Examining the association between meal context and diet quality: an observational study of meal context in older adults

Autor: Marissa M. Shams-White, Robert W. Korycinski, Kevin W. Dodd, Brian Barrett, Stephanie Jacobs, Amy F. Subar, Yikyung Park, Heather R. Bowles
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: International Journal of Behavioral Nutrition and Physical Activity, Vol 18, Iss 1, Pp 1-8 (2021)
Druh dokumentu: article
ISSN: 1479-5868
DOI: 10.1186/s12966-021-01122-x
Popis: Abstract Background Though a healthy diet is widely associated with reduced risks for chronic disease and mortality, older adults in the U.S. on average do not meet dietary recommendations. Given that few studies have examined the association between meal context on older adult diet quality, the aims of this study were (1) to compare the dietary quality of foods consumed in different meal contexts, as measured by the Healthy Eating Index 2015 (HEI-2015): meal location, the presence of others, and the use of electronic screens; and (2) to examine which components of the HEI-2015 drove differences in HEI-2015 total scores by meal context. Methods Interactive Diet and Activity Tracking in AARP study participants (50–74 years) completed the Automated Self-Administered 24-h Dietary Assessment tool (ASA24, version 2011) that included foods and beverages consumed and three meal contexts: “at home” versus “away from home,” “alone” versus “with company,” and “with screen time” versus “without screen time.” A population ratio approach was used to estimate HEI-2015 total and component scores for all food items consumed by meal context. Mean HEI-2015 scores (range: 0–100) for the three meal context variables were compared using t-tests. Where there were significant differences in total scores, additional t-tests were used to explore which HEI-2015 components were the primary drivers. All tests were stratified by sex and adjusted for multiple comparisons. Results HEI-2015 scores were lower for meals consumed away vs. at home (mean difference (SE), males: − 8.23 (1.02); females: − 7.29 (0.93); both p
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