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Longitudinal change in the diet's monetary value is associated with its change in quality and micronutrient adequacy among urban adults.


ABSTRACT:

Background

Reducing diet costs may lead to the selection of energy-dense foods, such as refined grains or foods high in added sugars and/or fats, which can lower overall dietary quality. We examined the longitudinal association between the monetary value of the diet (MVD) and the overall dietary quality across sex, race and income groups.

Methods and findings

Longitudinal data from 1,466 adult urban participants from Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study were used. Healthy Eating Index-2010 (HEI-2010) and Mean Adequacy Ratio (MAR) were computed and a national food price database was used to estimate MVD. Multiple linear regression analyses were conducted linking annual rates of change (?) in MVD to ?HEI-2010 and ?MAR, stratifying by sex, race and income groups. Among key findings, ?HEI-2010 was comparable across socio-demographic groups, while ?MAR was higher among women and individuals above poverty. Adjusting for key covariates, ?MVD was positively associated with both ?HEI-2010 and ?MAR, and with a consistently stronger association among individuals above poverty, specifically for the total proteins and empty calories components of HEI-2010 and several nutrient adequacy ratios (NARs: vitamins C, E, B-6 and Zinc). ?MVD-?MAR association was stronger in women, mainly influenced by ?MVD's positive associations with B-vitamins, copper, calcium, magnesium and phosphorus NARs. ?MVD-?vitamin D NAR's positive relationship was stronger among Whites, while ?MVD-?vitamin B-12 NAR's association was stronger among African-Americans.

Conclusions

In sum, a potential increase in MVD may have a stronger impact on dietary quality among urban adult women and above-poverty individuals.

SUBMITTER: Beydoun MA 

PROVIDER: S-EPMC6193582 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Publications

Longitudinal change in the diet's monetary value is associated with its change in quality and micronutrient adequacy among urban adults.

Beydoun May A MA   Fanelli-Kuczmarski Marie T MT   Poti Jennifer J   Allen Allyssa A   Beydoun Hind A HA   Evans Michele K MK   Zonderman Alan B AB  

PloS one 20181012 10


<h4>Background</h4>Reducing diet costs may lead to the selection of energy-dense foods, such as refined grains or foods high in added sugars and/or fats, which can lower overall dietary quality. We examined the longitudinal association between the monetary value of the diet (MVD) and the overall dietary quality across sex, race and income groups.<h4>Methods and findings</h4>Longitudinal data from 1,466 adult urban participants from Healthy Aging in Neighborhoods of Diversity across the Life Span  ...[more]

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