[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 817-820

Titre :	VUCA Environment Creates Opportunities for Dietetics Innovations
Type de document :	Article
Auteurs :	Linda T. Farr
Année de publication :	2021
Article en page(s) :	p. 817-820
Note générale :	https://doi.org/10.1016/j.jand.2021.03.003
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Diététique ; Gestion d'entreprise ; Gestion du changement ; Innovation
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[article] VUCA Environment Creates Opportunities for Dietetics Innovations [Article] / Linda T. Farr . - 2021 . - p. 817-820.
https://doi.org/10.1016/j.jand.2021.03.003
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 817-820

Descripteurs :	HE Vinci Diététique ; Gestion d'entreprise ; Gestion du changement ; Innovation
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 823-830, 831

Titre :	Advancing Nutrition and Dietetics Practice: Dealing With Ethical Issues of Nutrition and Hydration
Type de document :	Article
Auteurs :	Denise Baird-Schwartz ; Mary Ellen Posthauer ; Julie O'Sullivan Maillet
Année de publication :	2021
Article en page(s) :	p. 823-830, 831
Note générale :	https://doi.org/10.1016/j.jand.2020.07.028
Langues :	Anglais (eng)
Descripteurs :	HE Vinci État d'hydratation de l'organisme ; Ethique ; Hydratation ; Nutriments ; Nutrition ; Nutrition entérale ; Nutrition parentérale
Résumé :	Ethical issues of nutrition and hydration involve decision making for individuals and their health care team about the delivery of nutrients through tubes, both enteral and parenteral routes. The goal is to provide this method of nutrient administration only if acceptable to individuals based on their wishes. Registered dietitian nutritionists (RDNs) are knowledgeable in all aspects of nutrition and can work collaboratively as part of an interprofessional health care team to make recommendations on oral feeding, including providing, withdrawing, or withholding artificial nutrition and hydration (ANH), and can serve as active members of Bioethics Committees. The nutrition and dietetics technician, registered (NDTR) works under the supervision of the RDN. This article provides RDNs tools for understanding their role in dealing with ethical issues of nutrition and hydration and how to create a proactive, integrated, systematic process to achieve sustainable clinical practice changes in ethical issues of ANH based on evidence, individual values, and professional judgment.
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[article] Advancing Nutrition and Dietetics Practice: Dealing With Ethical Issues of Nutrition and Hydration [Article] / Denise Baird-Schwartz ; Mary Ellen Posthauer ; Julie O'Sullivan Maillet . - 2021 . - p. 823-830, 831.
https://doi.org/10.1016/j.jand.2020.07.028
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 823-830, 831

Descripteurs :	HE Vinci État d'hydratation de l'organisme ; Ethique ; Hydratation ; Nutriments ; Nutrition ; Nutrition entérale ; Nutrition parentérale
Résumé :	Ethical issues of nutrition and hydration involve decision making for individuals and their health care team about the delivery of nutrients through tubes, both enteral and parenteral routes. The goal is to provide this method of nutrient administration only if acceptable to individuals based on their wishes. Registered dietitian nutritionists (RDNs) are knowledgeable in all aspects of nutrition and can work collaboratively as part of an interprofessional health care team to make recommendations on oral feeding, including providing, withdrawing, or withholding artificial nutrition and hydration (ANH), and can serve as active members of Bioethics Committees. The nutrition and dietetics technician, registered (NDTR) works under the supervision of the RDN. This article provides RDNs tools for understanding their role in dealing with ethical issues of nutrition and hydration and how to create a proactive, integrated, systematic process to achieve sustainable clinical practice changes in ethical issues of ANH based on evidence, individual values, and professional judgment.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 833-834

Titre :	Considerations for Use of the Phenol-Explorer Database to Estimate Dietary (Poly)phenol Intake
Type de document :	Article
Auteurs :	Emily Hill ; Ashley J. Kennedy ; Kristen M. Roberts ; Ken M. Riedl ; Elizabeth M. Grainger ; Steven K. Clinton
Année de publication :	2021
Article en page(s) :	p. 833-834
Note générale :	https://doi.org/10.1016/j.jand.2021.02.010
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Composés phytochimiques ; Phénols ; Régime alimentaire
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[article] Considerations for Use of the Phenol-Explorer Database to Estimate Dietary (Poly)phenol Intake [Article] / Emily Hill ; Ashley J. Kennedy ; Kristen M. Roberts ; Ken M. Riedl ; Elizabeth M. Grainger ; Steven K. Clinton . - 2021 . - p. 833-834.
https://doi.org/10.1016/j.jand.2021.02.010
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 833-834

Descripteurs :	HE Vinci Composés phytochimiques ; Phénols ; Régime alimentaire
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 837-843

Titre :	Structural Barriers Influencing Food Insecurity, Malnutrition, and Health Among Latinas During and After COVID-19: Considerations and Recommendations
Type de document :	Article
Auteurs :	Denise D. Payan ; Karina L. Díaz Rios ; Susana A. Ramírez ; Maria-Elena De Trinidad Young
Année de publication :	2021
Article en page(s) :	p. 837-843
Note générale :	https://doi.org/10.1016/j.jand.2021.01.005
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Amérique latine ; Approvisionnement en nourriture ; COVID-19 ; Malnutrition ; Recommandations comme sujet
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[article] Structural Barriers Influencing Food Insecurity, Malnutrition, and Health Among Latinas During and After COVID-19: Considerations and Recommendations [Article] / Denise D. Payan ; Karina L. Díaz Rios ; Susana A. Ramírez ; Maria-Elena De Trinidad Young . - 2021 . - p. 837-843.
https://doi.org/10.1016/j.jand.2021.01.005
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 837-843

Descripteurs :	HE Vinci Amérique latine ; Approvisionnement en nourriture ; COVID-19 ; Malnutrition ; Recommandations comme sujet
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 844-853

Titre :	Perceived Neighborhood-Level Drivers of Food Insecurity Among Aging Women in the United States: A Qualitative Study
Type de document :	Article
Auteurs :	Jacqueline A. Shieh ; Anna M. Leddy ; Henry J. Whittle ; Ighovwerha Ofotokun ; Adaora A. Adimora ; Phyllis C. Tien ; Sheri D. Weiser
Année de publication :	2021
Article en page(s) :	p. 844-853
Note générale :	https://doi.org/10.1016/j.jand.2020.12.019
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Approvisionnement en nourriture ; Etats-unis ; Femmes ; Recherche qualitative ; Sujet âgé ; Voisinage
Résumé :	Background Aging populations in the United States exhibit high rates of food insecurity and chronic illness. Few studies have explored the neighborhood-level drivers of food insecurity among such populations, and how they intersect with experiences of aging. Objective The aim of this study was to explore how aging women experience food insecurity in the United States, and the neighborhood-level factors that influence these experiences. Design Semistructured qualitative interviews were conducted to elicit participants’ perceptions of how their neighborhood influenced their experiences with food security and aging. Participants/setting Thirty-eight food-insecure women aged 50 years and older were purposively sampled from the Northern California, Georgia, and North Carolina sites of the Women’s Interagency Human Immunodeficiency Virus Study. Interviews were conducted between November 2017 and July 2018 at the three Women’s Interagency Human Immunodeficiency Virus Study sites. Statistical analysis Three researchers thematically analyzed the data using an inductive–deductive approach. Results Participants described neighborhood-level drivers of food insecurity that centered around three themes: accessibility of food from traditional food stores, the role of food aid institutions, and the intersection of aging with the food environment. Participants explained that food insecurity was related to limited access to food stores largely due to long distances and poor public transportation in Georgia and North Carolina, and high food prices in Northern California. Most participants described being dependent on food aid programs, but found this difficult due to poor quality food and long wait times. Aging-related issues emerged as a cross-cutting theme, with fatigue, poor strength, and chronic illness amplifying barriers to accessing food. Conclusions Findings from this study reveal the structural barriers that aging women face in accessing healthy food within their neighborhoods, and how experiences with aging and chronic illnesses exacerbate these barriers. Although future programs should address common neighborhood-level barriers such as the accessibility and affordability of healthy foods, they should also be tailored to aging women and the local context.
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[article] Perceived Neighborhood-Level Drivers of Food Insecurity Among Aging Women in the United States: A Qualitative Study [Article] / Jacqueline A. Shieh ; Anna M. Leddy ; Henry J. Whittle ; Ighovwerha Ofotokun ; Adaora A. Adimora ; Phyllis C. Tien ; Sheri D. Weiser . - 2021 . - p. 844-853.
https://doi.org/10.1016/j.jand.2020.12.019
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 844-853

Descripteurs :	HE Vinci Approvisionnement en nourriture ; Etats-unis ; Femmes ; Recherche qualitative ; Sujet âgé ; Voisinage
Résumé :	Background Aging populations in the United States exhibit high rates of food insecurity and chronic illness. Few studies have explored the neighborhood-level drivers of food insecurity among such populations, and how they intersect with experiences of aging. Objective The aim of this study was to explore how aging women experience food insecurity in the United States, and the neighborhood-level factors that influence these experiences. Design Semistructured qualitative interviews were conducted to elicit participants’ perceptions of how their neighborhood influenced their experiences with food security and aging. Participants/setting Thirty-eight food-insecure women aged 50 years and older were purposively sampled from the Northern California, Georgia, and North Carolina sites of the Women’s Interagency Human Immunodeficiency Virus Study. Interviews were conducted between November 2017 and July 2018 at the three Women’s Interagency Human Immunodeficiency Virus Study sites. Statistical analysis Three researchers thematically analyzed the data using an inductive–deductive approach. Results Participants described neighborhood-level drivers of food insecurity that centered around three themes: accessibility of food from traditional food stores, the role of food aid institutions, and the intersection of aging with the food environment. Participants explained that food insecurity was related to limited access to food stores largely due to long distances and poor public transportation in Georgia and North Carolina, and high food prices in Northern California. Most participants described being dependent on food aid programs, but found this difficult due to poor quality food and long wait times. Aging-related issues emerged as a cross-cutting theme, with fatigue, poor strength, and chronic illness amplifying barriers to accessing food. Conclusions Findings from this study reveal the structural barriers that aging women face in accessing healthy food within their neighborhoods, and how experiences with aging and chronic illnesses exacerbate these barriers. Although future programs should address common neighborhood-level barriers such as the accessibility and affordability of healthy foods, they should also be tailored to aging women and the local context.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 854-871.e6

Titre :	Development of a Diet Quality Screener for Global Use: Evaluation in a Sample of US Women
Type de document :	Article
Auteurs :	Selma Gicevic ; Yuchan Mou ; Sabri Bromage ; Teresa Fung ; Walter Willett
Année de publication :	2021
Article en page(s) :	p. 854-871.e6
Note générale :	https://doi.org/10.1016/j.jand.2020.12.024
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Enquêtes et questionnaires ; Etats-unis ; Femmes ; Outil d'évaluation ; Régime alimentaire
Résumé :	Background Valid and efficient tools for measuring and tracking diet quality globally are lacking. Objective The objective of the study was to develop and evaluate a new tool for rapid and cost-efficient diet quality assessment. Design Two screener versions were designed using Prime Diet Quality Score (PDQS), one in a 24-hour recall (PDQS-24HR) and another in a 30-day (PDQS-30D) food frequency format. Participants completed two 24-hour diet recalls using the Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24) and 2 web-based diet quality questionnaires 7 to 30 days apart in April and May 2019. Both dichotomous/trichotomous and granular scoring versions were tried for each screener. Participants/setting The study included 290 nonpregnant, nonlactating US women (mean age ± standard deviation 41 ± 11 years) recruited via Amazon Mechanical Turk. Main outcome measures The main outcome measures were Spearman rank correlation coefficients and linear regression beta-coefficients between ASA24 nutrient intakes from foods and beverages and PDQS values. Statistical analyses performed The Spearman rank correlation and linear regression were used to evaluate associations of the PDQS values with ASA24 nutrient intakes from food, both crude and energy-adjusted. Correlations were de-attenuated for within-person variation in 24-hour recalls. Wolfe’s test was used to compare correlations of the 2 screening instruments (PDQS-24HR and PDQS-30D) with the ASA24. Associations between the ASA24 Healthy Eating Index 2015 and the PDQS values were also evaluated. Results Positive, statistically significant rank correlations between the PDQS-24HR values and energy-adjusted nutrients from ASA24 for fiber (r = 0.53), magnesium (r = 0.51), potassium (r = 0.48), vitamin E (r = 0.40), folate (r = 0.37), vitamin C (r = 0.36), vitamin A (r = 0.33), vitamin B6 (r = 0.31), zinc (r = 0.25), and iron (r = 0.21); and inverse correlations for saturated fatty acids (r = –0.19), carbohydrates (r = –0.22), and added sugar (r = –0.34) were observed. Correlations of nutrient intakes assessed by ASA24 with the PDQS-30D were not significantly different from those with the PDQS-24HR. Positive, statistically significant correlations between the ASA24 Healthy Eating Index 2015 and the PDQS-24HR (r = 0.61) and the PDQS-30D (r = 0.60) were also found. Conclusions The results of an initial evaluation of the PDQS-based diet quality screeners are promising. Correlations and associations between the PDQS values and nutrient intakes were of acceptable strength and in the expected directions, and the PDQS values had moderately strong correlations with the total Healthy Eating Index 2015 score. Future work should include evaluating the screeners in other population groups, including men, and piloting it across low- and middle-income countries.
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[article] Development of a Diet Quality Screener for Global Use: Evaluation in a Sample of US Women [Article] / Selma Gicevic ; Yuchan Mou ; Sabri Bromage ; Teresa Fung ; Walter Willett . - 2021 . - p. 854-871.e6.
https://doi.org/10.1016/j.jand.2020.12.024
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 854-871.e6

Descripteurs :	HE Vinci Enquêtes et questionnaires ; Etats-unis ; Femmes ; Outil d'évaluation ; Régime alimentaire
Résumé :	Background Valid and efficient tools for measuring and tracking diet quality globally are lacking. Objective The objective of the study was to develop and evaluate a new tool for rapid and cost-efficient diet quality assessment. Design Two screener versions were designed using Prime Diet Quality Score (PDQS), one in a 24-hour recall (PDQS-24HR) and another in a 30-day (PDQS-30D) food frequency format. Participants completed two 24-hour diet recalls using the Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24) and 2 web-based diet quality questionnaires 7 to 30 days apart in April and May 2019. Both dichotomous/trichotomous and granular scoring versions were tried for each screener. Participants/setting The study included 290 nonpregnant, nonlactating US women (mean age ± standard deviation 41 ± 11 years) recruited via Amazon Mechanical Turk. Main outcome measures The main outcome measures were Spearman rank correlation coefficients and linear regression beta-coefficients between ASA24 nutrient intakes from foods and beverages and PDQS values. Statistical analyses performed The Spearman rank correlation and linear regression were used to evaluate associations of the PDQS values with ASA24 nutrient intakes from food, both crude and energy-adjusted. Correlations were de-attenuated for within-person variation in 24-hour recalls. Wolfe’s test was used to compare correlations of the 2 screening instruments (PDQS-24HR and PDQS-30D) with the ASA24. Associations between the ASA24 Healthy Eating Index 2015 and the PDQS values were also evaluated. Results Positive, statistically significant rank correlations between the PDQS-24HR values and energy-adjusted nutrients from ASA24 for fiber (r = 0.53), magnesium (r = 0.51), potassium (r = 0.48), vitamin E (r = 0.40), folate (r = 0.37), vitamin C (r = 0.36), vitamin A (r = 0.33), vitamin B6 (r = 0.31), zinc (r = 0.25), and iron (r = 0.21); and inverse correlations for saturated fatty acids (r = –0.19), carbohydrates (r = –0.22), and added sugar (r = –0.34) were observed. Correlations of nutrient intakes assessed by ASA24 with the PDQS-30D were not significantly different from those with the PDQS-24HR. Positive, statistically significant correlations between the ASA24 Healthy Eating Index 2015 and the PDQS-24HR (r = 0.61) and the PDQS-30D (r = 0.60) were also found. Conclusions The results of an initial evaluation of the PDQS-based diet quality screeners are promising. Correlations and associations between the PDQS values and nutrient intakes were of acceptable strength and in the expected directions, and the PDQS values had moderately strong correlations with the total Healthy Eating Index 2015 score. Future work should include evaluating the screeners in other population groups, including men, and piloting it across low- and middle-income countries.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 872-882

Titre :	Wisconsin School Wellness Policies after Federal Legislation Change: Understanding Key Mechanisms of Policy Improvement
Type de document :	Article
Auteurs :	Hilary Joyner ; Lindsay Weymouth ; Erin Skalitzky ; Sydney Hillert
Année de publication :	2021
Article en page(s) :	p. 872-882
Note générale :	https://doi.org/10.1016/j.jand.2020.08.082
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Bien-être ; Établissements scolaires ; Obésité ; Promotion de la santé ; Troubles nutritionnels de l'enfant
Résumé :	Background The Final Rule of the Healthy Hunger Free Kids Act, published in 2016, required school districts participating in the federal Child Nutrition Programs to update their local wellness policies to reflect the more stringent requirements effective June 30, 2017. Objective Our aim was to investigate whether Wisconsin school wellness policies (SWPs) were updated after the Final Rule, measure policy quality change, and describe mechanisms of successful policy change. Design From 2016 through 2018, an explanatory sequential mixed-methods study examined change in SWP quality before and after the Final Rule was published. SWPs were collected in 2 waves reflecting policies written before and updated after the July 21, 2016 publication of the Final Rule. Semi-structured key-informant interviews were conducted with districts that demonstrated significant policy improvement. Participants/setting Quantitative analysis examined 442 Wisconsin school districts’ SWPs. Semi-structured interviews were conducted with 14 school districts that demonstrated significant change between waves. Main outcome measures WellSAT 2.0 strength and comprehensiveness scores measured SWP quality among districts that updated their policies. Themes from interviews were identified using framework analysis. Statistical analysis performed First, we calculated the proportion of Wisconsin school districts participating in federal Child Nutrition Programs for which SWPs were obtained at both waves of policy collection (n = 192 districts, 43.4%). Among districts that updated SWPs in wave II, repeated-measure analysis of variance tests described policy quality and policy quality change, respectively. Results Among the 192 districts that updated their SWPs, policy quality increased overall and for 5 of 6 domains. Nutrition education scores did not show significant change. Interviewees commonly cited wellness leadership, support and resources, and buy-in and culture change as key components of policy improvement. Conclusions Fewer than half of Wisconsin school districts updated their policies in the 10 months after the Final Rule was published. SWP from these districts showed policy quality improvement in most areas. Interviews with successful districts indicate the common need for empowered leaders and supportive environments to facilitate culture change around student wellness.
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[article] Wisconsin School Wellness Policies after Federal Legislation Change: Understanding Key Mechanisms of Policy Improvement [Article] / Hilary Joyner ; Lindsay Weymouth ; Erin Skalitzky ; Sydney Hillert . - 2021 . - p. 872-882.
https://doi.org/10.1016/j.jand.2020.08.082
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 872-882

