Obesity Journal Club


The Obesity Journal Club will meet on Tuesday, April 17th from 12-1pm in MV 240

A light snack will be served – please bring your own beverage.


Faculty and students in the greater Boston area are welcome to attend and present. Those interested in participating may come to Tufts or join the discussion in a webinar style format by dialing in via WebEx. If you would like the WebEx invitation, please email Kim Gong at Kimberly.Dong@tufts.edu.



Article Title: 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)

Authors/Journal: McClain et al. in The Journal of Nutrition. 2018 March 12;148(3):453-63. https://academic.oup.com/jn/article/148/3/453/4930994

Presented by: Katherine Rancano, MS, PhD Candidate in Nutrition Interventions, Communication, and Behavior Change, Friedman School of Nutrition



Article Abstract

BACKGROUND:

Away-from-home foods (AFHFs) influence diet quality, a modifiable obesity risk factor, with limited generalizable evidence in Hispanic/Latino adults.

PURPOSE:

To investigate the 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%) 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 a 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).

CONCLUSION:                                                                                                                                                              

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.