Lu Wang, Euridice Martínez Steele, Mengxi Du, Hanqi Luo, Xuehong Zhang, Dariush Mozaffarian, Fang Fang Zhang
{"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}
Lauren E Au, Hannah R Thompson, Lorrene D Ritchie, Brenda Sun, Thea P Zimmerman, Shannon E Whaley, Amanda Reat, Kavitha Sankavaram, Christine Borger
{"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}
Nancy E Moran, Elizabeth Onyekwere, Aliye B Cepni, Tracey A Ledoux, Hanjoe Kim, Katherine R Arlinghaus
{"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}
Pauline Duquenne MSc, Valentina A. Andreeva PhD, Marie-Pierre St-Onge PhD
{"title":"Authors’ Response:","authors":"Pauline Duquenne MSc, Valentina A. Andreeva PhD, Marie-Pierre St-Onge PhD","doi":"10.1016/j.jand.2024.10.016","DOIUrl":"10.1016/j.jand.2024.10.016","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 3","pages":"Pages 300-301"},"PeriodicalIF":3.5,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638146","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}