ArticleEuropean journal of clinical nutrition2017
Sociodemographic disparity in the diet quality transition among Chinese adults from 1991 to 2011.
Article in European journal of clinical nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 41 citations in OpenAlex.
- Nutritional status and cancer survival among rural Chinese women: biological mechanisms, health disparities, and translational opportunities.Frontiers in public health · 2026Review
- Dietary risk factors and cancer mortality burden from 1990 to 2021: a comparative study of China and global regions with varying sociodemographic development levels based on the Global Burden of Disease database.Frontiers in nutrition · 2025Article
- Quantile regression based method for characterizing risk-specific behavioral patterns in relation to longitudinal left-censored biomarker data collected from heterogeneous populations.Journal of applied statistics · 2025Article
- Mediterranean diet lowers risk of new-onset diabetes: a nationwide cohort study in China.Nutrition journal · 2024Article
- Time Trends in Income-related Differences in Food Group Intakes: The National Health and Nutrition Survey, Japan in 2010, 2014, and 2018.Journal of epidemiology · 2024Article
- Relationships between different trends of the Mediterranean diet and cardiovascular disease-related risk factors in China: results from the CHNS study, 1997-2009.Frontiers in nutrition · 2024Article
- Characterizing the urban diet: development of an urbanized diet index.Nutrition journal · 2022Article
- High Diet Quality Is Linked to Low Risk of Abdominal Obesity among the Elderly Women in China.Nutrients · 2022Article
- Associations between Adverse Childhood Experiences and Obesity in a Developing Country: A Cross-Sectional Study among Middle-Aged and Older Chinese Adults.International journal of environmental research and public health · 2022Article
- Trends in the adherence to the Mediterranean diet in Israeli adolescents: results from two national health and nutrition surveys, 2003 and 2016.European journal of nutrition · 2021Article
- Perceived social support and diet quality among ethnic minority groups in Yunnan Province, Southwestern China: a cross-sectional study.BMC public health · 2021Article
- Body-mass index and obesity in urban and rural China: findings from consecutive nationally representative surveys during 2004-18.Lancet (London, England) · 2021Article
- Longitudinal trajectories of diet quality and subsequent mortality among Chinese adults: results from the China health and nutrition survey 1997-2015.The international journal of behavioral nutrition and physical activity · 2021Article
- Validity and reliability of a simplified food frequency questionnaire: a cross sectional study among physical health examination adults in southwest region of China.Nutrition journal · 2020Article
- Variation in dietary intake and body fatness by socioeconomic status among women in the context of Costa Rican nutrition transitions.Journal of biosocial science · 2020Article
- Correlation Between Ideal Cardiovascular Health Metrics and Plasma hs-CRP Levels in a North China Population: One Four-Year Follow-Up Study.International journal of general medicine · 2020Article
- Spatiotemporal Variation of the Association between Urbanicity and Incident Hypertension among Chinese Adults.International journal of environmental research and public health · 2020Article
- Can Diets Be Healthy, Sustainable, and Equitable?Current obesity reports · 2019Review
- Sex differences in sociodemographic and lifestyle factors associated with diet quality in a multiethnic population.Nutrition (Burbank, Los Angeles County, Calif.) · 2019Article
- Association between socioeconomic status and diet quality in Mexican men and women: A cross-sectional study.PloS one · 2019Article
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Authors and funding
7 authors at 2 institutions in 2 countries.
Funding
Abstract
BACKGROUND/
objectivesThis study investigates secular trends in diet quality distribution and related socioeconomic disparity from 1991 to 2011 in the Chinese adult population. SUBJECTS/
methodsThe analysis uses the 1991-2011 China Health and Nutrition Survey data on 13 853 participants (6876 men and 6977 women) aged 18-65 with 56 319 responses. Dietary assessment was carried out over a 3-day period with 24-h recalls combined with a household food inventory. We tailored Alternative Healthy Eating Index 2010 (named as tAHEI) to measure diet quality and performed quantile regression to investigate shifts in tAHEI scores at different percentiles and used mixed-effect linear regression to examine average diet quality trend and potential sociodemographic disparity.
resultsThe energy-adjusted mean tAHEI scores increased from 36.9 (36.7-37.1) points in 1991 to 50.3 (50.1-50.5) in 2011 for men (P<0.001) and from 35.6 (35.4-35.8) to 46.9 (46.7-47.1) for women (P<0.001). The covariate-adjusted score of polyunsaturated fatty acids increased by 6.8 (6.6, 7.0) and 7.0 (6.9, 7.2), and the score of long-chain (ω-3) fats increased by 5.3 (5.2, 5.4) and 5.3 (5.2, 5.5) in men and women, respectively, whereas the cereal fiber and red meat scores decreased slightly. Increasing tAHEI score occurred across the entire distribution, and diet quality transition varied across sociodemographic groups.
conclusionsChinese diet quality is far from optimal, with moderate improvement over a 21-year period. Findings suggest that nutritional intervention should give priority to low-income, low-urbanized communities and southern provincial adults with low diet quality in China.
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