Dietary Diversity: Implications for Obesity Prevention in Adult Populations: A Science Advisory From the American Heart Association

Otto, Marcia C. de Oliveira; Anderson, Cheryl A.M.; Dearborn, Jennifer L.; Ferranti, Erin P.; Mozaffarian, Dariush; Rao, Goutham; Wylie‐Rosett, Judith; Lichtenstein, Alice H.

doi:10.1161/cir.0000000000000595

Cited by 101 publications

(96 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, little attention is given to the presence of variety within- and across-meals, the food components that constitute variety (i.e., sensory characteristics), nor the potential role of variety in encouraging greater food intake [ 4 ]. A recent scientific advisory article from the American Heart Association has identified the poor level of correspondence between the research literature and dietary advice as an issue that may undermine public health efforts to promote healthy eating patterns [ 35 ]. Our research further emphasises the need for dietary guidelines to discern the nature of variety to consumers in line with the research literature.…”

Section: Discussionmentioning

confidence: 99%

Consumer perception of food variety in the UK: an exploratory mixed-methods analysis

et al. 2020

View full text Add to dashboard Cite

Background ‘Food variety’ is a key term that is frequently used in dietary guidelines around the world. Consuming a variety of foods – be it within a meal, across meals, or as part of the whole diet – is one factor that has been shown to increase food intake. However, little is known about consumer understanding of variety, and this may be a potential barrier to the success of dietary guidelines in today’s ‘obesogenic’ environment. This research sought to explore 1) consumer recognition of different forms of variety, and 2) consumer definitions of variety. Methods In an online study (N = 240), participants were asked to discuss a range of photographs depicting different forms of variety, and to directly define the term ‘food variety’. They were unaware of the research aim. Results Using a mixed methods approach, directed content analysis of these data showed that individuals referenced multiple forms of variety in the presence of food photographs. However, when asked to define variety, participants tended to only discuss variety in the context of the whole diet. Conclusions These findings emphasise a need to educate consumers about variety to encourage adherence to dietary guidelines and help consumers better manage their own food intake.

show abstract

Section: Discussionmentioning

confidence: 99%

Consumer perception of food variety in the UK: an exploratory mixed-methods analysis

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Dietary diversity (i.e., variety) is another approach that should be considered for frailty prevention. High dietary diversity was reported to be correlated with the intake of recommended nutrient-dense foods such as fruits, vegetables, and whole grains and non-recommended foods such as processed meats, salty snacks, and sweetened beverages [191,192]. High variety in diet as well as exercise was associated with a low incidence of frailty in a two-year longitudinal study [193].…”

Section: Strategy Shift In Dietary Management From Metabolic Syndromementioning

confidence: 99%

Nutrition Management in Older Adults with Diabetes: A Review on the Importance of Shifting Prevention Strategies from Metabolic Syndrome to Frailty

et al. 2020

View full text Add to dashboard Cite

The increasing prevalence of older adults with diabetes has become a major social burden. Diabetes, frailty, and cognitive dysfunction are closely related to the mechanisms of aging. Insulin resistance, arteriosclerosis, chronic inflammation, oxidative stress, and mitochondrial dysfunction may be common mechanisms shared by frailty and cognitive impairment. Hyperglycemia, hypoglycemia, obesity, vascular factors, physical inactivity, and malnutrition are important risk factors for cognitive impairment and frailty in older adults with diabetes. The impact of nutrients on health outcomes varies with age; thus, shifting diet therapy strategies from the treatment of obesity/metabolic syndrome to frailty prevention may be necessary in patients with diabetes who are over 75 years of age, have frailty or sarcopenia, and experience malnutrition. For the prevention of frailty, optimal energy intake, sufficient protein and vitamin intake, and healthy dietary patterns should be recommended. The treatment of diabetes after middle age should include the awareness of proper glycemic control aimed at extending healthy life expectancy with proper nutrition, exercise, and social connectivity. Nutritional therapy in combination with exercise, optimal glycemic and metabolic control, and social participation/support for frailty prevention can extend healthy life expectancy and maintain quality of life in older adults with diabetes mellitus.

show abstract

“…Alternatively, a diverse diet may also be associated with more high-energy food sources and nutrients that represent a public health concern, such as added sugars, saturated fat, and sodium. Therefore, a diverse diet could also lead to unhealthy weight gain and chronic non-communicable diseases in adults [17,18]. The latter suggests that within a diverse diet, it is also important to assess diet healthfulness, namely, adequate food consumption as defined by dietary guidelines.…”

Section: Introductionmentioning

confidence: 99%

Dietary Diversity and Micronutrients Adequacy in Women of Childbearing Age: Results from ELANS Study

et al. 2020

View full text Add to dashboard Cite

Dietary diversity, an important component of diet quality, is associated with an increased probability of adequate micronutrient intake. Women of childbearing age (WCA) are particularly vulnerable to micronutrient inadequacy. The Minimum Dietary Diversity for Women (MDD-W) has been used widely as a proxy measurement of micronutrient adequacy. This study aimed to assess the association between MDD-W and nutrients adequacy among WCA of eight Latin American countries. Nutrient intakes from 3704 WCA were analyzed with two 24-hour dietary recalls. Dietary diversity was calculated based on ten food groups with a cut-off point of intake ≥5 groups. The mean dietary diversity score was 4.72 points, and 57.7% of WCA achieved MDD-W. Vitamin D and E showed a mean Nutrient Adequacy Ratio (NAR) of 0.03 and 0.38, respectively. WCA with a diverse diet (MDD-W > 5) reported a significantly higher intake of most micronutrients and healthy food groups with less consumption of red and processed meats and sugar-sweetened beverages. MDD-W was significantly associated with the mean adequacy ratio (MAR) of 18 micronutrients evaluated. Nevertheless, even those women with a diverse diet fell short of meeting the Estimated Average Requirements (EAR) for vitamins D and E. MDD-W is an appropriate tool to evaluate micronutrients adequacy in WCA from Latin America, showing that women who achieved the MDD-W reported higher adequacy ratios for most micronutrients and an overall healthier diet.

show abstract

Dietary Diversity: Implications for Obesity Prevention in Adult Populations: A Science Advisory From the American Heart Association

Cited by 101 publications

References 50 publications

Consumer perception of food variety in the UK: an exploratory mixed-methods analysis

Consumer perception of food variety in the UK: an exploratory mixed-methods analysis

Nutrition Management in Older Adults with Diabetes: A Review on the Importance of Shifting Prevention Strategies from Metabolic Syndrome to Frailty

Dietary Diversity and Micronutrients Adequacy in Women of Childbearing Age: Results from ELANS Study

Contact Info

Product

Resources

About