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Article ; Online: Prevalence of micronutrient inadequacy differs by severity of food insecurity among adults living in Canada in 2015.

Hutchinson, Joy M / Tarasuk, Valerie

Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme

2024

Abstract: Household food insecurity is generally associated with poorer quality diets in Canada, but whether household food insecurity heightens the probability of inadequate micronutrient intakes is unknown. The objective of this research was to investigate how ... ...

Abstract	Household food insecurity is generally associated with poorer quality diets in Canada, but whether household food insecurity heightens the probability of inadequate micronutrient intakes is unknown. The objective of this research was to investigate how prevalence of micronutrient inadequacy differed by severity of household food insecurity among adults in Canada. Using the 2015 Canadian Community Health Survey Nutrition, this study included participants aged 19-64 years who completed up to two 24 h dietary recalls and provided details about household food insecurity (
Language	English
Publishing date	2024-04-11
Publishing country	Canada
Document type	Journal Article
ZDB-ID	2236708-1
ISSN	1715-5320 ; 1715-5312
ISSN (online)	1715-5320
ISSN	1715-5312
DOI	10.1139/apnm-2023-0614
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Article: The relationship between diet quality and the severity of household food insecurity in Canada

Hutchinson, Joy / Tarasuk, Valerie

Public health nutrition. 2022 Apr., v. 25, no. 4

2022

Abstract: To examine the relationship between the dietary quality of Canadian children and adults and household food insecurity status. Dietary intake was assessed with one 24-h recall. Households were classified as food secure or marginally, moderately or ... ...

Abstract	To examine the relationship between the dietary quality of Canadian children and adults and household food insecurity status. Dietary intake was assessed with one 24-h recall. Households were classified as food secure or marginally, moderately or severely food insecure based on their responses to the Household Food Security Survey Module. We applied multivariable analyses of variance to determine whether % energy from ultra-processed foods, fruit and vegetable intake, Healthy Eating Index (HEI) scores, macronutrient composition and micronutrient intakes per 1000 kcal differed by food insecurity status after accounting for income, education and region. Analyses were run separately for children 1–8 years and 9–18 years and men and women 19–64 years of age. Ten provinces in Canada. Respondents to the 2015 Canadian Community Health Survey-Nutrition, aged 1–64 years, with complete food insecurity data and non-zero energy intakes, N 15 909. Among adults and children, % energy from ultra-processed foods was strongly related to severity of food insecurity, but no significant trend was observed for fruit and vegetable intake or HEI score. Carbohydrate, total sugar, fat and saturated fat intake/1000 kcal did not differ by food insecurity status, but there was a significant negative trend in protein/1000 kcal among older children, a positive trend in Na/1000 kcal among younger children and inverse associations between food insecurity severity and several micronutrients/1000 kcal among adults and older children. With more severe household food insecurity, ultra-processed food consumption was higher, and diet quality was generally lower among both adults and children.
Keywords	community health ; education ; food consumption ; food quality ; food security ; fruits ; income ; saturated fats ; sugars ; surveys ; variance ; vegetable consumption ; Canada
Language	English
Dates of publication	2022-04
Size	p. 1013-1026.
Publishing place	Cambridge University Press
Document type	Article
ZDB-ID	1436024-x
ISSN	1475-2727 ; 1368-9800
ISSN (online)	1475-2727
ISSN	1368-9800
DOI	10.1017/S1368980021004031
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: The relationship between household food insecurity and overweight or obesity among children and adults in Canada: a population-based, propensity score weighting analysis.

Fafard St-Germain, Andrée-Anne / Hutchinson, Joy / Tarasuk, Valerie

Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme

2024 Volume 49, Issue 4, Page(s) 473–486

Abstract: Household food insecurity is independently associated with adverse health outcomes among Canadians, but its association with overweight and obesity is poorly understood partly because of limited attention to confounding. This study assessed the ... ...

