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Self-Reported Weekend Temporal Eating Patterns of American Adults Differ From Weekday: National Health and Nutrition Examination Surveys: 2015–2020 Prepandemic 美国成年人自我报告的周末时间饮食模式与平日不同:全国健康与营养状况调查:2015-20-流行病学》(National Health and Nutrition Examination Surveys: 2015-20-prepandemic.
IF 3.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-02-01 DOI: 10.1016/j.jand.2024.07.158
Ashima K. Kant PhD, RDN , Barry I. Graubard PhD

Background

Weekend–weekday differences in time of ingestive events may be implicated in adverse metabolic and health outcomes. However, little is known about the nature of weekend–weekday differences in temporal eating behaviors of the US adult population.

Objective

The study aimed to examine weekend–weekday differences in temporal and energy characteristics of ingestive events self-reported by American adults.

Design

Observational; within-person comparative.

Participants/Setting

The data were from the National Health and Nutrition Examination Surveys (NHANES) 2015–March 2020 (pre-pandemic) for ≥20-year-old adults who provided 1 weekday (M–Th) and 1 weekend (F, S, Su) 24-h dietary recall (n = 3564 men and 3823 women).

Main Outcome Measures

Prespecified primary temporal outcomes were recalled: time of ingestive events, and the duration of ingestive and fasting windows. Secondary outcomes included frequency and energy characteristics of ingestive events.

Statistical Analysis Performed

Gender-specific, survey-weighted, multiple linear regression models that accounted for complex survey design with dummy covariates for weekend/weekday, mode of recall administration (in-person on day 1 and telephone on day 2), and a respondent-specific fixed intercept.

Results

In both men and women, the weekend recalled time of first ingestive event, breakfast, and lunch were later than weekday (P ≤ .0008); however, no statistically significant differences were observed in time of dinner and the last eating episode. The mean weekend ingestive window (interval between the time of first and last eating events of the day) was shorter by 24 minutes (95% confidence interval [CI], –32, –11) in men and 18 minutes (95% CI, –20, –15) in women, and the mean overnight fasting window was correspondingly longer (P ≤ .0001). No statistically significant differences were observed between weekend and weekday frequency of ingestive events. Energy density of weekend food selections reported by women, and of beverages by men, was found to be higher than weekday (P ≤ .002).

Conclusions

Weekend ingestive patterns were characterized by later time of first ingestive event, breakfast, and lunch, and selection of higher-energy-density foods and beverages.
背景:周末与平日在进食时间上的差异可能与不良代谢和健康结果有关。然而,人们对美国成年人周末和周日进食行为时间差异的性质知之甚少:本研究旨在考察美国成年人自我报告的进食事件在时间和能量特征上的周末-周日差异:设计:观察性;人内比较:数据来自美国国家健康与营养调查(NHANES)2015年至2020年3月(大流行前),年龄大于20岁的成年人提供了一个工作日(周一至周四)和一个周末(周五、周六、周日)的24小时饮食回忆(男性3564人,女性3823人):预设的主要时间性结果是回忆摄食事件的时间以及摄食和空腹窗口期的持续时间。次要结果包括摄食事件的频率和能量特征:针对不同性别的调查加权多元线性回归模型考虑了复杂的调查设计,包括周末/平日的虚拟协变量、回忆管理模式(第 1 天为面谈,第 2 天为电话)以及受访者特定的固定截距:结果:在男性和女性中,周末首次摄入事件、早餐和午餐的回忆时间均晚于工作日(p结论:周末摄入模式的特点是摄入时间晚于工作日:周末摄入模式的特点是首次摄入事件、早餐和午餐的时间较晚,并且选择能量密度较高的食物和饮料。
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引用次数: 0
Graduate Degree Requirement: Unclear If it is a Necessary Step in Our Profession’s Evolution 研究生学位要求:不清楚这是否是我们专业发展的必要步骤。
IF 3.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-02-01 DOI: 10.1016/j.jand.2024.10.008
Michele A. DeBiasse PhD, RDN, LDN, Kate Gardner Burt PhD, RDN
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引用次数: 0
Are People Consuming the Diets They Say They Are? Self-Reported vs Estimated Adherence to Low-Carbohydrate and Low-Fat Diets: National Health and Nutrition Examination Survey, 2007-2018 人们的饮食是否如他们所说的那样?低碳水化合物和低脂肪饮食的自我报告与估计遵守情况:2007-2018年全国健康与营养调查。
IF 3.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-02-01 DOI: 10.1016/j.jand.2024.07.006
Corina Kowalski BS , Dakota Dustin , Alaa Ilayan MS, RD , LuAnn K. Johnson MS , Martha A. Belury PhD, RD , Zach Conrad PhD, MPH