Descripteurs :	HE Vinci Bien-être ; Établissements scolaires ; Obésité ; Promotion de la santé ; Troubles nutritionnels de l'enfant
Résumé :	Background The Final Rule of the Healthy Hunger Free Kids Act, published in 2016, required school districts participating in the federal Child Nutrition Programs to update their local wellness policies to reflect the more stringent requirements effective June 30, 2017. Objective Our aim was to investigate whether Wisconsin school wellness policies (SWPs) were updated after the Final Rule, measure policy quality change, and describe mechanisms of successful policy change. Design From 2016 through 2018, an explanatory sequential mixed-methods study examined change in SWP quality before and after the Final Rule was published. SWPs were collected in 2 waves reflecting policies written before and updated after the July 21, 2016 publication of the Final Rule. Semi-structured key-informant interviews were conducted with districts that demonstrated significant policy improvement. Participants/setting Quantitative analysis examined 442 Wisconsin school districts’ SWPs. Semi-structured interviews were conducted with 14 school districts that demonstrated significant change between waves. Main outcome measures WellSAT 2.0 strength and comprehensiveness scores measured SWP quality among districts that updated their policies. Themes from interviews were identified using framework analysis. Statistical analysis performed First, we calculated the proportion of Wisconsin school districts participating in federal Child Nutrition Programs for which SWPs were obtained at both waves of policy collection (n = 192 districts, 43.4%). Among districts that updated SWPs in wave II, repeated-measure analysis of variance tests described policy quality and policy quality change, respectively. Results Among the 192 districts that updated their SWPs, policy quality increased overall and for 5 of 6 domains. Nutrition education scores did not show significant change. Interviewees commonly cited wellness leadership, support and resources, and buy-in and culture change as key components of policy improvement. Conclusions Fewer than half of Wisconsin school districts updated their policies in the 10 months after the Final Rule was published. SWP from these districts showed policy quality improvement in most areas. Interviews with successful districts indicate the common need for empowered leaders and supportive environments to facilitate culture change around student wellness.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 883-894

Titre :	Processed and Packed: How Refined Are the Foods That Children Bring to School for Snack and Lunch?
Type de document :	Article
Auteurs :	Stacy A. Blondin ; Reem AlSukait ; Rachel Bleiweiss-Sande ; Christina D. Economos ; Lindsay A. Tanskey ; Jeanne P. Goldberg
Année de publication :	2021
Article en page(s) :	p. 883-894
Note générale :	https://doi.org/10.1016/j.jand.2020.07.017
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Aliments ; Aliments ultra-transformés ; Casse-croute ; Enfant (6-12 ans) ; Établissements scolaires ; Pique nique ; Repas ; Santé
Résumé :	Background Increasing consumption of highly processed foods has been associated with adverse health outcomes among children. In the US, children consume up to half of their daily energy intake at school. Objectives We sought to characterize foods that children bring from home to school according to processing level and to evaluate the effectiveness of a school-based intervention, Great Taste Less Waste (GTLW), in reducing the proportion of energy brought from highly processed foods from home compared with control. Design Secondary data analysis of a 7-month school-based, cluster-randomized trial. Participants/setting Third- and fourth-grade students (n = 502, mean age: 9.0 ± 0.62 years) at 10 public elementary schools in Eastern Massachusetts (school year 2012-2013). Intervention GTLW included a 22-lesson classroom curriculum, homework activities, monthly parent newsletters, a food shopping and packing guide for parents, food demonstrations, school-wide announcements, and a poster contest. Main outcome measures The energy content of foods brought to school was estimated from digital photographs, and foods were assigned to 1 of 3 processing levels (less processed or unprocessed, moderately processed, or highly processed) based on an established classification system. Statistical analyses performed The percentage of energy brought from foods categorized into each processing level was calculated and compared pre- and postintervention using hierarchical linear models. Results Most of the food brought from home to school was highly processed (70% of food energy brought). Foods categorized as snack foods and desserts contributed the greatest percentage of total energy to the highly processed category at baseline and follow-up (72% and 69%, respectively). Energy from foods brought for snack tended to be more highly processed than those brought for lunch. No significant differences were observed from pre- to postintervention in the GTLW group compared with control for the percentage of energy brought from highly processed foods in adjusted models (β: −1.1, standard error: 2.2, P = .6) or any other processing level. Conclusions Highly processed foods were prevalent in home-packed lunches and snacks, and these patterns persisted after a targeted intervention. Further research is needed to identify strategies to improve the healthfulness of foods brought from home to school.
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[article] Processed and Packed: How Refined Are the Foods That Children Bring to School for Snack and Lunch? [Article] / Stacy A. Blondin ; Reem AlSukait ; Rachel Bleiweiss-Sande ; Christina D. Economos ; Lindsay A. Tanskey ; Jeanne P. Goldberg . - 2021 . - p. 883-894.
https://doi.org/10.1016/j.jand.2020.07.017
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 883-894

Descripteurs :	HE Vinci Aliments ; Aliments ultra-transformés ; Casse-croute ; Enfant (6-12 ans) ; Établissements scolaires ; Pique nique ; Repas ; Santé
Résumé :	Background Increasing consumption of highly processed foods has been associated with adverse health outcomes among children. In the US, children consume up to half of their daily energy intake at school. Objectives We sought to characterize foods that children bring from home to school according to processing level and to evaluate the effectiveness of a school-based intervention, Great Taste Less Waste (GTLW), in reducing the proportion of energy brought from highly processed foods from home compared with control. Design Secondary data analysis of a 7-month school-based, cluster-randomized trial. Participants/setting Third- and fourth-grade students (n = 502, mean age: 9.0 ± 0.62 years) at 10 public elementary schools in Eastern Massachusetts (school year 2012-2013). Intervention GTLW included a 22-lesson classroom curriculum, homework activities, monthly parent newsletters, a food shopping and packing guide for parents, food demonstrations, school-wide announcements, and a poster contest. Main outcome measures The energy content of foods brought to school was estimated from digital photographs, and foods were assigned to 1 of 3 processing levels (less processed or unprocessed, moderately processed, or highly processed) based on an established classification system. Statistical analyses performed The percentage of energy brought from foods categorized into each processing level was calculated and compared pre- and postintervention using hierarchical linear models. Results Most of the food brought from home to school was highly processed (70% of food energy brought). Foods categorized as snack foods and desserts contributed the greatest percentage of total energy to the highly processed category at baseline and follow-up (72% and 69%, respectively). Energy from foods brought for snack tended to be more highly processed than those brought for lunch. No significant differences were observed from pre- to postintervention in the GTLW group compared with control for the percentage of energy brought from highly processed foods in adjusted models (β: −1.1, standard error: 2.2, P = .6) or any other processing level. Conclusions Highly processed foods were prevalent in home-packed lunches and snacks, and these patterns persisted after a targeted intervention. Further research is needed to identify strategies to improve the healthfulness of foods brought from home to school.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 895-914

Titre :	Effect of Dietary Acetic Acid Supplementation on Plasma Glucose, Lipid Profiles, and Body Mass Index in Human Adults: A Systematic Review and Meta-analysis
Type de document :	Article
Auteurs :	Daniela S. Valdes ; Daniel So ; Paul A. Gill ; Nicole J. Kellow
Année de publication :	2021
Article en page(s) :	p. 895-914
Note générale :	https://doi.org/10.1016/j.jand.2020.12.002
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Acide acétique ; Glucose ; Indice de masse corporelle ; Lipides ; Plasma sanguin
Résumé :	Background Acetic acid is a short-chain fatty acid that has demonstrated biomedical potential as a dietary therapeutic agent for the management of chronic and metabolic illness comorbidities. In human beings, its consumption may improve glucose regulation and insulin sensitivity in individuals with cardiometabolic conditions and type 2 diabetes mellitus. Published clinical trial evidence evaluating its sustained supplementation effects on metabolic outcomes is inconsistent. Objective This systematic review and meta-analysis summarized available evidence on potential therapeutic effects of dietary acetic acid supplementation via consumption of acetic acid–rich beverages and food sources on metabolic and anthropometric outcomes. Methods A systematic search was conducted in Medline, Scopus, EMBASE, CINAHL Plus, and Web of Science from database inception until October 2020. Randomized controlled trials conducted in adults evaluating the effect of dietary acetic acid supplementation for a minimum of 1 week were included. Meta-analyses were performed using a random-effects model on fasting blood glucose (FBG), triacylglycerol (TAG), high-density lipoprotein (HDL), low-density lipoprotein (LDL), glycated hemoglobin (HbA1c), body mass index (BMI), and body fat percentage. Statistical heterogeneity was assessed by calculation of Q and I2 statistics, and publication bias was assessed by calculation of Egger’s regression asymmetry and Begg’s test. Results Sixteen studies were included, involving 910 participants who consumed between 750 and 3600 mg acetic acid daily in interventions lasting an average of 8 weeks. Dietary acetic acid supplementation resulted in significant reductions in TAG concentrations in overweight and obese but otherwise healthy individuals (mean difference [MD] = −20.51 mg/dL [95% confidence intervals = −32.98, −8.04], P = .001) and people with type 2 diabetes (MD = −7.37 mg/dL [−10.15, −4.59], P Conclusion Supplementation with dietary acetic acid is well tolerated, has no adverse side effects, and has clinical potential to reduce plasma TAG and FBG concentrations in individuals with type 2 diabetes, and to reduce TAG levels in people who are overweight or obese. No significant effects of dietary acetic acid consumption were seen on HbA1c, HDL, or anthropometric markers. High-quality, longer-term studies in larger cohorts are required to confirm whether dietary acetic acid can act as an adjuvant therapeutic agent in metabolic comorbidities management.
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[article] Effect of Dietary Acetic Acid Supplementation on Plasma Glucose, Lipid Profiles, and Body Mass Index in Human Adults: A Systematic Review and Meta-analysis [Article] / Daniela S. Valdes ; Daniel So ; Paul A. Gill ; Nicole J. Kellow . - 2021 . - p. 895-914.
https://doi.org/10.1016/j.jand.2020.12.002
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 895-914

Descripteurs :	HE Vinci Acide acétique ; Glucose ; Indice de masse corporelle ; Lipides ; Plasma sanguin
Résumé :	Background Acetic acid is a short-chain fatty acid that has demonstrated biomedical potential as a dietary therapeutic agent for the management of chronic and metabolic illness comorbidities. In human beings, its consumption may improve glucose regulation and insulin sensitivity in individuals with cardiometabolic conditions and type 2 diabetes mellitus. Published clinical trial evidence evaluating its sustained supplementation effects on metabolic outcomes is inconsistent. Objective This systematic review and meta-analysis summarized available evidence on potential therapeutic effects of dietary acetic acid supplementation via consumption of acetic acid–rich beverages and food sources on metabolic and anthropometric outcomes. Methods A systematic search was conducted in Medline, Scopus, EMBASE, CINAHL Plus, and Web of Science from database inception until October 2020. Randomized controlled trials conducted in adults evaluating the effect of dietary acetic acid supplementation for a minimum of 1 week were included. Meta-analyses were performed using a random-effects model on fasting blood glucose (FBG), triacylglycerol (TAG), high-density lipoprotein (HDL), low-density lipoprotein (LDL), glycated hemoglobin (HbA1c), body mass index (BMI), and body fat percentage. Statistical heterogeneity was assessed by calculation of Q and I2 statistics, and publication bias was assessed by calculation of Egger’s regression asymmetry and Begg’s test. Results Sixteen studies were included, involving 910 participants who consumed between 750 and 3600 mg acetic acid daily in interventions lasting an average of 8 weeks. Dietary acetic acid supplementation resulted in significant reductions in TAG concentrations in overweight and obese but otherwise healthy individuals (mean difference [MD] = −20.51 mg/dL [95% confidence intervals = −32.98, −8.04], P = .001) and people with type 2 diabetes (MD = −7.37 mg/dL [−10.15, −4.59], P Conclusion Supplementation with dietary acetic acid is well tolerated, has no adverse side effects, and has clinical potential to reduce plasma TAG and FBG concentrations in individuals with type 2 diabetes, and to reduce TAG levels in people who are overweight or obese. No significant effects of dietary acetic acid consumption were seen on HbA1c, HDL, or anthropometric markers. High-quality, longer-term studies in larger cohorts are required to confirm whether dietary acetic acid can act as an adjuvant therapeutic agent in metabolic comorbidities management.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 915-924.e3

Titre :	Associations Between the Dietary Inflammatory Index, Brain Volume, Small Vessel Disease, and Global Cognitive Function
Type de document :	Article
Auteurs :	Fateme Zabetian-Targhi ; Velandai K. Srikanth ; Kylie J. Smith ; Wendy H. Oddy ; Richard Beare ; Chris Moran ; Wei Wang ; Nitin Shivappa ; James R. Hébert ; Monique Breslin ; Joel M. van Weel ; Michele L. Callisaya
Année de publication :	2021
Article en page(s) :	p. 915-924.e3
Note générale :	https://doi.org/10.1016/j.jand.2020.11.004
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Cognition ; Démence ; Diabète de type 2
Mots-clés :	Indice inflammatoire alimentaire  Cognition
Résumé :	Background An inflammatory diet is related to poorer cognition, but the underlying brain pathways are unknown. Objective The aim of this study was to examine associations between the Energy-Adjusted Dietary Inflammatory Index (E-DII) and brain volume, small vessel disease, and cognition in people with and without type 2 diabetes mellitus (T2DM). Design This is a secondary cross-sectional analysis of data from the Cognition and Diabetes in Older Tasmanians study. Participants/settings This study included 641 participants (n = 326 with T2DM) enrolled between 2005 and 2011 from Tasmania, Australia. Main outcome measures The E-DII was computed from the 80-item Dietary Questionnaire for Epidemiological Studies, version 2. Brain volumes (gray matter, white matter, and white matter hyperintensities), infarcts, and microbleeds were obtained from magnetic resonance imaging. Global cognition was derived from a comprehensive battery of neuropsychological tests. Statistical analysis Logistic and linear regressions were performed to examine associations between E-DII and brain measures and a global cognitive score, adjusting for demographics, energy, T2DM, mood, ambulatory activity, and cardiovascular risk factors. An E-DII × T2DM interaction term was tested in each model. Results The mean (standard deviation) age of participants was 69.8 (7.4) years. There were no associations between the E-DII and any of the brain structural measures or global cognitive function in fully adjusted models. There was a modification effect for T2DM on the association between E-DII and gray matter volume (T2DM: β = 1.38, 95% CI –3.03 to 5.79; without T2DM: β = –4.34, 95% CI, –8.52 to –0.16), but not with any of the other outcome measures. Conclusions In this cross-sectional study, E-DII was not associated with brain structure or global cognition. In 1 of the 7 outcomes, a significant modification effect for T2DM was found for the associations between E-DII and gray matter. Future prospective studies are needed to clarify the associations between diet-related inflammation and brain health.
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[article] Associations Between the Dietary Inflammatory Index, Brain Volume, Small Vessel Disease, and Global Cognitive Function [Article] / Fateme Zabetian-Targhi ; Velandai K. Srikanth ; Kylie J. Smith ; Wendy H. Oddy ; Richard Beare ; Chris Moran ; Wei Wang ; Nitin Shivappa ; James R. Hébert ; Monique Breslin ; Joel M. van Weel ; Michele L. Callisaya . - 2021 . - p. 915-924.e3.
https://doi.org/10.1016/j.jand.2020.11.004
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 915-924.e3

Descripteurs :	HE Vinci Cognition ; Démence ; Diabète de type 2
Mots-clés :	Indice inflammatoire alimentaire  Cognition
Résumé :	Background An inflammatory diet is related to poorer cognition, but the underlying brain pathways are unknown. Objective The aim of this study was to examine associations between the Energy-Adjusted Dietary Inflammatory Index (E-DII) and brain volume, small vessel disease, and cognition in people with and without type 2 diabetes mellitus (T2DM). Design This is a secondary cross-sectional analysis of data from the Cognition and Diabetes in Older Tasmanians study. Participants/settings This study included 641 participants (n = 326 with T2DM) enrolled between 2005 and 2011 from Tasmania, Australia. Main outcome measures The E-DII was computed from the 80-item Dietary Questionnaire for Epidemiological Studies, version 2. Brain volumes (gray matter, white matter, and white matter hyperintensities), infarcts, and microbleeds were obtained from magnetic resonance imaging. Global cognition was derived from a comprehensive battery of neuropsychological tests. Statistical analysis Logistic and linear regressions were performed to examine associations between E-DII and brain measures and a global cognitive score, adjusting for demographics, energy, T2DM, mood, ambulatory activity, and cardiovascular risk factors. An E-DII × T2DM interaction term was tested in each model. Results The mean (standard deviation) age of participants was 69.8 (7.4) years. There were no associations between the E-DII and any of the brain structural measures or global cognitive function in fully adjusted models. There was a modification effect for T2DM on the association between E-DII and gray matter volume (T2DM: β = 1.38, 95% CI –3.03 to 5.79; without T2DM: β = –4.34, 95% CI, –8.52 to –0.16), but not with any of the other outcome measures. Conclusions In this cross-sectional study, E-DII was not associated with brain structure or global cognition. In 1 of the 7 outcomes, a significant modification effect for T2DM was found for the associations between E-DII and gray matter. Future prospective studies are needed to clarify the associations between diet-related inflammation and brain health.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 925-930

