Frequency of Intake and Type of Away-from- Home Foods Consumed Are Associated with Diet Quality in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

• Published in: The Journal of nutrition 2018-03, Vol.148 (3), p.453-463
• Main Authors: McClain, Amanda C, Ayala, Guadalupe X, Sotres-Alvarez, Daniela, Siega-Riz, Anna Maria, Kaplan, Robert C, Gellman, Marc D, Gallo, Linda C, Van Horn, Linda, Daviglus, Martha L, Perera, Marisa J, Mattei, Josiemer
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Adults; Aged; away-from-home foods; Body mass; Body Mass Index; Body size; Body weight; Commerce; Communities; Community and International Nutrition; community health; Consumption; Correlation analysis; Diet; diet quality; Dietary intake; Eating; eating out; Energy Intake; Fast Foods - adverse effects; Feeding Behavior; Female; Food; food intake; foods; healthy eating habits; Hispanic Americans; Hispanic or Latino; Hispanics; Hispanics/Latinos; Humans; Latinos; Logistic Models; Male; Middle Aged; nutritional adequacy; Obesity; Obesity - etiology; Odds Ratio; on-street food vendors; Overweight; Regression analysis; Residence Characteristics; Restaurants; Risk factors; surveys; Target recognition; United States; World Health Organization; Young Adult
• ISSN: 0022-3166; 1541-6100; 1541-6100
• DOI: 10.1093/jn/nxx067

Away-from-home foods (AFHFs) influence diet quality, a modifiable obesity risk factor, with limited generalizable evidence in Hispanic/Latino adults. We investigated associations between AFHF intake with diet quality and overweight or obesity among US Hispanic/Latino adults. Cross-sectional baseline (2008–2011) analyses included adults (n = 16,045) aged 18–74 y in the national Hispanic Community Health Study/Study of Latinos. Participants self-reported AFHF consumption frequency from 10 different settings and dietary intake (2-d 24-h recall). The Alternate Healthy Eating Index–2010 (AHEI-2010) was used to measure diet quality; higher scores indicated a healthier diet and scores were categorized into tertiles. WHO classifications categorized overweight [body mass index (BMI; kg/m2): 25.0–29.9] and obesity (BMI ≥30). Multivariate-adjusted associations of AFHF frequency or type with AHEI-2010, overweight, or obesity were assessed by using complex survey logistic regression (ORs and 95% CIs). Almost half of participants (47.1%) reported eating AFHFs ≥5 times/wk. The mean ± SE AHEI-2010 score was 47.5 ± 0.2. More than one-third (37.2%) were classified as overweight and 39.6% classified as obese. Compared with consuming AFHFs ≥5 times/wk, consuming AFHFs