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Frequency of Intake and Type of Away-from- Home Foods Consumed Are Associated with Diet Quality in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
J Nutr. 2018 03 01; 148(3):453-463.JN

Abstract

Background

Away-from-home foods (AFHFs) influence diet quality, a modifiable obesity risk factor, with limited generalizable evidence in Hispanic/Latino adults.

Objective

We investigated associations between AFHF intake with diet quality and overweight or obesity among US Hispanic/Latino adults.

Methods

Cross-sectional baseline (2008-2011) analyses included adults (n = 16,045) aged 18-74 y in the national Hispanic Community Health Study/Study of Latinos. Participants self-reported AFHF consumption frequency from 10 different settings and dietary intake (2-d 24-h recall). The Alternate Healthy Eating Index-2010 (AHEI-2010) was used to measure diet quality; higher scores indicated a healthier diet and scores were categorized into tertiles. WHO classifications categorized overweight [body mass index (BMI; kg/m2): 25.0-29.9] and obesity (BMI ≥30). Multivariate-adjusted associations of AFHF frequency or type with AHEI-2010, overweight, or obesity were assessed by using complex survey logistic regression (ORs and 95% CIs).

Results

Almost half of participants (47.1%) reported eating AFHFs ≥5 times/wk. The mean ± SE AHEI-2010 score was 47.5 ± 0.2. More than one-third (37.2%) were classified as overweight and 39.6% classified as obese. Compared with consuming AFHFs ≥5 times/wk, consuming AFHFs <1 time/wk or 1-2 times/wk was associated with greater odds of being in higher AHEI-2010 tertiles, indicating a healthier diet [<1 time/wk-tertile 2: OR (95% CI): 1.6 (1.4, 1.9); tertile 3: 2.5 (2.1, 3.1); 1-2 times/wk-tertile 2: OR (95% CI): 1.4 (1.2, 1.6); tertile 3: 1.5 (1.2, 1.8)]. Consumption of AFHFs ≥1 time/wk from each AFHF setting, compared with consumption of any AFHFs <1 time/wk was associated with lower odds of being in higher AHEI-2010 tertiles. Increasing AFHF intake frequency was not associated with odds of overweight or obesity. Eating from on-street vendors ≥1 time/wk was associated with obesity (OR: 1.5; 95% CI: 1.1, 2.0).

Conclusions

Consumption of AFHFs was prevalent among Hispanic/Latino adults and was associated with poorer diet quality. Findings may help to identify dietary targets to improve diet quality and prevent obesity in US Hispanics/Latinos.

Authors+Show Affiliations

Department of Nutrition, Harvard TH Chan School of Public Health, Harvard University, Boston, MA.College of Health and Human Services and Institute for Behavioral and Community Health, and Department of Psychology, San Diego State University, San Diego, CA.Collaborative Studies Coordinating Center, Department of Biostatistics, University of North Carolina, Chapel Hill, NC.Department of Public Health Sciences, University of Virginia, Charlottesville, VA.Department of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, NY.Department of Psychology, University of Miami, Miami, FL.Department of Psychology, San Diego State University, San Diego, CA.Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL.Institute for Minority Health Research, College of Medicine, University of Illinois, Chicago, IL.Department of Psychology, University of Miami, Miami, FL.Department of Nutrition, Harvard TH Chan School of Public Health, Harvard University, Boston, MA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

