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      Living status and frequency of eating out-of-home foods in relation to nutritional adequacy in 4,017 Japanese female dietetic students aged 18–20 years: A multicenter cross-sectional study

      research-article
      a , , a , b , c , a , c , the Three-generation Study of Women on Diets and Health Study Group
      Journal of Epidemiology
      Elsevier
      Nutritional adequacy, Living with family, Living alone, Eating out-of-home foods, Diet history questionnaire

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          Abstract

          Background

          Living status (e.g., living with family or alone) may affect dietary habits. We compared nutritional adequacy according to living status and the frequency of eating out-of-home foods in young Japanese women.

          Methods

          Female dietetic students (aged 18–20 years; n = 4,017) participated in a cross-sectional multicenter study, which was conducted in 85 dietetic schools in 35 of 47 prefectures in Japan. Habitual dietary intake was assessed with a validated diet history questionnaire. Nutritional adequacy was determined based on the Dietary Reference Intakes for Japanese, 2015, for two goals: preventing non-communicable chronic disease (a tentative dietary goal for preventing lifestyle-related diseases [DG] that tracks five nutrients) and avoiding insufficient intake of mainly vitamins and minerals (estimated average requirement [EAR] that tracks 14 nutrients).

          Results

          Women living with their family were less likely to meet DG nutrient levels, but more likely to meet EAR nutrient levels compared with those living alone. In contrast, women living alone had more inadequate nutrients with EAR and fewer nutrients with not-meeting DG than those living with families. A higher frequency of eating out-of-home was significantly associated with a higher prevalence of not-meeting DG nutrient levels only in the women living with their family.

          Conclusions

          The prevalence of nutritional adequacy varied based on living status. In addition, women living with their family and those with a high frequency of eating out-of-home foods had the highest prevalence of not-meeting DG. Effective ways of improving dietary quality among young Japanese women differ by living status.

          Highlights

          • Young women living with their family had more nutrients not meeting dietary goals.

          • Eating out was associated with not meeting dietary goals in those living with family.

          • Young women living alone had more inadequate intakes of nutrients.

          • Eating out-of-home did not affect nutritional adequacy in those living alone.

          Related collections

          Most cited references28

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          Eating out of home and its association with dietary intake: a systematic review of the evidence.

          During the last decades, eating out of home (OH) has gained importance in the diets worldwide. We document the nutritional characteristics of eating OH and its associations with energy intake, dietary quality and socioeconomic status. We carried out a systematic review of peer-reviewed studies in eight databases up to 10 March 2011. Of the 7,319 studies retrieved, 29 met the inclusion criteria and were analysed in this review. The quality of the data was assessed and a sensitivity analysis was conducted by isolating nationally representative or large cohort data from 6 and 11 countries, respectively. OH foods were important sources of energy in all age groups and their energy contribution increased in adolescents and young adults. Eating OH was associated with a higher total energy intake, energy contribution from fat in the daily diet and higher socioeconomic status. Two large studies showed how eating OH was also associated with a lower intake of micronutrients, particularly vitamin C, Ca and Fe. Although the studies were cross-sectional and heterogeneous in the way they classified eating OH, we conclude that eating OH is a risk factor for higher energy and fat intake and lower micronutrient intake. © 2011 The Authors. obesity reviews © 2011 International Association for the Study of Obesity.
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            Is cooking at home associated with better diet quality or weight-loss intention?

            To examine national patterns in cooking frequency and diet quality among adults in the USA, overall and by weight-loss intention.
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              Self-administered diet history questionnaire developed for health education: a relative validation of the test-version by comparison with 3-day diet record in women.

              A self-administered diet history questionnaire has been developed for the use in health education in Japan. The relative validity of the test-version was examined using 3-day diet record (DR) as a reference method. Subjects were mildly hypercholesterolemic 47 women aged 38-69 years living in Hikone, Japan. The questionnaire provided close estimation of nutrients compared to the DR (mean of the 3-days), 1-25% differences between the two methods were observed for total energy and 17 nutrients examined. The differences were in general smaller for macronutrients, 1-3%, than for micronutrients, 1-25%. Pearson correlation coefficients between the questionnaire and the DR (mean of the 3-days) ranged from 0.16 for niacin to 0.60 for saturated fatty acid (mean = 0.41). The energy-adjustment using regression analysis and the correction of attenuation due to error from a limited number of days of DR slightly improved the results. The correlations ranged from 0.19 for niacin to 0.75 for saturated fatty acid (mean = 0.48). Average 37 and 6% subjects were classified into same quartile and opposite quartile respectively between the two methods. This questionnaire may be useful to assess individual nutrient intake level at least for the subjects examined.
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                Author and article information

                Contributors
                Journal
                J Epidemiol
                J Epidemiol
                Journal of Epidemiology
                Elsevier
                0917-5040
                1349-9092
                10 February 2017
                June 2017
                10 February 2017
                : 27
                : 6
                : 287-293
                Affiliations
                [a ]Department of Social and Preventive Epidemiology, School of Public Health, The University of Tokyo, Tokyo, Japan
                [b ]Interfaculty Initiative in Information Studies, The University of Tokyo, Tokyo, Japan
                [c ]Department of Social and Preventive Epidemiology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
                Author notes
                []Corresponding author. Department of Social and Preventive Epidemiology, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.Department of Social and Preventive EpidemiologySchool of Public HealthThe University of Tokyo7-3-1 HongoBunkyo-kuTokyo113-0033Japan satomikoba@ 123456m.u-tokyo.ac.jp
                Article
                S0917-5040(17)30017-5
                10.1016/j.je.2016.07.002
                5463022
                28190656
                578ac82c-23ad-4932-b407-f31b37020bce
                © 2017 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 15 March 2016
                : 15 July 2016
                Categories
                Original Article

                nutritional adequacy,living with family,living alone,eating out-of-home foods,diet history questionnaire

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