Titre :	Monitoring Rates of Malnutrition Risk in Outpatient Cancer Centers Utilizing the Malnutrition Screening Tool Embedded into the Electronic Health Record
Type de document :	Article
Auteurs :	Elaine B. Trujillo ; Alice C. Shapiro ; Natalie Stephens ; Sarah Johnson ; Jeannine B. Mills ; Alexandra R. Zimmerman ; Colleen K. Spees
Année de publication :	2021
Article en page(s) :	p. 925-930
Note générale :	https://doi.org/10.1016/j.jand.2020.11.007 - Under a Creative Commons license
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Dépistage de masse ; Dossiers médicaux électroniques
Mots-clés :	Risque de malnutrition  Centres anticancéreux ambulatoires  Patients traités pour un cancer
Résumé :	Background The risk of malnutrition in patients with cancer is well documented. However, screening to identify patients at risk in ambulatory cancer centers is not standardized nor uniform. The 2-question Malnutrition Screening Tool (MST) is validated in the ambulatory oncology setting and endorsed by the Academy of Nutrition and Dietetics. Objective To test the feasibility of operationalizing and standardizing malnutrition risk assessment across 2 large ambulatory cancer centers by embedding the MST into the electronic health record (EHR) with the goal of identifying and quantifying the prevalence of malnutrition risk in outpatient settings. Design A Quality Assurance Performance Improvement project was conducted to evaluate malnutrition screening practices by leveraging the EHR. Work standards were developed, implemented, and evaluated to assess the feasibility of utilizing de-identified MST data, entered as discrete variables in an EHR flowsheet, to track monthly MST completion rates and to identify and quantify patients being treated for cancer scoring at risk for impaired nutritional status. Participants/setting Data from 2 large adult ambulatory community cancer centers in the upper Midwest were collected between April 2017 and December 2018. Results Over a 20-month period, the average monthly MST completion rate was 74%. Of those with completed MST screens, the average percentage of patients identified at nutritional risk (MST score ≥2) was 5% in medical oncology and 12% in radiation oncology. Conclusion It is feasible to (1) integrate and standardize data collection of the MST into existing EHR flowsheets and (2) identify and quantify patients at risk for malnutrition on a consistent basis.
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[article] Monitoring Rates of Malnutrition Risk in Outpatient Cancer Centers Utilizing the Malnutrition Screening Tool Embedded into the Electronic Health Record [Article] / Elaine B. Trujillo ; Alice C. Shapiro ; Natalie Stephens ; Sarah Johnson ; Jeannine B. Mills ; Alexandra R. Zimmerman ; Colleen K. Spees . - 2021 . - p. 925-930.
https://doi.org/10.1016/j.jand.2020.11.007 -
Under a Creative Commons license
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 925-930

Descripteurs :	HE Vinci Dépistage de masse ; Dossiers médicaux électroniques
Mots-clés :	Risque de malnutrition  Centres anticancéreux ambulatoires  Patients traités pour un cancer
Résumé :	Background The risk of malnutrition in patients with cancer is well documented. However, screening to identify patients at risk in ambulatory cancer centers is not standardized nor uniform. The 2-question Malnutrition Screening Tool (MST) is validated in the ambulatory oncology setting and endorsed by the Academy of Nutrition and Dietetics. Objective To test the feasibility of operationalizing and standardizing malnutrition risk assessment across 2 large ambulatory cancer centers by embedding the MST into the electronic health record (EHR) with the goal of identifying and quantifying the prevalence of malnutrition risk in outpatient settings. Design A Quality Assurance Performance Improvement project was conducted to evaluate malnutrition screening practices by leveraging the EHR. Work standards were developed, implemented, and evaluated to assess the feasibility of utilizing de-identified MST data, entered as discrete variables in an EHR flowsheet, to track monthly MST completion rates and to identify and quantify patients being treated for cancer scoring at risk for impaired nutritional status. Participants/setting Data from 2 large adult ambulatory community cancer centers in the upper Midwest were collected between April 2017 and December 2018. Results Over a 20-month period, the average monthly MST completion rate was 74%. Of those with completed MST screens, the average percentage of patients identified at nutritional risk (MST score ≥2) was 5% in medical oncology and 12% in radiation oncology. Conclusion It is feasible to (1) integrate and standardize data collection of the MST into existing EHR flowsheets and (2) identify and quantify patients at risk for malnutrition on a consistent basis.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 931-941.e2

Titre :	Postprandial Dried Blood Spot–Based Nutritional Metabolomic Analysis Discriminates a High-Fat, High-Protein Meat-Based Diet from a High Carbohydrate Vegan Diet: A Randomized Controlled Crossover Trial
Type de document :	Article
Auteurs :	Megan McNairn ; Alex Brito ; Kayla Dillard ; Hannah Heath ; Matthew Pantaleon ; Rob Fanter ; Kari Pilolla ; Samir Amin ; Michael R. La Frano
Année de publication :	2021
Article en page(s) :	p. 931-941.e2
Note générale :	https://doi.org/10.1016/j.jand.2020.10.024 - Under a Creative Commons
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Métabolomique ; Régime alimentaire ; Régime végétalien
Mots-clés :	Biomarqueurs de la consommation alimentaire  Métabolomique nutritionnelle  Tache de sang séché  Régime à base de viande
Résumé :	Background Due to the challenges associated with accurate monitoring of dietary intake in humans, nutritional metabolomics (including food intake biomarkers) analysis as a complementary tool to traditional dietary assessment methods has been explored. Food intake biomarker assessment using postprandial dried blood spot (DBS) collection can be a convenient and accurate means of monitoring dietary intake vs 24-hour urine collection. Objective The objective of this study was to use nutritional metabolomics analysis to differentiate a high-fat, high-protein meat (HFPM) diet from a high-carbohydrate vegan (HCV) diet in postprandial DBS and 24-hour urine. Design This was a randomized controlled crossover feeding trial. Participants/setting Participants were healthy young adult volunteers (n = 8) in California. The study was completed in August 2019. Intervention The standardized isocaloric diet interventions included an HFPM and an HCV diet. Participants attended 2 intervention days, separated by a 2-week washout. Main outcome measures During each intervention day, a finger-prick blood sample was collected in the fasting state, 3 hours post breakfast, and 3 hours post lunch. Participants also collected their urine for 24 hours. DBS and urine samples were analyzed by ultra-performance liquid chromatography mass spectrometry to identify potential food intake biomarkers. Statistical analyses performed Principal component analysis for discriminatory analysis and univariate analysis using paired t tests were performed. Results Principal component analysis found no discrimination of baseline DBS samples. In both the postprandial DBS and 24-hour urine, post-HFPM consumption had higher (P Conclusions Nutritional metabolomics profiles of postprandial DBS and 24-hour urine collections were capable of differentiating the HFPM and HCV diets. The potential use of postprandial DBS-based metabolomic analysis deserves further investigation for dietary intake monitoring.
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[article] Postprandial Dried Blood Spot–Based Nutritional Metabolomic Analysis Discriminates a High-Fat, High-Protein Meat-Based Diet from a High Carbohydrate Vegan Diet: A Randomized Controlled Crossover Trial [Article] / Megan McNairn ; Alex Brito ; Kayla Dillard ; Hannah Heath ; Matthew Pantaleon ; Rob Fanter ; Kari Pilolla ; Samir Amin ; Michael R. La Frano . - 2021 . - p. 931-941.e2.
https://doi.org/10.1016/j.jand.2020.10.024 -
Under a Creative Commons
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 931-941.e2

Descripteurs :	HE Vinci Métabolomique ; Régime alimentaire ; Régime végétalien
Mots-clés :	Biomarqueurs de la consommation alimentaire  Métabolomique nutritionnelle  Tache de sang séché  Régime à base de viande
Résumé :	Background Due to the challenges associated with accurate monitoring of dietary intake in humans, nutritional metabolomics (including food intake biomarkers) analysis as a complementary tool to traditional dietary assessment methods has been explored. Food intake biomarker assessment using postprandial dried blood spot (DBS) collection can be a convenient and accurate means of monitoring dietary intake vs 24-hour urine collection. Objective The objective of this study was to use nutritional metabolomics analysis to differentiate a high-fat, high-protein meat (HFPM) diet from a high-carbohydrate vegan (HCV) diet in postprandial DBS and 24-hour urine. Design This was a randomized controlled crossover feeding trial. Participants/setting Participants were healthy young adult volunteers (n = 8) in California. The study was completed in August 2019. Intervention The standardized isocaloric diet interventions included an HFPM and an HCV diet. Participants attended 2 intervention days, separated by a 2-week washout. Main outcome measures During each intervention day, a finger-prick blood sample was collected in the fasting state, 3 hours post breakfast, and 3 hours post lunch. Participants also collected their urine for 24 hours. DBS and urine samples were analyzed by ultra-performance liquid chromatography mass spectrometry to identify potential food intake biomarkers. Statistical analyses performed Principal component analysis for discriminatory analysis and univariate analysis using paired t tests were performed. Results Principal component analysis found no discrimination of baseline DBS samples. In both the postprandial DBS and 24-hour urine, post-HFPM consumption had higher (P Conclusions Nutritional metabolomics profiles of postprandial DBS and 24-hour urine collections were capable of differentiating the HFPM and HCV diets. The potential use of postprandial DBS-based metabolomic analysis deserves further investigation for dietary intake monitoring.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 942-951

Titre :	Weight Management Efforts, But Not Weight Perceptions, Are Associated with Dietary Quality among Youth and Young Adults in Canada
Type de document :	Article
Auteurs :	Amanda Raffoul ; Samantha Goodman ; David Hammond ; Sharon I. Kirkpatrick
Année de publication :	2021
Article en page(s) :	p. 942-951
Note générale :	https://doi.org/10.1016/j.jand.2020.10.011
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Adolescent ; Adulte ; Perception du poids ; Régime alimentaire
Mots-clés :	gestion du poids
Résumé :	Background Efforts to lose, gain, or maintain weight are prevalent among youth and young adults, but little is known about the relationship between weight management efforts and dietary quality. Attempts to manage weight are typically driven by weight perceptions, which may also uniquely affect overall diet. Objective The objective was to explore sex-stratified associations between weight management efforts and perceptions with dietary quality among youth and young adults. Design Cross-sectional online survey data were drawn from Wave 1 (2016) of the Canada Food Study. Participants/setting Youth and young adults (n = 3,000), aged 16 to 30 years, were recruited from community settings in five Canadian cities and completed the online survey. The analytic sample consisted of 2,040 participants. Main outcome measures The Healthy Eating Index-2015 (HEI-2015) was used to characterize dietary quality among participants who completed a 24-hour recall. Respondents reported their weight change efforts over the past year and their weight perception. Statistical analyses performed Sex-stratified multiple linear regression analyses were conducted to investigate relationships between each of weight management efforts and perceptions, separately, and dietary quality, controlling for known covariates. Results The HEI-2015 mean score was 52 of 100 possible points. Nearly one quarter of male and female respondents reported not trying to do anything about their weight, whereas 16% reported trying to maintain, 28% and 5% trying to gain, and 33% and 55% trying to lose weight, respectively. Most respondents (63% of males and 66% of females) perceived their weight as just about right. Among males, trying to gain or maintain weight were each significantly associated with higher HEI-2015 mean scores compared with not trying to manage weight (P Conclusions Efforts to manage weight, which are commonplace among youth and young adults, are associated with dietary quality. Future behavioral research may provide insights into strategies used by youth to manage weight, guiding interventions that recognize links among weight-related behaviors, dietary quality, and other determinants of health.
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[article] Weight Management Efforts, But Not Weight Perceptions, Are Associated with Dietary Quality among Youth and Young Adults in Canada [Article] / Amanda Raffoul ; Samantha Goodman ; David Hammond ; Sharon I. Kirkpatrick . - 2021 . - p. 942-951.
https://doi.org/10.1016/j.jand.2020.10.011
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 942-951

Descripteurs :	HE Vinci Adolescent ; Adulte ; Perception du poids ; Régime alimentaire
Mots-clés :	gestion du poids
Résumé :	Background Efforts to lose, gain, or maintain weight are prevalent among youth and young adults, but little is known about the relationship between weight management efforts and dietary quality. Attempts to manage weight are typically driven by weight perceptions, which may also uniquely affect overall diet. Objective The objective was to explore sex-stratified associations between weight management efforts and perceptions with dietary quality among youth and young adults. Design Cross-sectional online survey data were drawn from Wave 1 (2016) of the Canada Food Study. Participants/setting Youth and young adults (n = 3,000), aged 16 to 30 years, were recruited from community settings in five Canadian cities and completed the online survey. The analytic sample consisted of 2,040 participants. Main outcome measures The Healthy Eating Index-2015 (HEI-2015) was used to characterize dietary quality among participants who completed a 24-hour recall. Respondents reported their weight change efforts over the past year and their weight perception. Statistical analyses performed Sex-stratified multiple linear regression analyses were conducted to investigate relationships between each of weight management efforts and perceptions, separately, and dietary quality, controlling for known covariates. Results The HEI-2015 mean score was 52 of 100 possible points. Nearly one quarter of male and female respondents reported not trying to do anything about their weight, whereas 16% reported trying to maintain, 28% and 5% trying to gain, and 33% and 55% trying to lose weight, respectively. Most respondents (63% of males and 66% of females) perceived their weight as just about right. Among males, trying to gain or maintain weight were each significantly associated with higher HEI-2015 mean scores compared with not trying to manage weight (P Conclusions Efforts to manage weight, which are commonplace among youth and young adults, are associated with dietary quality. Future behavioral research may provide insights into strategies used by youth to manage weight, guiding interventions that recognize links among weight-related behaviors, dietary quality, and other determinants of health.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 952-978.e4

Titre :	Food Insecurity and Pediatric Malnutrition Related to Under- and Overweight in the United States: An Evidence Analysis Center Systematic Review
Type de document :	Article
Auteurs :	Elizabeth Spoede ; Mark R. Corkins ; Bonnie A. Spear ; Patricia J. Becker ; Sarah Gunnell Bellini ; Katherine M. Hoy ; Tami A. Piemonte ; Mary Rozga
Année de publication :	2021
Article en page(s) :	p. 952-978.e4
Note générale :	https://doi.org/10.1016/j.jand.2020.03.009
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Enfant (6-12 ans) ; Malnutrition ; Obésité pédiatrique
Mots-clés :	Insécurité alimentaire
Résumé :	Both food insecurity and malnutrition are associated with adverse health outcomes in the pediatric population. However, the research on the relationship between these factors has been inconsistent, leading to uncertainty regarding whether or how evaluation of food insecurity should be incorporated into nutrition screening or the nutrition care process. The objective of this systematic review was to determine the association between food insecurity and malnutrition related to undernutrition or overnutrition (defined by anthropometrics) in the pediatric population in the United States. A literature search was conducted using Medline, Embase, and CINAHL databases for studies published from January 2002 through November 2017. A total of 23 studies (19 cross-sectional and 4 prospective cohort studies) met inclusion criteria and were included in qualitative analysis. In 6 studies, there was no overall relationship between food insecurity and underweight. All included studies examined the relationship between food insecurity status and overweight/obesity and results were mixed, with large cross-sectional studies demonstrating a positive relationship between food insecurity and overweight/obesity. There were no clear patterns according to subpopulation. Evidence quality was graded as fair due to heterogeneity in how food insecurity was measured and populations included as well as inconsistency in results. Use of a 2-item food insecurity screening tool may allow for efficient, effective screening of food insecurity in order to identify potential contributors overweight and obesity.
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[article] Food Insecurity and Pediatric Malnutrition Related to Under- and Overweight in the United States: An Evidence Analysis Center Systematic Review [Article] / Elizabeth Spoede ; Mark R. Corkins ; Bonnie A. Spear ; Patricia J. Becker ; Sarah Gunnell Bellini ; Katherine M. Hoy ; Tami A. Piemonte ; Mary Rozga . - 2021 . - p. 952-978.e4.
https://doi.org/10.1016/j.jand.2020.03.009
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 952-978.e4

Descripteurs :	HE Vinci Enfant (6-12 ans) ; Malnutrition ; Obésité pédiatrique
Mots-clés :	Insécurité alimentaire
Résumé :	Both food insecurity and malnutrition are associated with adverse health outcomes in the pediatric population. However, the research on the relationship between these factors has been inconsistent, leading to uncertainty regarding whether or how evaluation of food insecurity should be incorporated into nutrition screening or the nutrition care process. The objective of this systematic review was to determine the association between food insecurity and malnutrition related to undernutrition or overnutrition (defined by anthropometrics) in the pediatric population in the United States. A literature search was conducted using Medline, Embase, and CINAHL databases for studies published from January 2002 through November 2017. A total of 23 studies (19 cross-sectional and 4 prospective cohort studies) met inclusion criteria and were included in qualitative analysis. In 6 studies, there was no overall relationship between food insecurity and underweight. All included studies examined the relationship between food insecurity status and overweight/obesity and results were mixed, with large cross-sectional studies demonstrating a positive relationship between food insecurity and overweight/obesity. There were no clear patterns according to subpopulation. Evidence quality was graded as fair due to heterogeneity in how food insecurity was measured and populations included as well as inconsistency in results. Use of a 2-item food insecurity screening tool may allow for efficient, effective screening of food insecurity in order to identify potential contributors overweight and obesity.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 979-987

Titre :	Malnutrition Care During the COVID-19 Pandemic: Considerations for Registered Dietitian Nutritionists
Type de document :	Article
Auteurs :	Deepa Handu ; Lisa Moloney ; Mary Rozga ; Feon W. Cheng
Année de publication :	2021
Article en page(s) :	p. 979-987
Note générale :	https://doi.org/10.1016/j.jand.2020.05.012
Langues :	Anglais (eng)
Descripteurs :	HE Vinci COVID-19 ; Malnutrition ; Pandémies
Résumé :	Recent evidence examining adults infected with coronavirus disease 2019 (COVID-19) has indicated a significant impact of malnutrition on health outcomes. Individuals who have multiple comorbidities, are older adults, or who are malnourished, are at increased risk of being admitted to the intensive care unit and of mortality from COVID-19 infections. Therefore, nutrition care to identify and address malnutrition is critical in treating and preventing further adverse health outcomes from COVID-19 infection. This document provides guidance and practice considerations for registered dietitian nutritionists providing nutrition care for adults with suspected or confirmed COVID-19 infection in the hospital, outpatient, or home care settings. In addition, this document discusses and provides considerations for registered dietitian nutritionists working with individuals at risk of malnutrition secondary to food insecurity during the COVID-19 pandemic.
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[article] Malnutrition Care During the COVID-19 Pandemic: Considerations for Registered Dietitian Nutritionists [Article] / Deepa Handu ; Lisa Moloney ; Mary Rozga ; Feon W. Cheng . - 2021 . - p. 979-987.
https://doi.org/10.1016/j.jand.2020.05.012
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 5 (May 2021) . - p. 979-987

Descripteurs :	HE Vinci COVID-19 ; Malnutrition ; Pandémies
Résumé :	Recent evidence examining adults infected with coronavirus disease 2019 (COVID-19) has indicated a significant impact of malnutrition on health outcomes. Individuals who have multiple comorbidities, are older adults, or who are malnourished, are at increased risk of being admitted to the intensive care unit and of mortality from COVID-19 infections. Therefore, nutrition care to identify and address malnutrition is critical in treating and preventing further adverse health outcomes from COVID-19 infection. This document provides guidance and practice considerations for registered dietitian nutritionists providing nutrition care for adults with suspected or confirmed COVID-19 infection in the hospital, outpatient, or home care settings. In addition, this document discusses and provides considerations for registered dietitian nutritionists working with individuals at risk of malnutrition secondary to food insecurity during the COVID-19 pandemic.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 633-635

