Dataset Information

Application of a Latent Transition Model to Estimate the Usual Prevalence of Dietary Patterns.

ABSTRACT:

Background

This study aims to derive habitual dietary patterns of the Portuguese adult population by applying two methodological approaches: a latent class model and a latent transition model. The novel application of the latent transition model allows us to determine the day-to-day variability of diet and to calculate the usual prevalence of dietary patterns.

Methods

Participants are from the National Food, Nutrition and Physical Activity Survey of the Portuguese population, 2015-2016 (2029 women; 1820 men, aged ?18 years). Diet was collected by two 24 h dietary recalls (8-15 days apart). Dietary patterns were derived by: (1) a latent class model using the arithmetic mean of food weigh intake, with concomitant variables (age and sex); (2) a latent transition model allowing the transition from one pattern to another, with the same concomitant variables.

Results

Six dietary patterns were identified by a latent class model. By using a latent transition model, three dietary patterns were identified: "In-transition to Western" (higher red meat and alcohol intake; followed by middle-aged men), "Western" (higher meats/eggs and energy-dense foods intake; followed by younger men), and "Traditional-Healthier" (higher intake of fruit, vegetables and fish, characteristic of older women). Most individuals followed the same pattern on both days, but around 26% transited between "In-transition to Western" and "Western". The prevalence of the dietary patterns using a single recall day (40%, 27%, 33%, respectively) is different from the usual prevalence obtained by the latent transition probabilities (48%, 36%, 16%).

Conclusion

Three dietary patterns, largely dependent on age and sex, were identified for the Portuguese adult population: "In-transition to Western" (48%), "Western" (36%), and "Traditional-Healthier" (16%), but 26% were transient between patterns. Dietary patterns are, in general, deviating from traditional habits.

SUBMITTER: Oliveira A

PROVIDER: S-EPMC7823363 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Publications

Application of a Latent Transition Model to Estimate the Usual Prevalence of Dietary Patterns.

Oliveira Andreia A Lopes Carla C Torres Duarte D Ramos Elisabete E Severo Milton M

Nutrients 20201231 1

<h4>Background</h4>This study aims to derive habitual dietary patterns of the Portuguese adult population by applying two methodological approaches: a latent class model and a latent transition model. The novel application of the latent transition model allows us to determine the day-to-day variability of diet and to calculate the usual prevalence of dietary patterns.<h4>Methods</h4>Participants are from the National Food, Nutrition and Physical Activity Survey of the Portuguese population, 2015 ...[more]

PMID: 33396483

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Project description:BackgroundThe fourth wave of the drug overdose epidemic in the United States includes increasing rates of stimulant-involved overdose. Recent studies of transitions leading to stimulant misuse have shown complex patterns that are not universally applicable because they have isolated individual populations or individual behaviors. A comprehensive analysis of transitions between behaviors and the associations with present-day problematic drug use has not been conducted.ObjectiveThis study aims to determine whether adults from the general population who use stimulants initiate use through a heterogeneous combination of behaviors and quantify the association between these typologies with present-day problematic drug use.MethodsIndividuals who have reported use of any stimulant in their lifetime were recruited from the 2021 Survey of Nonmedical Use of Prescription Drugs Program, a nationally representative web-based survey on drug use, to participate in a rapid follow-up survey about their past stimulant use. Individuals were asked which stimulants they used, the reasons for use, the routes of administration, and the sources of the stimulant. For each stimulant-related behavior, they were asked at what age, between 6 and 30 years, they initiated each behavior in a 6-year time window. A latent transition analysis was used to characterize heterogeneity in initiation typologies. Mutually exclusive pathways of initiation were identified manually by the researchers. The association of these pathways with present-day problematic drug use was calculated using logistic regression adjusted by the current age of the respondent.ResultsFrom a total of 1329 participants, 740 (55.7%) reported lifetime prescription stimulant use and 1077 (81%) reported lifetime illicit stimulant use. Three typologies were identified. The first typology was characterized by illicit stimulant initiation to get high, usually via oral or snorting routes and acquisition from friends or family or a dealer (illicit experimentation). The second typology was characterized by low, but approximately equal probabilities of initiating 1-2 new behaviors in a time window, but no singular set of behaviors characterized the typology (conservative initiation). The third was characterized by a high probability of initiating many diverse combinations of behaviors (nondiscriminatory experimentation). The choice of drug initiated was not a strong differentiator. Categorization of pathways showed those who were only in an illicit experimentation status (reference) had the lowest odds of having severe present-day problematic drug use. Odds were higher for a conservative initiation-only status (odds ratio [OR] 1.84, 95% CI 1.14-2.94), which is higher still for those moving from illicit experimentation to conservative initiation (OR 3.50, 95% CI 2.13-5.74), and highest for a nondiscriminatory experimentation status (OR 5.45, 95% CI 3.39-8.77).ConclusionsInitiation of stimulant-related use behaviors occurred across many time windows, indicating that multiple intervention opportunities are presented. Screening should be continued throughout adulthood to address unhealthy drug use before developing into full substance use disorders.

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Dataset Information

Application of a Latent Transition Model to Estimate the Usual Prevalence of Dietary Patterns.

Background

Methods

Results

Conclusion

Publications

Application of a Latent Transition Model to Estimate the Usual Prevalence of Dietary Patterns.

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