Background

Mischaracterization of dietary intake by patients and study participants is a common problem that presents challenges to clinical and public health approaches to improve diet quality, identify healthy eating patterns, and reduce the risk of chronic disease.

Objective

This study examined participants’ self-reported adherence to low-carbohydrate and low-fat diets compared with their estimated adherence using up to 2 24-hour recalls.

Design

This cross-sectional study acquired data on dietary intake from respondents in the National Health and Nutrition Examination Survey, 2007-2018.

Participants/setting

This study included 30 219 respondents aged 20 years and older who had complete and reliable dietary data and were not pregnant or breastfeeding.

Main outcome measures

The main outcome was prevalence of self-reported and estimated adherence to low-carbohydrate or low-fat diet patterns.

Statistical analyses performed

Self-reported adherence to low-carbohydrate or low-fat diets was evaluated using responses to questionnaires. Estimated adherence to these diets was assessed using data from up to 2 24-hour recalls and usual intake methodology developed by the National Cancer Institute.

Results

Of the 1.4% of participants who reported following a low-carbohydrate diet, estimated adherence (<26% energy from carbohydrates) using 24-hour recalls was 4.1%, whereas estimated adherence among those that did not report following a low-carbohydrate diet was <1% (P value for difference = .014). Of the 2.0% of participants who reported following a low-fat diet, estimated adherence (<30% energy from fat) was 23.0%, whereas estimated adherence among those who did not report following a low-fat diet was 17.8% (P value for difference = .048).

