Abstract

PurposeUnderstanding whole-grain intake and its associated factors is essential to tackle the double burden of malnutrition faced by Latin American countries. This study aimed to characterize total and whole grain intake in Latin American countries and to investigate foods contributing to these intake in the region.MethodsData were obtained from the multicenter cross-sectional survey Latin American Study of Nutrition and Health (ELANS), including 9128 participants residing in urban areas of eight Latin American countries. Data collection was performed via two household visits using a standardized questionnaire and two 24 h dietary recalls. Usual dietary intake of total grain foods and foods containing whole grains was estimated. The association between the intake of grain food groups and sociodemographic variables was investigated using multiple linear regression models with random intercepts.ResultsMean intake of total grain foods and foods containing whole grains was 318.6 g/d and 14.7 g/d, respectively. Total grain foods were less consumed by participants at older ages (−9.8 g/d), and females (−9.9 g/d), and more consumed by those in the lowest socioeconomic category (24.8 g/d). Foods containing whole grains were more consumed by participants at older ages (3.3 g/d), and females (4.0 g/d), while those in the lowest socioeconomic category consumed 2.9 g/d less. Major contributors to energy provided from foods containing whole grains were oatmeal, masa harina, whole-wheat bread, corn chips, and wheat crackers.ConclusionThe intake of grain foods represented a substantial part of the Latin American population’s diet, but the intake of foods containing whole grains was extremely low in all assessed countries.

Highlights

  • Low whole grain (WG) intake is one of the main dietary risk factors contributing to deaths and disability-adjusted life-years (DALYs) globally, in particular, due to cardiovascular diseases and type 2 diabetes [1]

  • The intake of grain foods represented a substantial part of the Latin American population’s diet, but the intake of foods containing whole grains was extremely low in all assessed countries

  • A total of 695 grain food products were identified in ELANS dataset, including 206 (29.6%) grain foods containing WG, and 148 (21.3%) grain foods containing > 50% WG

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Summary

Introduction

Low whole grain (WG) intake is one of the main dietary risk factors contributing to deaths and disability-adjusted life-years (DALYs) globally, in particular, due to cardiovascular diseases and type 2 diabetes [1]. Inadequate WG intake is linked to high economic burden, and even small increases in WG consumption may lead to health improvement as well as reduced health system burden, being considered a cost-saving strategy [2,3,4]. Most nutrition surveillance surveys do not have WG intake estimations, since its assessment is still a challenging task. Variations in the definition of WG, labelling issues, and the lack of WG content in food composition tables make it difficult to estimate and compare WG intake between countries. Available data suggest that WG intake is far below recommended levels, especially among countries where grain foods are usually consumed as refined grains [3, 5]. Understanding WG intake as well as associated sociodemographic characteristics is essential to inform policymakers and stakeholders to reduce related disease burden

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