The aim of this study was to determine the food sources of energy, nutrients of public health concern and nutrients to limit using two approaches focusing on dairy foods. Twenty-four hour dietary recalls from adults 19 - 50 (n = 5,431) and 51+ years (n = 4,522) participating in NHANES 2011 - 2014 were analyzed. Energy and nutrients were sample-weighted and ranked on percentage contribution to the diet using specific food group intake (SFG) and disaggregated data (DD) for dairy foods. In those 19 - 50 years, cheese and milk were the top ranked food sources of calcium in the SFG and DD; for potassium, vegetables, excluding potatoes, and coffee and tea were top ranked in SFG data and milk and vegetables, excluding potatoes, were top ranked in the DD; for vitamin D, milk and seafood were the top ranked food sources in both analyses. For SFA, mixed dishes—Mexican and sweet bakery products were top ranked using SFG, and cheese and sweet bakery products were top ranked using DD. For those 51 - 99 years for calcium, milk and cheese were the top ranked food sources in both analyses; for potassium, coffee and tea and vegetables, excluding potatoes were the top two food sources for both analyses; for vitamin D, milk and seafood were top ranked. For SFA, fats and oils and sweet bakery products and cheese and fats/oils were top ranked using SFG and DD, respectively. For SFA, mixed dishes—fats/oils and sweet bakery products were top ranked for SFG analysis; cheese and fats/oils were top ranked for the DD. For sodium, bread, rolls, and tortillas and cured meats/poultry were also top ranked for both analyses. Identification of food sources of these important nutrients can help health professionals implement appropriate dietary recommendations and plan age-appropriate interventions to improve diet and health.

Keywords: NHANES; Nutrients; Nutrients of Public Health Concern; Nutrients to Limit; Adults; Food Sources; Dairy Foods