Conclusions

This research demonstrates that most individuals mischaracterized their diet pattern when compared with up to 2 24-hour recalls. These findings emphasize the need for clinicians and public health professionals to be cautious when interpreting individuals’ self-reported diet patterns, and should aim to collect more detailed dietary data when possible.
背景:患者和研究参与者对膳食摄入量的错误描述是一个常见问题,这给临床和公共卫生方法带来了挑战,不利于提高膳食质量、确定健康饮食模式和降低慢性病风险:本研究对参与者自我报告的低碳水化合物和低脂肪饮食的坚持情况与他们通过最多两次 24 小时回忆估计的坚持情况进行了比较:这项横断面研究从 2007-2018 年美国国家健康与营养调查(NHANES)的受访者那里获得了有关饮食摄入的数据:这项研究包括30219名年龄≥20岁的受访者,他们拥有完整可靠的膳食数据,且未怀孕或哺乳:主要结果是自我报告和估计的低碳水化合物或低脂肪饮食模式的坚持率:采用问卷调查的方式评估自我报告的坚持低碳水化合物或低脂肪饮食的情况。对这些饮食的估计依从性是通过国家癌症研究所制定的最多两次 24 小时回忆数据和通常摄入量方法进行评估的:结果:在 1.4% 的参与者中,有 1.4% 的人报告说自己正在进行低碳水化合物饮食,但估计的坚持率(结论:低碳水化合物饮食并不适合所有的人:这项研究表明,与最多两次的 24 小时回忆相比,大多数人都错误地描述了自己的饮食模式。这些发现强调,临床医生和公共卫生专业人员在解释个人自我报告的饮食模式时需要谨慎,并应尽可能收集更详细的饮食数据。
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引用次数: 0
What's New Online
IF 3.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-02-01 DOI: 10.1016/S2212-2672(24)01012-8
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引用次数: 0
Tenets for Increasing Access to Nutrition Care Delivered Via Telehealth: Recommendations from the Academy of Nutrition and Dietetics Telehealth Task Force 增加通过远程保健提供营养护理的原则:营养与饮食科学院远程保健工作组的建议。
IF 3.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-02-01 DOI: 10.1016/j.jand.2024.09.008
Hannah Martin MPH, RDN , Marsha Schofield MS, RD, LD, FAND , Elizabeth Yakes Jimenez PhD, RDN
The Academy of Nutrition and Dietetics’ Telehealth Task Force was charged with developing a telehealth policy stance to guide the work of the Academy. The task force comprised representatives from diverse areas of telehealth practice, including research, practice, payment, and licensure. They convened in 2020–2021 to conduct an environmental scan and develop a recommended stance on telehealth policy. The tenets of the resulting telehealth stance are (1) Nutrition care services are critical to comprehensive health care delivery systems and should be covered when provided via telehealth under the same coverage and payment policies as in-person care; (2) Patients should have coverage for telehealth delivered via audio only if they cannot effectively access or use audio-visual technologies; (3) In declared emergency situations when access to qualified providers is otherwise severely impacted, the modification of certain consumer protection policies, such as licensure and Health Insurance Portability and Accountability Act requirements, may be appropriate; (4) Public funding and support for broadband internet, technology, digital literacy education, and language services are necessary to address racial, economic, and geographic health disparities and to address disabilities; and (5) Publicly funded research on telehealth should be nationally representative and include a wide variety of services and providers, including nutrition care services provided by registered dietitian nutritionists and nutrition and dietetic technicians, registered. The telehealth policy stance was formally adopted by the Academy in April 2021.
营养与饮食科学院远程保健特别工作组负责制定远程保健政策立场,以指导科学院的工作。该工作组由来自远程保健实践不同领域的代表组成,包括研究、实践、支付和许可。他们于 2020-2021 年召开会议,进行环境扫描,并就远程保健政策制定建议立场。最终形成的远程保健立场的原则是1) 营养保健服务对于全面的医疗保健服务体系至关重要,通过远程保健提供的营养保健服务应与面对面的医疗保健服务享有相同的承保范围和支付政策;2) 如果患者无法有效访问或使用视听技术,则应享有通过纯音频方式提供的远程保健服务的承保范围;3) 在宣布的紧急情况下,当合格医疗服务提供者的访问受到严重影响时,可以适当修改某些消费者保护政策,如执照和《健康保险便携性和责任法案》的要求;4) 有必要为宽带互联网、技术、数字扫盲教育和语言服务提供公共资金和支持,以解决种族、经济和地域健康差异问题,并解决残疾问题;以及 5) 公共资助的远程保健研究应具有全国代表性,并包括各种服务和提供者,包括由注册营养师和营养与饮食技师提供的营养保健服务。学院于 2021 年 4 月正式通过了远程保健政策立场。
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引用次数: 0
Measured and Predicted Resting Metabolic Rate of Dutch and Norwegian Paralympic Athletes 荷兰和挪威残奥会运动员的静息代谢率测量值和预测值。
IF 3.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-02-01 DOI: 10.1016/j.jand.2024.05.010
Vera C.R. Weijer MSc , Kristin L. Jonvik PhD , Lotte van Dam MSc , Linn Risvang MSc , Truls Raastad PhD , Luc J.C. van Loon PhD , Jan-Willem van Dijk PhD

Background

Although resting metabolic rate (RMR) is crucial for understanding athletes’ energy requirements, limited information is available on the RMR of Paralympic athletes.

Objective

The aim of this study was to determine RMR and its predictors in a diverse cohort of Paralympic athletes and evaluate the agreement between measured and predicted RMR from both newly developed and pre-existing equations.

Design

This cross-sectional study, conducted between September 2020 and September 2022 in the Netherlands and Norway, assessed RMR in Paralympic athletes by means of ventilated hood indirect calorimetry and body composition by means of dual-energy x-ray absorptiometry.

Participants

Sixty-seven Paralympic athletes (male: n = 37; female: n = 30) competing in various sports, with a spinal cord disorder (n = 22), neurologic condition (n = 8), limb deficiency (n = 18), visual or hearing impairment (n = 7), or other disability (n = 12) participated.

Main outcome measures

RMR, fat-free mass (FFM), body mass, and triiodothyronine (T3) concentrations were assessed.

