To what extent do food purchases reflect shoppers' diet quality and nutrient intake?

ABSTRACT: Food purchasing is considered a key mediator between the food environment and eating behavior, and food purchasing patterns are increasingly measured in epidemiologic and intervention studies. However, the extent to which food purchases actually reflect individuals' dietary intake has not been rigorously tested. This study examined cross-sectional agreement between estimates of diet quality and nutrient densities derived from objectively documented household food purchases and those derived from interviewer-administered 24-h diet recalls. A secondary aim was to identify moderator variables associated with attenuated agreement between purchases and dietary intake.Primary household food shoppers (N?=?196) collected and annotated receipts for all household food and beverage purchases (16,356 total) over 14 days. Research staff visited participants' homes four times to photograph the packaging and nutrition labels of each purchased item. Three or four multiple-pass 24-h diet recalls were performed within the same 14-d period. Nutrient densities and Healthy Eating Index-2010 (HEI-2010) scores were calculated from both food purchase and diet recall data.HEI-2010 scores derived from food purchases (median?=?60.9, interquartile range 49.1-71.7) showed moderate agreement (?c?=?.57, p?

SUBMITTER: Appelhans BM 

PROVIDER: S-EPMC5387266 | biostudies-literature | 2017 Apr

REPOSITORIES: biostudies-literature