Assessing and Monitoring Nutrition Security in the United States: A Narrative Review of Current Measures and Instruments
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Published:2024-06-25
Issue:3
Volume:13
Page:639-667
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ISSN:2161-3311
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Container-title:Current Nutrition Reports
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language:en
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Short-container-title:Curr Nutr Rep
Author:
Kenney Emma,Adebiyi Victoria O.,Seligman Hilary K.,Ehmke Mariah D.,Guthrie Joanne F.,Coleman-Jensen Alisha,Frongillo Edward A.
Abstract
Abstract
Purpose of Review
Because nutrition plays a crucial role in the development of chronic diseases, ensuring nutrition security is important for promoting population health. Nutrition security is defined as having consistent and equitable access to healthy, safe, affordable foods essential to optimal health and well-being. Distinguished from food security, nutrition security consists of two constructs: healthy diets and nutritional status. The study aimed to identify population measures that reflect the important constructs of nutrition security (i.e., healthy diets and nutritional status) to inform U.S. nutrition security assessment and monitoring.
Recent Findings
Through a narrative review conducted across multiple databases, associations between subconstructs of healthy diets and nutritional status were identified. Of the six subconstructs that constitute healthy diets, nutrient adequacy and moderation were most often used to assess and monitor healthfulness of U.S. population diets and were associated with health outcomes. There is little evidence of an association between health outcomes and macronutrient balance or diversity in the U.S. Thirteen instruments were identified as potentially suitable for measuring at least one subconstruct of healthy diet in the population.
Summary
This review highlights the importance of nutrition security in addressing population health challenges. It emphasizes the potential use of multiple instruments and measures to comprehensively monitor population nutrition security and inform intervention strategies. Identifying feasible and practical measures for assessing and monitoring nutrition security is imperative for advancing population health and mitigating the burden of chronic diseases.
Funder
Economic Research Service,United States
University of South Carolina
Publisher
Springer Science and Business Media LLC
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