Statistical analyses

Multiple regression analyses were conducted with height, FFM, body mass, sex, T3 concentration, and disabilities as potential predictors of RMR. Differences between measured and predicted RMRs were analyzed for individual accuracy, root mean square error, and intraclass correlation.

Results

Mean ± SD RMR was 1386 ± 258 kcal/d for females and 1686 ± 302 kcal/d for males. Regression analysis identified FFM, T3 concentrations, and the presence of a spinal cord disorder, as the main predictors of RMR (adjusted R2 = 0.71; F = 50.3; P < .001). The novel prediction equations based on these data, as well as pre-existing equations of Chun and colleagues and Nightingale and Gorgey performed well on accuracy (>60% of participants within 10% of measured RMR), had good reliability (intraclass correlation >0.78), and low root mean square error (≤141 kcal).

Conclusions

FFM, total T3 concentrations, and presence of spinal cord disorder are the main predictors of RMR in Paralympic athletes. Both the current study’s prediction equations and those from Chun and colleagues and Nightingale and Gorgey align well with measured RMR, offering accurate prediction equations for the RMR of Paralympic athletes.
背景:静息代谢率(RMR)对于了解运动员的能量需求至关重要,但有关残奥会运动员静息代谢率的信息却十分有限:目的:确定残奥会运动员群体的静息代谢率及其预测指标,并评估根据新开发的方程和现有方程测得的静息代谢率与预测的静息代谢率之间的一致性:这项横断面研究于 2020 年 9 月至 2022 年 9 月期间在荷兰和挪威进行,通过通风罩间接热量测定法评估残奥会运动员的 RMR,并通过双能 X 射线吸收测定法评估身体成分:67 名残奥会运动员(男:n=37;女:n=30)参加了不同项目的比赛,他们患有脊髓疾病(SCD;n=22)、神经系统疾病(n=8)、肢体缺陷(n=18)、视力或听力障碍(n=7)或其他残疾(n=12):评估RMR、去脂质量(FFM)、体质量和三碘甲状腺原氨酸(T3)浓度:将身高、去脂质量、体重、性别、T3 浓度和残疾情况作为 RMR 的潜在预测因素,进行了多元回归分析。对测量值和预测值之间的差异进行了个体准确性、均方根误差(RMSE)和类内相关性(ICC)分析:女性的平均 RMR 为 1386±258 千卡/天,男性为 1686±302 千卡/天。回归分析表明,FFM、T3 浓度和脊髓疾病(SCD)是 RMR 的主要预测因素(调整后 R2=0.71;F=50.3;P60% 的参与者的 RMR 在测量值的 10%以内),具有良好的可靠性(ICC >0.78)和较低的 RMSE(≤141 千卡):结论:FFM、总 T3 浓度和是否患有 SCD 是预测残奥会运动员 RMR 的主要因素。本研究的预测方程和 Chun 等人以及 Nightingale 和 Gorgey 的预测方程都与测量的 RMR 非常吻合,为残奥会运动员的 RMR 提供了准确的预测方程。
{"title":"Measured and Predicted Resting Metabolic Rate of Dutch and Norwegian Paralympic Athletes","authors":"Vera C.R. Weijer MSc ,&nbsp;Kristin L. Jonvik PhD ,&nbsp;Lotte van Dam MSc ,&nbsp;Linn Risvang MSc ,&nbsp;Truls Raastad PhD ,&nbsp;Luc J.C. van Loon PhD ,&nbsp;Jan-Willem van Dijk PhD","doi":"10.1016/j.jand.2024.05.010","DOIUrl":"10.1016/j.jand.2024.05.010","url":null,"abstract":"<div><h3>Background</h3><div>Although resting metabolic rate (RMR) is crucial for understanding athletes’ energy requirements, limited information is available on the RMR of Paralympic athletes.</div></div><div><h3>Objective</h3><div>The aim of this study was to determine RMR and its predictors in a diverse cohort of Paralympic athletes and evaluate the agreement between measured and predicted RMR from both newly developed and pre-existing equations.</div></div><div><h3>Design</h3><div>This cross-sectional study, conducted between September 2020 and September 2022 in the Netherlands and Norway, assessed RMR in Paralympic athletes by means of ventilated hood indirect calorimetry and body composition by means of dual-energy x-ray absorptiometry.</div></div><div><h3>Participants</h3><div>Sixty-seven Paralympic athletes (male: n = 37; female: n = 30) competing in various sports, with a spinal cord disorder (n = 22), neurologic condition (n = 8), limb deficiency (n = 18), visual or hearing impairment (n = 7), or other disability (n = 12) participated.</div></div><div><h3>Main outcome measures</h3><div>RMR, fat-free mass (FFM), body mass, and triiodothyronine (T3) concentrations were assessed.</div></div><div><h3>Statistical analyses</h3><div>Multiple regression analyses were conducted with height, FFM, body mass, sex, T3 concentration, and disabilities as potential predictors of RMR. Differences between measured and predicted RMRs were analyzed for individual accuracy, root mean square error, and intraclass correlation.</div></div><div><h3>Results</h3><div>Mean ± SD RMR was 1386 ± 258 kcal/d for females and 1686 ± 302 kcal/d for males. Regression analysis identified FFM, T3 concentrations, and the presence of a spinal cord disorder, as the main predictors of RMR (adjusted <em>R</em><sup>2</sup> = 0.71; <em>F</em> = 50.3; <em>P</em> &lt; .001). The novel prediction equations based on these data, as well as pre-existing equations of Chun and colleagues and Nightingale and Gorgey performed well on accuracy (&gt;60% of participants within 10% of measured RMR), had good reliability (intraclass correlation &gt;0.78), and low root mean square error (≤141 kcal).</div></div><div><h3>Conclusions</h3><div>FFM, total T3 concentrations, and presence of spinal cord disorder are the main predictors of RMR in Paralympic athletes. Both the current study’s prediction equations and those from Chun and colleagues and Nightingale and Gorgey align well with measured RMR, offering accurate prediction equations for the RMR of Paralympic athletes.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 2","pages":"Pages 217-227.e5"},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vegetarian Diets During Pregnancy: With Supplementation, Ovo-Vegetarian, Lacto-Vegetarian, Vegan, and Pescatarian Adaptations of US Department of Agriculture Food Patterns Can Be Nutritionally Adequate 孕期素食:在补充营养的情况下,美国农业部食物模式中的卵生素食、乳生素食、纯素素食和鱼类素食可以获得充足的营养。
IF 3.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-02-01 DOI: 10.1016/j.jand.2024.08.001
Julie M. Hess PhD , Madeline E. Comeau MS , Jane Lankes Smith PhD , Kylie Swanson , Cindy M. Anderson PhD

