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Nutrient Dense, Low-Cost Foods Can Improve the Affordability and Quality of the New Zealand Diet-A Substitution Modeling Study.
Starck, Carlene S; Blumfield, Michelle; Keighley, Tim; Marshall, Skye; Petocz, Peter; Inan-Eroglu, Elif; Abbott, Kylie; Cassettari, Tim; Ali, Ajmol; Wham, Carol; Kruger, Rozanne; Kira, Geoff; Fayet-Moore, Flavia.
  • Starck CS; Department of Translational Science, Nutrition Research Australia, Sydney, NSW 2000, Australia.
  • Blumfield M; Riddet Institute, Massey University, Palmerston North 4474, New Zealand.
  • Keighley T; Department of Science, Nutrition Research Australia, Sydney, NSW 2000, Australia.
  • Marshall S; Department of Science, Nutrition Research Australia, Sydney, NSW 2000, Australia.
  • Petocz P; Department of Science, Nutrition Research Australia, Sydney, NSW 2000, Australia.
  • Inan-Eroglu E; Bond University Nutrition & Dietetics Research Group, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD 4226, Australia.
  • Abbott K; Department of Science, Nutrition Research Australia, Sydney, NSW 2000, Australia.
  • Cassettari T; Department of Science, Nutrition Research Australia, Sydney, NSW 2000, Australia.
  • Ali A; Charles Perkins Centre, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2000, Australia.
  • Wham C; Nutrition Research Australia, Sydney, NSW 2000, Australia.
  • Kruger R; Department of Translational Science, Nutrition Research Australia, Sydney, NSW 2000, Australia.
  • Kira G; School of Sport, Exercise and Nutrition, College of Health, Massey University, North Shore City, Auckland 0745, New Zealand.
  • Fayet-Moore F; School of Sport, Exercise and Nutrition, College of Health, Massey University, North Shore City, Auckland 0745, New Zealand.
Int J Environ Res Public Health ; 18(15)2021 07 27.
Article in English | MEDLINE | ID: covidwho-1346480
ABSTRACT
The high prevalence of non-communicable disease in New Zealand (NZ) is driven in part by unhealthy diet selections, with food costs contributing to an increased risk for vulnerable population groups. This study aimed to (i) identify the nutrient density-to-cost ratio of NZ foods; (ii) model the impact of substituting foods with a lower nutrient density-to-cost ratio with those with a higher nutrient density-to-cost ratio on diet quality and affordability in representative NZ population samples for low and medium socioeconomic status (SES) households by ethnicity; and (iii) evaluate food processing level. Foods were categorized, coded for processing level and discretionary status, analyzed for nutrient density and cost, and ranked by nutrient density-to-cost ratio. The top quartile of nutrient dense, low-cost foods were 56% unprocessed (vegetables, fruit, porridge, pasta, rice, nuts/seeds), 31% ultra-processed (vegetable dishes, fortified bread, breakfast cereals unfortified <15 g sugars/100 g and fortified 15-30 g sugars/100 g), 6% processed (fruit juice), and 6% culinary processed (oils). Using substitution modeling, diet quality improved by 59% and 71% for adults and children, respectively, and affordability increased by 20-24%, depending on ethnicity and SES. The NZ diet can be made healthier and more affordable when nutritious, low-cost foods are selected. Processing levels in the healthier, modeled diet suggest that some non-discretionary ultra-processed foods may provide a valuable source of low-cost nutrition for food insecure populations.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Nutrients / Diet Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Child / Humans Country/Region as subject: Oceania Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph18157950

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Nutrients / Diet Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Child / Humans Country/Region as subject: Oceania Language: English Year: 2021 Document Type: Article Affiliation country: Ijerph18157950