Titre :	Future Trends and the Pace of Change: Are We Ready?: The COVID-19 pandemic has presented an undeniable case for change. Life, work and organizations will never be “back to normal.” This opens up massive opportunities to raise our awareness of future trends and to elevate our profession, build resilience, increase our influence and visibility, and infuse futuristic competencies into our educational programs and practices.
Type de document :	Article
Auteurs :	Linda T. Farr
Année de publication :	2021
Article en page(s) :	p. 633-635
Note générale :	https://doi.org/10.1016/j.jand.2021.01.022
Langues :	Anglais (eng)
Descripteurs :	HE Vinci COVID-19 ; Diététique ; Résilience psychologique
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[article] Future Trends and the Pace of Change: Are We Ready?: The COVID-19 pandemic has presented an undeniable case for change. Life, work and organizations will never be “back to normal.” This opens up massive opportunities to raise our awareness of future trends and to elevate our profession, build resilience, increase our influence and visibility, and infuse futuristic competencies into our educational programs and practices. [Article] / Linda T. Farr . - 2021 . - p. 633-635.
https://doi.org/10.1016/j.jand.2021.01.022
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 633-635

Descripteurs :	HE Vinci COVID-19 ; Diététique ; Résilience psychologique
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 637-643, 644-646

Titre :	Interprofessional Education and Collaborative Practice in Nutrition and Dietetics 2020: An Update
Type de document :	Article
Auteurs :	Kathrin A. Eliot ; Amy Morel L'Horset ; Karen Gibson ; Stephanie Petrosky
Année de publication :	2021
Article en page(s) :	p. 637-643, 644-646
Note générale :	https://doi.org/10.1016/j.jand.2020.08.010
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Diététicien ; Diététique ; Relations interprofessionnelles
Note de contenu :	Interprofessional education (IPE) and interprofessional collaborative practice (IPCP) directly promote the achievement of a healthier and more fiscally responsible health care system by enabling a framework that prepares all health care professionals to collaborate effectively and creatively. In 2015, Eliot and Kolasa1 called attention to the value of incorporating collaborative-ready nutrition and dietetics practitioners into the workforce. At that time, minimal IPE standards for the profession had been set and few nutrition and dietetics education programs were formally integrating IPE into their curricula. Since then, the overall landscape of IPE has moved from a primary focus of implementation to building bridges between education and practice.2 This shift is also now evident in the essential practice competencies (knowledge, skills, and attitudes) for all credentialed nutrition and dietetics practitioners certified by the Commission on Dietetic Registration.3 (...)
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[article] Interprofessional Education and Collaborative Practice in Nutrition and Dietetics 2020: An Update [Article] / Kathrin A. Eliot ; Amy Morel L'Horset ; Karen Gibson ; Stephanie Petrosky . - 2021 . - p. 637-643, 644-646.
https://doi.org/10.1016/j.jand.2020.08.010
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 637-643, 644-646

Descripteurs :	HE Vinci Diététicien ; Diététique ; Relations interprofessionnelles
Note de contenu :	Interprofessional education (IPE) and interprofessional collaborative practice (IPCP) directly promote the achievement of a healthier and more fiscally responsible health care system by enabling a framework that prepares all health care professionals to collaborate effectively and creatively. In 2015, Eliot and Kolasa1 called attention to the value of incorporating collaborative-ready nutrition and dietetics practitioners into the workforce. At that time, minimal IPE standards for the profession had been set and few nutrition and dietetics education programs were formally integrating IPE into their curricula. Since then, the overall landscape of IPE has moved from a primary focus of implementation to building bridges between education and practice.2 This shift is also now evident in the essential practice competencies (knowledge, skills, and attitudes) for all credentialed nutrition and dietetics practitioners certified by the Commission on Dietetic Registration.3 (...)
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 647-654

Titre :	Existing Guidance on Feeding Infants and Children From Birth to 24 Months: Implications and Next Steps for Registered Dietitian Nutritionists
Type de document :	Article
Auteurs :	Elizabeth Yakes Jimenez ; Rafael Perez-Escamilla ; Stephanie A. Atkinson
Année de publication :	2021
Article en page(s) :	p. 647-654
Note générale :	https://doi.org/10.1016/j.jand.2020.12.016
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Alimentation de l'enfant ; Phénomènes physiologiques nutritionnels chez le nourrisson ; Pratique factuelle ; Régime alimentaire sain
Note de contenu :	Increasingly, evidence exists that feeding practices for infants and young children can have lifelong health implications.1,2 The importance of this critical period was recognized in the Scientific Report of the 2020 Dietary Guidelines Advisory Committee,3 which will be used to develop the 2020-2025 Dietary Guidelines for Americans. For the first time, the 2020-2025 Dietary Guidelines for Americans will establish national guidance for diet from birth to 24 months of age. (...)
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[article] Existing Guidance on Feeding Infants and Children From Birth to 24 Months: Implications and Next Steps for Registered Dietitian Nutritionists [Article] / Elizabeth Yakes Jimenez ; Rafael Perez-Escamilla ; Stephanie A. Atkinson . - 2021 . - p. 647-654.
https://doi.org/10.1016/j.jand.2020.12.016
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 647-654

Descripteurs :	HE Vinci Alimentation de l'enfant ; Phénomènes physiologiques nutritionnels chez le nourrisson ; Pratique factuelle ; Régime alimentaire sain
Note de contenu :	Increasingly, evidence exists that feeding practices for infants and young children can have lifelong health implications.1,2 The importance of this critical period was recognized in the Scientific Report of the 2020 Dietary Guidelines Advisory Committee,3 which will be used to develop the 2020-2025 Dietary Guidelines for Americans. For the first time, the 2020-2025 Dietary Guidelines for Americans will establish national guidance for diet from birth to 24 months of age. (...)
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 655-668

Titre :	Lower Vegetable Variety and Worsening Diet Quality Over Time Are Associated With Higher 15-Year Health Care Claims and Costs Among Australian Women
Type de document :	Article
Auteurs :	Jennifer N. Baldwin ; Peta M. Forder ; Rebecca Haslam ; Alexis Hure ; Deborah Loxton ; Amanda Patterson ; Clare Collins
Année de publication :	2021
Article en page(s) :	p. 655-668
Note générale :	https://doi.org/10.1016/j.jand.2020.12.012
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Coûts des soins de santé ; Indice de masse corporelle ; Régime alimentaire sain ; Santé des femmes
Résumé :	Background The relationship between diet quality and health care costs is unclear. Objective The aim of this study was to investigate the relationship between baseline diet quality and change in diet quality over time, with 15-year cumulative health care claims/costs. Design Data from a longitudinal cohort study were analyzed. Participants/setting Data for survey 3 (2001) (n = 7,868) and survey 7 (2013) (n = 6,349 both time points) from the 1946-1951 cohort of the Australian Longitudinal Study on Women’s Health were analyzed. Main outcome measures Diet quality was assessed using the Australian Recommended Food Score (ARFS). Fifteen-year cumulative Medicare Benefits Schedule (Australia’s universal health care coverage) data were reported by baseline ARFS quintile and category of diet quality change (“diet quality worsened” [ARFS change ≤ –4 points], “remained stable” [–3 ≤ change in ARFS ≤3 points], or “improved” [ARFS change ≥4 points]). Statistical analyses Linear regression analyses were conducted adjusting for area of residence, socioeconomic status, lifestyle factors, and private health insurance status. Results Consuming a greater variety of vegetables at baseline but fewer fruit and dairy products was associated with lower health care costs. For every 1-point increment in the ARFS vegetable subscale, women made 3.3 (95% CI, 1.6-5.0) fewer claims and incurred AU$227 (95% CI, AU$104-350 [US$158; 95% CI, US$72-243]) less in costs. Women whose diet quality worsened over time made more claims (median, 251 claims; quintile 1, quintile 3 [Q1; Q3], 168; 368 claims) and incurred higher costs (AU$15,519; Q1; Q3, AU$9,226; AU$24,847 [US$10,793; Q1; Q3, US$6,417; US$17,281]) compared with those whose diet quality remained stable (median, 236 claims [Q1; Q3, 158; 346 claims], AU$14,515; Q1; Q3, AU$8,539; AU$23,378 [US$10,095; Q1; Q3, US$5,939; US$16,259]). Conclusions Greater vegetable variety was associated with fewer health care claims and costs; however, this trend was not consistent across other subscales. Worsening diet quality over 12 years was linked with higher health care claims and costs.
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[article] Lower Vegetable Variety and Worsening Diet Quality Over Time Are Associated With Higher 15-Year Health Care Claims and Costs Among Australian Women [Article] / Jennifer N. Baldwin ; Peta M. Forder ; Rebecca Haslam ; Alexis Hure ; Deborah Loxton ; Amanda Patterson ; Clare Collins . - 2021 . - p. 655-668.
https://doi.org/10.1016/j.jand.2020.12.012
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 655-668

Descripteurs :	HE Vinci Coûts des soins de santé ; Indice de masse corporelle ; Régime alimentaire sain ; Santé des femmes
Résumé :	Background The relationship between diet quality and health care costs is unclear. Objective The aim of this study was to investigate the relationship between baseline diet quality and change in diet quality over time, with 15-year cumulative health care claims/costs. Design Data from a longitudinal cohort study were analyzed. Participants/setting Data for survey 3 (2001) (n = 7,868) and survey 7 (2013) (n = 6,349 both time points) from the 1946-1951 cohort of the Australian Longitudinal Study on Women’s Health were analyzed. Main outcome measures Diet quality was assessed using the Australian Recommended Food Score (ARFS). Fifteen-year cumulative Medicare Benefits Schedule (Australia’s universal health care coverage) data were reported by baseline ARFS quintile and category of diet quality change (“diet quality worsened” [ARFS change ≤ –4 points], “remained stable” [–3 ≤ change in ARFS ≤3 points], or “improved” [ARFS change ≥4 points]). Statistical analyses Linear regression analyses were conducted adjusting for area of residence, socioeconomic status, lifestyle factors, and private health insurance status. Results Consuming a greater variety of vegetables at baseline but fewer fruit and dairy products was associated with lower health care costs. For every 1-point increment in the ARFS vegetable subscale, women made 3.3 (95% CI, 1.6-5.0) fewer claims and incurred AU$227 (95% CI, AU$104-350 [US$158; 95% CI, US$72-243]) less in costs. Women whose diet quality worsened over time made more claims (median, 251 claims; quintile 1, quintile 3 [Q1; Q3], 168; 368 claims) and incurred higher costs (AU$15,519; Q1; Q3, AU$9,226; AU$24,847 [US$10,793; Q1; Q3, US$6,417; US$17,281]) compared with those whose diet quality remained stable (median, 236 claims [Q1; Q3, 158; 346 claims], AU$14,515; Q1; Q3, AU$8,539; AU$23,378 [US$10,095; Q1; Q3, US$5,939; US$16,259]). Conclusions Greater vegetable variety was associated with fewer health care claims and costs; however, this trend was not consistent across other subscales. Worsening diet quality over 12 years was linked with higher health care claims and costs.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 669-677.e1

Titre :	A Vegetarian Diet Is Associated with a Lower Risk of Cataract, Particularly Among Individuals with Overweight: A Prospective Study
Type de document :	Article
Auteurs :	Tina H.T. Chiu ; Chia-Chen Chang ; Chin-Lon Lin ; Ming-Nan Lin
Année de publication :	2021
Article en page(s) :	p. 669-677.e1
Note générale :	https://doi.org/10.1016/j.jand.2020.11.003
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Cataracte ; Fumer ; Régime végétarien
Mots-clés :	Tzu Chi Health Study
Résumé :	Background Cataracts are caused by oxidative stress in the lens of the eyes and plant-based dietary patterns can contain a wide variety of protective antioxidants. However, strict vegetarians with inadequate vitamin B-12 intakes can have elevated homocysteine levels, which could increase the risk of cortical cataracts. Whether the benefits of a vegetarian diet outweigh its risks in the development of cataracts warrants investigation. Objective Our aim was to study the prospective association between a Taiwanese vegetarian dietary pattern and cataract risk. Design This was a prospective cohort study. Participants/setting The Tzu Chi Health Study recruited 6,002 participants from 2007 to 2009 at Dalin Tzu Chi Hospital. Diet was assessed through a validated food frequency questionnaire. Participants 40 years and older and without cataracts at recruitment (3,095 nonvegetarians and 1,341 vegetarians) were followed until the end of 2014, death, or occurrence of cataracts. Main outcome measures Cataract incident cases ((International Classification of Diseases, 9th Revision, Clinical Modification code 366) were identified by linkage to the National Health Insurance Research Database in Taiwan. Statistical analysis Cox proportional hazard regression with age as the underlying scale was used to estimate the association between dietary patterns and cataract risk while adjusting for potential confounders. Results Compared with nonvegetarians, vegetarians had higher intakes of soy, vegetables, nuts, whole grains, dietary fiber, vitamin C, folate, and vitamin A equivalent. In the 25,103 person-years of follow-up, 476 incident cases of cataracts were identified. A vegetarian diet was associated with a 20% reduced risk of cataracts (hazard ratio 0.80, 95% CI 0.65 to 0.99; P = 0.04) after adjusting for sex, education, smoking, alcohol drinking habits, physical activities, Tzu Chi volunteer status, hypertension, diabetes, hyperlipidemia, corticosteroid prescription, and body mass index (calculated as kg/m2). This association was more pronounced among individuals with overweight (defined as body mass index ≥24 in Taiwan [hazard ratio 0.70, 95% CI 0.50 to 0.99; P = 0.04]). Conclusions A vegetarian diet was associated with a lower risk of cataracts, particularly in study participants with overweight.
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[article] A Vegetarian Diet Is Associated with a Lower Risk of Cataract, Particularly Among Individuals with Overweight: A Prospective Study [Article] / Tina H.T. Chiu ; Chia-Chen Chang ; Chin-Lon Lin ; Ming-Nan Lin . - 2021 . - p. 669-677.e1.
https://doi.org/10.1016/j.jand.2020.11.003
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 669-677.e1

Descripteurs :	HE Vinci Cataracte ; Fumer ; Régime végétarien
Mots-clés :	Tzu Chi Health Study
Résumé :	Background Cataracts are caused by oxidative stress in the lens of the eyes and plant-based dietary patterns can contain a wide variety of protective antioxidants. However, strict vegetarians with inadequate vitamin B-12 intakes can have elevated homocysteine levels, which could increase the risk of cortical cataracts. Whether the benefits of a vegetarian diet outweigh its risks in the development of cataracts warrants investigation. Objective Our aim was to study the prospective association between a Taiwanese vegetarian dietary pattern and cataract risk. Design This was a prospective cohort study. Participants/setting The Tzu Chi Health Study recruited 6,002 participants from 2007 to 2009 at Dalin Tzu Chi Hospital. Diet was assessed through a validated food frequency questionnaire. Participants 40 years and older and without cataracts at recruitment (3,095 nonvegetarians and 1,341 vegetarians) were followed until the end of 2014, death, or occurrence of cataracts. Main outcome measures Cataract incident cases ((International Classification of Diseases, 9th Revision, Clinical Modification code 366) were identified by linkage to the National Health Insurance Research Database in Taiwan. Statistical analysis Cox proportional hazard regression with age as the underlying scale was used to estimate the association between dietary patterns and cataract risk while adjusting for potential confounders. Results Compared with nonvegetarians, vegetarians had higher intakes of soy, vegetables, nuts, whole grains, dietary fiber, vitamin C, folate, and vitamin A equivalent. In the 25,103 person-years of follow-up, 476 incident cases of cataracts were identified. A vegetarian diet was associated with a 20% reduced risk of cataracts (hazard ratio 0.80, 95% CI 0.65 to 0.99; P = 0.04) after adjusting for sex, education, smoking, alcohol drinking habits, physical activities, Tzu Chi volunteer status, hypertension, diabetes, hyperlipidemia, corticosteroid prescription, and body mass index (calculated as kg/m2). This association was more pronounced among individuals with overweight (defined as body mass index ≥24 in Taiwan [hazard ratio 0.70, 95% CI 0.50 to 0.99; P = 0.04]). Conclusions A vegetarian diet was associated with a lower risk of cataracts, particularly in study participants with overweight.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 678-687.e1

Titre :	Independent Early Childhood Education Centers’ Experiences Implementing the Revised Child and Adult Care Food Program Meal Pattern Standards: A Qualitative Exploratory Study
Type de document :	Article
Auteurs :	Rebecca M. Schermbeck ; Mhinjine Kim ; Jamie F. Chriqui
Année de publication :	2021
Article en page(s) :	p. 678-687.e1
Note générale :	https://doi.org/10.1016/j.jand.2020.06.020
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Enfant d'âge préscolaire (2-5 ans) ; Nourrisson ; Obésité pédiatrique ; Politique nutritionnelle
Résumé :	Background Nationally, approximately one-third of early childhood education centers participating in the Child and Adult Care Food Program (CACFP) are independently owned and operated (ie, not owned by a corporation, not affiliated with Head Start, and with no food program sponsor). Independent providers are less likely to meet CACFP standards and best practices and would benefit from additional support and technical assistance. Objective To explore independent early childhood education center key informants’ (KIs) (ie, directors or relevant staff) perspectives on implementing the revised CACFP standards. Design Following qualitative exploratory design, semistructured, in-depth, telephone interviews were conducted with KIs individually. Participants/setting In summer 2018, 30 randomly sampled KIs from independent CACFP-participating early childhood education centers serving children ages 2 to 5 years nationwide were interviewed. Participants were sampled from respondents to a previously completed nationwide survey of providers. Main outcomes KIs’ perspectives on the CACFP program and revised meal pattern standard implementation. Analysis performed After audio recordings were professionally transcribed and reviewed, constant comparative analysis was conducted using Atlas.ti v8 qualitative software (Atlas.ti. version 8 for Windows, 2018, Scientific Software Development GmbH). Results KIs indicated that program benefits (eg, health and nutrition benefits, reimbursement, guidelines, and training) outweighed challenges experienced. Challenges associated with revised CACFP standards implementation (eg, availability or acceptability of new, creditable foods) were impacted by enhanced CACFP standards status, reported revised standards, and availability or utilization of outside support. KIs desired more contact with their state representative. KIs found the training and technical assistance on the revised standards useful and suggestions to enhance future training and technical assistance (eg, increasing accessibility, training resources, and audience-specific training). Conclusions Overall, KIs desired additional resources, training, and increased communication from CACFP state representatives specific to CACFP-approved and reimbursable products, menu ideas, recipes, and cooking demonstrations. The present study suggests that a more tailored training and technical assistance approach is necessary as reported benefits, challenges, and program needs varied based on state-enhanced CACFP standards, reported familiarity with the revised meal pattern, and reported outside support.
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[article] Independent Early Childhood Education Centers’ Experiences Implementing the Revised Child and Adult Care Food Program Meal Pattern Standards: A Qualitative Exploratory Study [Article] / Rebecca M. Schermbeck ; Mhinjine Kim ; Jamie F. Chriqui . - 2021 . - p. 678-687.e1.
https://doi.org/10.1016/j.jand.2020.06.020
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 678-687.e1

