Journal of the Academy of Nutrition and Dietetics最新文献

{"title":"Food Insecurity and Weight Faltering: US Multisite Analysis of Young Children's Weight Trajectory.","authors":"Ana Poblacion, Stephanie Ettinger de Cuba, Maureen M Black, Ian Weijer, Carolina Giudice, Georgiana Esteves, Patricia Fabian, Antonella Zanobetti, Diana B Cutts, Félice Lê-Scherban, Megan Sandel, Eduardo R Ochoa, Deborah A Frank","doi":"10.1016/j.jand.2024.12.004","DOIUrl":"10.1016/j.jand.2024.12.004","url":null,"abstract":"<p><strong>Background: </strong>Food insecurity is associated with poor health and development among young children, with inconsistent findings related to longitudinal growth.</p><p><strong>Objective: </strong>The aim of this study was to investigate associations between household and child food insecurity and young children's weight trajectory during ages 0 to 2 years.</p><p><strong>Design: </strong>Longitudinal survey data were analyzed for years 2009 to 2018.</p><p><strong>Participants/setting: </strong>Racially diverse mothers of 814 children ≤24 months interviewed twice (interval >6 months, mean 11 months) in emergency departments of 4 US cities. Children were included if born at term, with birth weight within 2500 to 4500 g, and weight-for-age z score within ±2 SD at first interview.</p><p><strong>Main outcome measures: </strong>Weight-for-age z score difference between 2 visits was defined as \"expected weight gain\" (within ±1.34 SD), \"slow weight gain\" (< -1.34 SD), or \"rapid weight gain\" (> +1.34 SD).</p><p><strong>Statistical analyses performed: </strong>Multinomial logistic regression was conducted to examine adjusted associations between household or child food insecurity and weight-for-age z score differences.</p><p><strong>Results: </strong>Of 814 children, 83.5% had expected weight gain, 7% had slow weight gain, and 9.5% had rapid weight gain, with mean ± SD of 11 ± 4 months between visits. Child food insecurity, but not household food insecurity, was associated with slow weight gain (adjusted relative risk ratio 2.44; 95% CI 1.16 to 5.13 and adjusted relative risk ratio 1.30; 95% CI 0.69 to 2.51, respectively). Neither exposure was associated with rapid weight gain.</p><p><strong>Conclusions: </strong>The association between child food insecurity and slow weight gain during the first 2 years of life raises clinical concern. Tracking child food insecurity in addition to household food insecurity can be an effective strategy to prevent weight faltering and to support optimal child growth.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142790900","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":"Refining Ounce-Equivalents Using the EAA-9 Approach for Protein Scoring and Dietary Guidance.","authors":"Shavawn M Forester, Emily M Reyes, Donald K Layman","doi":"10.1016/j.jand.2024.11.013","DOIUrl":"10.1016/j.jand.2024.11.013","url":null,"abstract":"<p><strong>Background: </strong>The US Department of Agriculture (USDA) Protein Food ounce-equivalents are designed to identify plant sources of protein foods and provide serving size substitutions. Although the ounce-equivalent concept is simple, it fails to generate equivalent exchanges for protein or essential amino acids (EAAs).</p><p><strong>Objective: </strong>To accurately define the EAA content of USDA Protein Food ounce-equivalents, to develop a more accurate food exchange list, and to evaluate the EAA-9 protein quality framework as a tool for determining precise EAA-equivalent substitutions.</p><p><strong>Design: </strong>The USDA National Nutrient Database (Standard Reference Legacy) and the EAA-9 protein quality model were used to evaluate the validity of the USDA Protein Food ounce-equivalents for creating equivalent protein and EAA substitutions. The EAA-9 framework then established EAA-9 Equivalence serving sizes to meet EAA requirements.</p><p><strong>Main outcomes: </strong>EAA composition in protein foods was assessed. EAA-9 Equivalence servings were developed.</p><p><strong>Statistical analysis: </strong>EAA composition was calculated for USDA Protein Food ounce-equivalents. EAA-9 scores were calculated for protein foods and compared using an egg's EAA composition as a standard. MyPlate Kitchen Recipes were used to apply USDA Protein Food ounce-equivalent exchanges and EAA-9 Equivalence servings.