29546313

Citation

McClain, Amanda C., et al. "Frequency of Intake and Type of Away-from- Home Foods Consumed Are Associated With Diet Quality in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)." The Journal of Nutrition, vol. 148, no. 3, 2018, pp. 453-463.
McClain AC, Ayala GX, Sotres-Alvarez D, et al. Frequency of Intake and Type of Away-from- Home Foods Consumed Are Associated with Diet Quality in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). J Nutr. 2018;148(3):453-463.
McClain, A. C., Ayala, G. X., Sotres-Alvarez, D., Siega-Riz, A. M., Kaplan, R. C., Gellman, M. D., Gallo, L. C., Van Horn, L., Daviglus, M. L., Perera, M. J., & Mattei, J. (2018). Frequency of Intake and Type of Away-from- Home Foods Consumed Are Associated with Diet Quality in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). The Journal of Nutrition, 148(3), 453-463. https://doi.org/10.1093/jn/nxx067
McClain AC, et al. Frequency of Intake and Type of Away-from- Home Foods Consumed Are Associated With Diet Quality in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). J Nutr. 2018 03 1;148(3):453-463. PubMed PMID: 29546313.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Frequency of Intake and Type of Away-from- Home Foods Consumed Are Associated with Diet Quality in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). AU - McClain,Amanda C, AU - Ayala,Guadalupe X, AU - Sotres-Alvarez,Daniela, AU - Siega-Riz,Anna Maria, AU - Kaplan,Robert C, AU - Gellman,Marc D, AU - Gallo,Linda C, AU - Van Horn,Linda, AU - Daviglus,Martha L, AU - Perera,Marisa J, AU - Mattei,Josiemer, PY - 2017/07/19/received PY - 2017/12/11/accepted PY - 2018/3/17/entrez PY - 2018/3/17/pubmed PY - 2019/3/12/medline SP - 453 EP - 463 JF - The Journal of nutrition JO - J. Nutr. VL - 148 IS - 3 N2 - Background: Away-from-home foods (AFHFs) influence diet quality, a modifiable obesity risk factor, with limited generalizable evidence in Hispanic/Latino adults. Objective: We investigated associations between AFHF intake with diet quality and overweight or obesity among US Hispanic/Latino adults. Methods: Cross-sectional baseline (2008-2011) analyses included adults (n = 16,045) aged 18-74 y in the national Hispanic Community Health Study/Study of Latinos. Participants self-reported AFHF consumption frequency from 10 different settings and dietary intake (2-d 24-h recall). The Alternate Healthy Eating Index-2010 (AHEI-2010) was used to measure diet quality; higher scores indicated a healthier diet and scores were categorized into tertiles. WHO classifications categorized overweight [body mass index (BMI; kg/m2): 25.0-29.9] and obesity (BMI ≥30). Multivariate-adjusted associations of AFHF frequency or type with AHEI-2010, overweight, or obesity were assessed by using complex survey logistic regression (ORs and 95% CIs). Results: Almost half of participants (47.1%) reported eating AFHFs ≥5 times/wk. The mean ± SE AHEI-2010 score was 47.5 ± 0.2. More than one-third (37.2%) were classified as overweight and 39.6% classified as obese. Compared with consuming AFHFs ≥5 times/wk, consuming AFHFs <1 time/wk or 1-2 times/wk was associated with greater odds of being in higher AHEI-2010 tertiles, indicating a healthier diet [<1 time/wk-tertile 2: OR (95% CI): 1.6 (1.4, 1.9); tertile 3: 2.5 (2.1, 3.1); 1-2 times/wk-tertile 2: OR (95% CI): 1.4 (1.2, 1.6); tertile 3: 1.5 (1.2, 1.8)]. Consumption of AFHFs ≥1 time/wk from each AFHF setting, compared with consumption of any AFHFs <1 time/wk was associated with lower odds of being in higher AHEI-2010 tertiles. Increasing AFHF intake frequency was not associated with odds of overweight or obesity. Eating from on-street vendors ≥1 time/wk was associated with obesity (OR: 1.5; 95% CI: 1.1, 2.0). Conclusions: Consumption of AFHFs was prevalent among Hispanic/Latino adults and was associated with poorer diet quality. Findings may help to identify dietary targets to improve diet quality and prevent obesity in US Hispanics/Latinos. SN - 1541-6100 UR - https://www.unboundmedicine.com/medline/citation/29546313/Frequency_of_Intake_and_Type_of_Away_from__Home_Foods_Consumed_Are_Associated_with_Diet_Quality_in_the_Hispanic_Community_Health_Study/Study_of_Latinos__HCHS/SOL__ L2 - https://academic.oup.com/jn/article-lookup/doi/10.1093/jn/nxx067 DB - PRIME DP - Unbound Medicine ER -