Descripteurs :	HE Vinci Enfant d'âge préscolaire (2-5 ans) ; Nourrisson ; Obésité pédiatrique ; Politique nutritionnelle
Résumé :	Background Nationally, approximately one-third of early childhood education centers participating in the Child and Adult Care Food Program (CACFP) are independently owned and operated (ie, not owned by a corporation, not affiliated with Head Start, and with no food program sponsor). Independent providers are less likely to meet CACFP standards and best practices and would benefit from additional support and technical assistance. Objective To explore independent early childhood education center key informants’ (KIs) (ie, directors or relevant staff) perspectives on implementing the revised CACFP standards. Design Following qualitative exploratory design, semistructured, in-depth, telephone interviews were conducted with KIs individually. Participants/setting In summer 2018, 30 randomly sampled KIs from independent CACFP-participating early childhood education centers serving children ages 2 to 5 years nationwide were interviewed. Participants were sampled from respondents to a previously completed nationwide survey of providers. Main outcomes KIs’ perspectives on the CACFP program and revised meal pattern standard implementation. Analysis performed After audio recordings were professionally transcribed and reviewed, constant comparative analysis was conducted using Atlas.ti v8 qualitative software (Atlas.ti. version 8 for Windows, 2018, Scientific Software Development GmbH). Results KIs indicated that program benefits (eg, health and nutrition benefits, reimbursement, guidelines, and training) outweighed challenges experienced. Challenges associated with revised CACFP standards implementation (eg, availability or acceptability of new, creditable foods) were impacted by enhanced CACFP standards status, reported revised standards, and availability or utilization of outside support. KIs desired more contact with their state representative. KIs found the training and technical assistance on the revised standards useful and suggestions to enhance future training and technical assistance (eg, increasing accessibility, training resources, and audience-specific training). Conclusions Overall, KIs desired additional resources, training, and increased communication from CACFP state representatives specific to CACFP-approved and reimbursable products, menu ideas, recipes, and cooking demonstrations. The present study suggests that a more tailored training and technical assistance approach is necessary as reported benefits, challenges, and program needs varied based on state-enhanced CACFP standards, reported familiarity with the revised meal pattern, and reported outside support.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 688-708.e3

Titre :	The Adequacy of Habitual Dietary Fiber Intake in Individuals With Inflammatory Bowel Disease: A Systematic Review
Type de document :	Article
Auteurs :	Alice S. Day ; Rachel Davis ; Samuel P. Costello ; Chu K. Yao ; Jane M. Andrews ; Robert V. Bryant
Année de publication :	2021
Article en page(s) :	p. 688-708.e3
Note générale :	https://doi.org/10.1016/j.jand.2020.12.001
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Fibre alimentaire ; Maladies inflammatoires intestinales
Mots-clés :	adéquation nutritionnelle
Résumé :	Background Dietary fiber may influence disease course in individuals with inflammatory bowel disease (IBD), yet there is a paucity of understanding of habitual fiber intakes. Objectives To identify studies measuring fiber intakes of individuals with IBD, compare the adequacy of fiber intakes with that of control groups or respective national dietary guidelines, and examine factors associated with fiber consumption. Methods Five electronic databases—MEDLINE, CINAHL, SCOPUS, PROQUEST, and COCHRANE LIBRARY—were systematically searched, using search terms inflammatory bowel disease, Crohn’s disease, ulcerative colitis, dietary intake, and fiber, until December 2019, with hand searching of reference lists. Primary studies were included if fiber intakes were measured in participants 18 years of age or older, with confirmed IBD, with or without comparison to a control. Results A total of 2105 publications were identified, and 26 met inclusion criteria. Total fiber intake of 4164 participants with IBD ranged broadly (9.9 ± 7.8 g/day to 21.0 ± 10.5 g/day). Most (18/26) used cross-sectional study design, with a large degree of heterogeneity in tools measuring fiber intake. Sixty-six percent of studies comparing participants with IBD with control groups found that participants with IBD consumed significantly less fiber than control subjects. Four studies reported that less than 10% to 21% of IBD participants met their national fiber recommendations. Data conflicted regarding an association between disease type, disease activity, or rate of relapse and fiber intake. Conclusions Individuals with IBD consume less fiber than healthy populations. Fiber intakes are inadequate compared with respective national fiber guidelines. Interpretation of factors associated with fiber intakes were limited by data quality and conflicting results. Future research is required into factors associated with fiber intake and whether increasing fiber intakes can influence disease course and behavior.
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[article] The Adequacy of Habitual Dietary Fiber Intake in Individuals With Inflammatory Bowel Disease: A Systematic Review [Article] / Alice S. Day ; Rachel Davis ; Samuel P. Costello ; Chu K. Yao ; Jane M. Andrews ; Robert V. Bryant . - 2021 . - p. 688-708.e3.
https://doi.org/10.1016/j.jand.2020.12.001
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 688-708.e3

Descripteurs :	HE Vinci Fibre alimentaire ; Maladies inflammatoires intestinales
Mots-clés :	adéquation nutritionnelle
Résumé :	Background Dietary fiber may influence disease course in individuals with inflammatory bowel disease (IBD), yet there is a paucity of understanding of habitual fiber intakes. Objectives To identify studies measuring fiber intakes of individuals with IBD, compare the adequacy of fiber intakes with that of control groups or respective national dietary guidelines, and examine factors associated with fiber consumption. Methods Five electronic databases—MEDLINE, CINAHL, SCOPUS, PROQUEST, and COCHRANE LIBRARY—were systematically searched, using search terms inflammatory bowel disease, Crohn’s disease, ulcerative colitis, dietary intake, and fiber, until December 2019, with hand searching of reference lists. Primary studies were included if fiber intakes were measured in participants 18 years of age or older, with confirmed IBD, with or without comparison to a control. Results A total of 2105 publications were identified, and 26 met inclusion criteria. Total fiber intake of 4164 participants with IBD ranged broadly (9.9 ± 7.8 g/day to 21.0 ± 10.5 g/day). Most (18/26) used cross-sectional study design, with a large degree of heterogeneity in tools measuring fiber intake. Sixty-six percent of studies comparing participants with IBD with control groups found that participants with IBD consumed significantly less fiber than control subjects. Four studies reported that less than 10% to 21% of IBD participants met their national fiber recommendations. Data conflicted regarding an association between disease type, disease activity, or rate of relapse and fiber intake. Conclusions Individuals with IBD consume less fiber than healthy populations. Fiber intakes are inadequate compared with respective national fiber guidelines. Interpretation of factors associated with fiber intakes were limited by data quality and conflicting results. Future research is required into factors associated with fiber intake and whether increasing fiber intakes can influence disease course and behavior.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 709-727.e1

Titre :	The Influence of Mindful Eating and/or Intuitive Eating Approaches on Dietary Intake: A Systematic Review
Type de document :	Article
Auteurs :	Hannah S. Grider ; Steven M. Douglas ; Hollie A. Raynor
Année de publication :	2021
Article en page(s) :	p. 709-727.e1
Note générale :	https://doi.org/10.1016/j.jand.2020.10.019
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Ration calorique ; Régime alimentaire sain
Mots-clés :	alimentation intuitive  alimentation consciente  Mindful eating
Résumé :	Background Stimuli that promote eating in the absence of the physiological need for food are pervasive and can facilitate excessive energy intake. The practices of mindful eating (ME) and intuitive eating (IE) have been developed to minimize external drivers of energy intake by helping individuals emphasize the sensory properties of foods and internal indicators of hunger and fullness. Objective To enhance understanding about the effect of ME and IE interventions on dietary intake, this systematic review included randomized trials of ME and IE interventions that examined dietary intake, defined as energy intake or diet quality, in adults of varying weight status without a diagnosis of an eating disorder. Methods The selection of literature followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses systematic review process, in which PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and PsycINFO databases were searched for studies published between January 1980 and November 2019. Studies were included if they met the following criteria: randomized trial design in which 1 arm was an intervention with an ME or IE component and there was at least 1 control or active comparison arm; enrolled participants were of a healthy weight or with overweight or obesity and reported not having an eating disorder (ie, anorexia, bulimia nervosa, or binge eating disorder) or other health conditions in which dietary restrictions were applied; were at least 18 years of age; and outcomes of energy intake or diet quality were reported at baseline and post intervention. The modified Downs and Black checklist was used to assess risk of bias for each study that met inclusion criteria. Results A total of 13 studies, including 8 investigating ME interventions and 5 investigating IE interventions, represented in 14 articles, were included in the review. Seven of the 9 articles reporting on energy intake did not find significant group differences. Eight of the 12 articles reporting on diet quality did not find significant group differences. The mean bias assessment score was 13.6 out of 28, indicating poor quality. Conclusions Little evidence suggests that ME and IE interventions influence energy intake or diet quality. To draw strong conclusions about the effect of ME and IE on dietary intake, future research using study designs of high rigor are needed.
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[article] The Influence of Mindful Eating and/or Intuitive Eating Approaches on Dietary Intake: A Systematic Review [Article] / Hannah S. Grider ; Steven M. Douglas ; Hollie A. Raynor . - 2021 . - p. 709-727.e1.
https://doi.org/10.1016/j.jand.2020.10.019
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 709-727.e1

Descripteurs :	HE Vinci Ration calorique ; Régime alimentaire sain
Mots-clés :	alimentation intuitive  alimentation consciente  Mindful eating
Résumé :	Background Stimuli that promote eating in the absence of the physiological need for food are pervasive and can facilitate excessive energy intake. The practices of mindful eating (ME) and intuitive eating (IE) have been developed to minimize external drivers of energy intake by helping individuals emphasize the sensory properties of foods and internal indicators of hunger and fullness. Objective To enhance understanding about the effect of ME and IE interventions on dietary intake, this systematic review included randomized trials of ME and IE interventions that examined dietary intake, defined as energy intake or diet quality, in adults of varying weight status without a diagnosis of an eating disorder. Methods The selection of literature followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses systematic review process, in which PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), and PsycINFO databases were searched for studies published between January 1980 and November 2019. Studies were included if they met the following criteria: randomized trial design in which 1 arm was an intervention with an ME or IE component and there was at least 1 control or active comparison arm; enrolled participants were of a healthy weight or with overweight or obesity and reported not having an eating disorder (ie, anorexia, bulimia nervosa, or binge eating disorder) or other health conditions in which dietary restrictions were applied; were at least 18 years of age; and outcomes of energy intake or diet quality were reported at baseline and post intervention. The modified Downs and Black checklist was used to assess risk of bias for each study that met inclusion criteria. Results A total of 13 studies, including 8 investigating ME interventions and 5 investigating IE interventions, represented in 14 articles, were included in the review. Seven of the 9 articles reporting on energy intake did not find significant group differences. Eight of the 12 articles reporting on diet quality did not find significant group differences. The mean bias assessment score was 13.6 out of 28, indicating poor quality. Conclusions Little evidence suggests that ME and IE interventions influence energy intake or diet quality. To draw strong conclusions about the effect of ME and IE on dietary intake, future research using study designs of high rigor are needed.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 728-737

Titre :	Marginal, Low, and Very-Low Food Security among Children Are Associated with Intake of Select Dietary Factors during Summer
Type de document :	Article
Auteurs :	Jessica Soldavini ; Alice S. Ammerman
Année de publication :	2021
Article en page(s) :	p. 728-737
Note générale :	https://doi.org/10.1016/j.jand.2020.11.010
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Adolescent ; Approvisionnement en nourriture ; Enfant (6-12 ans) ; Régime alimentaire
Résumé :	Background School meals are associated with improved food security status and dietary intake. Children receiving free and reduced-price school meals lose access to these meals during the summer. The association between food security status and dietary intake in these children during summer is unclear. Objective To examine the association between food security status (high, marginal, low, and very-low food security) among children and intake of select dietary factors during summer in children certified for free and reduced-price school meals by age group (3 to 4 years, 5 to 8 years, 9 to 12 years, and 13 to 17 years). Design Cross-sectional analysis. Participants/setting Secondary data from 11,873 children aged 3 to 17 years in the control group of the US Department of Agriculture Summer Electronic Benefit Transfer for Children Demonstration Project. Main outcome measures Consumption of total fruits and vegetables; fruits and vegetables, excluding fried potatoes; whole grains; added sugars; added sugars, excluding cereals; added sugars from sugar-sweetened beverages; and dairy products assessed using questions from the 2009-2010 National Health and Nutrition Examination Survey Multifactor Diet Screener. Statistical analysis Multiple linear regression. Results For the majority of age groups, marginal food security, low food security, and very-low food security were associated with lower fruit and vegetable consumption and low food security and very-low food security were associated with lower dairy consumption, with children from households with very-low food security having the lowest consumption. Children from households with very-low food security consumed 0.73 (95% CI –0.93 to –0.53) to 0.99 (95% CI –1.59 to –0.39) cup equivalents less per day of fruits and vegetables and 0.49 (95% CI –0.65 to –0.34) to 0.68 (95% CI –1.07 to –0.29) cup equivalents less per day of dairy compared with children from households experiencing high food security. Conclusions Lower food security was associated with reduced consumption of fruits and vegetables and dairy products during summer in children from low-income households.
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[article] Marginal, Low, and Very-Low Food Security among Children Are Associated with Intake of Select Dietary Factors during Summer [Article] / Jessica Soldavini ; Alice S. Ammerman . - 2021 . - p. 728-737.
https://doi.org/10.1016/j.jand.2020.11.010
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 728-737

Descripteurs :	HE Vinci Adolescent ; Approvisionnement en nourriture ; Enfant (6-12 ans) ; Régime alimentaire
Résumé :	Background School meals are associated with improved food security status and dietary intake. Children receiving free and reduced-price school meals lose access to these meals during the summer. The association between food security status and dietary intake in these children during summer is unclear. Objective To examine the association between food security status (high, marginal, low, and very-low food security) among children and intake of select dietary factors during summer in children certified for free and reduced-price school meals by age group (3 to 4 years, 5 to 8 years, 9 to 12 years, and 13 to 17 years). Design Cross-sectional analysis. Participants/setting Secondary data from 11,873 children aged 3 to 17 years in the control group of the US Department of Agriculture Summer Electronic Benefit Transfer for Children Demonstration Project. Main outcome measures Consumption of total fruits and vegetables; fruits and vegetables, excluding fried potatoes; whole grains; added sugars; added sugars, excluding cereals; added sugars from sugar-sweetened beverages; and dairy products assessed using questions from the 2009-2010 National Health and Nutrition Examination Survey Multifactor Diet Screener. Statistical analysis Multiple linear regression. Results For the majority of age groups, marginal food security, low food security, and very-low food security were associated with lower fruit and vegetable consumption and low food security and very-low food security were associated with lower dairy consumption, with children from households with very-low food security having the lowest consumption. Children from households with very-low food security consumed 0.73 (95% CI –0.93 to –0.53) to 0.99 (95% CI –1.59 to –0.39) cup equivalents less per day of fruits and vegetables and 0.49 (95% CI –0.65 to –0.34) to 0.68 (95% CI –1.07 to –0.29) cup equivalents less per day of dairy compared with children from households experiencing high food security. Conclusions Lower food security was associated with reduced consumption of fruits and vegetables and dairy products during summer in children from low-income households.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 738-748

Titre :	Eating Timing: Associations with Dietary Intake and Metabolic Health
Type de document :	Article
Auteurs :	Amy Taetzsch ; Susan B. Roberts ; Asma Bukhari ; Alice H. Lichtenstein ; Cheryl H. Gilhooly ; Edward Martin ; Amy J. Krauss ; Adrienne Hatch-McChesney ; Sai Krupa Das
Année de publication :	2021
Article en page(s) :	p. 738-748
Note générale :	https://doi.org/10.1016/j.jand.2020.10.001
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Comportement alimentaire ; Consommation alimentaire
Mots-clés :	Alimentation en temps limité  Santé métabolique
Résumé :	Background Emerging research indicates that eating timing may influence dietary intake and metabolic health. However, studies to date have not examined the association of multiple measures of eating timing with both dietary intake and metabolic health in adults with overweight and obesity. Objective To examine the association of multiple measures of eating timing with dietary intake (ie, dietary composition, diet quality, and eating frequency) and metabolic health (ie, body composition and cardiometabolic risk). Design This is a cross-sectional analysis of baseline data from a weight loss and maintenance intervention collected from May 2015 to January 2018. Participants/setting Participants were women with overweight or obesity who were dependents of active duty and retired military personnel (N = 229; mean ± standard error, BMI = 34.7 ± 0.4 kg/m2, age = 40.9 ± 0.7 years). The study was conducted at military installations in Massachusetts, Connecticut, New York, Colorado, and Kentucky. Main outcome measures Eating timing variables examined included daily eating interval (time between first and last eating occasion), time-restricted eating (≤11 hours daily eating interval), early energy eaters (eating ≥60% of energy during the first half of time awake), and bedtime eaters (eating within 2 hours of bedtime). Statistical analysis The main analysis was limited to those reporting plausible energy intake (64% of total sample [n = 146]). Linear, quantile, or logistic regression models were used to determine the association of eating timing with measures of dietary intake and metabolic health. Results In individuals reporting plausible energy intake, each additional 1 hour in daily eating interval was associated with 53 kcal higher energy intake, higher glycemic load, eating frequency, and waist circumference (P Conclusions These findings lend support for the mechanistic targeting of eating timing in behavioral interventions aimed at improving dietary intake and body composition.
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[article] Eating Timing: Associations with Dietary Intake and Metabolic Health [Article] / Amy Taetzsch ; Susan B. Roberts ; Asma Bukhari ; Alice H. Lichtenstein ; Cheryl H. Gilhooly ; Edward Martin ; Amy J. Krauss ; Adrienne Hatch-McChesney ; Sai Krupa Das . - 2021 . - p. 738-748.
https://doi.org/10.1016/j.jand.2020.10.001
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 738-748

