ArticlePublic health nutrition2021
The association between purchasing locally produced food and diet quality among adults in Puerto Rico.
Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Food Security Dimensions in US Disaster Plans: A Comparative Analysis of States and Territories.Disaster medicine and public health preparedness · 2025Article
- Local food procurement behavior and overall diet quality among adults in Québec: results from the NutriQuébec project.Nutrition journal · 2024Article
- Cardiovascular Health Among Young Men and Women in Puerto Rico as Assessed by the Life's Essential 8 Metrics.Journal of the American Heart Association · 2024Article
- Diet quality and anxiety: a critical overview with focus on the gut microbiome.Frontiers in nutrition · 2024Article
- Neo-Traditional and Industrialized Dietary Patterns Coexist and Are Differentially Associated with Cardiometabolic Health among Adults in Puerto Rico.The Journal of nutrition · 2023Observational
- The Role of Agricultural Systems in Teaching Kitchens: An Integrative Review and Thoughts for the Future.Nutrients · 2023Review
- Community Forums as Amplifiers of Communities' Voices: Isolated Communities in Puerto Rico.International journal of environmental research and public health · 2023Article
- Assessing the Emergency Response Role of Community-Based Organizations (CBOs) Serving People with Disabilities and Older Adults in Puerto Rico Post-Hurricane María and during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Review
- Reclaiming traditional, plant-based, climate-resilient food systems in small islands.The Lancet. Planetary health · 2022Review
- Association of a Single-Item Self-Rated Diet Construct With Diet Quality Measured With the Alternate Healthy Eating Index.Frontiers in nutrition · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveDiminished diet quality in the Caribbean and other island settings may be related to a dietary transition from local foods towards imported products. The current study aimed to characterise the association between intentionally purchasing local foods (IPLF) and diet quality in Puerto Rico (PR).
designCross-sectional study.
settingPrimary care clinics in the PR metropolitan area.
participantsData were obtained from adult participants (30-75 years; n 243) of the Puerto Rico Assessment of Diet, Lifestyle, and Diseases. IPLF was probed by asking: 'How often do you purposely purchase foods from PR (like fruits, vegetables, meat and other products that are produced on the island rather than being imported)?' Dietary intake was measured using a FFQ, and diet quality was assessed by the Alternate Healthy Eating Index (range 0-110; higher scores indicating higher diet quality). Multivariate-adjusted generalised linear models tested the association between IPLF and Alternate Healthy Eating Index 2010 (AHEI) and its component scores.
resultsA third (33·9 %) of participants reported seldom, 33·5 % reported often and 30·6 % reported always IPLF. Compared with seldom IPLF, fully adjusted mean AHEI scores were 3·6 (P = 0·038) points higher among those often IPLF and 9·3 (P < 0·0001) points higher among those always IPLF. Compared with seldom IPLF, those who always IPLF had significantly higher fully adjusted mean component scores for vegetables, fruits, whole grains, nuts and legumes, trans fat and n-3 fats.
conclusionsAdults in PR who intentionally purchase local foods had higher diet quality, especially for intake of plant-based foods and healthy fats, highlighting potential dietary benefits associated with improved local food availability in PR.
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