Background

The 2020-2025 Dietary Guidelines for Americans (DGA) includes a lacto-ovo vegetarian pattern (the healthy vegetarian dietary pattern [HVDP]) as a recommended dietary pattern during pregnancy.

Objective

To adapt the HVDP for vegan, ovo-vegetarian, lacto-vegetarian, and pescatarian diets during pregnancy.

Design

Using food pattern modeling, 4 adaptations of the HVDP were developed at energy levels that may be appropriate during pregnancy (1800, 2000, 2200, 2400, and 2600 kcal/day). Models were run both with and without the addition of a composite prenatal supplement.

Main outcome measures

Main outcome measures were macro- and micronutrient adequacy without exceeding recommendations for saturated fat and added sugar.

Statistical analysis performed

The 2020-2025 DGA Food Pattern Modeling Report was used to define food groups and nutrients in the HVDP. The HVDP was revised to remove dairy and/or eggs or to add seafood.

Results

Across all examined energy levels (1800, 2000, 2200, 2400, and 2600 kcal per day), modeled dietary patterns provided sufficient macronutrients. Without prenatal supplements, each dietary pattern met most, but not all, micronutrient recommendations. Micronutrients that were below recommendations in patterns without supplements included vitamin D, iron, vitamin E, sodium, and choline. With the addition of a composite prenatal supplement to these patterns, the nutrients below 100% of recommendations were vitamin D, choline, and sodium.

