ArticleEuropean journal of clinical nutrition2025
Misperception of diet quality among US adults: implications for cardiometabolic health promotion.
Article in European journal of clinical nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Evaluating the impact of a multi-year produce prescription program on fruit and vegetable intake, and food security in south central New York.The international journal of behavioral nutrition and physical activity · 2026Article
- Development and Construct Validation of a Food-Based Diet Quality Score Using Image-Based Food Records.Nutrients · 2026Article
- Examining Nutritional Vulnerability in an Under-Resourced Community in Northeastern Connecticut.Nutrients · 2026Article
- The contribution of moderation foods to total energy intake by sociodemographic characteristics in U.S. adults: National Health and Nutrition Examination Survey, 2017 - 2020.medRxiv : the preprint server for health sciences · 2025Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiet is pivotal in preventing and managing cardiometabolic diseases. Our study aimed to describe the prevalence of poor diet quality and perceiving a poor diet as healthy and to determine individual-level factors associated with these groups.
methodsThis cross-sectional study analyzed seven 2-year cycles of National Health and Nutrition Examination Survey (NHANES) data from 2005 to 2018, which included non-pregnant adults between 20 and 85 years old, who completed a one-day 24-h dietary recall and dietary interview. Diet quality was measured using the American Heart Association (AHA) primary diet score, and perceived diet quality was based on NHANES questionnaire response.
resultsAmong 31,644 adults, the prevalence of poor diet quality was 47%. Male sex and smoking were associated with a higher risk of poor diet quality, while older age, higher levels of education, increased income, diabetes mellitus diagnosis, and increased vigorous activity levels were associated with a lower risk of poor diet quality. Among adults with poor diet quality (n = 14,952), 23% perceived their diet as healthy. In multivariable analysis, older age, higher education, and vigorous activity level were associated with a higher risk of perceiving a poor diet as healthy.
conclusionsNearly half of US adults had poor diet quality based on AHA guidelines for cardiovascular health, yet nearly a quarter of them perceived their diet as healthy. This gap underscores the need for focused educational efforts and interventions in both healthcare and public health settings to dispel diet-related misperceptions and motivate the adoption of a healthier diet to address cardiometabolic health.
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