Journal of the Academy of Nutrition and Dietetics最新文献

{"title":"Association Between Avocado Consumption and Diabetes in Mexican Adults: Results From the 2012, 2016, and 2018 Mexican National Health and Nutrition Surveys","authors":"Feon W. Cheng PhD, MPH, RDN, CHTS-CP ,&nbsp;Sonia Rodríguez-Ramírez PhD ,&nbsp;Teresa Shamah-Levy PhD ,&nbsp;Sandra Pérez-Tepayo PhD ,&nbsp;Nikki A. Ford PhD","doi":"10.1016/j.jand.2024.04.012","DOIUrl":"10.1016/j.jand.2024.04.012","url":null,"abstract":"<div><h3>Background</h3><div>Avocado contains numerous vitamins, minerals, and phytochemicals that can contribute to reducing the risk of metabolic syndrome and diabetes. However, limited studies have examined the association between avocados and diabetes risk.</div></div><div><h3>Objective</h3><div>This study aimed to examine the association between avocado consumption and diabetes by sex in Mexican adults.</div></div><div><h3>Design</h3><div>This was a cross-sectional study.</div></div><div><h3>Participants/setting</h3><div>Participants included a subsample of adults (aged 20 years and older) from the 2012, 2016, and 2018 Mexican National Health and Nutrition Survey. Avocado consumption was assessed using a 7-day, semiquantitative food frequency questionnaire, and participants were classified as avocado consumers (consuming any amount of avocado) or nonconsumers.</div></div><div><h3>Main outcome measures</h3><div>Participants were considered to have diabetes if they answered “yes” to “Has a doctor ever told that you have diabetes or high blood sugar?”</div></div><div><h3>Statistical analyses performed</h3><div>This analysis assessed the association between avocado intake and diabetes using multivariate logistic models by sex and adjusted for relevant covariates.</div></div><div><h3>Results</h3><div>Of 28 239 Mexican National Health and Nutrition Survey 2012, 2016, and 2018 participants, 25 640 met the criteria (ie, have diabetes outcome and plausible energy and avocado intakes) for this study. More than half of the participants were women, and approximately 45% were avocado consumers, with an average (SE) avocado consumption of 34.7 (0.9) among men and 29.8 (0.8) g/day among women. Avocado consumers had lower odds of diabetes in both unadjusted (odds ratio [OR] 0.762, 95% CI 0.639 to 0.907) and adjusted (OR 0.792, 95% CI 0.632 to 0.993) models among women but not men (OR 1.192, 95% CI: 0.907 to 1.566 and OR 0.914, 95% CI 0.675 to 1.239 for unadjusted and adjusted models, respectively).</div></div><div><h3>Conclusions</h3><div>Avocado consumption was associated with a lower risk of diabetes, which remained significant even when adjusted for relevant covariates. However, this finding was observed in only women, not men, underscoring the importance of personalized nutrition in diabetes care and prevention.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 1","pages":"Pages 69-77"},"PeriodicalIF":3.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140796245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and Validity of Diabetes Nutrition Self-Efficacy and Behavior Measures for the “What Can I Eat” Diabetes Nutrition Education Program for American Indian and Alaska Native Adults With Type 2 Diabetes","authors":"Angela G. Brega PhD ,&nbsp;Sarah A. Stotz PhD, MS, RDN, CDCES ,&nbsp;Kelly R. Moore MD, FAAP ,&nbsp;Monica C. McNulty MS ,&nbsp;Luohua Jiang PhD","doi":"10.1016/j.jand.2024.05.004","DOIUrl":"10.1016/j.jand.2024.05.004","url":null,"abstract":"<div><h3>Background</h3><div>American Indian<span> and Alaska Native (AI/AN) people have high rates of diabetes and limited access to nutrition education. The “What Can I Eat? Healthy Choices for People With Type 2 Diabetes” (WCIE) diabetes nutrition education program was culturally adapted for AI/AN adults.</span></div></div><div><h3>Objective</h3><div>This analysis was designed to evaluate the reliability and validity of items developed to measure diabetes nutrition self-efficacy (ie, confidence one can engage in specific behaviors) and diabetes nutrition behavior among participants in the WCIE program for AI/AN adults.