Conclusions

Overall, these results show that a HVDP and similar diets without meat, eggs, dairy, and/or seafood can provide most nutrients needed during pregnancy, albeit with some micronutrient challenges similar to those diets that include meat and other animal products.
背景:2020-2025 年美国人膳食指南(DGA)将乳素食(健康素食膳食模式;HVDP)作为孕期推荐膳食模式之一:目的:调整 HVDP,使其适用于孕期素食、卵素食、乳素食和鱼素食:设计:通过食物模式建模,根据孕期可能适宜的能量水平(1800、2000、2200、2400 和 2600 千卡/天)制定四种 HVDP 适应方案。主要结果指标:主要结果测量指标为宏观营养素和微量营养素是否充足,饱和脂肪和添加糖的摄入量是否超过推荐值:采用《2020-2025 年 DGA 食物模式建模报告》来定义 HVDP 中的食物类别和营养素。对 HVDP 进行了修订,删除了奶制品和/或鸡蛋,或增加了海鲜:在所有研究的能量水平(每天 1800、2000、2200、2400 和 2600 千卡)上,模型膳食模式都提供了充足的宏量营养素。在没有产前补充剂的情况下,每种膳食模式都能满足大多数(但不是全部)微量营养素的建议。在没有补充剂的情况下,低于推荐值的微量营养素包括维生素 D、铁、维生素 E、钠和胆碱。在这些模式中添加 "复合 "产前补充剂后,低于 100%推荐值的营养素为维生素 D、胆碱和钠:总之,这些结果表明,不含肉、蛋、奶制品和/或海鲜的 HVDP 和类似膳食可提供孕期所需的大部分营养素,尽管与包含肉类和其他动物产品的膳食相比,HVDP 和类似膳食存在一些微量营养素方面的挑战。
{"title":"Vegetarian Diets During Pregnancy: With Supplementation, Ovo-Vegetarian, Lacto-Vegetarian, Vegan, and Pescatarian Adaptations of US Department of Agriculture Food Patterns Can Be Nutritionally Adequate","authors":"Julie M. Hess PhD ,&nbsp;Madeline E. Comeau MS ,&nbsp;Jane Lankes Smith PhD ,&nbsp;Kylie Swanson ,&nbsp;Cindy M. Anderson PhD","doi":"10.1016/j.jand.2024.08.001","DOIUrl":"10.1016/j.jand.2024.08.001","url":null,"abstract":"<div><h3>Background</h3><div>The 2020-2025 Dietary Guidelines for Americans (DGA) includes a lacto-ovo vegetarian pattern (the healthy vegetarian dietary pattern [HVDP]) as a recommended dietary pattern during pregnancy.</div></div><div><h3>Objective</h3><div>To adapt the HVDP for vegan, ovo-vegetarian, lacto-vegetarian, and pescatarian diets during pregnancy.</div></div><div><h3>Design</h3><div>Using food pattern modeling, 4 adaptations of the HVDP were developed at energy levels that may be appropriate during pregnancy (1800, 2000, 2200, 2400, and 2600 kcal/day). Models were run both with and without the addition of a composite prenatal supplement.</div></div><div><h3>Main outcome measures</h3><div>Main outcome measures were macro- and micronutrient adequacy without exceeding recommendations for saturated fat and added sugar.</div></div><div><h3>Statistical analysis performed</h3><div>The 2020-2025 DGA Food Pattern Modeling Report was used to define food groups and nutrients in the HVDP. The HVDP was revised to remove dairy and/or eggs or to add seafood.</div></div><div><h3>Results</h3><div>Across all examined energy levels (1800, 2000, 2200, 2400, and 2600 kcal per day), modeled dietary patterns provided sufficient macronutrients. Without prenatal supplements, each dietary pattern met most, but not all, micronutrient recommendations. Micronutrients that were below recommendations in patterns without supplements included vitamin D, iron, vitamin E, sodium, and choline. With the addition of a composite prenatal supplement to these patterns, the nutrients below 100% of recommendations were vitamin D, choline, and sodium.</div></div><div><h3>Conclusions</h3><div>Overall, these results show that a HVDP and similar diets without meat, eggs, dairy, and/or seafood can provide most nutrients needed during pregnancy, albeit with some micronutrient challenges similar to those diets that include meat and other animal products.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 2","pages":"Pages 204-216.e17"},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141970280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
February 2025 New in Review
IF 3.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-02-01 DOI: 10.1016/j.jand.2024.12.005
{"title":"February 2025 New in Review","authors":"","doi":"10.1016/j.jand.2024.12.005","DOIUrl":"10.1016/j.jand.2024.12.005","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 2","pages":"Pages 273-275, 276-278"},"PeriodicalIF":3.5,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The relationship between fruit drink front-of-package claims, fruit imagery, and ingredient disclosures and consumer perceptions, intentions, and behavior: A systematic review.
IF 3.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-01-31 DOI: 10.1016/j.jand.2025.01.017
Aviva A Musicus, Melissa L Jensen, Carol Mita, Diana R H Winters, Michael T Roberts, Sally Mancini, Jennifer L Harris, Frances Fleming-Milici, James W Krieger

