Associations between Meal and Snack Frequency and Diet Quality in US Adults: National Health and Nutrition Examination Survey 2003-2012

卷:116

Murakami, Kentaro ; Livingstone, Barbara E.

Univ Shiga Prefecture

关键词: Meal frequency;    Snack frequency;    Diet quality;    Nutrient intake;    National Health and Nutrition Examination Survey;    (NHANES);   

DOI  :  10.1016/j.jand.2015.12.012

学科分类：食品科学和技术

【 摘 要 】

Background The associations between eating frequency and diet quality are inconclusive, which might be a result of different effects of meal frequency and snack frequency. Objective This cross-sectional study examined the associations of eating frequency, meal frequency, and snack frequency with diet quality, based on data from the National Health and Nutrition Examination Survey 2003-2012. Design Dietary intake was assessed in 19,427 US adults aged 20 years or older, using two 24-hour dietary recalls. All eating occasions providing >= 50 kcal were divided into either meals or snacks on the basis of contribution to daily energy intake (>= 15% or < 15%), self-report, and time (6 AM to 10 AM, 12 PM to 3 PM, and 6 PM 9 PM or others). Diet quality was assessed using the Healthy Eating Index-2010 (HEI-2010). Statistical analyses performed Linear regression analyses were performed to explore the associations of eating frequency, meal frequency, and snack frequency (independent variables) with dietary intake variables (dependent variables). Results Higher eating frequency was modestly and positively associated with higher HEI-2010 in both men and women; one additional eating occasion per day increased HEI-2010 by 1.77 points in men and 2.22 points in women (both P<0.0001). All measures of meal frequency and snack frequency were also modestly and positively associated with HEI-2010 in both sexes, irrespective of the definition of meals and snacks. However, the associations were stronger for meal frequency than for snack frequency; one additional meal per day increased HEI-2010 by 2.14 to 5.35 points, and one additional snack per day increased HEI-2010 by 1.25 to 1.97 points (all P<0.0001). Conclusions In a representative sample of US adults, both meal frequency and snack frequency were modestly associated with better diet quality.