</div></div><div><h3>Design</h3><div>This study was a secondary analysis of data from a randomized controlled trial designed to evaluate the WCIE program for AI/AN adults. Baseline data were used to assess the reliability and validity of the self-efficacy and behavior items, which were collected via survey. Due to COVID-19 safety protocols, the intervention was conducted via Zoom (Zoom Video Communications), and both survey and clinical data were collected at home by participants.</div></div><div><h3>Participants/setting</h3><div>The study was conducted from January to December 2021 with 5 AI/AN-serving health care programs in Oklahoma, Illinois, North Carolina, California, and New York. AI/AN adults with type 2 diabetes who spoke English and had internet access were eligible. Sixty people participated.</div></div><div><h3>Main outcome measures</h3><div>Analyses examined validity and reliability of diabetes nutrition self-efficacy and behavior items.</div></div><div><h3>Statistical analysis performed</h3><div><span><span>To test reliability, internal consistency and factor structures of the scales were examined. To evaluate </span>convergent validity, Pearson correlations were computed to examine the association of the self-efficacy and behavior measures with each other and with clinical indicators (ie, </span>body mass index, blood pressure, and hemoglobin A1c).</div></div><div><h3>Results</h3><div>Two self-efficacy factors were identified. Each showed strong internal consistency (Cronbach α ≥ 0.85; McDonald ω ≥ 0.88) and was directly associated with diabetes nutrition behavior (<em>P</em><span> &lt; .001). The factor assessing Confidence in Using the Diabetes Plate was inversely associated with hemoglobin A1c (Pearson correlation = –0.32, </span><em>P</em><span> = .0243). The behavior measure capturing Healthy Nutrition Behavior showed strong internal consistency (α = 0.89; ω = 0.92) and was inversely associated with hemoglobin A1c (Pearson correlation = –0.38, </span><em>P</em> = .0057).</div></div><div><h3>Conclusions</h3><div>Diabetes nutrition self-efficacy and behavior items developed for the WCIE program for AI/AN adults are valid and reliable. These items can facilitate rigorous and consistent evaluation of the AI/AN WCIE program.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 1","pages":"Pages 78-89.e1"},"PeriodicalIF":3.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140911536","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":"January 2025 People & Events","authors":"","doi":"10.1016/j.jand.2024.11.005","DOIUrl":"10.1016/j.jand.2024.11.005","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 1","pages":"Page 129"},"PeriodicalIF":3.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143179929","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":"Body Weight Perceptions Among Youth From 6 Countries and Associations With Social Media Use: Findings From the International Food Policy Study","authors":"Karen Hock MSc ,&nbsp;Lana Vanderlee PhD ,&nbsp;Christine M. White MSc ,&nbsp;David Hammond PhD","doi":"10.1016/j.jand.2024.06.223","DOIUrl":"10.1016/j.jand.2024.06.223","url":null,"abstract":"<div><h3>Background</h3><div>Body dissatisfaction is associated with poor psychological and physical health, particularly among young people. However, limited data exist on body size perceptions across countries and factors associated with dissatisfaction.</div></div><div><h3>Objective</h3><div>This study examined dissatisfaction prevalence and associations with sociodemographics and social media use among youth in 6 countries.</div></div><div><h3>Design</h3><div>Repeat cross-sectional national online surveys were conducted as part of the 2019 and 2020 International Food Policy Study Youth Survey.</div></div><div><h3>Participants</h3><div>The sample included 21 277 youth aged 10 to 17 years from Australia, Canada, Chile, Mexico, the United Kingdom, and the United States. Youth were recruited to complete the online survey through parents/guardians enrolled in the Nielsen Consumer Insights Global Panel and their partners’ panels.</div></div><div><h3>Main outcome measures</h3><div>Figural drawing scales assessed self-perceived and ideal body images, with differences between scales representing body dissatisfaction.</div></div><div><h3>Statistical analyses performed</h3><div>Multinomial logistic regression models examined differences in body dissatisfaction by country, and associations with sociodemographics and either social media screen time or platforms used, including 2-way interactions with country.