Journal of the Academy of Nutrition and Dietetics最新文献

{"title":"Association between Ultra-processed Food Consumption And Mortality among U.S. Adults: Prospective Cohort Study of the National Health And Nutrition Examination Survey 2003-2018.","authors":"Lu Wang, Euridice Martínez Steele, Mengxi Du, Hanqi Luo, Xuehong Zhang, Dariush Mozaffarian, Fang Fang Zhang","doi":"10.1016/j.jand.2024.11.014","DOIUrl":"https://doi.org/10.1016/j.jand.2024.11.014","url":null,"abstract":"<p><strong>Background: </strong>Intake of ultra-processed foods provides more than half of the daily energy U.S. adults consume. Still, the prospective association of ultra-processed food consumption with mortality in the general U.S. population remains understudied.</p><p><strong>Objective: </strong>To investigate the prospective association of ultra-processed food consumption with mortality in a nationally representative sample of U.S. adults.</p><p><strong>Design: </strong>A prospective cohort analysis was conducted by linking baseline measurement from the National Health And Nutrition Examination Survey (NHANES) with mortality information from the National Death Index. The percentage of total energy (%E) consumed from ultra-processed foods, defined by the Nova classification system, was computed based on dietary data collected using 24-hour diet recalls.</p><p><strong>Participants/setting: </strong>This study included 38148 nationally representative U.S. adults aged 20 years and above who participated in NHANES between 2003-2004 to 2017-2018 and provided dietary intake data, with linkage to mortality data.</p><p><strong>Main outcome measures: </strong>Information on all-cause and cause-specific mortality was obtained from linkage to the National Death Index through December 31, 2019.</p><p><strong>Statistical analysis performed: </strong>Cox proportional hazard models estimated the multivariable-adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) for the association between ultra-processed food intake and mortality.</p><p><strong>Results: </strong>During a median follow-up of 8.0 years, 4,611 deaths were confirmed, including 2064 deaths from cardiometabolic disorders (CMD) and 1046 deaths from cancer. After multivariable adjustments, each 10-point increment in usual %E from ultra-processed foods was associated with a 9% higher risk of all-cause mortality (HR=1.09, 95% CI, 1.04-1.14). The association remained significant after adjusting for the overall diet quality measured by the Health Eating Index 2015 (HR=1.06, 95% CI, 1.00-1.11, P<0.05). Among subgroups, sugar-sweetened beverages, ready-to-eat or -heat mixed dishes, ultra-processed dairy products, and ultra-processed oil/fat, condiments, and sauces were associated with an increased risk of all-cause or cause-specific mortality. Ultra-processed vegetables and legumes were associated with a reduced risk.</p><p><strong>Conclusions: </strong>In this nationally representative study of U.S. adults, higher consumption of ultra-processed food was associated with a higher risk of all-cause mortality, and this association was not fully explained by overall diet quality.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142749554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intake and Nutritional Adequacy in Patients with Cancer Diagnosed with Malignant Bowel Obstruction: A secondary analysis of a randomized trial.","authors":"Cynthia A Thomson, Kathryn B Arnold, Garnet Anderson, Virginia Sun, Angeles Alvarez Secord, Angela Yung, Mazin Al-Kasspooles, Valentine N Nfonsam, Marcia Grant, Gary B Deutsch, Jeremiah L Deneve, Robert S Krouse","doi":"10.1016/j.jand.2024.11.011","DOIUrl":"https://doi.org/10.1016/j.jand.2024.11.011","url":null,"abstract":"<p><strong>Background: </strong>Malignant bowel obstruction (MBO) is experienced by many with advanced cancer. Patients with MBO cannot eat and may have reduced ability to eat once the acute process has resolved. Sparse data exist to describe oral intake capacity and adequacy of nutrition in MBO patients. These data are critical to developing effective supportive care nutrition therapy for patients with MBO.</p><p><strong>Objective: </strong>To describe the ability to consume food/liquids orally estimating nutritional adequacy of diet in a sample of patients who received surgical or non-surgical treatment for MBO.