Abstract	Household food insecurity is independently associated with adverse health outcomes among Canadians, but its association with overweight and obesity is poorly understood partly because of limited attention to confounding. This study assessed the relationship between food insecurity status and overweight/obesity in Canada. Cross-sectional data for individuals aged 2-64 years were drawn from the 2004 and 2015 Canadian Community Health Survey-Nutrition. Overweight/obesity was defined using body mass index calculated with measured height and weight. Food insecurity status was assessed with the 18-item Household Food Security Survey Module. The relationship was examined among preschool children (
MeSH term(s)	Male ; Adult ; Child, Preschool ; Humans ; Female ; Overweight/epidemiology ; Cross-Sectional Studies ; Propensity Score ; Canada/epidemiology ; Food Supply ; Obesity/epidemiology ; Food Insecurity ; North American People
Language	English
Publishing date	2024-01-15
Publishing country	Canada
Document type	Journal Article
ZDB-ID	2236708-1
ISSN	1715-5320 ; 1715-5312
ISSN (online)	1715-5320
ISSN	1715-5312
DOI	10.1139/apnm-2023-0302
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Article ; Online: The relationship between diet quality and the severity of household food insecurity in Canada.

Hutchinson, Joy / Tarasuk, Valerie

Public health nutrition

2021 Volume 25, Issue 4, Page(s) 1013–1026

Abstract: Objective: To examine the relationship between the dietary quality of Canadian children and adults and household food insecurity status.: Design: Dietary intake was assessed with one 24-h recall. Households were classified as food secure or ... ...

Abstract	Objective: To examine the relationship between the dietary quality of Canadian children and adults and household food insecurity status. Design: Dietary intake was assessed with one 24-h recall. Households were classified as food secure or marginally, moderately or severely food insecure based on their responses to the Household Food Security Survey Module. We applied multivariable analyses of variance to determine whether % energy from ultra-processed foods, fruit and vegetable intake, Healthy Eating Index (HEI) scores, macronutrient composition and micronutrient intakes per 1000 kcal differed by food insecurity status after accounting for income, education and region. Analyses were run separately for children 1-8 years and 9-18 years and men and women 19-64 years of age. Setting: Ten provinces in Canada. Participants: Respondents to the 2015 Canadian Community Health Survey-Nutrition, aged 1-64 years, with complete food insecurity data and non-zero energy intakes, N 15 909. Results: Among adults and children, % energy from ultra-processed foods was strongly related to severity of food insecurity, but no significant trend was observed for fruit and vegetable intake or HEI score. Carbohydrate, total sugar, fat and saturated fat intake/1000 kcal did not differ by food insecurity status, but there was a significant negative trend in protein/1000 kcal among older children, a positive trend in Na/1000 kcal among younger children and inverse associations between food insecurity severity and several micronutrients/1000 kcal among adults and older children. Conclusions: With more severe household food insecurity, ultra-processed food consumption was higher, and diet quality was generally lower among both adults and children.
MeSH term(s)	Adolescent ; Adult ; Canada ; Child ; Diet ; Female ; Food Insecurity ; Food Supply ; Fruit ; Humans ; Male ; Middle Aged ; Young Adult
Language	English
Publishing date	2021-09-23
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1436024-x
ISSN	1475-2727 ; 1368-9800
ISSN (online)	1475-2727
ISSN	1368-9800
DOI	10.1017/S1368980021004031
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Heightened Nutritional Vulnerability Among Food-insecure Canadians in 2015 Than 2004 (P04-053-19)

Hutchinson, Joy / Tarasuk, Valerie

Current developments in nutrition. 2019 June 13, v. 3, no. Supplement_1

2019

Abstract: Household food insecurity is a persistent public health issue in Canada. Analyses of dietary intake data from the 2004 Canadian Community Health Survey (CCHS) showed heightened nutritional vulnerability among adults and, to a lesser degree, children in ... ...

