Geographic patterns and socioeconomic differences in the nutritional quality of household packaged food purchases in the United States

Lacko, Allison M; Delamater, Paul L.; Gordon‐Larsen, Penny; Ng, Shu Wen

doi:10.1016/j.healthplace.2021.102567

Cited by 5 publications

(3 citation statements)

References 35 publications

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“…The population with a higher education had a greater tendency to consume foods of the grill/beverage pattern, followed by the industrialized pattern. This coincides with Lacko et al who reported that the lower the educational level, the greater the intake of foods with high sugar content and packaged foods [35].…”

Section: Discussionsupporting

confidence: 90%

Factors Associated with Dietary Patterns in Colombia

et al. 2023

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The selection of food depends on various factors such as cultural, social, economic and biological. This paper determines the factors associated with dietary patterns in Colombia. It is an observational, descriptive exploratory study collecting secondary data from the National Survey of Nutritional Status of Colombia (ENSIN, 2015) of 16,216 people between 15 and 64 years of age. The variables were the following: area, age range, sex, educational level, high blood pressure arterial hypertension (HTA), diabetes (DM), cancer, wealth quartile and dietary pattern. For the data analysis, logistic regression models were generated for each pattern and OR was used as a measure of association. Of those studied, 74.6% live in urban areas, all were aged between 15 and 49 years and 45.4% were in the first wealth quartile (Q1). There was a greater probability of traditional and conservative dietary patterns in people with diabetes and hypertension. Consumption of the conservative pattern was associated with being a woman, while consumption of the traditional pattern was associated with people in the first and second wealth level. Consumption of grill/beverage was more likely in men. Socio-demographic factors and chronic non-communicable diseases are associated with dietary patterns. This makes it relevant for health professionals to take into account these characteristics for nutritional interventions.

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Section: Discussionsupporting

confidence: 90%

Factors Associated with Dietary Patterns in Colombia

et al. 2023

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“…It is more interesting that people with a typical southern diet have lower education levels yet higher physical activity levels and higher intake of vegetables, poultry, and fish than people with the northern one, which indicates the great impact of external environmental factors besides individual factors that deal with this discrepancy in dietary and lifestyle choices between the two regions represented by the two typical diets since higher education level has been consistently associated with better health behaviors and dietary quality in previous studies [ 13 , 26 , 55 , 56 ]. The Lifelines cohort study in the Netherlands also indicated the existence of regional “food cultures” with spatial analysis, by which the author means not only physical food environments but also social and cultural correlates of dietary behavior [ 57 ].…”

Section: Discussionmentioning

confidence: 85%

Geographic Variations in Dietary Patterns and Their Associations with Overweight/Obesity and Hypertension in China: Findings from China Nutrition and Health Surveillance (2015–2017)

Zhao

Gao

et al. 2022

Nutrients

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Regional dietetic cultures were indicated in China, but how dietary patterns geographically varied across China is unknown. Few studies systematically investigated the association of dietary patterns with overweight/obesity and hypertension and the potential mechanism with a national sample. This study included 34,040 adults aged 45 years and older from China Nutrition and Health Surveillance (2015–2017), who had complete outcome data, reliable intakes of calorie and cooking oils, unchanged diet habits, and without diagnosed cancer or cardiovascular disease. Outcomes were overweight/obesity and hypertension. By using the Gaussian finite mixture models, four dietary patterns were identified—common rice-based dietary pattern (CRB), prudent diversified dietary pattern (PD), northern wheat-based dietary pattern (NWB), and southern rice-based dietary pattern (SRB). Geographic variations in dietary patterns were depicted by age–sex standardized proportions of each pattern across 31 provinces in China. We assessed the association of these dietary patterns with outcomes and calculated the proportion mediated (PM) by overweight/obesity in the association of the dietary patterns with hypertension. Evident geographic disparities in dietary patterns across 31 provinces were observed. With CRB as reference group and covariates adjusted, the NWB had higher odds of being overweight/obese (odds ratio (OR) = 1.44, 95% confidence interval (CI): 1.36–1.52, p < 0.001) and hypertension (OR = 1.07, 95%CI: 1.01–1.14, p < 0.001, PM = 43.2%), while the SRB and the PD had lower odds of being overweight/obese (ORs = 0.84 and 0.92, 95%CIs: 0.79–0.89 and 0.85–0.99, p < 0.001 for both) and hypertension (ORs = 0.93 and 0.87, 95%CIs: 0.87–0.98 and 0.80–0.94, p = 0.038 for SRB and p < 0.001 for PD, PMs = 27.8% and 9.9%). The highest risk of overweight/obesity in the NWB presented in relatively higher carbohydrate intake (about 60% of energy) and relatively low fat intake (about 20% of energy). The different trends in the association of protein intake with overweight/obesity among dietary patterns were related to differences in animal food sources. In conclusion, the geographic distribution disparities of dietary patterns illustrate the existence of external environment factors and underscore the need for geographic-targeted dietary actions. Optimization of the overall dietary pattern is the key to the management of overweight/obesity and hypertension in China, with the emphasis on reducing low-quality carbohydrate intake, particularly for people with the typical northern diet, and selection of animal foods, particularly for people with the typical southern diet.

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“…Further, many studies examining dietary sources of PFAS do not focus on young adult populations, yet young adults are in a distinct and important behavioral and developmental window ( Tohiet al, 2022 ). While existing research provides dietary guidelines for adult populations of European ancestry or the general public, dietary habits vary across age groups ( (USDA) 2023 ; Larsonet al, 2016 ), geographic regions ( Lackoet al, 2021 ; Vadivelooet al, 2019 ), and racial/ethnic groups in the United States ( Di Noiaet al, 2016 ; TaoLiu and Nguyen, 2022 ; Zimmeret al, 2020 ). Further, PFAS exposures differ across these factors as well ( (EPA) 2023 ; Parket al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Associations of dietary intake and longitudinal measures of per- and polyfluoroalkyl substances (PFAS) in predominantly Hispanic young Adults: A multicohort study

Hampson,

Costello,

Walker

et al. 2024

Environment International

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Geographic patterns and socioeconomic differences in the nutritional quality of household packaged food purchases in the United States

Cited by 5 publications

References 35 publications

Factors Associated with Dietary Patterns in Colombia

Factors Associated with Dietary Patterns in Colombia

Geographic Variations in Dietary Patterns and Their Associations with Overweight/Obesity and Hypertension in China: Findings from China Nutrition and Health Surveillance (2015–2017)

Associations of dietary intake and longitudinal measures of per- and polyfluoroalkyl substances (PFAS) in predominantly Hispanic young Adults: A multicohort study

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