May A. Beydoun|Marie Fanelli Kuczmarski|Amy N. Allen|Hind A. Beydoun|Barry M. Popkin|Michele K. Evans|Alan B. Zonderman
Monetary Value of Diet Is Associated with Dietary Quality and Nutrient Adequacy among Urban Adults, Differentially by Sex, Race and Poverty Status
National Institute on Aging|University of Delaware|University of Maryland, Baltimore County|Eastern Virginia Medical School|University of North Carolina at Chapel Hill|National Institute on Aging|National Institute on Aging
objective association monetary value diet mvd day dietary quality examined using large sample urban us adults differentially sociodemographic factors methods crosssectional study 2111 participants aged 3064y using data healthy aging neighborhoods diversity across life span study dietary quality indices included healthy eating index2010 hei2010 mean adequacy ratio mar two 24hr recalls national food price database used estimate mvd multiple linearlogistic regression analyses conducted stratifying separately sex race poverty status results women significantly higher hei2010 scores men 4335 vs 4157 100 respectively whereas mar scores higher men 768 vs 699 100 reflecting energy intake gender differentials importantly 3day higher mvd iqr 370d q1 662d q4 associated 498035 higher total hei2010 388037 higher mar score energyadjustment control key confounders hei2010 mar stronger associations observed among participants poverty among women whilethe mvd vs hei2010 association additionally stronger among whites sex poverty status differentials observed many mar hei2010 components conclusions despite positive associations measures dietary quality mvd particularly poverty among women approaching compliance dietary guidelines 80 hei2010 requires substantially higher mvd thus nutrition education may improve peoples decisionmaking regarding food venues dietary choices