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Studies show that adults in the United States generally overestimate dietary quality-ScienceDaily

Studies show that adults in the United States generally overestimate dietary quality-ScienceDaily

 


How healthy is your diet? It sounds like a simple question, but new research shows that it’s a question that most Americans struggle to understand correctly.

“We have found that only a small percentage of adults in the United States can accurately assess their dietary health. Interestingly, those who can accurately assess their diet are most likely those who feel their diet is poor. “Research epidemiologist Dr. Jessica Thomson said. She collaborated with the lead author of the study, Agricultural Research Services in the Southeastern Region of the United States Department of Agriculture. “In addition, most adults overestimate the quality of their diet, sometimes to a large extent.”

Thomson will present its findings online at NUTRITION 2022 LIVE ONLINE, the flagship annual meeting of the American Society of Nutrition, held June 14-16.

Can researchers replace or supplement the detailed dietary questionnaire commonly used in nutritional studies with a single simple question as a screening tool for nutritional studies? I wanted to know if you could. Previous studies have shown that self-assessed health is a powerful predictor of morbidity and mortality, but whether self-assessed dietary quality predicts actual dietary quality. There is little research.

This survey used data from the National Health and Nutrition Examination Survey, a nationally representative survey of adults in the United States, which is conducted every two years. Participants were asked to fill out a detailed 24-hour meal recall questionnaire and rate their meals as excellent, very good, good, normal, or bad.

Researchers used the Food Recall Questionnaire to assess the dietary quality of each participant. Examples of foods ranked healthier include fruits and vegetables, whole grains, healthy fats, low-fat dairy products, seafood, and vegetable protein. Foods that are considered unhealthy include refined grains, sodium-rich foods, sugars, and saturated fats.

This study found that there was a significant discontinuity between the scores calculated by the researchers and how participants ranked their diet. Of the more than 9,700 participants, about 8,000 (about 85%) inaccurately evaluated food quality. Almost all (99%) of them overestimated dietary health.

Surprisingly, it was the most accurate of those who rated the diet poor, with a 97% chance of matching the researcher’s score with the participant’s rating. The percentage of participants who accurately assessed food quality ranged from 1% to 18% in the other four assessment categories.

Further research could help elucidate what factors to consider when people are asked to assess dietary quality, Thomson said. For example, it is useful to know if people know specific dietary recommendations and whether they take into account where their food is purchased or how it is prepared. increase.

“Are American adults not exactly understanding the components of a healthy and unhealthy diet, or are they aware of dietary health as adults want, that is, are they of higher quality than they really are? It’s hard to tell, “Thomson said. “Until we have a better understanding of what an individual considers when assessing dietary health, it is difficult to determine the knowledge and skills needed to improve self-assessment and awareness of dietary quality. . “

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