</div></div><div><h3>Results</h3><div>Overall, approximately 45% of youth reported the same perceived and ideal body sizes, whereas 35% were “larger than ideal” (from 33% in Canada and Australia to 42% in Chile) and 20% were “thinner than ideal” (from 15% in Chile to 22% in Mexico). Greater social media screen time was associated with a higher likelihood of moderate-severe dissatisfaction for being “thinner than ideal” and at least mild dissatisfaction for being “larger than ideal” (<em>P</em> &lt; .003 for all contrasts), with greater dissatisfaction among users of YouTube and Snapchat than nonusers (<em>P</em> ≤ .005 for both contrasts). Modest differences in body dissatisfaction between countries were observed for age, ethnicity, body mass index, and weight-based teasing.</div></div><div><h3>Conclusions</h3><div>Body dissatisfaction is prevalent among youth across diverse countries. These findings highlight the need to promote healthy body image in youth, particularly among social media users.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 1","pages":"Pages 24-41.e7"},"PeriodicalIF":3.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What's New Online","authors":"","doi":"10.1016/S2212-2672(24)00950-X","DOIUrl":"10.1016/S2212-2672(24)00950-X","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 1","pages":"Page 7"},"PeriodicalIF":3.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178363","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.2024.11.006","DOIUrl":"10.1016/j.jand.2024.11.006","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 1","pages":"Pages 125-126"},"PeriodicalIF":3.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178360","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":"Huddleson Award 2025: Call for Nominations","authors":"","doi":"10.1016/j.jand.2024.11.004","DOIUrl":"10.1016/j.jand.2024.11.004","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 1","pages":"Page 127"},"PeriodicalIF":3.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178361","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":"January 2025 Sites in Review","authors":"","doi":"10.1016/j.jand.2024.11.003","DOIUrl":"10.1016/j.jand.2024.11.003","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 1","pages":"Page 130"},"PeriodicalIF":3.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143179930","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":"Household Food Sourcing Patterns and Their Associations With Food Insecurity in Appalachian Ohio","authors":"Kyle R. Busse PhD, MPH ,&nbsp;Kathryn I. Poppe MPH, RDN ,&nbsp;Qiang Wu PhD ,&nbsp;Stephanie B. Jilcott Pitts PhD ,&nbsp;Lindsey Haynes-Maslow PhD ,&nbsp;Alice S. Ammerman DrPH ,&nbsp;Kathleen Krzyzanowski Guerra MIS ,&nbsp;Zoë Plakias PhD ,&nbsp;Andrew S. Hanks PhD ,&nbsp;Katharine Garrity MS, RDN ,&nbsp;Rachel Gillespie MS, RD ,&nbsp;Bailey Houghtaling PhD, RDN ,&nbsp;Rebecca A. Seguin-Fowler PhD, RDN, LD ,&nbsp;Jennifer A. Garner PhD, RD","doi":"10.1016/j.jand.2024.07.162","DOIUrl":"10.1016/j.jand.2024.07.162","url":null,"abstract":"<div><h3>Background</h3><div>Households experiencing food insecurity may use dynamic strategies to meet food needs. Yet, the relationship between household food sourcing behaviors and food security, particularly in rural settings, is understudied.</div></div><div><h3>Objective</h3><div>To identify food sourcing patterns and their associations with food insecurity among households in rural Appalachian Ohio during the COVID-19 pandemic.</div></div><div><h3>Design</h3><div>Survey data were collected from a cohort of households in Athens County, OH, in July 2020, October 2020, January 2021, and April 2021.</div></div><div><h3>Participants/setting</h3><div>The sample included 663 households with household food sourcing and food security information for ≥1 survey wave.</div></div><div><h3>Main outcome measures</h3><div>Household food sourcing patterns. Households reported the frequency with which they obtained food from various retailers and charitable sources, classified as supercenters, supermarkets, convenience stores, farmers markets, or charitable sources.