ArticlePublic health nutrition2014
Perceived and objective diet quality in US adults: a cross-sectional analysis of the National Health and Nutrition Examination Survey (NHANES).
Article in Public health nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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Who cites it
41 citing papers in PubMed.
- Dietary Changes and Their Predictors in the First Year After Childbirth in Women with Gestational Diabetes Mellitus: A Post Hoc Longitudinal Analysis from the Face-it Trial.The Journal of nutrition · 2025Trial
- A pilot randomized controlled trial comparing nutritious meal kits and no-prep meals to improve food security and diet quality among food pantry clients.BMC public health · 2023Trial
- The Effect of a Digital Behavioral Weight Loss Intervention on Adherence to the Dietary Approaches to Stop Hypertension (DASH) Dietary Pattern in Medically Vulnerable Primary Care Patients: Results from a Randomized Controlled Trial.Journal of the Academy of Nutrition and Dietetics · 2019Trial
- Picky Eaters Improved Diet Quality in a Randomized Behavioral Intervention Trial in Youth with Type 1 Diabetes.Journal of the Academy of Nutrition and Dietetics · 2018Trial
- Perceived and calculated diet quality improvements in a randomized mHealth weight loss trial.Behavioral medicine (Washington, D.C.)Trial
- Association between dietary self-perception and sugar-sweetened beverage consumption among young adult Latinas.Public health nutrition · 2026Article
- Assessing nutrition security and its risk factors using the National Household Food Acquisition and Purchase Survey data.Public health nutrition · 2026Article
- Article
- Misperception of diet quality among US adults: implications for cardiometabolic health promotion.European journal of clinical nutrition · 2025Article
- A Measure of Nutrition Security Using the National Health and Nutrition Examination Survey Dataset.JAMA network open · 2025Article
- Article
- Identifying gaps between perceived and actual intakes in Finnish adults: self-assessment of macronutrient intakes in relation to nutrition recommendations is challenging.Food & nutrition research · 2025Article
- Exploring the potential utility of a single-item perceived diet quality measure.Nutrition research and practice · 2024Article
- Exploring Consumption of Ultra-Processed Foods and Diet Quality in the Context of Popular Low Carbohydrate and Plant-Based Dietary Approaches.Food science & nutrition · 2024Article
- Effects of dietary patterns on the all-cause mortality and cardiovascular disease mortality in patients with hypertension: A cohort study based on the NHANES database.Clinical cardiology · 2023Article
- Change in Diet Quality and Meal Sources during the COVID-19 Pandemic in a Diverse Subset of Men and Women in the Cancer Prevention Study-3.Nutrients · 2023Article
- Patterns of Engagement With an Application-Based Dietary Self-Monitoring Tool Within a Randomized Controlled Feasibility Trial.AJPM focus · 2022Article
- Greater adherence to healthy dietary patterns is associated with lower diastolic blood pressure and augmentation index in healthy, young adults.Nutrition research (New York, N.Y.) · 2022Article
- Association of Childhood Socioeconomic Status with Leukocyte Telomere Length Among African Americans and the Mediating Role of Behavioral and Psychosocial Factors: Results from the GENE-FORECAST Study.Journal of racial and ethnic health disparities · 2022Article
- Associations of the Dietary Approaches to Stop Hypertension dietary pattern with cardiac structure and function.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2021Article
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Authors and funding
5 authors.
Funding
Abstract
objectiveThe Dietary Approaches to Stop Hypertension (DASH) dietary pattern has been shown to reduce cardiometabolic risk. Little is understood about the relationship between objective diet quality and perceived diet quality (PDQ), a potential psychosocial barrier to appropriate dietary intake. We compared PDQ and diet quality measured by a nutrient-based DASH index score in the USA.
designCross-sectional study. Participants in the 2005-2006 National Health and Nutrition Examination Survey (NHANES) rated diet quality on a 5-point Likert scale and PDQ scores were generated (low, medium, high). A single 24 h dietary recall was used to estimate DASH index scores (range 0-9 points) by assigning 0, 0·5 or 1 point (optimal) for nine target nutrients: total fat, saturated fat, protein, cholesterol, fibre, Ca, Mg, K and Na.
settingNationally representative sample of the US population. SUBJECTS: Adults aged ≥19 years in 2005-2006 NHANES (n 4419).
resultsParticipants with high PDQ (33 %) had higher DASH index scores (mean 3·0 (sd 0·07)) than those with low PDQ (mean 2·5 (sd 0·06), P < 0·001), but average scores did not align with targets for intermediate or optimal DASH accordance. Adults with high PDQ reported higher total fat, saturated fat and Na intakes compared with optimal DASH nutrient goals. Differences between those with high v. low PDQ were similar for Whites and Blacks, but there was no difference between PDQ groups for Mexican Americans.
conclusionsAmong Whites and Blacks, but not Mexican Americans, high PDQ may be associated with higher diet quality, but not necessarily a diet meeting DASH nutrient goals. This disconnect between PDQ and actual diet quality may serve as a target in obesity prevention.
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