Descripteurs :	HE Vinci Comportement alimentaire ; Consommation alimentaire
Mots-clés :	Alimentation en temps limité  Santé métabolique
Résumé :	Background Emerging research indicates that eating timing may influence dietary intake and metabolic health. However, studies to date have not examined the association of multiple measures of eating timing with both dietary intake and metabolic health in adults with overweight and obesity. Objective To examine the association of multiple measures of eating timing with dietary intake (ie, dietary composition, diet quality, and eating frequency) and metabolic health (ie, body composition and cardiometabolic risk). Design This is a cross-sectional analysis of baseline data from a weight loss and maintenance intervention collected from May 2015 to January 2018. Participants/setting Participants were women with overweight or obesity who were dependents of active duty and retired military personnel (N = 229; mean ± standard error, BMI = 34.7 ± 0.4 kg/m2, age = 40.9 ± 0.7 years). The study was conducted at military installations in Massachusetts, Connecticut, New York, Colorado, and Kentucky. Main outcome measures Eating timing variables examined included daily eating interval (time between first and last eating occasion), time-restricted eating (≤11 hours daily eating interval), early energy eaters (eating ≥60% of energy during the first half of time awake), and bedtime eaters (eating within 2 hours of bedtime). Statistical analysis The main analysis was limited to those reporting plausible energy intake (64% of total sample [n = 146]). Linear, quantile, or logistic regression models were used to determine the association of eating timing with measures of dietary intake and metabolic health. Results In individuals reporting plausible energy intake, each additional 1 hour in daily eating interval was associated with 53 kcal higher energy intake, higher glycemic load, eating frequency, and waist circumference (P Conclusions These findings lend support for the mechanistic targeting of eating timing in behavioral interventions aimed at improving dietary intake and body composition.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 749-761.e1

Titre :	Assessment of Dietary Intake Using Food Photography and Video Recording in Free-Living Young Adults: A Comparative Study
Type de document :	Article
Auteurs :	Rouba Naaman ; Alison Parrett ; Daliah Bashawri ; Inès Campo ; Katie Fleming ; Ben Nichols ; Elizabeth Burleigh ; Janice Murtagh ; James Reid ; Konstantinos Gerasimidis
Année de publication :	2021
Article en page(s) :	p. 749-761.e1
Note générale :	https://doi.org/10.1016/j.jand.2020.09.040
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Evaluation ; Régime alimentaire
Mots-clés :	Photographie d'aliments  enregistrement vidéo  Enregistrements des aliments pesés  Évaluation diététique basée sur l'image
Résumé :	Background Conventional methods of dietary assessment are prone to recall bias and place burden on participants. Objective Our aim was to compare the performance of image-based dietary assessment (IBDA), including food photography (FP) and video recording (VR), with the criterion of weighed food records (WFR). Design In this comparative study, participants captured meals using FP and VR before and after consumption, over 2 days. Food type and portion size were assessed using the images and videos. Energy and nutrient intakes (mean of 2 days) were compared against WFR. Participants/settings Eighty-four healthy adults (mean [standard deviation] age = 29 [8] years), recruited through advertisement in Glasgow, UK, between January and August 2016 were enrolled in the study. Eighty participants (95%) (mean [standard deviation] age = 28 [7] years) completed the study and were included in the analysis. Main outcome measures Agreement in estimated energy and nutrient intake between WFR and IBDA. The IBDA method feasibility was evaluated using a questionnaire. Inter-rater and intra-rater reliability were assessed. Statistical analysis performed The performance of the IBDA methods against WFR and their inter and intra-rater reliability were tested with Bland-Altman plots and Spearman correlations. Intra-class agreement between methods was assessed using κ statistics. Results Inter-rater reliability was strong for both IBDA methods in estimating energy intake (ρ-coefficients: FP = 0.80; VR = 0.81). There was no difference in the agreement between the 2 assessors. Intra-rater reliability was high. FP and VR underestimated energy intake by a mean (95% agreement limits) of –13.3% (–56.4% and 29.7%) and –4.5% (–45.5% and 36.4%), respectively. IBDA demonstrated moderate-to-strong correlations in nutrient intake ranking, median ρ-coefficients for all nutrients: FP = 0.73 (interquartile range, 0.09) and VR = 0.82 (interquartile range, 0.02). Inter-class agreement of IBDA methods was moderate compared with the WFR in energy intake estimation. IBDA was more practical and enjoyable than WFR. Conclusions IBDA and VR in particular demonstrated a moderate-to-strong ability to rank participants’ dietary intake, and considerable group and inter-class agreement compared with the WFR. However, IBDA was found to be unsuitable for assessment in individuals.
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[article] Assessment of Dietary Intake Using Food Photography and Video Recording in Free-Living Young Adults: A Comparative Study [Article] / Rouba Naaman ; Alison Parrett ; Daliah Bashawri ; Inès Campo ; Katie Fleming ; Ben Nichols ; Elizabeth Burleigh ; Janice Murtagh ; James Reid ; Konstantinos Gerasimidis . - 2021 . - p. 749-761.e1.
https://doi.org/10.1016/j.jand.2020.09.040
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 749-761.e1

Descripteurs :	HE Vinci Evaluation ; Régime alimentaire
Mots-clés :	Photographie d'aliments  enregistrement vidéo  Enregistrements des aliments pesés  Évaluation diététique basée sur l'image
Résumé :	Background Conventional methods of dietary assessment are prone to recall bias and place burden on participants. Objective Our aim was to compare the performance of image-based dietary assessment (IBDA), including food photography (FP) and video recording (VR), with the criterion of weighed food records (WFR). Design In this comparative study, participants captured meals using FP and VR before and after consumption, over 2 days. Food type and portion size were assessed using the images and videos. Energy and nutrient intakes (mean of 2 days) were compared against WFR. Participants/settings Eighty-four healthy adults (mean [standard deviation] age = 29 [8] years), recruited through advertisement in Glasgow, UK, between January and August 2016 were enrolled in the study. Eighty participants (95%) (mean [standard deviation] age = 28 [7] years) completed the study and were included in the analysis. Main outcome measures Agreement in estimated energy and nutrient intake between WFR and IBDA. The IBDA method feasibility was evaluated using a questionnaire. Inter-rater and intra-rater reliability were assessed. Statistical analysis performed The performance of the IBDA methods against WFR and their inter and intra-rater reliability were tested with Bland-Altman plots and Spearman correlations. Intra-class agreement between methods was assessed using κ statistics. Results Inter-rater reliability was strong for both IBDA methods in estimating energy intake (ρ-coefficients: FP = 0.80; VR = 0.81). There was no difference in the agreement between the 2 assessors. Intra-rater reliability was high. FP and VR underestimated energy intake by a mean (95% agreement limits) of –13.3% (–56.4% and 29.7%) and –4.5% (–45.5% and 36.4%), respectively. IBDA demonstrated moderate-to-strong correlations in nutrient intake ranking, median ρ-coefficients for all nutrients: FP = 0.73 (interquartile range, 0.09) and VR = 0.82 (interquartile range, 0.02). Inter-class agreement of IBDA methods was moderate compared with the WFR in energy intake estimation. IBDA was more practical and enjoyable than WFR. Conclusions IBDA and VR in particular demonstrated a moderate-to-strong ability to rank participants’ dietary intake, and considerable group and inter-class agreement compared with the WFR. However, IBDA was found to be unsuitable for assessment in individuals.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 762-769

Titre :	Associations Between Perceived Stress and Dietary Intake in Adults in Puerto Rico
Type de document :	Article
Auteurs :	Andrea López-Cepero ; June O'Neill ; Martha Tamez ; Luis M. Falcón ; Katherine L. Tucker ; José F. Rodríguez-Orengo ; Josiemer Mattei
Année de publication :	2021
Article en page(s) :	p. 762-769
Note générale :	https://doi.org/10.1016/j.jand.2020.09.035
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Régime alimentaire sain ; Stress psychologique
Mots-clés :	Apport alimentaire  Puerto Rico
Résumé :	Background Psychological stress may influence health by negatively affecting dietary intake. However, there are few studies on the connection between stress and dietary intake in Puerto Rico (PR), a population with documented poor diet quality. Objective To explore the association between perceived stress and intake of macronutrients and diet quality among adults in PR. Design Cross-sectional data came from the Puerto Rico Assessment of Diet, Lifestyle, and Diseases study (2015). Participants This analysis included data from 238 adults (30-75 years old) in the San Juan metro area. Main outcome measures Dietary intake was measured with a food frequency questionnaire adapted and validated to the PR population. The Alternate Healthy Eating Index (AHEI) score was calculated to measure diet quality. Statistical analyses Multivariate linear models adjusted for sociodemographics, anthropometrics, behavioral factors, and social support were used to determine adjusted mean macronutrient intake and AHEI scores by perceived stress category. Results In models adjusted for sociodemographic characteristics, high perceived stress was significantly associated with higher intake of total energy, added sugars, and saturated fats; lower intake of dietary fiber and vegetable protein; and lower AHEI score compared with low perceived stress (all P Conclusions Higher perceived stress was associated with unhealthy dietary intake in adults residing in the San Juan area, PR. Future longitudinal studies with larger sample size are needed to build on these findings and to test the potential mediating and moderating roles of behavioral and social support factors in this population.
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[article] Associations Between Perceived Stress and Dietary Intake in Adults in Puerto Rico [Article] / Andrea López-Cepero ; June O'Neill ; Martha Tamez ; Luis M. Falcón ; Katherine L. Tucker ; José F. Rodríguez-Orengo ; Josiemer Mattei . - 2021 . - p. 762-769.
https://doi.org/10.1016/j.jand.2020.09.035
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 762-769

Descripteurs :	HE Vinci Régime alimentaire sain ; Stress psychologique
Mots-clés :	Apport alimentaire  Puerto Rico
Résumé :	Background Psychological stress may influence health by negatively affecting dietary intake. However, there are few studies on the connection between stress and dietary intake in Puerto Rico (PR), a population with documented poor diet quality. Objective To explore the association between perceived stress and intake of macronutrients and diet quality among adults in PR. Design Cross-sectional data came from the Puerto Rico Assessment of Diet, Lifestyle, and Diseases study (2015). Participants This analysis included data from 238 adults (30-75 years old) in the San Juan metro area. Main outcome measures Dietary intake was measured with a food frequency questionnaire adapted and validated to the PR population. The Alternate Healthy Eating Index (AHEI) score was calculated to measure diet quality. Statistical analyses Multivariate linear models adjusted for sociodemographics, anthropometrics, behavioral factors, and social support were used to determine adjusted mean macronutrient intake and AHEI scores by perceived stress category. Results In models adjusted for sociodemographic characteristics, high perceived stress was significantly associated with higher intake of total energy, added sugars, and saturated fats; lower intake of dietary fiber and vegetable protein; and lower AHEI score compared with low perceived stress (all P Conclusions Higher perceived stress was associated with unhealthy dietary intake in adults residing in the San Juan area, PR. Future longitudinal studies with larger sample size are needed to build on these findings and to test the potential mediating and moderating roles of behavioral and social support factors in this population.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 770-772

Titre :	Medical Records: More Than the Health Insurance Portability and Accountability Act
Type de document :	Article
Auteurs :	Karen Hui ; Carol J. Gilmore ; Mujahed Khan
Année de publication :	2021
Article en page(s) :	p. 770-772
Note générale :	https://doi.org/10.1016/j.jand.2020.06.022
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Administrateurs des dossiers médicaux ; Contrôle des formulaires et des dossiers ; Dossiers médicaux électroniques
Résumé :	It is the responsibility of each organization, including private practice businesses, to maintain a comprehensive medical records retention policy. While registered dietitian nutritionists (RDNs) are qualified and competent business owners, navigating through the challenges of proper medical record management can be difficult without a sound policy. A comprehensive medical record retention policy consists of 4 major components: creation, utilization, maintenance, and destruction as well as a retention schedule. Successful implementation of a comprehensive medical record retention policy promotes positive clinician-patient interaction and avoidance of potential legal ramifications.
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[article] Medical Records: More Than the Health Insurance Portability and Accountability Act [Article] / Karen Hui ; Carol J. Gilmore ; Mujahed Khan . - 2021 . - p. 770-772.
https://doi.org/10.1016/j.jand.2020.06.022
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 770-772

Descripteurs :	HE Vinci Administrateurs des dossiers médicaux ; Contrôle des formulaires et des dossiers ; Dossiers médicaux électroniques
Résumé :	It is the responsibility of each organization, including private practice businesses, to maintain a comprehensive medical records retention policy. While registered dietitian nutritionists (RDNs) are qualified and competent business owners, navigating through the challenges of proper medical record management can be difficult without a sound policy. A comprehensive medical record retention policy consists of 4 major components: creation, utilization, maintenance, and destruction as well as a retention schedule. Successful implementation of a comprehensive medical record retention policy promotes positive clinician-patient interaction and avoidance of potential legal ramifications.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 773-788.e9

Titre :	Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care and Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association
Type de document :	Article
Auteurs :	Margaret A. Powers ; Joan Bardsley ; Marjorie Cypress ; Martha M. Funnell ; Dixie Harms ; Amy Hess-Fischl ; Beulette Hooks ; Diana Isaacs ; Ellen D. Mandel ; Melinda D. Maryniuk ; Anna Norton ; Joanne Rinker ; Linda M. Siminerio ; Sacha Uelmen
Année de publication :	2021
Article en page(s) :	p. 773-788.e9
Note générale :	https://doi.org/10.1016/j.jand.2020.04.020
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Diabète de type 2 ; Éducation du patient comme sujet
Note de contenu :	Diabetes is a complex and challenging disease that requires daily self-management decisions made by the person with diabetes. Diabetes self-management education and support (DSMES) addresses the comprehensive blend of clinical, educational, psychosocial, and behavioral aspects of care needed for daily self-management and provides the foundation to help all people with diabetes navigate their daily self-care with confidence and improved outcomes. (...)
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[article] Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care and Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association [Article] / Margaret A. Powers ; Joan Bardsley ; Marjorie Cypress ; Martha M. Funnell ; Dixie Harms ; Amy Hess-Fischl ; Beulette Hooks ; Diana Isaacs ; Ellen D. Mandel ; Melinda D. Maryniuk ; Anna Norton ; Joanne Rinker ; Linda M. Siminerio ; Sacha Uelmen . - 2021 . - p. 773-788.e9.
https://doi.org/10.1016/j.jand.2020.04.020
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 4 (April 2021) . - p. 773-788.e9

Descripteurs :	HE Vinci Diabète de type 2 ; Éducation du patient comme sujet
Note de contenu :	Diabetes is a complex and challenging disease that requires daily self-management decisions made by the person with diabetes. Diabetes self-management education and support (DSMES) addresses the comprehensive blend of clinical, educational, psychosocial, and behavioral aspects of care needed for daily self-management and provides the foundation to help all people with diabetes navigate their daily self-care with confidence and improved outcomes. (...)
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 419-434.e9

Titre :	Evidence That Changes in Community Food Environments Lead to Changes in Children’s Weight: Results from a Longitudinal Prospective Cohort Study
Type de document :	Article
Auteurs :	Punam Ohri-Vachaspati ; Francesco Acciai ; Kristen Lloyd ; David Tulloch ; Robin S. De Weese ; Derek De Lia ; Michael Todd ; Michael J. Yedidia
Année de publication :	2021
Article en page(s) :	p. 419-434.e9
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Commerce ; Enfant (6-12 ans) ; Études de cohortes ; Etudes longitudinales ; Indice de masse corporelle ; Magasin ; Obésité ; Obésité pédiatrique
Résumé :	Background Strategies to improve the community food environment have been recommended for addressing childhood obesity, but evidence substantiating their effectiveness is limited. Objective Our aim was to examine the impact of changes in availability of key features of the community food environment, such as supermarkets, small grocery stores, convenience stores, upgraded convenience stores, pharmacies, and limited service restaurants, on changes in children’s body mass index z scores (zBMIs). Design We conducted a longitudinal cohort study. Participants/setting Two cohorts of 3- to 15-year-old children living in 4 low-income New Jersey cities were followed during 2- to 5-year periods from 2009 through 2017. Data on weight status were collected at 2 time points (T1 and T2) from each cohort; data on food outlets in the 4 cities and within a 1-mile buffer around each city were collected multiple times between T1 and T2. Main outcome measures We measured change in children’s zBMIs between T1 and T2. Statistical analysis Changes in the food environment were conceptualized as exposure to changes in counts of food outlets across varying proximities (0.25 mile, 0.5 mile, and 1.0 mile) around a child’s home, over different lengths of time a child was exposed to these changes before T2 (12 months, 18 months, and 24 months). Multivariate models examined patterns in relationships between changes in zBMI and changes in the food environment. Results Increased zBMIs were observed in children with greater exposure to convenience stores over time, with a consistent pattern of significant associations across varying proximities and lengths of exposure. For example, exposure to an additional convenience store over 24 months within 1 mile of a child’s home resulted in 11.7% higher odds (P = 0.007) of a child being in a higher zBMI change category at T2. Lower zBMIs were observed in children with increased exposure to small grocery stores selling an array of healthy items, with exposure to an additional small grocery store within 1 mile over 24 months, resulting in 37.3% lower odds (P Conclusions Increased availability of small grocery stores near children’s homes may improve children’s weight status, whereas increased availability of convenience stores is likely to be detrimental.
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[article] Evidence That Changes in Community Food Environments Lead to Changes in Children’s Weight: Results from a Longitudinal Prospective Cohort Study [Article] / Punam Ohri-Vachaspati ; Francesco Acciai ; Kristen Lloyd ; David Tulloch ; Robin S. De Weese ; Derek De Lia ; Michael Todd ; Michael J. Yedidia . - 2021 . - p. 419-434.e9.
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 419-434.e9

Descripteurs :	HE Vinci Commerce ; Enfant (6-12 ans) ; Études de cohortes ; Etudes longitudinales ; Indice de masse corporelle ; Magasin ; Obésité ; Obésité pédiatrique
Résumé :	Background Strategies to improve the community food environment have been recommended for addressing childhood obesity, but evidence substantiating their effectiveness is limited. Objective Our aim was to examine the impact of changes in availability of key features of the community food environment, such as supermarkets, small grocery stores, convenience stores, upgraded convenience stores, pharmacies, and limited service restaurants, on changes in children’s body mass index z scores (zBMIs). Design We conducted a longitudinal cohort study. Participants/setting Two cohorts of 3- to 15-year-old children living in 4 low-income New Jersey cities were followed during 2- to 5-year periods from 2009 through 2017. Data on weight status were collected at 2 time points (T1 and T2) from each cohort; data on food outlets in the 4 cities and within a 1-mile buffer around each city were collected multiple times between T1 and T2. Main outcome measures We measured change in children’s zBMIs between T1 and T2. Statistical analysis Changes in the food environment were conceptualized as exposure to changes in counts of food outlets across varying proximities (0.25 mile, 0.5 mile, and 1.0 mile) around a child’s home, over different lengths of time a child was exposed to these changes before T2 (12 months, 18 months, and 24 months). Multivariate models examined patterns in relationships between changes in zBMI and changes in the food environment. Results Increased zBMIs were observed in children with greater exposure to convenience stores over time, with a consistent pattern of significant associations across varying proximities and lengths of exposure. For example, exposure to an additional convenience store over 24 months within 1 mile of a child’s home resulted in 11.7% higher odds (P = 0.007) of a child being in a higher zBMI change category at T2. Lower zBMIs were observed in children with increased exposure to small grocery stores selling an array of healthy items, with exposure to an additional small grocery store within 1 mile over 24 months, resulting in 37.3% lower odds (P Conclusions Increased availability of small grocery stores near children’s homes may improve children’s weight status, whereas increased availability of convenience stores is likely to be detrimental.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 435-445

