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)

Citation

McClain, Amanda C.; Ayala, Guadalupe X.; Sotres-Alvarez, Daniela T.; Siega-Riz, Anna Maria; Kaplan, Robert C.; Gellman, Marc D.; Gallo, Linda C.; Van Horn, Linda V.; Daviglus, Martha L.; & Perera, Marisa J., et al. (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). Journal of Nutrition, 148(3), 453-463. PMCID: PMC6251533

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.

URL

http://dx.doi.org/10.1093/jn/nxx067

Reference Type

Journal Article

Year Published

2018

Journal Title

Journal of Nutrition

Author(s)

McClain, Amanda C.
Ayala, Guadalupe X.
Sotres-Alvarez, Daniela T.
Siega-Riz, Anna Maria
Kaplan, Robert C.
Gellman, Marc D.
Gallo, Linda C.
Van Horn, Linda V.
Daviglus, Martha L.
Perera, Marisa J.
Mattei, Josiemer

PMCID

PMC6251533

ORCiD

Siega-Riz - 0000-0002-1303-4248
Sotres-Alvarez - 0000-0002-3226-6140