Research
Adherence
Socioeconomic disparities exist in dietary improvements, with higher-income and higher-education individuals showing greater improvements in macronutrient composition and diet quality.
If you have limited resources, focus on the most impactful swaps: reducing added sugars and increasing whole grains. These changes are achievable and contribute to overall diet quality, even if progress is slower than for higher-income groups.
GoodSupportsHIGH confidence
Greater changes in low-quality carbohydrates and polyunsaturated fatty acids were observed among younger vs older individuals and among those with a higher vs lower level of education or income.
Why this rating
Based on the same large dataset, but subgroup analyses are exploratory.
Source
Trends in Dietary Carbohydrate, Protein, and Fat Intake and Diet Quality Among US Adults, 1999-2016
Zhilei Shan et al. · JAMA · 2019
cross_sectional · n=43996Cited 567×
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