Background: Fruit drinks are the top sources of added sugar in young children's diets, increasing their risk of chronic disease. It is unclear to what extent front-of-package (FOP) marketing and disclosures influence parents' perceptions of fruit drinks and their intentions and decisions to purchase them. These data are needed to inform regulatory and legal action to reduce potentially misleading marketing and help parents make healthier choices for their children.

Objective: This systematic review investigated the relationship between fruit drink FOP claims (nutrient, natural/implied-natural, health-related), fruit imagery, and ingredient disclosures (sugar, non-nutritive sweeteners, and juice content) and consumer perceptions, intentions, and behavior.

Methods: A comprehensive search was used to identify peer-reviewed, original quantitative and/or qualitative research published any time using the following databases: PubMed, Embase, PsycInfo, CAB Abstracts, Web of Science Core Collection, and Business Source Complete. Searches were conducted in May 2022 and January 2023. Risk of bias was assessed using the Quality Assessment Tool for Quantitative Studies and the Critical Appraisal Skills Programme checklist for qualitative studies. Articles were grouped by exposure and narratively synthesized.

Results: Sixteen articles met inclusion criteria. Reviewed studies found that natural claims-and to some extent, nutrient claims and fruit imagery-are associated with increased selection, purchase intentions, perceived healthfulness, and appeal of fruit drinks; and increased misunderstandings of fruit drink juice content (overestimation) and added sugars content (underestimation). Ingredient disclosures-including percent-juice content and presence of added sweeteners-may help correct misperceptions about product healthfulness.

Conclusions: FOP claims and imagery can increase healthfulness misperceptions and selection of fruit drinks, and ingredient disclosures could partially correct those misperceptions. The U.S. Food and Drug Administration should consider updating fruit drink FOP-marketing regulations. More high-quality randomized experiments would be useful to inform federal and legal action to support parents in selecting healthier beverages for their children.

