Literacy Contributes to Greater Higher Diet Quality in a Socioeconomically Diverse Urban Prospective Cohort

Kuczmarski, Marie Fanelli; Beydoun, May A.; Cotugna, Nancy; Daniels, Loran M; Mason, Marc A.; Zonderman, Alan B.; Evans, Michele K.

doi:10.1097/tin.0000000000000057

Cited by 10 publications

(10 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Financial resources could have been a limiting factor to achieving a diet replete in fruits and vegetables for all persons in the HANDLS population, and not just those in the lower-income category. This assertion is supported by earlier research that reported mean total HEI-2010 scores in baseline HANDLS participants were approximately 10 points lower than those of the U.S. population [ 54 ]. It is well documented that lower quality diets cost less, and the foods they include are commonly selected by lower-income individuals [ 55 ].…”

Section: Discussionsupporting

confidence: 70%

Dietary Flavonoid Intakes Are Associated with Race but Not Income in an Urban Population

et al. 2018

View full text Add to dashboard Cite

Flavonoids are polyphenolic phytochemicals with health-promoting properties, yet knowledge about their intake in at-risk populations is limited. This study sought to estimate intakes of total flavonoids and six flavonoid classes in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study; determine if differences in intakes exist by race (African American (AA) and White (W)) and income (< or >125% Federal poverty guidelines); and compare intakes to those of a nationally representative population with similar demographic and socioeconomic characteristics. Data transformation normalized the flavonoid intake distributions prior to conducting statistical tests. With the exception of the flavanone class, flavonoid intakes of AAs were significantly lower than those of W (p < 0.01), regardless of other potential mediating factors including sex, age, and income. Total flavonoid intakes in HANDLS did not differ from intakes in the nationally representative study, but anthocyanidin and flavone intakes were lower, and race specific differences were found for several flavonoid classes. These findings imply that benefits attributable to flavonoid consumption may not be experienced equally by AAs and Whites, nor in vulnerable populations such as that represented by HANDLS relative to the U.S. population, and may play a role in observed health disparities.

show abstract

Section: Discussionsupporting

confidence: 70%

Dietary Flavonoid Intakes Are Associated with Race but Not Income in an Urban Population

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Literacy was included along with education in the regression models since an independent and synergistic association of literacy and education with diet quality measured by HEI-2010 is known to exist. 29 …”

Section: Methodsmentioning

confidence: 99%

“… a Energy, kcal, contributed by snacks b AA= African American c SES= Socioeconomic status, defined as <125% or ≥125% 2004 Federal poverty guidelines d WRAT-3= Wide Range Achievement Test, version 39 28,29 …”

Section: Figurementioning

confidence: 99%

Snacking and Diet Quality Are Associated With the Coping Strategies Used By a Socioeconomically Diverse Urban Cohort of African-American and White Adults

Kuczmarski¹,

Cotugna²,

Pohlig³

et al. 2017

Journal of the Academy of Nutrition and Dietetics

Self Cite

View full text Add to dashboard Cite

Background Stress affects health-related quality of life through several pathways including physiological processes and health behaviors. There is always a relationship between stress, the stimulus, and coping, the response. The relationship of snacking and snackers’ diet quality, to stress-coping is a topic overlooked in research. Objectives The study was primarily designed to determine whether energy provided by snacks and diet quality were associated with coping behaviors to manage stress. Design Baseline cohort of the Healthy Aging in Neighborhoods of Diversity across the Life Span study (2004–2009). Participants Sample was comprised of 2,177 socioeconomically diverse African American and White adults who resided in Baltimore, MD. Main outcome measures Energy from snacks was calculated from 2 days of 24-hour dietary recalls collected using US Department of Agriculture’s Automated Multiple Pass Method. Snack occasions were self-reported as distinct eating occasions. Diet quality was evaluated by the Healthy Eating Index (HEI)-2010. Statistical analyses performed Multiple regression analyses were used to determine whether coping factors were associated with either energy provided by snacks or HEI-2010, adjusting for age, sex, race, socioeconomic status, education, literacy, and perceived stress. Coping was measured by the Brief COPE Inventory with instrument variables categorized into three factors - problem-focused coping, emotion-focused coping, and use of support. Perceived stress was measured with the 4-item Perceived Stress Scale by Cohen. Results Adjusting for perceived stress and selected demographic characteristics, emotion-focused coping strategies were associated with greater energy intakes from snacks (P=0.020), while use of coping strategies involving support was positively associated with better diet quality (P=0.009). Conclusions Energy contributed by snacks and diet quality were affected by the strategy an individual used to cope with stress. The findings suggest that health professionals working with individuals seeking guidance to modify their eating practices should assess a person’s coping strategies to manage stress.

show abstract

“…Prior research with an urban population of African-American and White adults, examined in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study, revealed no dietary pattern consistent with a healthful diet [ 16 ]. Amongst this low-income population, measures of diet quality, such as the Healthy Eating Index (HEI)-2010, adherence to the DASH diet, and the Mean Adequacy Ratio (MAR), revealed that major improvements are needed to achieve a healthful diet [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Dietary Patterns Associated with Lower 10-Year Atherosclerotic Cardiovascular Disease Risk among Urban African-American and White Adults Consuming Western Diets

et al. 2018

View full text Add to dashboard Cite

The study’s objective was to determine whether variations in the 2013 American College of Cardiology/American Heart Association 10-year risk for atherosclerotic cardiovascular disease (ASCVD) were associated with differences in food consumption and diet quality. Findings from the baseline wave of Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study 2004–2009, revealed participants consumed a Western diet. Diet quality measures, specifically the Healthy Eating Index (HEI)-2010, Dietary Approaches to Stop Hypertension (DASH) diet and the Mean Adequacy Ratio (MAR), based on two 24-h recalls collected during follow-up HANDLS studies from 2009–2013, were used. Reported foods were assigned to 27 groups. In this cross-sectional analysis, the participants (n = 2140) were categorized into tertiles based on their 10-year ASCVD risk. Lower and upper tertiles were used to determine significantly different consumption rates among the food groups. Ten groups were used in hierarchical case clustering to generate four dietary patterns (DPs) based on group energy contribution. The DP with the highest HEI-2010 score included sandwiches along with vegetables and cheese/yogurt. This DP, along with the pizza/sandwiches DP, had significantly higher DASH and MAR scores and a lower 10-year ASCVD risk, compared to the remaining two DPs–meats/sandwiches and sandwiches/bakery products; thus, Western dietary patterns were associated with different levels of ASCVD 10-year risk.

show abstract

Literacy Contributes to Greater Higher Diet Quality in a Socioeconomically Diverse Urban Prospective Cohort

Cited by 10 publications

References 5 publications

Dietary Flavonoid Intakes Are Associated with Race but Not Income in an Urban Population

Dietary Flavonoid Intakes Are Associated with Race but Not Income in an Urban Population

Snacking and Diet Quality Are Associated With the Coping Strategies Used By a Socioeconomically Diverse Urban Cohort of African-American and White Adults

Dietary Patterns Associated with Lower 10-Year Atherosclerotic Cardiovascular Disease Risk among Urban African-American and White Adults Consuming Western Diets

Contact Info

Product

Resources

About