_sort Beydoun, May A.
collection PubMed
description OBJECTIVE: The association between monetary value of the diet (MVD, $/day) with dietary quality was examined using a large sample of urban US adults, differentially by socio-demographic factors. METHODS: This was a cross-sectional study of 2,111 participants, aged 30–64y, using data from the Healthy Aging in Neighborhoods of Diversity across the Life Span Study. Dietary quality indices included Healthy Eating Index–2010 (HEI–2010) and Mean Adequacy Ratio (MAR), (two 24-hr recalls). A national food price database was used to estimate MVD. Multiple linear/logistic regression analyses were conducted stratifying separately by sex, race and poverty status. RESULTS: Women had significantly higher HEI-2010 scores than men (43.35 vs 41.57 out of 100, respectively), whereas MAR scores were higher for men (76.8 vs 69.9, out of 100), reflecting energy intake gender differentials. Importantly, a $3/day higher MVD (IQR: $3.70/d (Q1) to $6.62/d (Q4)) was associated with a 4.98±0.35 higher total HEI-2010 and a 3.88±0.37 higher MAR score, after energy-adjustment and control for key confounders. For HEI-2010 and MAR, stronger associations were observed among participants above poverty and among women, whilethe MVD vs. HEI-2010 association was additionally stronger among Whites. Sex and poverty status differentials were observed for many MAR and some HEI-2010 components. CONCLUSIONS: Despite positive associations between measures of dietary quality and MVD, particularly above poverty and among women, approaching compliance with the Dietary Guidelines (80 or more for HEI-2010) requires a substantially higher MVD. Thus, nutrition education may further improve people’s decision-making regarding food venues and dietary choices.
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spelling pubmed-46332042015-11-13 Monetary Value of Diet Is Associated with Dietary Quality and Nutrient Adequacy among Urban Adults, Differentially by Sex, Race and Poverty Status Beydoun, May A. Fanelli-Kuczmarski, Marie T. Allen, Allyssa Beydoun, Hind A. Popkin, Barry M. Evans, Michele K. Zonderman, Alan B. PLoS One Research Article OBJECTIVE: The association between monetary value of the diet (MVD, $/day) with dietary quality was examined using a large sample of urban US adults, differentially by socio-demographic factors. METHODS: This was a cross-sectional study of 2,111 participants, aged 30–64y, using data from the Healthy Aging in Neighborhoods of Diversity across the Life Span Study. Dietary quality indices included Healthy Eating Index–2010 (HEI–2010) and Mean Adequacy Ratio (MAR), (two 24-hr recalls). A national food price database was used to estimate MVD. Multiple linear/logistic regression analyses were conducted stratifying separately by sex, race and poverty status. RESULTS: Women had significantly higher HEI-2010 scores than men (43.35 vs 41.57 out of 100, respectively), whereas MAR scores were higher for men (76.8 vs 69.9, out of 100), reflecting energy intake gender differentials. Importantly, a $3/day higher MVD (IQR: $3.70/d (Q1) to $6.62/d (Q4)) was associated with a 4.98±0.35 higher total HEI-2010 and a 3.88±0.37 higher MAR score, after energy-adjustment and control for key confounders. For HEI-2010 and MAR, stronger associations were observed among participants above poverty and among women, whilethe MVD vs. HEI-2010 association was additionally stronger among Whites. Sex and poverty status differentials were observed for many MAR and some HEI-2010 components. CONCLUSIONS: Despite positive associations between measures of dietary quality and MVD, particularly above poverty and among women, approaching compliance with the Dietary Guidelines (80 or more for HEI-2010) requires a substantially higher MVD. Thus, nutrition education may further improve people’s decision-making regarding food venues and dietary choices. Public Library of Science 2015-11-04 /pmc/articles/PMC4633204/ /pubmed/26536243 http://dx.doi.org/10.1371/journal.pone.0140905 Text en https://creativecommons.org/publicdomain/zero/1.0/ This is an open-access article distributed under the terms of the Creative Commons Public Domain declaration, which stipulates that, once placed in the public domain, this work may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose.
spellingShingle Research Article
Beydoun, May A.
Fanelli-Kuczmarski, Marie T.
Allen, Allyssa
Beydoun, Hind A.
Popkin, Barry M.
Evans, Michele K.
Zonderman, Alan B.
Monetary Value of Diet Is Associated with Dietary Quality and Nutrient Adequacy among Urban Adults, Differentially by Sex, Race and Poverty Status
title Monetary Value of Diet Is Associated with Dietary Quality and Nutrient Adequacy among Urban Adults, Differentially by Sex, Race and Poverty Status
title_full Monetary Value of Diet Is Associated with Dietary Quality and Nutrient Adequacy among Urban Adults, Differentially by Sex, Race and Poverty Status
title_fullStr Monetary Value of Diet Is Associated with Dietary Quality and Nutrient Adequacy among Urban Adults, Differentially by Sex, Race and Poverty Status
title_full_unstemmed Monetary Value of Diet Is Associated with Dietary Quality and Nutrient Adequacy among Urban Adults, Differentially by Sex, Race and Poverty Status
title_short Monetary Value of Diet Is Associated with Dietary Quality and Nutrient Adequacy among Urban Adults, Differentially by Sex, Race and Poverty Status
title_sort monetary value of diet is associated with dietary quality and nutrient adequacy among urban adults, differentially by sex, race and poverty status
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4633204/
https://www.ncbi.nlm.nih.gov/pubmed/26536243
http://dx.doi.org/10.1371/journal.pone.0140905
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