Titre :	Poor Sleep Quality Is Associated with Altered Taste Perception in Chinese Adults
Type de document :	Article
Auteurs :	Yun Gao ; Junjuan Li ; Feon W. Cheng ; Liufu Cui ; Rong Shu ; Shouling Wu ; Xiang Gao
Année de publication :	2021
Article en page(s) :	p. 435-445
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Chine ; Épidémiologie ; Perception du goût ; Sommeil ; Troubles de l'endormissement et du maintien du sommeil ; Troubles de la veille et du sommeil ; Troubles du goût
Résumé :	Background Small clinical studies have suggested that individuals with insufficient sleep could experience taste dysfunction. However, this notion has not been examined in a large-scale, population-based study. Objective This study aimed to examine whether overall sleep quality, as assessed by insomnia, daytime sleepiness, snoring, and sleep duration, was associated with the odds of having altered taste perception in a large population-based study. Design This was a cross-sectional study that used data from a subcohort of the Kailuan study, an ongoing multicenter cohort study that began in 2006 in Tangshan City, China. Participants/setting The participants were 11,030 adults aged 25 years or older (mean age 53.7 ± 10.7 years), who were free of neurodegenerative diseases. All the participants had undergone questionnaire assessments and medical examinations at Kailuan General Hospital from June 2012 to October 2013. Main outcome measures Altered taste and olfactory perception were assessed via a questionnaire with two questions regarding whether participants had any problems with sense of taste or smell for ≥3 months. Statistical analyses performed The association between sleep quality and altered taste/olfactory perception was examined using a logistic regression model, adjusting for age, sex, lifestyle factors (eg, obesity, smoking, alcohol intake, and physical activity) and health status (eg, lipid profiles, blood pressure, modification use, and presence of chronic diseases). Results Poor overall sleep quality was associated with a higher risk of having altered taste perception (adjusted odds ratio for low vs high sleep quality 2.03, 95% CI 1.42 to 2.91; P Conclusions In this population-based study, poor sleep quality was associated with a high likelihood of altered taste perception.
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[article] Poor Sleep Quality Is Associated with Altered Taste Perception in Chinese Adults [Article] / Yun Gao ; Junjuan Li ; Feon W. Cheng ; Liufu Cui ; Rong Shu ; Shouling Wu ; Xiang Gao . - 2021 . - p. 435-445.
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 435-445

Descripteurs :	HE Vinci Chine ; Épidémiologie ; Perception du goût ; Sommeil ; Troubles de l'endormissement et du maintien du sommeil ; Troubles de la veille et du sommeil ; Troubles du goût
Résumé :	Background Small clinical studies have suggested that individuals with insufficient sleep could experience taste dysfunction. However, this notion has not been examined in a large-scale, population-based study. Objective This study aimed to examine whether overall sleep quality, as assessed by insomnia, daytime sleepiness, snoring, and sleep duration, was associated with the odds of having altered taste perception in a large population-based study. Design This was a cross-sectional study that used data from a subcohort of the Kailuan study, an ongoing multicenter cohort study that began in 2006 in Tangshan City, China. Participants/setting The participants were 11,030 adults aged 25 years or older (mean age 53.7 ± 10.7 years), who were free of neurodegenerative diseases. All the participants had undergone questionnaire assessments and medical examinations at Kailuan General Hospital from June 2012 to October 2013. Main outcome measures Altered taste and olfactory perception were assessed via a questionnaire with two questions regarding whether participants had any problems with sense of taste or smell for ≥3 months. Statistical analyses performed The association between sleep quality and altered taste/olfactory perception was examined using a logistic regression model, adjusting for age, sex, lifestyle factors (eg, obesity, smoking, alcohol intake, and physical activity) and health status (eg, lipid profiles, blood pressure, modification use, and presence of chronic diseases). Results Poor overall sleep quality was associated with a higher risk of having altered taste perception (adjusted odds ratio for low vs high sleep quality 2.03, 95% CI 1.42 to 2.91; P Conclusions In this population-based study, poor sleep quality was associated with a high likelihood of altered taste perception.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 446-457

Titre :	Pregnant Women Consume a Similar Proportion of Highly vs Minimally Processed Foods in the Absence of Hunger, Leading to Large Differences in Energy Intake
Type de document :	Article
Auteurs :	Leah M. Lipsky ; Kyle S. Burger ; Myles S. Faith ; Anna Maria Siega-Riz ; Aiyi Liu ; Grace E. Shearrer ; Tonja R. Nansel
Année de publication :	2021
Article en page(s) :	p. 446-457
Note générale :	doi:10.1016/j.jand.2020.09.036
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Appétit ; Casse-croute ; Enceinte
Mots-clés :	Alimentation liée à la récompense
Résumé :	Background: The eating in the absence of hunger (EAH) experimental paradigm measures intake of highly palatable, highly processed foods when sated. However, no studies have examined EAH in pregnant women. Objective: The objectives were to investigate whether EAH in pregnant women differs by level of food processing and to examine relationships of EAH with hedonic hunger, addictive-like eating, and impulsivity. Design: EAH was assessed in a counterbalanced crossover feeding substudy in which participants completed two free-access eating occasions following a standardized meal during their second pregnancy trimester. Hedonic hunger (Power of Food Scale), addictive-like eating (modified Yale Food Addiction Scale), and impulsivity (Barratt Impulsiveness Scale-15) were assessed by self-report during early pregnancy. Participants and setting: Data were collected from March 2015 through September 2016 from a subsample of participants (n = 46) enrolled at ≤12 weeks gestation in an observational, prospective cohort study (the Pregnancy Eating Attributes Study) in North Carolina. Intervention: Participants were presented with highly processed and minimally processed foods in two separate assessments. Main outcome measures: Energy intake (EAH-kcal) and percent consumed (EAH-%) (calculated as 100 × [amount consumed (g) / amount served (g)]) was measured overall and separately for sweet and savory foods. Statistical analyses performed: Linear mixed models estimated the effect of condition on EAH. Hedonic hunger, addictive-like eating, impulsivity and their interaction were examined separately. Results: EAH-% was similar across conditions (16.3% ± 1.1% highly processed vs 17.9% ± 1.2% minimally processed; P = 0.76), resulting in 338.5 ± 34.2 kcal greater energy intake in the highly processed vs minimally processed condition (P Conclusions: EAH in pregnant women occurs for both highly processed and minimally processed foods and correlates positively with self-reported addictive-like eating, but not hedonic hunger. Impulsivity did not modify associations of addictive-like eating with EAH in this sample.
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[article] Pregnant Women Consume a Similar Proportion of Highly vs Minimally Processed Foods in the Absence of Hunger, Leading to Large Differences in Energy Intake [Article] / Leah M. Lipsky ; Kyle S. Burger ; Myles S. Faith ; Anna Maria Siega-Riz ; Aiyi Liu ; Grace E. Shearrer ; Tonja R. Nansel . - 2021 . - p. 446-457.
doi:10.1016/j.jand.2020.09.036
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 446-457

Descripteurs :	HE Vinci Appétit ; Casse-croute ; Enceinte
Mots-clés :	Alimentation liée à la récompense
Résumé :	Background: The eating in the absence of hunger (EAH) experimental paradigm measures intake of highly palatable, highly processed foods when sated. However, no studies have examined EAH in pregnant women. Objective: The objectives were to investigate whether EAH in pregnant women differs by level of food processing and to examine relationships of EAH with hedonic hunger, addictive-like eating, and impulsivity. Design: EAH was assessed in a counterbalanced crossover feeding substudy in which participants completed two free-access eating occasions following a standardized meal during their second pregnancy trimester. Hedonic hunger (Power of Food Scale), addictive-like eating (modified Yale Food Addiction Scale), and impulsivity (Barratt Impulsiveness Scale-15) were assessed by self-report during early pregnancy. Participants and setting: Data were collected from March 2015 through September 2016 from a subsample of participants (n = 46) enrolled at ≤12 weeks gestation in an observational, prospective cohort study (the Pregnancy Eating Attributes Study) in North Carolina. Intervention: Participants were presented with highly processed and minimally processed foods in two separate assessments. Main outcome measures: Energy intake (EAH-kcal) and percent consumed (EAH-%) (calculated as 100 × [amount consumed (g) / amount served (g)]) was measured overall and separately for sweet and savory foods. Statistical analyses performed: Linear mixed models estimated the effect of condition on EAH. Hedonic hunger, addictive-like eating, impulsivity and their interaction were examined separately. Results: EAH-% was similar across conditions (16.3% ± 1.1% highly processed vs 17.9% ± 1.2% minimally processed; P = 0.76), resulting in 338.5 ± 34.2 kcal greater energy intake in the highly processed vs minimally processed condition (P Conclusions: EAH in pregnant women occurs for both highly processed and minimally processed foods and correlates positively with self-reported addictive-like eating, but not hedonic hunger. Impulsivity did not modify associations of addictive-like eating with EAH in this sample.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 458-466

Titre :	Preconception Diet Quality Is Associated with Birth Weight for Gestational Age Among Women in the Hispanic Community Health Study/Study of Latinos
Type de document :	Article
Auteurs :	Anna Maria Siega-Riz ; Catherine J. Vladutiu ; Nicole M. Butera ; Martha L. Daviglus ; Marc Gellman ; Carmen R. Isasi ; Alison M. Stuebe ; Gregory A. Talavera ; Linda Van horn ; Daniela Sotres-Alvarez
Année de publication :	2021
Article en page(s) :	p. 458-466
Note générale :	doi:10.1016/j.jand.2020.09.039
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Hispano-américain ; Poids de naissance ; Prise en charge préconceptionnelle ; Régime alimentaire sain
Résumé :	Background: The nutritional status of women in the preconception period is of paramount importance due to its role in reproduction. Objective: Our aim was to assess overall diet quality during the preconception period and its association with infant birth weight adjusted for gestational age (GA). Design: This is an observational longitudinal cohort of Hispanic people living in the United States. Participants/setting: Data are from the Hispanic Community Health Study/Study of Latinos baseline (2008-2011) and second clinic examinations (2014-2017). Included are the first 497 singleton live-born infants among the 2,556 women (younger than 45 years) who attended the second visit. Field sites were located in Miami, FL; Bronx, NY; Chicago, IL; and San Diego, CA, and represent individuals with heritage from Cuba, Dominican Republic, Mexico, Puerto Rico, and Central and South America. Main exposure: Diet assessment included two 24-hour recalls from baseline. The 2010 Healthy Eating Index (HEI-2010) was used to measure diet quality, with higher scores indicating better quality. Statistical analyses performed: Complex survey linear regression estimated the association between HEI-2010 scores (continuous variable and categorized into tertiles) and birth-weight z score and birth weight for GA percentile. Results: Mean (standard deviation) age of women was 25.8 (5.2) years and 36.4% were classified as underweight or normal weight, 30.0% were overweight, and 33.6% had obesity at baseline. Mean (standard deviation) HEI-2010 score was 56.5 (13.4), and by weight classifications was 54.4 (14.1) for underweight or normal weight and 57.7 (12.8) for overweight or obesity. Median (interquartile range) birth-weight z score was 0.5 (interquartile range [IQR], –0.2 to 1.3) overall and 0.2 (IQR, –0.5 to 1.0), 0.6 (IQR, –0.2 to 1.3), and 0.5 (IQR, –0.2 to 1.4) for the first, second, and third HEI-2010 tertile, respectively. Median birth weight for GA percentile was 68.2 (IQR, 40.2 to 89.7) overall, and 56.8 (IQR, 29.6 to 85.0), 71.5 (IQR, 42.8 to 90.0), and 70.1 (IQR, 42.9 to 91.2) by HEI-2010 tertile. In adjusted models, the highest tertile of the HEI-2010 score was associated with a higher birth-weight z score and birth weight for GA percentile, and the continuous HEI-2010 score was only associated with birth weight for GA percentile. Preconception body mass index (calculated as kg/m2) did not modify these associations. Conclusions: Overall diet quality, as measured by the HEI-2010, in the preconception period is associated with infant birth weight adjusted for GA among US Hispanic and Latina women.
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[article] Preconception Diet Quality Is Associated with Birth Weight for Gestational Age Among Women in the Hispanic Community Health Study/Study of Latinos [Article] / Anna Maria Siega-Riz ; Catherine J. Vladutiu ; Nicole M. Butera ; Martha L. Daviglus ; Marc Gellman ; Carmen R. Isasi ; Alison M. Stuebe ; Gregory A. Talavera ; Linda Van horn ; Daniela Sotres-Alvarez . - 2021 . - p. 458-466.
doi:10.1016/j.jand.2020.09.039
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 458-466

Descripteurs :	HE Vinci Hispano-américain ; Poids de naissance ; Prise en charge préconceptionnelle ; Régime alimentaire sain
Résumé :	Background: The nutritional status of women in the preconception period is of paramount importance due to its role in reproduction. Objective: Our aim was to assess overall diet quality during the preconception period and its association with infant birth weight adjusted for gestational age (GA). Design: This is an observational longitudinal cohort of Hispanic people living in the United States. Participants/setting: Data are from the Hispanic Community Health Study/Study of Latinos baseline (2008-2011) and second clinic examinations (2014-2017). Included are the first 497 singleton live-born infants among the 2,556 women (younger than 45 years) who attended the second visit. Field sites were located in Miami, FL; Bronx, NY; Chicago, IL; and San Diego, CA, and represent individuals with heritage from Cuba, Dominican Republic, Mexico, Puerto Rico, and Central and South America. Main exposure: Diet assessment included two 24-hour recalls from baseline. The 2010 Healthy Eating Index (HEI-2010) was used to measure diet quality, with higher scores indicating better quality. Statistical analyses performed: Complex survey linear regression estimated the association between HEI-2010 scores (continuous variable and categorized into tertiles) and birth-weight z score and birth weight for GA percentile. Results: Mean (standard deviation) age of women was 25.8 (5.2) years and 36.4% were classified as underweight or normal weight, 30.0% were overweight, and 33.6% had obesity at baseline. Mean (standard deviation) HEI-2010 score was 56.5 (13.4), and by weight classifications was 54.4 (14.1) for underweight or normal weight and 57.7 (12.8) for overweight or obesity. Median (interquartile range) birth-weight z score was 0.5 (interquartile range [IQR], –0.2 to 1.3) overall and 0.2 (IQR, –0.5 to 1.0), 0.6 (IQR, –0.2 to 1.3), and 0.5 (IQR, –0.2 to 1.4) for the first, second, and third HEI-2010 tertile, respectively. Median birth weight for GA percentile was 68.2 (IQR, 40.2 to 89.7) overall, and 56.8 (IQR, 29.6 to 85.0), 71.5 (IQR, 42.8 to 90.0), and 70.1 (IQR, 42.9 to 91.2) by HEI-2010 tertile. In adjusted models, the highest tertile of the HEI-2010 score was associated with a higher birth-weight z score and birth weight for GA percentile, and the continuous HEI-2010 score was only associated with birth weight for GA percentile. Preconception body mass index (calculated as kg/m2) did not modify these associations. Conclusions: Overall diet quality, as measured by the HEI-2010, in the preconception period is associated with infant birth weight adjusted for GA among US Hispanic and Latina women.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 467-492

Titre :	Nutritional Deficiency Disease Secondary to ARFID Symptoms Associated with Autism and the Broad Autism Phenotype : A Qualitative Systematic Review of Case Reports and Case Series
Type de document :	Article
Auteurs :	Summer Yules ; Jillian Wanik ; Elizabeth Holm ; Mary Beth Bruder ; Ellen Shanley ; Christina Q. Sherman ; Megan Fitterman ; Jaclyn Lerner ; Monica Marcello ; Nicole Parenchuck ; Corinne Roman-White ; Madeline Ziff
Année de publication :	2021
Article en page(s) :	p. 467-492
Note générale :	doi:10.1016/j.jand.2020.10.017
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Maladies de carence ; Scorbut ; Trouble autistique
Mots-clés :	phénotype élargi de l'autisme  Trouble de l'évitement/restriction de la prise alimentaire
Résumé :	Background: The demographics, weight statuses, and dietary patterns of people with autism or the broad autism phenotype who experience a severe nutrient deficiency disease due to symptoms of avoidant/restrictive food intake disorder have not been well established. Objective: The primary objective of this review was to examine the relationship between the demographics, weight statuses, dietary patterns, and nutrient deficiency diseases that characterize the most severe manifestations of avoidant/restrictive food intake disorder symptomology associated with autism or the broad autism phenotype. Methods: A systematic review of English and non-English articles published up to August 29, 2019, on the Scopus, PubMed, and Cumulative Index to Nursing and Allied Health Literature Plus electronic databases was conducted. Additional cases were identified through the reference list of all included articles. The search terms used were “autis∗ AND (deficiency OR scurvy)”. Only case reports or case series in which a person of any age who had been identified as having a formal diagnosis of autism or autism symptoms and a disease of nutritional deficiency due to self-imposed dietary restrictions were included. Data were independently extracted by 8 authors using predefined data fields. Results: A total of 76 cases (patients were aged 2.5 to 17 years) from 63 articles that were published from 1993 through 2019 were found. More than 85% cases (65 of 76 patients) were from articles published in the past 10 years. The largest percentage of published cases (69.7% [53 of 76]) involved scurvy, a vitamin C deficiency. The second-largest percentage of published cases (17.1% [13 of 76]) involved eye disorders secondary to vitamin A deficiency. Other primary nutrient deficiencies reported were thiamin, vitamin B-12, and vitamin D. In 62.9% (22 of 35) of the patients for which a body mass index or a weight percentile for age was provided, the patient was within normal weight parameters, per Centers for Disease Control weight status categories. Conclusions: Based on the 63 articles extracted for this systematic review, nutritional deficiency diseases related to inadequate intakes of vitamin A, thiamin, vitamin B-12, vitamin C, and vitamin D were found in individuals with autism and the broad autism phenotype who had severe self-imposed dietary restrictions. When weight information was provided, most of the youth in these cases were not reported to be underweight. Individuals of any weight who present with symptoms of avoidant/restrictive food intake disorder can benefit from early and frequent screening for adequacy of micronutrient intake, regardless of whether they have a clinical diagnosis of autism.
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[article] Nutritional Deficiency Disease Secondary to ARFID Symptoms Associated with Autism and the Broad Autism Phenotype : A Qualitative Systematic Review of Case Reports and Case Series [Article] / Summer Yules ; Jillian Wanik ; Elizabeth Holm ; Mary Beth Bruder ; Ellen Shanley ; Christina Q. Sherman ; Megan Fitterman ; Jaclyn Lerner ; Monica Marcello ; Nicole Parenchuck ; Corinne Roman-White ; Madeline Ziff . - 2021 . - p. 467-492.
doi:10.1016/j.jand.2020.10.017
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 467-492