</p><p><strong>Results: </strong>The USDA Protein Food ounce-equivalents are not equivalent in protein or EAAs, with the disparity ranging from 1 ounce-equivalent of chicken breast with 9.1 g protein and 4.0 g EAAs to 1 ounce-equivalent of almonds with 3.0 g protein and 0.9 g EAAs. Using the USDA serving of 1 egg as a standard for comparing protein food groups, <15% of beans, peas, and lentils and 0% of nuts and seed ounce-equivalents achieve the EAA composition of an egg. EAA-9 Equivalence servings are truly equivalent, with each serving providing a reliable and interchangeable protein source. The EAA-9 Equivalence servings have been calculated and are now available for all USDA Standard Reference Legacy foods with a complete EAA profile, offering a resource for exchanges that ensure EAA requirements are met.</p><p><strong>Conclusions: </strong>Creating ounce-equivalent substitutions for protein foods requires creating food exchanges that assure EAA requirements are met. The USDA Protein Food ounce-equivalents provide inadequate guidance for balancing EAA requirements.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142754574","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":"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 patients with MBO. These data are critical to developing effective supportive care nutrition therapy for patients with MBO.</p><p><strong>Objective: </strong>The aim of this study was to describe the ability to consume food and liquids orally, estimating nutritional adequacy of diet in a sample of patients who received surgical or nonsurgical 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 nonsurgical 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 US Department of Agriculture multipass methodology.</p><p><strong>Participants/setting: </strong>The primary trial was conducted within the SWOG Cancer Research Network and included recruitment sites across the United States 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>Two hundred twenty-one 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; and 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 with recommendations, mean reported intake was inadequate for most nutrients.</p><p><strong>Conclusions: </strong>Oral intake is reported in more than one-half of patients diagnosed with MBO. Medical nutrition therapy should be tailored to patient's 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":"2024-11-26","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":"Association Between Ultraprocessed Food Consumption and Mortality Among US Adults: Prospective Cohort Study of the National Health and Nutrition Examination Survey, 2003-2008.","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":"10.1016/j.jand.2024.11.014","url":null,"abstract":"<p><strong>Background: </strong>Intake of ultraprocessed foods (UPF) provides more than half of the daily energy US adults consume. Still, the prospective association of UPF consumption with mortality in the general US population remains understudied.</p><p><strong>Objective: </strong>To investigate the prospective association of UPF consumption with mortality in a nationally representative sample of US adults.</p><p><strong>Design: </strong>A prospective cohort analysis was conducted by linking baseline measurement from the National Health and Nutrition Examination Survey with mortality information from the National Death Index. The percentage of total energy consumed from UPF, 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 38 148 nationally representative US adults aged 20 years and older who participated in National Health and Nutrition Examination Survey between 2003-2004 and 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 and 95% CIs for the association between UPF intake and mortality.</p><p><strong>Results: </strong>During a median follow-up of 8.0 years, 4611 deaths were confirmed, including 2064 deaths from cardiometabolic disorders and 1046 deaths from cancer. After multivariable adjustments, each 10-point increment in usual percentage of total energy from UPF was associated with a 9% higher risk of all-cause mortality (hazard ratio 1.09, 95% CI 1.04 to 1.14). The association remained significant after adjusting for the overall diet quality measured by the Health Eating Index 2015 (hazard ratio 1.06, 95% CI 1.00 to 1.11; P < .05). Among subgroups, sugar-sweetened beverages, ready-to-eat or -heat mixed dishes, ultraprocessed dairy products, and ultraprocessed oil/fat, condiments, and sauces were associated with an increased risk of all-cause or cause-specific mortality. Ultraprocessed vegetables and legumes were associated with a reduced risk.</p><p><strong>Conclusions: </strong>In this nationally representative study of US adults, higher consumption of UPF 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":"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}