Abstract	Household food insecurity is a persistent public health issue in Canada. Analyses of dietary intake data from the 2004 Canadian Community Health Survey (CCHS) showed heightened nutritional vulnerability among adults and, to a lesser degree, children in food-insecure households. Given the rise in food prices since 2004, people in food-insecure households may now be at heightened nutritional risk. The objective of this study is to determine how nutritional vulnerability associated with household food insecurity has changed between 2004 and 2015. Dietary intake was assessed on the 2004 CCHS Nutrition (n = 35,107) and 2015 CCHS Nutrition (n = 20,487) using 24-hour recalls, with household food insecurity assessed using the Household Food Security Survey Module. The National Cancer Institute method was used to estimate usual intakes of nutrients of public health concern (calcium, magnesium, vitamin A, vitamin C, folate, zinc, potassium) for food-insecure participants, by survey year, considering children 1–8 years (yr) and 9–18 yr and male and female adults, 19–64 yr. Prevalence of nutrient inadequacy was assessed using the EAR cut-point approach. Differences in usual intake and prevalence of inadequacy between surveys were assessed using t-tests. Weighted bootstrap technique was utilised to generate variance estimates. In 2004 and 2015, 8.4% of individuals lived in moderately or severely food-insecure households. Mean usual intakes were lower and prevalence of nutrient inadequacy were higher across groups in 2015 than 2004, but not all differences were statistically significant. Differences in mean potassium and vitamin C intakes were significant in all groups; differences for folate and magnesium were significant in all groups except older children. Calcium was significantly lower in all groups except adult males, and vitamin A was significantly lower in all groups except young children. Young children had significantly lower intakes of zinc. Older children and male adults had significantly higher prevalence of inadequacy for vitamin C. Nutritional vulnerability associated with household food insecurity has worsened over time in Canada and remains an area in need of intervention. Ontario Graduate Scholarship, Canada Graduate Scholarship-Masters, Canadian Institutes of Health Research.
Keywords	adults ; ascorbic acid ; calcium ; Canadians ; children ; females ; folic acid ; food intake ; food prices ; food security ; health surveys ; households ; magnesium ; males ; nutrients of public health concern ; nutrition risk assessment ; potassium ; public health ; t-test ; variance ; vitamin A ; zinc ; Ontario
Language	English
Dates of publication	2019-0613
Publishing place	Oxford University Press
Document type	Article
ISSN	2475-2991
DOI	10.1093/cdn/nzz051.P04-053-19
Database	NAL-Catalogue (AGRICOLA)

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Article: Micronutrient deficiencies are frequent in adult patients with and without celiac disease on a gluten-free diet, regardless of the duration and adherence to the diet

Jivraj, Aseera / M Hutchinson, Joy / Ching, Emily / Marwaha, Avantika / F Verdu, Elena / Armstrong, David / Ines Pinto-Sanchez, M

Nutrition. 2022 July 23,

2022

Abstract: The only treatment for celiac disease (CD) is a strict gluten-free diet (GFD). Nutritional deficiencies are common in CD; however, how this is influenced by the presence of symptoms, duration of CD, and compliance of GFD is less clear. The objective of ... ...

Abstract	The only treatment for celiac disease (CD) is a strict gluten-free diet (GFD). Nutritional deficiencies are common in CD; however, how this is influenced by the presence of symptoms, duration of CD, and compliance of GFD is less clear. The objective of this study was to compare nutritional deficiencies in CD patients to non-celiac populations on a GFD. Secondary outcomes were to compare deficiencies in short-term (<2yrs) vs long-term (≥2yrs) GFD, and in those with persistent symptoms vs asymptomatic. We included patients attending the McMaster Celiac Clinic from June 2018-August 2020. GFD adherence was assessed by Celiac Dietary Adherence Test and CD serology, vitamins and trace minerals were measured in blood samples. We enrolled 221 patients: 182 CD and 39 controls. Overall, 103/182 (56.6%) of CD were following a GFD for >2 years and 69.2% (119/182) were symptomatic. The most common micronutrient deficiencies were zinc (48.3%), ferritin (16.9%), and vitamin D (33.3%). There were no differences in micronutrient deficiencies between CD and non-celiac controls, between short and long-term GFD, nor between those strictly compliant with GFD compared to those who were fairly compliant (p>0.05). This data suggests that nutrient deficiencies may be related more to GFD nutritional inadequacy rather than malabsorption.
Keywords	adults ; blood ; celiac disease ; compliance ; ferritin ; gluten-free diet ; serology ; zinc
Language	English
Dates of publication	2022-0723
Publishing place	Elsevier Inc.
Document type	Article
Note	Pre-press version
ZDB-ID	639259-3
ISSN	1873-1244 ; 0899-9007
ISSN (online)	1873-1244
ISSN	0899-9007
DOI	10.1016/j.nut.2022.111809
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Micronutrient deficiencies are frequent in adult patients with and without celiac disease on a gluten-free diet, regardless of duration and adherence to the diet.

