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Children’s Dietary Quality and Micronutrient Adequacy by Food Security in the Household and among Household Children

Children’s food-security status has been described largely based on either the classification of food security in the household or among household children, but few studies have investigated the relationship between food security among household children and overall dietary quality. Our goal was to...

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Autores principales: Jun, Shinyoung, Zeh, Mary J., Eicher-Miller, Heather A., Bailey, Regan L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6567152/
https://www.ncbi.nlm.nih.gov/pubmed/31035584
http://dx.doi.org/10.3390/nu11050965
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author Jun, Shinyoung
Zeh, Mary J.
Eicher-Miller, Heather A.
Bailey, Regan L.
author_facet Jun, Shinyoung
Zeh, Mary J.
Eicher-Miller, Heather A.
Bailey, Regan L.
author_sort Jun, Shinyoung
collection PubMed
description Children’s food-security status has been described largely based on either the classification of food security in the household or among household children, but few studies have investigated the relationship between food security among household children and overall dietary quality. Our goal was to examine children’s dietary quality and micronutrient adequacy by food-security classification for the household and among household children. Data from 5540 children (2–17 years) from the National Health and Nutrition Examination Survey (NHANES) 2011–2014 were analyzed. Food-security status was assessed using the U.S. Household Food Security Survey Module and categorized into high, marginal, low, and very low food security for the households and among household children. Dietary quality and micronutrient adequacy were characterized by the Healthy Eating Index (HEI) 2015 and Mean Adequacy Ratio (MAR; based on total nutrient intakes from diet and dietary supplements), respectively. The HEI 2015 scores did not substantially vary by either food-security classification, but the MAR was greater in high compared to very low food security in households and among household children; a linear relationship was found only among household children. In general, very good agreement was observed between the classifications, but the strength of agreement differed by children’s age, race/Hispanic origin, and family income. In conclusion, micronutrient adequacy, but not dietary quality, significantly differed by food-security status. While the agreement between food security in the household and among household children is very good, classification of food security among household children may be more sensitive to detecting differences in exposure to nutrients.
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spelling pubmed-65671522019-06-17 Children’s Dietary Quality and Micronutrient Adequacy by Food Security in the Household and among Household Children Jun, Shinyoung Zeh, Mary J. Eicher-Miller, Heather A. Bailey, Regan L. Nutrients Article Children’s food-security status has been described largely based on either the classification of food security in the household or among household children, but few studies have investigated the relationship between food security among household children and overall dietary quality. Our goal was to examine children’s dietary quality and micronutrient adequacy by food-security classification for the household and among household children. Data from 5540 children (2–17 years) from the National Health and Nutrition Examination Survey (NHANES) 2011–2014 were analyzed. Food-security status was assessed using the U.S. Household Food Security Survey Module and categorized into high, marginal, low, and very low food security for the households and among household children. Dietary quality and micronutrient adequacy were characterized by the Healthy Eating Index (HEI) 2015 and Mean Adequacy Ratio (MAR; based on total nutrient intakes from diet and dietary supplements), respectively. The HEI 2015 scores did not substantially vary by either food-security classification, but the MAR was greater in high compared to very low food security in households and among household children; a linear relationship was found only among household children. In general, very good agreement was observed between the classifications, but the strength of agreement differed by children’s age, race/Hispanic origin, and family income. In conclusion, micronutrient adequacy, but not dietary quality, significantly differed by food-security status. While the agreement between food security in the household and among household children is very good, classification of food security among household children may be more sensitive to detecting differences in exposure to nutrients. MDPI 2019-04-27 /pmc/articles/PMC6567152/ /pubmed/31035584 http://dx.doi.org/10.3390/nu11050965 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Jun, Shinyoung
Zeh, Mary J.
Eicher-Miller, Heather A.
Bailey, Regan L.
Children’s Dietary Quality and Micronutrient Adequacy by Food Security in the Household and among Household Children
title Children’s Dietary Quality and Micronutrient Adequacy by Food Security in the Household and among Household Children
title_full Children’s Dietary Quality and Micronutrient Adequacy by Food Security in the Household and among Household Children
title_fullStr Children’s Dietary Quality and Micronutrient Adequacy by Food Security in the Household and among Household Children
title_full_unstemmed Children’s Dietary Quality and Micronutrient Adequacy by Food Security in the Household and among Household Children
title_short Children’s Dietary Quality and Micronutrient Adequacy by Food Security in the Household and among Household Children
title_sort children’s dietary quality and micronutrient adequacy by food security in the household and among household children
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6567152/
https://www.ncbi.nlm.nih.gov/pubmed/31035584
http://dx.doi.org/10.3390/nu11050965
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