Descripteurs :	HE Vinci Maladies de carence ; Scorbut ; Trouble autistique
Mots-clés :	phénotype élargi de l'autisme  Trouble de l'évitement/restriction de la prise alimentaire
Résumé :	Background: The demographics, weight statuses, and dietary patterns of people with autism or the broad autism phenotype who experience a severe nutrient deficiency disease due to symptoms of avoidant/restrictive food intake disorder have not been well established. Objective: The primary objective of this review was to examine the relationship between the demographics, weight statuses, dietary patterns, and nutrient deficiency diseases that characterize the most severe manifestations of avoidant/restrictive food intake disorder symptomology associated with autism or the broad autism phenotype. Methods: A systematic review of English and non-English articles published up to August 29, 2019, on the Scopus, PubMed, and Cumulative Index to Nursing and Allied Health Literature Plus electronic databases was conducted. Additional cases were identified through the reference list of all included articles. The search terms used were “autis∗ AND (deficiency OR scurvy)”. Only case reports or case series in which a person of any age who had been identified as having a formal diagnosis of autism or autism symptoms and a disease of nutritional deficiency due to self-imposed dietary restrictions were included. Data were independently extracted by 8 authors using predefined data fields. Results: A total of 76 cases (patients were aged 2.5 to 17 years) from 63 articles that were published from 1993 through 2019 were found. More than 85% cases (65 of 76 patients) were from articles published in the past 10 years. The largest percentage of published cases (69.7% [53 of 76]) involved scurvy, a vitamin C deficiency. The second-largest percentage of published cases (17.1% [13 of 76]) involved eye disorders secondary to vitamin A deficiency. Other primary nutrient deficiencies reported were thiamin, vitamin B-12, and vitamin D. In 62.9% (22 of 35) of the patients for which a body mass index or a weight percentile for age was provided, the patient was within normal weight parameters, per Centers for Disease Control weight status categories. Conclusions: Based on the 63 articles extracted for this systematic review, nutritional deficiency diseases related to inadequate intakes of vitamin A, thiamin, vitamin B-12, vitamin C, and vitamin D were found in individuals with autism and the broad autism phenotype who had severe self-imposed dietary restrictions. When weight information was provided, most of the youth in these cases were not reported to be underweight. Individuals of any weight who present with symptoms of avoidant/restrictive food intake disorder can benefit from early and frequent screening for adequacy of micronutrient intake, regardless of whether they have a clinical diagnosis of autism.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 493-500

Titre :	Agreement in Infant Growth Indicators and Overweight/Obesity between Community and Clinical Care Settings
Type de document :	Article
Auteurs :	Holly A. Harris ; Samantha R. Kling ; Michele Marini ; Sandra Hassink ; Lisa Bailey-Davis ; Jennifer S. Savage
Année de publication :	2021
Article en page(s) :	p. 493-500
Note générale :	doi:10.1016/j.jand.2020.11.009
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Anthropométrie ; Assistance alimentaire ; Croissance ; Enfant (6-12 ans) ; Obésité pédiatrique
Résumé :	Background: Infants from low-income backgrounds receive nutrition care from both community and clinical care settings. However, mothers accessing these services have reported receiving conflicting messages related to infant growth between settings, although this has not been examined quantitatively. Objective: Describe the agreement in infant growth assessments between community (Special Supplemental Nutrition Program for Women, Infants, and Children) and clinical (primary care providers) care settings. Design: A cross-sectional, secondary data analysis of infant growth measures abstracted from electronic data management systems. Participants and setting: Participants included a convenience sample of infants (N = 129) from northeastern Pennsylvania randomized to the WEE Baby Care study from July 2016 to May 2018. Infants had complete anthropometric data from both community and clinical settings at age 6.2 ± 0.4 months. Average time between assessments was 2.7 ± 1.9 weeks. Main outcome measures: Limits of agreement and bias in weight-for-age, length-for-age, weight-for-length, and body-mass-index-for-age z scores as well as cross-context equivalence in weight status between care settings. Statistical analysis performed: Bland-Altman analyses were used to describe the limits of agreement and bias in z scores between care settings. Cross-context equivalence was examined by dichotomizing infants’ growth indicators at the 85th and 95th percentile cut-points and cross-tabulating equivalent and discordant categorization between settings. Results: Strongest agreement was observed for weight-for-age z scores (95% limits of agreement –0.41 to 0.54). However, the limits of agreement intervals for growth indicators that included length were wider, suggesting weaker agreement. There was a high level of inconsistency for classification of overweight/obesity using weight-for-length z scores, with 15.5% (85th percentile cut-point) and 11.6% (95th percentile cut-point) discordant categorization between settings, respectively. Conclusions: Infant growth indicators that factor in length could contribute to disagreement in the interpretation of infant growth between settings. Further investigation into the techniques, standards, and training protocols for obtaining infant growth measurements across care settings is required.
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[article] Agreement in Infant Growth Indicators and Overweight/Obesity between Community and Clinical Care Settings [Article] / Holly A. Harris ; Samantha R. Kling ; Michele Marini ; Sandra Hassink ; Lisa Bailey-Davis ; Jennifer S. Savage . - 2021 . - p. 493-500.
doi:10.1016/j.jand.2020.11.009
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 493-500

Descripteurs :	HE Vinci Anthropométrie ; Assistance alimentaire ; Croissance ; Enfant (6-12 ans) ; Obésité pédiatrique
Résumé :	Background: Infants from low-income backgrounds receive nutrition care from both community and clinical care settings. However, mothers accessing these services have reported receiving conflicting messages related to infant growth between settings, although this has not been examined quantitatively. Objective: Describe the agreement in infant growth assessments between community (Special Supplemental Nutrition Program for Women, Infants, and Children) and clinical (primary care providers) care settings. Design: A cross-sectional, secondary data analysis of infant growth measures abstracted from electronic data management systems. Participants and setting: Participants included a convenience sample of infants (N = 129) from northeastern Pennsylvania randomized to the WEE Baby Care study from July 2016 to May 2018. Infants had complete anthropometric data from both community and clinical settings at age 6.2 ± 0.4 months. Average time between assessments was 2.7 ± 1.9 weeks. Main outcome measures: Limits of agreement and bias in weight-for-age, length-for-age, weight-for-length, and body-mass-index-for-age z scores as well as cross-context equivalence in weight status between care settings. Statistical analysis performed: Bland-Altman analyses were used to describe the limits of agreement and bias in z scores between care settings. Cross-context equivalence was examined by dichotomizing infants’ growth indicators at the 85th and 95th percentile cut-points and cross-tabulating equivalent and discordant categorization between settings. Results: Strongest agreement was observed for weight-for-age z scores (95% limits of agreement –0.41 to 0.54). However, the limits of agreement intervals for growth indicators that included length were wider, suggesting weaker agreement. There was a high level of inconsistency for classification of overweight/obesity using weight-for-length z scores, with 15.5% (85th percentile cut-point) and 11.6% (95th percentile cut-point) discordant categorization between settings, respectively. Conclusions: Infant growth indicators that factor in length could contribute to disagreement in the interpretation of infant growth between settings. Further investigation into the techniques, standards, and training protocols for obtaining infant growth measurements across care settings is required.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 501-506

Titre :	Eating in the Absence of Hunger Is Related to Worse Diet Quality throughout Pregnancy
Type de document :	Article
Auteurs :	Leah M. Lipsky ; Kyle S. Burger ; Myles S. Faith ; Grace E. Shearrer ; Tonja R. Nansel
Année de publication :	2021
Article en page(s) :	p. 501-506
Note générale :	doi:10.1016/j.jand.2020.09.037
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Appétit ; Casse-croute ; Consommation alimentaire ; Enceinte ; Qualité alimentaire
Résumé :	Background: Scant research has examined whether laboratory assessments of eating in the absence of hunger (EAH) relates to long-term diet quality. Objective: This study investigates the association of EAH with diet quality during pregnancy. Design: Pregnancy diet quality was assessed using 24-hour diet recalls collected in each pregnancy trimester. EAH was assessed in a counterbalanced, crossover laboratory feeding substudy in which participants completed two free access eating occasions following a standardized meal during their second pregnancy trimester. Participants/setting: Data were collected from March 2015 to December 2016 from a subsample of participants (n = 46) enrolled at ≤12 weeks’ gestation in an observational, prospective cohort study (the Pregnancy Eating Attributes Study) in North Carolina. Intervention: Participants were presented with highly processed (HP) and minimally processed (MP) foods in two separate assessments. Main outcome measures: Scores for total Healthy Eating Index-2015 (HEI-2015) and adherence to adequacy and moderation components were calculated from the diet recalls. Higher scores reflect better diet quality. Statistical analyses performed: Linear regressions estimated associations of pregnancy diet quality with EAH (energy, EAH-kcal; and percent offered, EAH-%) in each condition for all foods, and separately for sweet and savory foods. Results: Lower pregnancy diet quality (all indicators) was associated with greater EAH (EAH-kcal and EAH-%) of all foods and sweet foods in the HP condition. Each 100-kcal increase in EAH of HP foods was associated with a 2- to 3-point decrease (standard error = 0.7 to 0.8) in HEI-2015 (P Conclusions: Greater EAH of HP, especially sweet, foods was related to worse pregnancy diet quality. Consuming HP sweets after meal termination may reflect a tendency for eating beyond satiation and may be a useful intervention target for improving maternal diet quality.
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[article] Eating in the Absence of Hunger Is Related to Worse Diet Quality throughout Pregnancy [Article] / Leah M. Lipsky ; Kyle S. Burger ; Myles S. Faith ; Grace E. Shearrer ; Tonja R. Nansel . - 2021 . - p. 501-506.
doi:10.1016/j.jand.2020.09.037
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 501-506

Descripteurs :	HE Vinci Appétit ; Casse-croute ; Consommation alimentaire ; Enceinte ; Qualité alimentaire
Résumé :	Background: Scant research has examined whether laboratory assessments of eating in the absence of hunger (EAH) relates to long-term diet quality. Objective: This study investigates the association of EAH with diet quality during pregnancy. Design: Pregnancy diet quality was assessed using 24-hour diet recalls collected in each pregnancy trimester. EAH was assessed in a counterbalanced, crossover laboratory feeding substudy in which participants completed two free access eating occasions following a standardized meal during their second pregnancy trimester. Participants/setting: Data were collected from March 2015 to December 2016 from a subsample of participants (n = 46) enrolled at ≤12 weeks’ gestation in an observational, prospective cohort study (the Pregnancy Eating Attributes Study) in North Carolina. Intervention: Participants were presented with highly processed (HP) and minimally processed (MP) foods in two separate assessments. Main outcome measures: Scores for total Healthy Eating Index-2015 (HEI-2015) and adherence to adequacy and moderation components were calculated from the diet recalls. Higher scores reflect better diet quality. Statistical analyses performed: Linear regressions estimated associations of pregnancy diet quality with EAH (energy, EAH-kcal; and percent offered, EAH-%) in each condition for all foods, and separately for sweet and savory foods. Results: Lower pregnancy diet quality (all indicators) was associated with greater EAH (EAH-kcal and EAH-%) of all foods and sweet foods in the HP condition. Each 100-kcal increase in EAH of HP foods was associated with a 2- to 3-point decrease (standard error = 0.7 to 0.8) in HEI-2015 (P Conclusions: Greater EAH of HP, especially sweet, foods was related to worse pregnancy diet quality. Consuming HP sweets after meal termination may reflect a tendency for eating beyond satiation and may be a useful intervention target for improving maternal diet quality.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 507-519.e12

Titre :	An Increase in SNAP Benefits Did Not Impact Food Security or Diet Quality in Youth
Type de document :	Article
Auteurs :	Katelin M. Hudak ; Elizabeth Racine ; Lisa Schulkind
Année de publication :	2021
Article en page(s) :	p. 507-519.e12
Note générale :	doi:10.1016/j.jand.2020.09.030
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Assistance alimentaire ; Enfant (6-12 ans) ; Qualité alimentaire ; Sécurité alimentaire
Résumé :	Background: Low diet quality during childhood and adolescence is associated with adverse health outcomes later in life. Diet quality is generally poor in American youth, particularly in youth of low socioeconomic status. The Supplemental Nutrition Assistance Program (SNAP) is the primary safety net to help low-income households afford a healthy diet. Yet self-selection into the program creates challenges in estimating the relationship between SNAP and diet outcomes. Objective: This study examined how the increase in SNAP benefits during the American Recovery and Reinvestment Act (ARRA) affected food security and diet quality in low-income youth. Design: This analysis used a difference-in-differences design and data from the National Health and Nutrition Examination Survey 2007-2008 to 2011-2012 waves. Participants/setting: The sample included children and adolescents aged 2 to 18 years with household income ≤250% of the Federal Poverty Line. Food security and diet outcomes in SNAP-eligible youth (n = 2,797) were examined, with children in nearly SNAP-eligible households serving as a comparison group (n = 1,169). The diet quality analysis stratified the sample by age range. Main outcome measures: The study assessed food security and 6 dietary outcomes: 2 nutrients (sodium and fiber), 3 food categories (fruit, vegetables, and sugar-sweetened beverages), and 1 measure of overall diet quality (Healthy Eating Index 2010). Statistical analysis performed: Logistic regression and linear regression were used to estimate the relationship between SNAP eligibility and child food security and diet. Results: In unadjusted analysis, approximately 64% of SNAP-eligible children were food secure before ARRA and 73% were food secure while ARRA was in effect. Using logistic regression in a difference-in-differences framework, the ARRA SNAP benefit increase was not significantly associated with food security (odds ratio 1.37, P = 0.43). Diet quality of SNAP-eligible children was low, scoring a 46 out of 100 on the Healthy Eating Index 2010. Measures of diet quality did not significantly change from the pre-ARRA period to the ARRA period; this did not differ by age range. Conclusions: The increase in SNAP benefits during ARRA did not significantly impact food security or diet quality in low-income children and adolescents. Additional research to better understand how SNAP benefits impact dietary choice is warranted.
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[article] An Increase in SNAP Benefits Did Not Impact Food Security or Diet Quality in Youth [Article] / Katelin M. Hudak ; Elizabeth Racine ; Lisa Schulkind . - 2021 . - p. 507-519.e12.
doi:10.1016/j.jand.2020.09.030
Langues : Anglais (eng)
in Journal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 507-519.e12

Descripteurs :	HE Vinci Assistance alimentaire ; Enfant (6-12 ans) ; Qualité alimentaire ; Sécurité alimentaire
Résumé :	Background: Low diet quality during childhood and adolescence is associated with adverse health outcomes later in life. Diet quality is generally poor in American youth, particularly in youth of low socioeconomic status. The Supplemental Nutrition Assistance Program (SNAP) is the primary safety net to help low-income households afford a healthy diet. Yet self-selection into the program creates challenges in estimating the relationship between SNAP and diet outcomes. Objective: This study examined how the increase in SNAP benefits during the American Recovery and Reinvestment Act (ARRA) affected food security and diet quality in low-income youth. Design: This analysis used a difference-in-differences design and data from the National Health and Nutrition Examination Survey 2007-2008 to 2011-2012 waves. Participants/setting: The sample included children and adolescents aged 2 to 18 years with household income ≤250% of the Federal Poverty Line. Food security and diet outcomes in SNAP-eligible youth (n = 2,797) were examined, with children in nearly SNAP-eligible households serving as a comparison group (n = 1,169). The diet quality analysis stratified the sample by age range. Main outcome measures: The study assessed food security and 6 dietary outcomes: 2 nutrients (sodium and fiber), 3 food categories (fruit, vegetables, and sugar-sweetened beverages), and 1 measure of overall diet quality (Healthy Eating Index 2010). Statistical analysis performed: Logistic regression and linear regression were used to estimate the relationship between SNAP eligibility and child food security and diet. Results: In unadjusted analysis, approximately 64% of SNAP-eligible children were food secure before ARRA and 73% were food secure while ARRA was in effect. Using logistic regression in a difference-in-differences framework, the ARRA SNAP benefit increase was not significantly associated with food security (odds ratio 1.37, P = 0.43). Diet quality of SNAP-eligible children was low, scoring a 46 out of 100 on the Healthy Eating Index 2010. Measures of diet quality did not significantly change from the pre-ARRA period to the ARRA period; this did not differ by age range. Conclusions: The increase in SNAP benefits during ARRA did not significantly impact food security or diet quality in low-income children and adolescents. Additional research to better understand how SNAP benefits impact dietary choice is warranted.
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[article] 
inJournal of the academy of nutrition and dietetics > Vol. 121, n° 3 (March 2021) . - p. 520-528

Titre :	Cognitive Factors Associated with Frequency of Eating Out and Eating Takeout among Latinas
Type de document :	Article
Auteurs :	Samantha Garcia ; Connie Valencia
Année de publication :	2021
Article en page(s) :	p. 520-528
Note générale :	doi:10.1016/j.jand.2020.08.089
Langues :	Anglais (eng)
Descripteurs :	HE Vinci Habitudes alimentaires ; Hispano-américain ; Obésité ; Pleine conscience (Mindfulness) ; Régime alimentaire ; Restaurants
Résumé :	Higher frequency of eating outside the home can be an unhealthy behavior that may contribute to higher rates of obesity among Latinas, a disproportionately affected group. There is a growing need to understand potentially modifiable factors (eg, dispositional mindfulness, self-efficacy, nutrition knowledge) associated with higher frequency of eating outside the home in this population. This study assessed associations of cognitive factors (ie, dispositional mindfulness, self-efficacy of eating and purchasing healthy foods, nutrition knowledge) with frequency of eating out among Latinas. A secondary analysis was performed of data from a cross-sectional study of Latinas between February and May 2015. The study comprised a convenience sample of 218 Spanish- or English-literate Latinas, between the ages of 18 and 55 years, who lived in South or East Los Angeles and self-identified as the primary person responsible for grocery shopping in the household. Most participants identified as foreign-born Mexican Americans. Frequency of eating out was assessed as the outcome variable, and three cognitive variables (mindfulness disposition, self-efficacy, nutrition knowledge) served as independent variables. Multinomial models assessed the association between cognitive factors and frequency of eating out. Models were adjusted for age, English-speaking ability, income, having an obesity-related disease (ie, overweight or obesity, diabetes, high blood pressure, cardiovascular disease), household size, and education level. For every 1-unit increase in mindfulness disposition, the risk of a participant eating out every week compared with every month decreased by a factor of 0.42 (relative risk ratio [RRR] = 0.58, P
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