References

1. United States Department of Agriculture and Economic Research Service. "Food availability (per capita) data system” (2020). 
2. U.S. Department of Health and Human Services and U.S. Department of Agriculture. "2015 – 2020 Dietary Guidelines for Americans” (2019). 
3. USDA and Agricultural Research Service. "Usual nutrient intake from food and beverages, by gender and age, What We Eat In America, NHANES 2013-2016” (2019).
4. United States Department of Agriculture. "Healthy eating index-HEI scores for Americans" (2019).
5. Alexander DD., et al. "Dairy consumption and CVD: A systematic review and meta-analysis”. British Journal of Nutrition 115.4 (2016): 737-750.
6. Khan B., et al. "Higher dietary calcium intakes are associated with reduced risks of fractures, cardiovascular events, and mortality: A prospective cohort study of older men and women”. Journal of Bone and Mineral Research 30.10 (2015): 1758-1766.
7. Threapleton DE., et al. "Dietary fibre intake and risk of cardiovascular disease: Systematic review and meta-analysis”. BMJ 347 (2013): f6879.
8. Dahl WJ and ML. Stewart. "Position of the Academy of Nutrition and Dietetics: Health implications of dietary fiber”. Journal of the Academy of Nutrition and Dietetics 115.11 (2015): 1861-1870.
9. Aburto NJ., et al. "Effect of increased potassium intake on cardiovascular risk factors and disease: Systematic review and meta-analyses”. BMJ 346 (2013): f1378.
10. Adrogue HJ and NE Madias. "The impact of sodium and potassium on hypertension risk”. Seminar on Nephrology 34.3 (2014): 257-272.
11. Nazari SSH and Y Mokhayeri. "Associations between dietary risk factors and ischemic stroke: A comparison of regression methods using data from the multi-ethnic study of atherosclerosis”. 40 (2018): e2018021.
12. Berridge MJ. "Vitamin D deficiency and diabetes”. Biochemistry Journal 474.8 (2017): 1321-1332.
13. Wadolowska L., et al. "Dairy-related dietary patterns, dietary calcium, body weight and composition: A study of obesity in polish mothers and daughters, the modaf project”. Nutrients 10.1 (2018).
14. Tamer G., et al. "Is vitamin D deficiency an independent risk factor for obesity and abdominal obesity in women?" Endokrynologia Polska 63.3 (2012): 196-201.
15. Uday S and W Hogler. "Nutritional rickets and osteomalacia in the twenty-first century: Revised concepts, public health, and prevention strategies”. Current Osteoporosis Reports 15.4 (2017): 293-302.
16. Cano A., et al. "Calcium in the prevention of postmenopausal osteoporosis: Emas clinical guide”. Maturitas 107 (2018): 7-12.
17. Lichtenstein AH., et al. "Dietary fat consumption and health”. Nutrition Reviews 56.5 Pt 2 (1998): S3-19; discussion S19-28.
18. O'Keeffe M and MP St-Onge. "Saturated fat and cardiovascular disease: A review of current evidence”. Current Cardiovascular Risk Reports 7 (2013): 154-162.
19. United States Department of Agriculture and Agriculture Research Service. “USDA food composition databases” (2018). 
20. Gershuni VM. "Saturated fat: Part of a healthy diet”. Current Nutrition Report 7.3 (2018): 85-96.
21. Lordan R., et al. "Dairy fats and cardiovascular disease: Do we really need to be concerned?" 7.3 (2018).
22. Eicher-Miller HA and CJ Boushey. "How often and how much? Differences in dietary intake by frequency and energy contribution vary among U.S. Adults in NHANES 2007-2012”. Nutrients 9.1 (2017).
23. U.S Department of Agriculture. "Choose my plate”.
24. Chrisman M and LK Diaz Rios. "Evaluating my plate after 8 years: A perspective”. Journal of Nutrition Education and Behavior 51.7 (2019): 899-903.
25. USDA and Agricultural Research Service. "Food patterns equivalent database”.
26. U.S. Department of Agriculture, Agricultural Research Service. "What We Eat In America (WWEIA) food categories (2013-2014)”.
27. U.S. Department of Health and Human Services. "Scientific Report of the 2015 Dietary Guidelines Advisory Committee”.
28. O'Neil CE., et al. "Food sources of energy and nutrients of public health concern and nutrients to limit with a focus on milk and other dairy foods in children 2 to 18 years of age: National Health and Nutrition Examination Survey, 2011(-)2014”. Nutrients 10.8 (2018).
29. Centers for Disease Control and Prevention and National Center for Health Statistics. "About the National Health and Nutrition Examination Survey”.
30. Centers for Disease Control and Prevention. "Survey methods and analytic guidelines”.
31. Centers for Disease Control and Prevention and National Center for Health Statistics. "National Health and nutrition Examination Survey. Questionnaires, datasets, and related documentation. Response rates”.
32. Centers for Disease Control and Prevention. "NCHS research ethics review board (ERB) approval”.
33. National Health and Nutrition Examination Survey. "MEC in-person dietary interviewers procedures manual pdf”.
34. Moshfegh AJ., et al. "The US Department of Agriculture automated multiple-pass method reduces bias in the collection of energy intakes”. American Journal of Clinical Nutrition 88.2 (2008): 324-332.
35. Naska A., et al. "Dietary assessment methods in epidemiological research: Current state of the art and future prospects”. F1000 Research 6 (2017): 926.
36. U.S. Department of Agriculture. "Food and nutrient database for dietary studies (FNDDS)”. Food Survey Research Group.
37. Wang DD., et al. "Trends in dietary quality among adults in the United States, 1999 through 2010”. JAMA Internal Medicine 174.10 (2014): 1587-1595.
38. Rehm CD., et al. "Dietary intake among US adults, 1999-2012”. Journal of the American Medical Association 315.23 (2016): 2542-2553.
39. O'Neil CE., et al. "Food sources of energy and nutrients among adults in the US: NHANES 2003-2006”. Nutrients 4.12 (2012): 2097-2120.
40. Institute of Medicine Committee to Review Dietary Reference Intakes for Vitamin, D. and Calcium. "The national academies collection: Reports funded by national institutes of health”. Dietary reference intakes for calcium and vitamin D. Eds. Ross, A. C., et al. Washington (DC): National Academies Press (US) National Academy of Sciences (2011).
41. O'Keefe JH., et al. "Coffee for cardio protection and longevity”. Progress in Cardiovascular Diseases 61.1 (2018): 38-42.
42. Yang CS., et al. "Studies on prevention of obesity, metabolic syndrome, diabetes, cardiovascular diseases and cancer by tea”. Journal of Food and Drug Analysis 26.1 (2018): 1-13.
43. Nicklas TA., et al. "Removing potatoes from children's diets may compromise potassium intake”. Advances in Nutrition 7.1 (2016): 247S-253S.
44. Huth PJ and KM Park. "Influence of dairy product and milk fat consumption on cardiovascular disease risk: A review of the evidence”. Advances in Nutrition 3.3 (2012): 266-285.
45. Lafay L., et al. "Does energy intake underreporting involve all kinds of food or only specific food items? Results from the fleurbaix laventie ville sante (FLVS) study”. International Journal of Obesity and Related Metabolic Disorders 24.11 (2000): 1500-1506.
46. Kye S., et al. "Under-reporting of energy intake from 24-hour dietary recalls in the Korean National Health and Nutrition Examination Survey”. Osong Public Health and Research Perspectives 5.2 (2014): 85-91.
47. Archer E. "The use of implausible data without caveats is misleading”. American Journal of Clinical Nutrition 106.3 (2017): 949-950.
48. Archer E. "The NHANES dietary data are physiologically implausible and inadmissible as scientific evidence”. American Journal of Clinical Nutrition 106.3 (2017): 951-952.
49. Archer E., et al. "The inadmissibility of What We Eat In America and NHANES dietary data in nutrition and obesity research and the scientific formulation of national dietary guidelines”. Mayo Clinic Proceedings 90.7 (2015): 911-926.
50. Ahluwalia N., et al. "Update on NHANES dietary data: Focus on collection, release, analytical considerations, and uses to inform public policy”. Advances in Nutrition 7.1 (2016): 121-134.

Citation

Citation: Theresa A Nicklas.,et al. “Food Sources of Energy and Nutrients of Public Health Concern and to Limit and the Contribution of Mixed Dishes to the Diets of Adults 19+ Years of Age: National Health and Nutrition Examination Survey, 2011 - 2014". Acta Scientific Nutritional Health 4.4 (2020): 28-49.

Copyright

Copyright: © 2020 Theresa A Nicklas., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.