ARS | Publication request: Changing Dietary Patterns of the Obese

Submitted to: International Society for Behavioral Nutrition and Physical Activity
Publication Type: Abstract
Publication Acceptance Date: March 14, 2003
Publication Date: July 19, 2003
Citation: GOSSETT, J., SIMPSON, P., CASEY, P., STUFF, J., KRAMER, T.R., BOGLE, M.L. CHANGING DIETARY PATTERNS OF THE OBESE. International Society for Behavioral Nutrition and Physical Activity. Quebec, Canada. 2003. p. 61.

Technical Abstract: Purpose: To assess differences in dietary patterns in the obese over time and in impoverished areas using the Healthy Eating Index (HEI). Methods: A 24 hour dietary recall was completed in the Continuing Survey of Food Intakes of Individuals (CSFII) 1994-1996, the National Health and Nutrition Examination Survey, (NHANES) 1999-2000, and the FOODS 2000. FOODS 2000 is a representative survey of nutrition and health in the Lower Mississippi Delta (LMD), conducted in 2000. HEI scores, composed of 10 components each representing different aspects of a healthful diet, were constructed for non-Hispanic adults. We compared components for obese status. Results. For total HEI, the non obese were slightly but significantly better than the obese in CSFII and NHANES but no change was seen in the two categories from 1996 to 2000, nationally. The LMD HEI was significantly lower than both national surveys for obese and non-obese. The HEI components demonstrated differences both over time and regionally versus nationally. Fat and dairy scores overall were best for NHANES and worst for the LMD; obese had worse scores than the non-obese for all surveys. The LMD had much lower vegetable scores for the obese versus the non- obese, and lower scores than CSFII and NHANES,which were not different. Fruit scores were low for all, with the LMD being lowest; there was a significant difference for obese status only for the CSFII. Conclusion: Examination of the HEI components is essential in evaluating the diets of the obese.