Jivraj, Aseera / Hutchinson, Joy M / Ching, Emily / Marwaha, Avantika / Verdu, Elena F / Armstrong, David / Pinto-Sanchez, M Ines

Nutrition (Burbank, Los Angeles County, Calif.)

2022 Volume 103-104, Page(s) 111809

Abstract: Objectives: The only treatment for celiac disease (CD) is a strict gluten-free diet (GFD). Nutritional deficiencies are common in CD; however, how this is influenced by the presence of symptoms, duration of CD, and compliance of GFD is less clear. The ... ...

Abstract	Objectives: The only treatment for celiac disease (CD) is a strict gluten-free diet (GFD). Nutritional deficiencies are common in CD; however, how this is influenced by the presence of symptoms, duration of CD, and compliance of GFD is less clear. The objective of this study was to compare nutritional deficiencies in patients with CD to those of nonceliac populations on a GFD. The secondary outcomes were to compare deficiencies in short- (<2 y) versus long-term (≥2 y) GFD, and in those with persistent symptoms versus asymptomatic. Methods: We included patients seen at the McMaster Celiac Clinic from June 2018 to August 2020. GFD adherence was assessed with the Celiac Dietary Adherence Test, and CD serology, vitamins, and trace minerals were measured in blood samples. We enrolled 221 patients, including 182 patients with CD and 39 controls. Results: Overall, 103 of 182 patients with CD (56.6%) were following a GFD for >2 y and 119 patients (69.2%) were symptomatic. The most common micronutrient deficiencies were zinc (48.3%), ferritin (16.9%), and vitamin D (33.3%). There were no differences in micronutrient deficiencies between patients with CD and nonceliac controls, short- and long-term GFDs, or those strictly compliant with GFD and those who were fairly compliant (P > 0.05). Conclusions: These data suggest that nutrient deficiencies may be related more to GFD nutritional inadequacy rather than malabsorption.
MeSH term(s)	Adult ; Humans ; Diet, Gluten-Free ; Celiac Disease ; Malnutrition/complications ; Patient Compliance ; Vitamins
Chemical Substances	Vitamins
Language	English
Publishing date	2022-07-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	639259-3
ISSN	1873-1244 ; 0899-9007
ISSN (online)	1873-1244
ISSN	0899-9007
DOI	10.1016/j.nut.2022.111809
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Book ; Online: Challenges for Predictive Modeling with Neural Network Techniques using Error-Prone Dietary Intake Data

Spicker, Dylan / Nazemi, Amir / Hutchinson, Joy / Fieguth, Paul / Kirkpatrick, Sharon I. / Wallace, Michael / Dodd, Kevin W.

2023

Abstract: Dietary intake data are routinely drawn upon to explore diet-health relationships. However, these data are often subject to measurement error, distorting the true relationships. Beyond measurement error, there are likely complex synergistic and sometimes ...

Abstract	Dietary intake data are routinely drawn upon to explore diet-health relationships. However, these data are often subject to measurement error, distorting the true relationships. Beyond measurement error, there are likely complex synergistic and sometimes antagonistic interactions between different dietary components, complicating the relationships between diet and health outcomes. Flexible models are required to capture the nuance that these complex interactions introduce. This complexity makes research on diet-health relationships an appealing candidate for the application of machine learning techniques, and in particular, neural networks. Neural networks are computational models that are able to capture highly complex, nonlinear relationships so long as sufficient data are available. While these models have been applied in many domains, the impacts of measurement error on the performance of predictive modeling has not been systematically investigated. However, dietary intake data are typically collected using self-report methods and are prone to large amounts of measurement error. In this work, we demonstrate the ways in which measurement error erodes the performance of neural networks, and illustrate the care that is required for leveraging these models in the presence of error. We demonstrate the role that sample size and replicate measurements play on model performance, indicate a motivation for the investigation of transformations to additivity, and illustrate the caution required to prevent model overfitting. While the past performance of neural networks across various domains make them an attractive candidate for examining diet-health relationships, our work demonstrates that substantial care and further methodological development are both required to observe increased predictive performance when applying these techniques, compared to more traditional statistical procedures.
Keywords	Computer Science - Machine Learning ; Statistics - Applications
Subject code	006
Publishing date	2023-11-15
Publishing country	us
Document type	Book ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The Canadian Food Intake Screener for assessing alignment of adults' dietary intake with the 2019 Canada's Food Guide healthy food choices recommendations: scoring system and construct validity.

