Author
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Bowman, Shanthy |
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Clemens, John |
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Friday, James |
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LYNCH, KRYSTAL - American Society For Nutrition |
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Lacomb, Randy |
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Moshfegh, Alanna |
Submitted to: Worldwide Web Site: Food Surveys Research Group
Publication Type: Review Article Publication Acceptance Date: 5/16/2017 Publication Date: 5/26/2017 Citation: Bowman, S.A., Clemens, J.C., Friday, J.E., Lynch, K.L., LaComb, R.P., Moshfegh, A.J. 2017. Food Patterns Equivalents Intakes by Americans: What We Eat in America, NHANES 2003-2004 and 2013-2014. Worldwide Web Site: Food Surveys Research Group. Available: www.ars.usda.gov/Services/docs.htm?docid=19476. Interpretive Summary: The Dietary Guidelines for Americans 2015-2020 (DGA) encourage Americans to increase their fruit, vegetables, and whole grains intakes and limit intakes of added sugars and solid fats. This report highlights the changes in the dietary intakes of selected USDA Food Patterns groups, including added sugars and solid fats, by Americans from What We Eat in America, NHANES 2003-2004 and 2013-2014. The estimated mean intakes of added sugars by Americans substantially decreased by 3.6 teaspoon equivalents (tsp. eq.) or 15 grams, from 21 tsp. eq. in 2003-2004 to 17.4 tsp. eq. in 2013-2014, per day. Although Americans have reduced their added sugars intake, their mean intake is still high. The main reason for the observed decrease in the added sugars intake was due to the decrease in soda consumption. Other reasons for the decrease may include the increased availability of beverages and snacks that are relatively low in caloric sweeteners or contain sugar substitutes, thereby enabling Americans to choose food and beverages that are low in added sugars or sugar free. Other notable changes in the same period included a 12-gram reduction in the intake of solid fats and a small, but statistically significant increase in the whole grains intake from 0.6 to 0.9 oz. eq. No changes were noted in the fruit; vegetables; dairy; and total meat, poultry, and seafood intakes from 2003-2004 to 2013-2014. The proportion of solid fats and oils to total fat in the American diet changed for the better. Americans consumed a lower proportion of their total fat as solid fats. These changes could be due to the replacement of hydrogenated oils with unhydrogenated oils in fried food products and in margarine and the increased availability of lean meat options. Technical Abstract: This report highlights the changes in the dietary intakes of selected USDA Food Patterns groups, including added sugars and solid fats, for the U.S. population from What We Eat in America, NHANES 2003-2004 to 2013-14. The nationally representative sample included 8,272 and 8,066 individuals, ages 2 years and over (excluding breast-fed children) with complete and reliable intake records, in the 2003-2004 and 2013-2014 surveys, respectively. Sample weights were applied in the analysis to get nationally representative estimates. The estimated mean daily intake of added sugars by all individuals, ages 2 years and over, substantially decreased by 3.6 teaspoon equivalents (tsp. eq.) or 15 grams. Similarly, substantial reductions were noted among each of the age groups studied: children ages 2-5, 6-11, and 12-19; and adults, ages 20+ years. Although Americans have reduced their added sugars intake, their mean intake is still high when compared to the Dietary Guidelines for Americans 2015-2020 recommendations. The estimated mean intake of solid fats, for all individuals 2 years and over, substantially decreased by 12.3 grams, from 47.6 to 35.3 grams. Similarly, substantial reductions were noted in each of the age groups studied. Changes were noted in the intake of oils. For all individuals, ages 2 years and over, the estimated mean intakes of oils significantly increased by 6.2 grams, from 19.2 to 25.4 grams. Although the whole grains consumption increased from 0.6 to 0.9 ounce equivalents, it was small and was well below the Dietary Guidelines recommendations to eat 50 percent of total grains as whole grains. No changes were noted in the fruit; vegetables; dairy; and total meat, poultry, and seafood intakes from 2003-2004 to 2013-2014. Mean intakes of fruit, vegetables, and dairy foods continued to be low when compared to the Dietary Guidelines recommendations. |