Baseline diet quality of predominantly minority children and adolescents from households characterized by low socioeconomic status in the Childhood Obesity Prevention and Treatment Research (COPTR) Consortium

Abstract Background The Healthy Eating Index (HEI-2010) is a measure of diet quality that examines conformance with the Dietary Guidelines for Americans. The objectives of this study were to estimate baseline diet quality of predominantly low-income minority children using the HEI-2010 and to identi...

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Main Authors: Kimberly P. Truesdale, Donna M. Matheson, Meghan M. JaKa, Sarah McAleer, Evan C. Sommer, Charlotte A. Pratt
Format: Article
Language:English
Published: BMC 2019-09-01
Series:BMC Nutrition
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40795-019-0302-y
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author Kimberly P. Truesdale
Donna M. Matheson
Meghan M. JaKa
Sarah McAleer
Evan C. Sommer
Charlotte A. Pratt
author_facet Kimberly P. Truesdale
Donna M. Matheson
Meghan M. JaKa
Sarah McAleer
Evan C. Sommer
Charlotte A. Pratt
author_sort Kimberly P. Truesdale
collection DOAJ
description Abstract Background The Healthy Eating Index (HEI-2010) is a measure of diet quality that examines conformance with the Dietary Guidelines for Americans. The objectives of this study were to estimate baseline diet quality of predominantly low-income minority children using the HEI-2010 and to identify the most important HEI components to target for dietary intervention. Methods Two or three baseline 24 h dietary recalls were collected in-person or over telephone between May 2012 and June 2014 from 1,745 children and adolescents from four randomized clinical trials in the Childhood Obesity Prevention and Treatment Research (COPTR) Consortium. Nine adequacy and three moderation food components were calculated and averaged to determine overall HEI scores. The overall HEI-2010 scores were categorized as ≥81, 51–80, or ≤ 50 based on the HEI-2005 classification. For each study, mean overall and component HEI scores were estimated using linear regression models. Results Mean (95% CI) overall HEI scores ranged from 47.9 (46.8, 49.0) to 64.5 (63.6, 65.4). Only 0.3 to 8.1% of children and adolescents had HEI-2010 score ≥ 81. The average component score for green and beans was less than 30% of maximum score for all trials. In contrast, the average component score for protein, dairy (except for IMPACT), and empty calories (except forIMPACT) was more than 80% of maximum score. Conclusions Based on HEI-2010 scores, few children and adolescents consumed high quality diets. Dietary interventions for children and adolescents should focus on improving intakes of green vegetables and beans. Clinical trial registry numbers GROW study (clinical trial # NCT01316653); NET-Works study (clinical trial #NCT01606891); Stanford Goals (clinical trial #NCT01642836); IMPACT (clinical trial # NCT01514279).
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spelling doaj.art-d6d0121cb1b443c09b1bf7b19ca6fa3a2022-12-21T23:31:35ZengBMCBMC Nutrition2055-09282019-09-015111010.1186/s40795-019-0302-yBaseline diet quality of predominantly minority children and adolescents from households characterized by low socioeconomic status in the Childhood Obesity Prevention and Treatment Research (COPTR) ConsortiumKimberly P. Truesdale0Donna M. Matheson1Meghan M. JaKa2Sarah McAleer3Evan C. Sommer4Charlotte A. Pratt5Department of Nutrition, University of North Carolina at Chapel HillDepartment of Pediatrics, School of Medicine, Stanford UniversityHealth Partners Institute for Education and ResearchThe Center for Child Health and Policy, Rainbow Babies & Children’s Hospital, Case Western Reserve UniversityDepartment of Pediatrics, Vanderbilt University Medical CenterDivision of Cardiovascular Sciences, National Heart, Lung, and Blood Institute (NHLBI), National Institute of HealthAbstract Background The Healthy Eating Index (HEI-2010) is a measure of diet quality that examines conformance with the Dietary Guidelines for Americans. The objectives of this study were to estimate baseline diet quality of predominantly low-income minority children using the HEI-2010 and to identify the most important HEI components to target for dietary intervention. Methods Two or three baseline 24 h dietary recalls were collected in-person or over telephone between May 2012 and June 2014 from 1,745 children and adolescents from four randomized clinical trials in the Childhood Obesity Prevention and Treatment Research (COPTR) Consortium. Nine adequacy and three moderation food components were calculated and averaged to determine overall HEI scores. The overall HEI-2010 scores were categorized as ≥81, 51–80, or ≤ 50 based on the HEI-2005 classification. For each study, mean overall and component HEI scores were estimated using linear regression models. Results Mean (95% CI) overall HEI scores ranged from 47.9 (46.8, 49.0) to 64.5 (63.6, 65.4). Only 0.3 to 8.1% of children and adolescents had HEI-2010 score ≥ 81. The average component score for green and beans was less than 30% of maximum score for all trials. In contrast, the average component score for protein, dairy (except for IMPACT), and empty calories (except forIMPACT) was more than 80% of maximum score. Conclusions Based on HEI-2010 scores, few children and adolescents consumed high quality diets. Dietary interventions for children and adolescents should focus on improving intakes of green vegetables and beans. Clinical trial registry numbers GROW study (clinical trial # NCT01316653); NET-Works study (clinical trial #NCT01606891); Stanford Goals (clinical trial #NCT01642836); IMPACT (clinical trial # NCT01514279).http://link.springer.com/article/10.1186/s40795-019-0302-yDiet qualityChildrenObesityBody mass index
spellingShingle Kimberly P. Truesdale
Donna M. Matheson
Meghan M. JaKa
Sarah McAleer
Evan C. Sommer
Charlotte A. Pratt
Baseline diet quality of predominantly minority children and adolescents from households characterized by low socioeconomic status in the Childhood Obesity Prevention and Treatment Research (COPTR) Consortium
BMC Nutrition
Diet quality
Children
Obesity
Body mass index
title Baseline diet quality of predominantly minority children and adolescents from households characterized by low socioeconomic status in the Childhood Obesity Prevention and Treatment Research (COPTR) Consortium
title_full Baseline diet quality of predominantly minority children and adolescents from households characterized by low socioeconomic status in the Childhood Obesity Prevention and Treatment Research (COPTR) Consortium
title_fullStr Baseline diet quality of predominantly minority children and adolescents from households characterized by low socioeconomic status in the Childhood Obesity Prevention and Treatment Research (COPTR) Consortium
title_full_unstemmed Baseline diet quality of predominantly minority children and adolescents from households characterized by low socioeconomic status in the Childhood Obesity Prevention and Treatment Research (COPTR) Consortium
title_short Baseline diet quality of predominantly minority children and adolescents from households characterized by low socioeconomic status in the Childhood Obesity Prevention and Treatment Research (COPTR) Consortium
title_sort baseline diet quality of predominantly minority children and adolescents from households characterized by low socioeconomic status in the childhood obesity prevention and treatment research coptr consortium
topic Diet quality
Children
Obesity
Body mass index
url http://link.springer.com/article/10.1186/s40795-019-0302-y
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