Hutchinson, Joy M / Dodd, Kevin W / Guenther, Patricia M / Lamarche, Benoit / Haines, Jess / Wallace, Angela / Perreault, Maude / Williams, Tabitha E / Louzada, Maria Laura da Costa / Jessri, Mahsa / Lemieux, Simone / Olstad, Dana Lee / Prowse, Rachel / Simpson, Janis Randall / Vena, Jennifer E / Szajbely, Kathleen / Kirkpatrick, Sharon I

Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme

2023 Volume 48, Issue 8, Page(s) 620–633

Abstract: Novelty: The Canadian Food Intake Screener was developed to rapidly assess alignment of dietary intake with the Canada's Food Guide-2019 healthy food choices recommendations. Scoring is aligned with the Healthy Eating Food Index-2019 to the extent ... ...

Abstract	Novelty: The Canadian Food Intake Screener was developed to rapidly assess alignment of dietary intake with the Canada's Food Guide-2019 healthy food choices recommendations. Scoring is aligned with the Healthy Eating Food Index-2019 to the extent possible. Among a sample of adults, reasonable variation in screener scores was noted, mean screener scores differed between some subgroups with known differences in diet quality, and a moderate correlation between screener scores and total Healthy Eating Food Index-2019 scores based on repeat 24 h dietary recalls was observed. The Canadian Food Intake Screener has moderate construct validity for rapid assessment of overall alignment of adults' dietary intake with the Canada's Food Guide-2019 healthy food choices recommendations.
Language	English
Publishing date	2023-05-10
Publishing country	Canada
Document type	Journal Article
ZDB-ID	2236708-1
ISSN	1715-5320 ; 1715-5312
ISSN (online)	1715-5320
ISSN	1715-5312
DOI	10.1139/apnm-2023-0018
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Article ; Online: Construct validity and reliability of the Canadian Eating Practices Screener to assess eating practices based on 2019 Canada's Food Guide recommendations.

Perreault, Maude / Wallace, Angela / Martin, Alicia / Sadowski, Adam / Laila, Amar / Lemieux, Simone / Hutchinson, Joy M / Kirkpatrick, Sharon I / Simpson, Janis Randall / Guenther, Patricia M / Lamarche, Benoît / Jessri, Mahsa / Louzada, Maria Laura da Costa / Olstad, Dana Lee / Prowse, Rachel / Vatanparast, Hassan / Haines, Jess

Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme

2023 Volume 48, Issue 12, Page(s) 919–931

Abstract: For the first time since its introduction, the 2019 Canada's Food Guide (2019-CFG) highlighted specific guidance on eating practices, i.e., recommendations on where, when, why, and how to eat. The Canadian Eating Practices Screener / Questionnaire court ... ...

Abstract	For the first time since its introduction, the 2019 Canada's Food Guide (2019-CFG) highlighted specific guidance on eating practices, i.e., recommendations on where, when, why, and how to eat. The Canadian Eating Practices Screener / Questionnaire court canadien sur les pratiques alimentaires was developed to assess eating practices based on the 2019-CFG healthy eating recommendations. The objective of this cross-sectional study was to assess the construct validity and reliability of the Canadian Eating Practices Screener. From July to December 2021, adults (
MeSH term(s)	Canada ; Cross-Sectional Studies ; Reproducibility of Results ; Feeding Behavior ; Fruit ; Surveys and Questionnaires ; Eating
Language	English
Publishing date	2023-10-03
Publishing country	Canada
Document type	Journal Article
ZDB-ID	2236708-1
ISSN	1715-5320 ; 1715-5312
ISSN (online)	1715-5320
ISSN	1715-5312
DOI	10.1139/apnm-2023-0080
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