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Low-calorie- and calorie-sweetened beverages: diet quality, food intake, and purchase patterns of US household consumers.
Am J Clin Nutr. 2014 Mar; 99(3):567-77.AJ

Abstract

BACKGROUND

Few studies have investigated the diet quality of consumers of low-calorie-sweetened (LCS) and calorie-sweetened (CS) beverages.

OBJECTIVE

The objective was to examine the dietary quality and adherence to dietary purchasing and consumption patterns of beverage consumers from 2000 to 2010.

DESIGN

We analyzed purchases for 140,352 households from the Homescan longitudinal data set 2000-2010 and dietary intake from NHANES 2003-2010 (n = 34,393). We defined mutually exclusive consumer profiles as main exposures: LCS beverages, CS beverages, LCS & CS beverages, and non/low consumers. As main outcomes, we explored dietary quality by using total energy and macronutrients (kcal/d). We performed factor analyses and applied factor scores to derive dietary patterns as secondary outcomes. Using multivariable linear (NHANES) and random-effects (Homescan) models, we investigated the associations between beverage profiles and dietary patterns.

RESULTS

We found "prudent" and "breakfast" patterns in Homescan and NHANES, "ready-to-eat meals/fast-food" and "prudent/snacks/LCS desserts" patterns in Homescan, and "protein/potatoes" and "CS desserts/sweeteners" patterns in NHANES. In both data sets, compared with non/low consumers, both CS- and LCS-beverage consumers had a significantly higher total energy from foods, higher energy from total and SFAs, and lower probability of adherence to prudent and breakfast patterns. In Homescan, LCS-beverage consumers had a higher probability of adherence to 2 distinct patterns: a prudent/snacks/LCS dessert pattern and a ready-to-eat meals/fast-food purchasing pattern.

CONCLUSIONS

Our findings suggest that overall dietary quality is lower in LCS-, CS-, and LCS & CS-beverage consumers relative to non/low consumers. Our study highlights the importance of targeting foods that are linked with sweetened beverages (either LCS or CS) in intervention and policy efforts that aim to improve nutrition in the United States.

Authors+Show Affiliations

Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

24351878

Citation

Piernas, Carmen, et al. "Low-calorie- and Calorie-sweetened Beverages: Diet Quality, Food Intake, and Purchase Patterns of US Household Consumers." The American Journal of Clinical Nutrition, vol. 99, no. 3, 2014, pp. 567-77.
Piernas C, Mendez MA, Ng SW, et al. Low-calorie- and calorie-sweetened beverages: diet quality, food intake, and purchase patterns of US household consumers. Am J Clin Nutr. 2014;99(3):567-77.
Piernas, C., Mendez, M. A., Ng, S. W., Gordon-Larsen, P., & Popkin, B. M. (2014). Low-calorie- and calorie-sweetened beverages: diet quality, food intake, and purchase patterns of US household consumers. The American Journal of Clinical Nutrition, 99(3), 567-77. https://doi.org/10.3945/ajcn.113.072132
Piernas C, et al. Low-calorie- and Calorie-sweetened Beverages: Diet Quality, Food Intake, and Purchase Patterns of US Household Consumers. Am J Clin Nutr. 2014;99(3):567-77. PubMed PMID: 24351878.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Low-calorie- and calorie-sweetened beverages: diet quality, food intake, and purchase patterns of US household consumers. AU - Piernas,Carmen, AU - Mendez,Michelle A, AU - Ng,Shu Wen, AU - Gordon-Larsen,Penny, AU - Popkin,Barry M, Y1 - 2013/12/18/ PY - 2013/12/20/entrez PY - 2013/12/20/pubmed PY - 2014/5/3/medline SP - 567 EP - 77 JF - The American journal of clinical nutrition JO - Am J Clin Nutr VL - 99 IS - 3 N2 - BACKGROUND: Few studies have investigated the diet quality of consumers of low-calorie-sweetened (LCS) and calorie-sweetened (CS) beverages. OBJECTIVE: The objective was to examine the dietary quality and adherence to dietary purchasing and consumption patterns of beverage consumers from 2000 to 2010. DESIGN: We analyzed purchases for 140,352 households from the Homescan longitudinal data set 2000-2010 and dietary intake from NHANES 2003-2010 (n = 34,393). We defined mutually exclusive consumer profiles as main exposures: LCS beverages, CS beverages, LCS & CS beverages, and non/low consumers. As main outcomes, we explored dietary quality by using total energy and macronutrients (kcal/d). We performed factor analyses and applied factor scores to derive dietary patterns as secondary outcomes. Using multivariable linear (NHANES) and random-effects (Homescan) models, we investigated the associations between beverage profiles and dietary patterns. RESULTS: We found "prudent" and "breakfast" patterns in Homescan and NHANES, "ready-to-eat meals/fast-food" and "prudent/snacks/LCS desserts" patterns in Homescan, and "protein/potatoes" and "CS desserts/sweeteners" patterns in NHANES. In both data sets, compared with non/low consumers, both CS- and LCS-beverage consumers had a significantly higher total energy from foods, higher energy from total and SFAs, and lower probability of adherence to prudent and breakfast patterns. In Homescan, LCS-beverage consumers had a higher probability of adherence to 2 distinct patterns: a prudent/snacks/LCS dessert pattern and a ready-to-eat meals/fast-food purchasing pattern. CONCLUSIONS: Our findings suggest that overall dietary quality is lower in LCS-, CS-, and LCS & CS-beverage consumers relative to non/low consumers. Our study highlights the importance of targeting foods that are linked with sweetened beverages (either LCS or CS) in intervention and policy efforts that aim to improve nutrition in the United States. SN - 1938-3207 UR - https://www.unboundmedicine.com/medline/citation/24351878/Low_calorie__and_calorie_sweetened_beverages:_diet_quality_food_intake_and_purchase_patterns_of_US_household_consumers_ L2 - https://academic.oup.com/ajcn/article-lookup/doi/10.3945/ajcn.113.072132 DB - PRIME DP - Unbound Medicine ER -