{"title":"The relationship between fruit drink front-of-package claims, fruit imagery, and ingredient disclosures and consumer perceptions, intentions, and behavior: A systematic review.","authors":"Aviva A Musicus, Melissa L Jensen, Carol Mita, Diana R H Winters, Michael T Roberts, Sally Mancini, Jennifer L Harris, Frances Fleming-Milici, James W Krieger","doi":"10.1016/j.jand.2025.01.017","DOIUrl":"https://doi.org/10.1016/j.jand.2025.01.017","url":null,"abstract":"<p><strong>Background: </strong>Fruit drinks are the top sources of added sugar in young children's diets, increasing their risk of chronic disease. It is unclear to what extent front-of-package (FOP) marketing and disclosures influence parents' perceptions of fruit drinks and their intentions and decisions to purchase them. These data are needed to inform regulatory and legal action to reduce potentially misleading marketing and help parents make healthier choices for their children.</p><p><strong>Objective: </strong>This systematic review investigated the relationship between fruit drink FOP claims (nutrient, natural/implied-natural, health-related), fruit imagery, and ingredient disclosures (sugar, non-nutritive sweeteners, and juice content) and consumer perceptions, intentions, and behavior.</p><p><strong>Methods: </strong>A comprehensive search was used to identify peer-reviewed, original quantitative and/or qualitative research published any time using the following databases: PubMed, Embase, PsycInfo, CAB Abstracts, Web of Science Core Collection, and Business Source Complete. Searches were conducted in May 2022 and January 2023. Risk of bias was assessed using the Quality Assessment Tool for Quantitative Studies and the Critical Appraisal Skills Programme checklist for qualitative studies. Articles were grouped by exposure and narratively synthesized.</p><p><strong>Results: </strong>Sixteen articles met inclusion criteria. Reviewed studies found that natural claims-and to some extent, nutrient claims and fruit imagery-are associated with increased selection, purchase intentions, perceived healthfulness, and appeal of fruit drinks; and increased misunderstandings of fruit drink juice content (overestimation) and added sugars content (underestimation). Ingredient disclosures-including percent-juice content and presence of added sweeteners-may help correct misperceptions about product healthfulness.</p><p><strong>Conclusions: </strong>FOP claims and imagery can increase healthfulness misperceptions and selection of fruit drinks, and ingredient disclosures could partially correct those misperceptions. The U.S. Food and Drug Administration should consider updating fruit drink FOP-marketing regulations. More high-quality randomized experiments would be useful to inform federal and legal action to support parents in selecting healthier beverages for their children.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electronic Survey Methodology for Data Collection and Analysis in Nutrition and Dietetics Research.
IF 3.5 2区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2025-01-29 DOI: 10.1016/j.jand.2025.01.016
Judith A Beto, Phillip Gleason, Jeffrey E Harris, Elizabeth Metallinos-Katsaras

This article is part of a series of articles in the Journal of the Academy of Nutrition and Dietetics exploring the importance of research design, epidemiological methods, and statistical analysis as applied to nutrition and dietetics research. The purpose of this ongoing statistical portfolio is to assist Registered Dietitian Nutritionists (RDN) and Nutrition and Dietetic Technicians, Registered (NDTR) in interpreting nutrition research and applying scientific principles to produce high-quality data analysis. Advances in technology are promoting faster, easier, and often more diverse data collection and analysis. Consumers and practitioners alike are rapidly adopting electronic communication preferences (i.e., telehealth, mobile applications, social media). This article, which accompanies the companion article on basic survey research, is an overview of electronic internet-mediated survey methodology for data collection and analysis in nutrition and dietetics research. Its purpose is to highlight the unique requirements in electronic planning and administration for surveys that builds upon basic survey principles. This includes the effect of internet-mediated data methodology on an array of research parameters including evaluation of software functions for the investigator and survey navigation issues for the participant. A Checklist for Reporting Electronic Survey Statistics (CRESS) is provided as a guide for data dissemination in nutrition and dietetics research.

{"title":"Electronic Survey Methodology for Data Collection and Analysis in Nutrition and Dietetics Research.","authors":"Judith A Beto, Phillip Gleason, Jeffrey E Harris, Elizabeth Metallinos-Katsaras","doi":"10.1016/j.jand.2025.01.016","DOIUrl":"https://doi.org/10.1016/j.jand.2025.01.016","url":null,"abstract":"<p><p>This article is part of a series of articles in the Journal of the Academy of Nutrition and Dietetics exploring the importance of research design, epidemiological methods, and statistical analysis as applied to nutrition and dietetics research. The purpose of this ongoing statistical portfolio is to assist Registered Dietitian Nutritionists (RDN) and Nutrition and Dietetic Technicians, Registered (NDTR) in interpreting nutrition research and applying scientific principles to produce high-quality data analysis. Advances in technology are promoting faster, easier, and often more diverse data collection and analysis. Consumers and practitioners alike are rapidly adopting electronic communication preferences (i.e., telehealth, mobile applications, social media). This article, which accompanies the companion article on basic survey research, is an overview of electronic internet-mediated survey methodology for data collection and analysis in nutrition and dietetics research. Its purpose is to highlight the unique requirements in electronic planning and administration for surveys that builds upon basic survey principles. This includes the effect of internet-mediated data methodology on an array of research parameters including evaluation of software functions for the investigator and survey navigation issues for the participant. A Checklist for Reporting Electronic Survey Statistics (CRESS) is provided as a guide for data dissemination in nutrition and dietetics research.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143073369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of the Academy of Nutrition and Dietetics
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