Journal article
Nutrition activation and dietary intake disparities among US adults
Public health nutrition, v 19(17), pp 3123-3134
01 Dec 2016
PMID: 27291077
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: To introduce the concept 'nutrition activation' (the use of health and nutrition information when making food and diet decisions) and to assess the extent to which nutrition activation varies across racial/ethnic groups and explains dietary disparities.
Design: Cross-sectional sample representative of adults in the USA. Primary outcome measures include daily energy intake and consumption of sugarsweetened beverages (SSB), fast foods and sit-down restaurant foods as determined by two 24 h dietary recalls. We use bivariate statistics and multiple logistic and linear regression analyses to assess racial/ethnic disparities in nutrition activation and food behaviour outcomes.
Setting: USA.
Subjects: Adult participants (n 7825) in the 2007-2010 National Health and Nutrition Examination Survey.
Results: Nutrition activation varies across racial/ethnic groups and is a statistically significant predictor of SSB, fast-food and restaurant-food consumption and daily energy intake. Based on the sample distribution, an increase from the 25th to 75th percentile in nutrition activation is associated with a decline of about 377 kJ (90 kcal)/d. Increased nutrition activation is associated with a larger decline in SSB consumption among whites than among blacks and foreign-born Latinos. Fastfood consumption is associated with a larger 'spike' in daily energy intake among blacks (+ 1582 kJ (+ 378 kcal)/d) than among whites (+ 678 kJ (+ 162 kcal)/d).
Conclusions: Nutrition activation is an important but understudied determinant of energy intake and should be explicitly incorporated into obesity prevention interventions, particularly among racial/ethnic minorities.
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Details
- Title
- Nutrition activation and dietary intake disparities among US adults
- Creators
- Brent A. Langellier - Drexel UniversityPhilip M. Massey - Drexel University
- Publication Details
- Public health nutrition, v 19(17), pp 3123-3134
- Publisher
- Cambridge Univ Press
- Number of pages
- 12
- Grant note
- 73267 / Robert Wood Johnson Foundation New Connections programme
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Health Management and Policy; Community Health and Prevention
- Web of Science ID
- WOS:000411259000008
- Scopus ID
- 2-s2.0-84976570877
- Other Identifier
- 991019167906904721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Nutrition & Dietetics
- Public, Environmental & Occupational Health