Relation between the Supplemental Nutritional Assistance Program cycle and dietary quality in low-income African Americans in Baltimore, Maryland

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dc.contributor.author Kharmats, Anna Y.
dc.contributor.author Jones-Smith, Jessica C.
dc.contributor.author Cheah, Yun Sang
dc.contributor.author Budd, Nadine
dc.contributor.author Flamm, Laura
dc.contributor.author Cuccia, Alison
dc.contributor.author Mui, Yeeli
dc.contributor.author Trude, Angela [UNIFESP]
dc.contributor.author Gittelsohn, Joel
dc.date.accessioned 2016-01-24T14:37:11Z
dc.date.available 2016-01-24T14:37:11Z
dc.date.issued 2014-05-01
dc.identifier http://dx.doi.org/10.3945/ajcn.113.075994
dc.identifier.citation American Journal of Clinical Nutrition. Bethesda: Amer Soc Nutrition-asn, v. 99, n. 5, p. 1006-1014, 2014.
dc.identifier.issn 0002-9165
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/37703
dc.description.abstract Background: There has been limited research regarding the Supplemental Nutritional Assistance Program (SNAP) and recipients' dietary quality during the days and weeks after benefit disbursement.Objective: We examined the relation between participants' stages in the SNAP cycle and their macronutrient consumption, Healthy Eating Index (HE!) scores, and fruit and vegetable intake.Design: in this cross-sectional study, we analyzed single 24-h dietary recalls collected from 244 African American SNAP participants recruited near 24 corner stores in Baltimore City. A multiple linear regression analysis and bootstrapping were used.Results: Among participants who received a SNAP benefit <= 15 d before being surveyed, energy intake adjusted for minimum energy requirements (-4.49%; 95% Cl: -8.77%, -0.15%) and HEI dairy. scores (-0.12; 95% CI: -0.22, -0.01) were lower for each 1-d increase in the time since SNAP distribution (TSSD). Among participants who received SNAP benefits >15 d before being surveyed, energy intake (1.35%; 95% CI: 0.01%, 2.73%), energy intake adjusted for minimum energy requirements (3.86%; 95% CI: 0.06%. 7.96%), total fat intake (1.96%; 95% CI: 0.29%, 3.8%), saturated fat intake (2.02%; 95% Cl: 0.23%, 4.01%), and protein intake (2.09%; 95% Cl: 0.70%, 3.62%) were higher per each 1-d increase in the TSSD.Conclusions: These findings suggest that the relation between the TSSD and macronutrient intake might be U-shaped, with higher intake of calories, fat, and protein in individuals in the very early and late stages of their SNAP cycles. Foods high in these nutrients might be cheaper, more accessible, and have a longer shelf-life than healthier options, such as fruit, vegetables, and whole grains, for SNAP participants when their benefits run out. Additional efforts are needed to investigate the effect of the TSSD on dietary intake by using a longitudinal design and to improve the quality of dietary intake in African American SNAP participants. en
dc.description.sponsorship National Heart, Lung, and Blood Institute
dc.description.sponsorship Kruse Family Publications Award
dc.format.extent 1006-1014
dc.language.iso eng
dc.publisher Amer Soc Nutrition-asn
dc.relation.ispartof American Journal of Clinical Nutrition
dc.rights Acesso aberto
dc.title Relation between the Supplemental Nutritional Assistance Program cycle and dietary quality in low-income African Americans in Baltimore, Maryland en
dc.type Artigo
dc.contributor.institution Johns Hopkins Sch Publ Health
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Johns Hopkins Sch Publ Health, Dept Int Hlth, Baltimore, MD USA
dc.description.affiliation Johns Hopkins Sch Publ Health, Dept Hlth Behav & Soc, Baltimore, MD USA
dc.description.affiliation Universidade Federal de São Paulo, Dept Hlth Sci, São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Dept Hlth Sci, São Paulo, Brazil
dc.description.sponsorshipID National Heart, Lung, and Blood Institute: 1R21HL102812-01A1
dc.identifier.doi 10.3945/ajcn.113.075994
dc.description.source Web of Science
dc.identifier.wos WOS:000334895700008



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