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Nutrition Label Use Is Related to Chronic Conditions among Mexicans: Data from the Mexican National Health and Nutrition Survey 2016 - 23/04/20

Doi : 10.1016/j.jand.2019.07.016 
Claudia Nieto, MPH, MSc, Lizbeth Tolentino-Mayo, PhD, Eric Monterrubio-Flores, PhD, Catalina Medina, PhD, Sofia Rincón-Gallardo Patiño, MSc, Rebeca Aguirre-Hernández, PhD, Simón Barquera, PhD

Address correspondence to: Simón Barquera, PhD, Research Center of Nutrition and Health, Mexican National Institute of Public Health, Ave Universidad 655, Col Santa María Ahuacatitlán, Cuernavaca CP 62100, Morelos, Mexico.Research Center of Nutrition and HealthMexican National Institute of Public HealthAve Universidad 655, Col Santa María AhuacatitlánCuernavaca CPMorelos62100Mexico

Abstract

Background

Non-communicable diseases, such as obesity, diabetes, and hypertension, can be prevented and treated through a balanced nutrient-rich diet. Nutrition labels have been recognized as crucial to preventing obesity and non-communicable diseases through a healthier diet.

Objective

Our aim was to examine the association between nutrition label use and chronic conditions (overweight, obesity, previously diagnosed diabetes, and hypertension) among an adult Mexican population.

Design

This was a cross-sectional study that used data from the Mexican National Health and Nutrition Survey of 2016 (ENSANUT MC 2016).

Participants/setting

The participants were 5,013 adults aged 20 to 70 years old. Older adults (>70 years), illiterate participants, pregnant women, and participants with implausible blood pressure data were excluded from the sample. The survey was conducted from May to August 2016 in the participants’ households.

Main outcome measures

We measured chronic conditions (overweight, obesity, previously diagnosed diabetes, and hypertension).

Statistical analyses performed

Pearson χ2 test was used to examine the associations among the use of nutrition labels and sociodemographic characteristics and chronic conditions. Multiple logistic regression was used to determine the association between nutrition label use and chronic conditions adjusting for the effect of confounding variables like sex, age, body mass index, education level, marital status, ethnicity, residence area, region, and socioeconomic status.

Results

From the total sample, 40.9% (95% CI 38.4% to 43.8%) reported using nutrition labeling. Respondents with overweight or obesity were less likely to use nutrition labels (odds ratio 0.74; P<0.05). Participants who self-reported diabetes had significantly lower odds of nutrition label use than participants who did not report to have diabetes (odds ratio 0.66; P<0.05). Participants having 3 chronic conditions had lower odds of nutrition label use (odds ratio 0.34; P<0.01) relative to having zero chronic conditions.

Conclusions

This study suggests an association between nutrition label use and chronic conditions (obesity and diabetes). These findings demonstrate that people with obesity, diabetes, and a combination of chronic conditions were less likely to use nutrition labels than people without these conditions.

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Keywords : Nutrition label, Front of package labeling, Chronic diseases, Nutrients of concern


Plan


 STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.
 FUNDING/SUPPORT Mexican National Health and Nutrition Survey of 2016 (ENSANUT MC 2016) was funded by the Ministry of Health. This project was made possible by the generosity of Bloomberg Philanthropies, which funded grant 43003.


© 2020  Academy of Nutrition and Dietetics. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 120 - N° 5

P. 804-814 - mai 2020 Retour au numéro
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