</div></div><div><h3>Statistical analyses</h3><div>Principal component analysis was used to identify food sourcing patterns. Linear mixed models were used to assess changes in food sourcing behaviors over the study period and to determine whether food sourcing behaviors differed according to food security status.</div></div><div><h3>Results</h3><div>Two patterns were identified: Convenience Stores and Charitable Food and Supermarkets and Farmers Markets, not Supercenters. Relative to July 2020, alignment of households’ food sourcing behaviors with the Supermarkets and Farmers Markets, not Supercenters pattern was higher in October 2020 (β .07, 95% CI .02 to .12) and alignment with the Convenience Stores and Charitable Food pattern was lower in April 2021 (β –.06, 95% CI –.11 to –.02). Compared with food-secure households, food sourcing behaviors of food-insecure households were more closely aligned with the Convenience Stores and Charitable Food pattern (β .07, 95% CI .00 to .13); no statistically significant difference in scores was observed for the Supermarkets and Farmers Markets, not Supercenters pattern (β –.07, 95% CI –.15 to .02).</div></div><div><h3>Conclusions</h3><div>These findings support efforts to increase access to healthy, affordable options at venues where food-insecure households may be likely to obtain food, such as convenience stores and charitable sources.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 1","pages":"Pages 54-68.e4"},"PeriodicalIF":3.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight Bias Internalization Statistically Mediates the Association Between Positive Body Image and Intuitive Eating: A Cross-Sectional Study.","authors":"Paula M Brochu, Janell L Mensinger, Lauren B Moss, Stephanie L Rothenberg","doi":"10.1016/j.jand.2024.12.007","DOIUrl":"10.1016/j.jand.2024.12.007","url":null,"abstract":"<p><strong>Background: </strong>Two facets of positive body image, body appreciation and functionality appreciation, are positively associated with an adaptive eating style known as intuitive eating. Little is known about the mechanisms underlying the association between positive body image and intuitive eating, although it is well established that weight bias internalization is associated with unfavorable views of the self and body and interferes with health behavior engagement.</p><p><strong>Objective: </strong>The present cross-sectional study examined weight bias internalization as a statistical mediator of the association between positive body image (ie, body appreciation and functionality appreciation) and intuitive eating.</p><p><strong>Design: </strong>An online cross-sectional survey was conducted with a convenience sample of adults who were recruited through social media from February to April 2019.</p><p><strong>Participants and setting: </strong>The final sample included 178 participants (120 women, 55 men, 2 gender nonbinary; mean age = 26.34 years, SD = 9.53 years) who completed the study online.</p><p><strong>Main outcome measures: </strong>Participants completed the Intuitive Eating Scale-2 as the main outcome measure.</p><p><strong>Statistical analyses: </strong>The PROCESS macro was used to conduct 2 mediation analyses with body appreciation and functionality appreciation as the antecedents, intuitive eating as the outcome, and weight bias internalization as the mediator.</p><p><strong>Results: </strong>As expected, body appreciation (b = .34, SE = .06; P < .001) and functionality appreciation (b = .13, SE = .06; P = .043) had significant positive associations with intuitive eating. Weight bias internalization statistically mediated the association between body appreciation and intuitive eating (b = .24, SE = .07, 95% CI .114 to .376), and functionality appreciation and intuitive eating (b = .04, SE = .03, 95% CI .004 to .104).</p><p><strong>Conclusions: </strong>These findings contribute to better understanding the mechanisms connecting positive body image and intuitive eating. Results from this cross-sectional study indicate weight bias internalization statistically mediates the associations between body appreciation and intuitive eating and functionality appreciation and intuitive eating.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142870917","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}