</p><p><strong>Design: </strong>A descriptive secondary data analysis of repeated dietary intake measures from S1316, a pragmatic comparative effectiveness trial of surgical and non-surgical treatment for MBO. Participant enrollment occurred between 2015 and 2020. Ability to eat was assessed through self-reported telephone survey and intake was estimated using telephone-based 24-hour recalls, applying USDA multi-pass methodology.</p><p><strong>Participants/setting: </strong>The primary trial was conducted within the SWOG Cancer Research Network and included recruitment sites across the U.S. and Latin America. Eligible participants were diagnosed with, and hospitalized for, MBO.</p><p><strong>Main outcome measures: </strong>The main outcomes measures were self- or caregiver reported ability to eat, as well as overall nutrient intake.</p><p><strong>Statistical analysis: </strong>Descriptive statistics were used to report patient characteristics, intake, and nutrient adequacy. Nutrient intake was presented by tertiles of gastrointestinal symptom severity and assessed.</p><p><strong>Results: </strong>221 participants were registered; 199 were eligible and included. At Week 1, 51% of patients with MBO reported consuming some solid food orally; 34% reported no oral intake; 13% were on enteral feeding only. For patients alive and responsive to recalls at 13 weeks (n=57), 82% (n=47) reported consuming solid food. Compared to recommendations, mean reported intake was inadequate for most nutrients.</p><p><strong>Conclusions: </strong>Oral intake is reported in more than half of patients diagnosed with MBO. Medical nutrition therapy should be tailored to patients' tolerance for eating and with consideration or patient's desire to address nutritional inadequacies.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longer WIC Participation Is Associated With Higher Diet Quality and Consumption of WIC-Eligible Foods Among Children 2-5 Years Old.","authors":"Lauren E Au, Hannah R Thompson, Lorrene D Ritchie, Brenda Sun, Thea P Zimmerman, Shannon E Whaley, Amanda Reat, Kavitha Sankavaram, Christine Borger","doi":"10.1016/j.jand.2024.11.012","DOIUrl":"10.1016/j.jand.2024.11.012","url":null,"abstract":"<p><strong>Background: </strong>Few studies have evaluated trends in diet quality across early childhood, including the extent to which foods and beverages available in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Food Package contribute to children's diets.</p><p><strong>Objective: </strong>The objective of this study was to examine the following across ages 2 through 5 years: (1) trends in Healthy Eating Index-2020 (HEI-2020) total and component scores; (2) differences in mean HEI-2020 scores by WIC participation duration; and (3) contributions of the top 5 foods or beverages to HEI-2020 component scores by WIC duration.</p><p><strong>Design: </strong>This was a secondary analysis of a nationally representative sample of the WIC Infant and Toddler Feeding Practices Study-2 conducted between 2013 and 2019.</p><p><strong>Participants/setting: </strong>WIC Infant and Toddler Feeding Practices Study-2 participants (n = 980; weighted n = 403 726) were included.</p><p><strong>Main outcome measures: </strong>The outcomes were HEI-2020 scores and top contributing foods to HEI-2020 components.</p><p><strong>Statistical analyses: </strong>Multivariate regression was conducted to examine HEI-2020 scores by WIC duration (high, intermediate, and low groups). The top 5 contributors to HEI-2020 components were averaged across ages 2 through 5 years and compared across WIC duration groups.</p><p><strong>Results: </strong>For all participants combined, the mean HEI-2020 total scores were similar across ages 2 through 5 years. Children with high WIC duration had higher total HEI-2020 scores compared with children with low WIC duration from ages 2 through 5 years (mean [SE], 58.1 [0.7] vs 55.6 [1.1]; P = .03). The percentage contributions of many of the WIC-eligible foods to HEI-2020 components were higher in the high WIC duration group compared with low WIC duration group, including higher intake of dried beans, unsweetened breakfast cereals, whole-grain breads, and 1% milk; the high WIC duration group also had lower intake of sweetened breakfast cereals and 2% milk.</p><p><strong>Conclusions: </strong>Findings illustrate how WIC-eligible foods contribute to higher diet quality scores; when children participate in WIC longer, their diets are better aligned with national dietary guidelines.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"December 2024 People & Events","authors":"","doi":"10.1016/j.jand.2024.10.003","DOIUrl":"10.1016/j.jand.2024.10.003","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"124 12","pages":"Page 1682"},"PeriodicalIF":3.