Dietary energy density is associated with obesity and other biomarkers of chronic disease in US adults

Vernarelli, Jacqueline A.; Mitchell, Diane C.; Rolls, Barbara J.; Hartman, Terryl J.

doi:10.1007/s00394-014-0685-0

Cited by 67 publications

(69 citation statements)

References 18 publications

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“…29 In addition to increasing shopping at non-grocery stores, purchases at these store-types are of lower nutritional quality. While energy-dense diets have been associated with obesity, elevated insulin levels and metabolic syndrome in US adults, 30, 31 the results here are on purchases, not diets. Relating household PFP to individual intake is challenging considering consumer-level food waste associated with households PFP.…”

Section: Discussionmentioning

confidence: 71%

The Nutrient Content of U.S. Household Food Purchases by Store Type

Stern

2016

American Journal of Preventive Medicine

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Introduction Little is known about where households shop for packaged foods, what foods and beverages they purchase, and the nutrient content of these purchases. The objectives are to describe volume trends and nutrient content (food groups and nutrient profiles) of household packaged foods purchases (PFP) by store-type. Methods Cross-sectional analysis of US households’ food purchases (Nielsen Homescan) from 2000 to 2012 (n=652,023 household-year observations) with survey weights used for national representativeness. Household PFP trends (% volume) by store-type, household purchases of key food and beverage groups based on caloric contribution by store-type, and mean caloric and nutrient densities (sugars, saturated fat and sodium) of household PFP by store-type are analyzed. Data were collected from 2000–2012. Analyses were conducted in 2014–2015. Results The proportion of total volume of household PFP significantly increased from 2000 to 2012 for mass-merchandisers (13.1 to 23.9%), convenience-stores (3.6 to 5.9%) and warehouse-club (6.2 to 9.8%), and significantly decreased for grocery-chains (58.5 to 46.3%) and non-chain grocerys (10.3 to 5.2%). Top common sources of calories (%) from household PFP by food/beverage group include: savory snacks, grain-based desserts and regular soft-drinks. The energy, total sugar, sodium and saturated fat densities of household PFP from mass-merchandisers, warehouse-club and convenience-stores were higher, compared to grocery-stores. Conclusions PFP from stores with poorer nutrient density (more energy, total sugar, sodium and saturated fat-dense), such as warehouse-club, mass-merchandisers and convenience-stores are growing, representing a potential US public health concern.

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Section: Discussionmentioning

confidence: 71%

The Nutrient Content of U.S. Household Food Purchases by Store Type

Stern

2016

American Journal of Preventive Medicine

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“…Diet-related chronic diseases are among the leading causes of premature morbidity and mortality in the United States and account for the majority of costs associated with health care and lost productivity (130). Chronic conditions such as cardiovascular disease, type 2 diabetes, metabolic syndrome, and certain types of cancers have been associated with elevated intake of red meat and processed meat (29, 79,85,102,103,117,142,147), added sugars (11,75,96,98,197), saturated fats and trans fats (69,83,107,134,148), and energy-dense foods in general (187). Of particular concern, poor diet contributes to the disproportionate burden of obesity, malnutrition, and diet-related diseases in low-income and minority populations in both urban and rural areas (112).…”

Section: Diet-related Diseasementioning

confidence: 99%

Food System Policy, Public Health, and Human Rights in the United States

Shannon

Kim

McKenzie

et al. 2015

Annu. Rev. Public Health

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The US food system functions within a complex nexus of social, political, economic, cultural, and ecological factors. Among them are many dynamic pressures such as population growth, urbanization, socioeconomic inequities, climate disruption, and the increasing demand for resourceintensive foods that place immense strains on public health and the environment. This review focuses on the role that policy plays in defining the food system, particularly with regard to agriculture. It further examines the challenges of making the food supply safe, nutritious, and sustainable, while respecting the rights of all people to have access to adequate food and to attain the highest standard of health. We conclude that the present US food system is largely unhealthy, inequitable, environmentally damaging, and insufficiently resilient to endure the impacts of climate change, resource depletion, and population increases, and is therefore unsustainable. Thus, it is imperative that the US embraces policy reforms to transform the food system into one that supports public health and reflects the principles of human rights and agroecology for the benefit of current and future generations.

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“…Human diets high in fat and energy density are associated with a rapid increase in the incidence of obesity in the both western world and certain developing countries [7]. Recent data from the National Health and Nutrition Examination Survey (NHANES; show that about 32 % of nonpregnant women aged 20-39 years in the USA are clinically obese [8].…”

Section: Introductionmentioning

confidence: 99%