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2025 Call for Food & Nutrition Conference & Expo Abstracts","authors":"","doi":"10.1016/j.jand.2024.10.002","DOIUrl":"10.1016/j.jand.2024.10.002","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"124 12","pages":"Pages 1679-1680"},"PeriodicalIF":3.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142702861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thanks to Our Reviewers","authors":"","doi":"10.1016/j.jand.2024.10.005","DOIUrl":"10.1016/j.jand.2024.10.005","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"124 12","pages":"Page 1681"},"PeriodicalIF":3.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What's New Online","authors":"","doi":"10.1016/S2212-2672(24)00915-8","DOIUrl":"10.1016/S2212-2672(24)00915-8","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"124 12","pages":"Page 1543"},"PeriodicalIF":3.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"December 2024 Sites in Review","authors":"","doi":"10.1016/j.jand.2024.10.004","DOIUrl":"10.1016/j.jand.2024.10.004","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"124 12","pages":"Pages 1683-1684"},"PeriodicalIF":3.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142697774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"December 2024 New in Review","authors":"","doi":"10.1016/j.jand.2024.10.010","DOIUrl":"10.1016/j.jand.2024.10.010","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"124 12","pages":"Pages 1687-1691"},"PeriodicalIF":3.5,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142702859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skin Carotenoids Measured by Reflection Spectroscopy Correlates with Vegetable Intake Frequency in Adolescents of Racial and Ethnic Minorities in Houston, Texas.","authors":"Nancy E Moran, Elizabeth Onyekwere, Aliye B Cepni, Tracey A Ledoux, Hanjoe Kim, Katherine R Arlinghaus","doi":"10.1016/j.jand.2024.11.010","DOIUrl":"10.1016/j.jand.2024.11.010","url":null,"abstract":"<p><strong>Background: </strong>Objective methods are needed to assess adolescent fruit and vegetable (F/V) intake to better evaluate interventions aimed at improving F/V intake. Skin carotenoid concentration measures provide a potential objective biomarker of F/V intake, but the plausibility and robustness must be established across adolescent populations.</p><p><strong>Objective: </strong>The objective of this study is to evaluate the relationship between pressure-mediated reflection spectroscopy-measured skin carotenoid scores (SCSs) and self-reported F/V intake frequency among US racial and ethnic minority adolescents in Houston, TX.</p><p><strong>Design: </strong>This is a secondary analysis of data collected on adolescents participating in the randomized, controlled study Teens Committed to Health Through Activity, Relationships, and Good Eating.</p><p><strong>Participants and setting: </strong>Participants were Hispanic (86.2%), African American (12.6%), and Asian (1.2%) adolescents (age 10 to 17 years) (N = 167) who participated in a year-long healthy lifestyles program as their physical education class in Houston, TX, from August 2018 to 2019.</p><p><strong>Main outcome measures: </strong>Over the course of a year, participants' SCSs were measured by pressure-mediated reflection spectroscopy, and self-reported F/V intake frequency was assessed using questions from the School Physical Activity and Nutrition questionnaire at 4 separate time points.</p><p><strong>Statistical analysis: </strong>The relationship between adolescent SCSs and F/V intake frequency was tested using generalized linear mixed models, controlling for body mass index z score, sex, time point, group assignment, and age.</p><p><strong>Results: </strong>SCSs were positively predicted by self-reported intake frequencies for F/V (β = 2.398; P = .028), vegetables (β = 3.870; P =.010), and orange and dark green vegetables (β = 5.274; P = .019), with no significant relationship observed with fruit intake frequency (β = 1.151; P = .613).</p><p><strong>Conclusions: </strong>Self-reported total F/V (combined), vegetable, and orange and green vegetable (combined) intake frequency is a predictor of SCSs among racial and ethnic minority adolescents in Houston, TX. Skin carotenoid measurement merits further investigation as a biomarker of vegetable intake in US adolescents.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}