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CompletedNCT03266497Updated Aug 30, 2017

Diet Quality Among U.S.-Born and Foreign-born Non-Hispanic Blacks

An observational study in Diet Habit, sponsored by Sara C. Folta. Completed. Open to participants aged 22 Years to 79 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-08-30.

Sponsored by Sara C. Folta · Observational

Study type
Observational
Model
Other
Time perspective
Cross-sectional
Enrollment
4,243
Ages
22 Years to 79 Years
Sex
All
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Study summary

This study compares the diet quality between U.S.-born and foreign-born non-Hispanic Blacks using pooled NHANES data.

Read the detailed description

This study uses the Alternative Healthy Eating Index-2010 (AHEI-2010) and Dietary Approach to Stop Hypertension (DASH) scores to compare diet quality between U.S.-born (n=3,837) and foreign-born (n=406) non-Hispanic Black adults aged 22-79y, based on pooled nationally representative data (NHANES 2003-2012); as well as by length of U.S. residency. Association between nativity and diet quality was done using multivariable-adjusted linear regression for the continuous total diet quality scores and their components, or multinomial (polytomous) logistic regression for categorical tertiles (low, medium, or high) of the total scores and their components. The study found that foreign-born Blacks had significantly higher AHEI-2010 and DASH scores compared to U.S-born Blacks, and more favorable intakes for many of the score components. Among foreign-born Blacks, diet quality did not significantly differ by length of residency. Foreign-born Blacks were more likely to be in the high than low tertile for fruit (including and excluding fruit juice), vegetables (excluding starchy vegetables), percent whole grains, and omega-3 fatty acids. Overall, the study suggests that foreign-born Blacks have better diet quality compared to their U.S.-born counterparts. Considering nativity among U.S. Blacks in nutrition research and public health efforts may therefore improve accuracy of characterizing dietary intakes and facilitate development of targeted nutrition interventions to reduce diet-related diseases in the diverse Black population in the U.S.

02

Conditions studied

  • Diet Habit

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Keywords

  • diet quality
  • health disparities
  • immigrants
  • foreign-born
  • Blacks/African Americans
  • place of birth/nativity
  • length of residency
  • NHANES
  • acculturation
03

In context

Feeding Behavior

985 studies on the registry are indexed under Feeding Behavior; 178 are open to participants now.

This study's enrollment of 4,243 is above the median of 183 across 270 observational studies indexed under Feeding Behavior.

Browse Feeding Behavior studies →

Lead sponsor

This is the only study on the registry with Sara C. Folta as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
22 Years to 79 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

The study population comprised 4,243 non-Hispanic Blacks, including 3,837 U.S.-born (90.4%) and 406 foreign-born (9.6%). Compared to U.S.-born Blacks, a higher proportion of foreign-born Blacks were male, had attained a higher level of education, were classified as normal or overweight, had never been a smoker, engaged in physical activity, and had lower energy intake. In comparison to those who were in the U.S. for \<10 years, more foreign-born Blacks who were in the U.S. for ≥30 years were current smokers (14.8% vs. 5.0%, respectively), had higher income (IPR of ≥4.00: 43.5% vs 7.9%, respectively), and a higher percent with a college degree or higher (39.4% vs. 18.3%, respectively). Foreign-born Blacks residing in the U.S. for ≥30 years reported higher BMI in comparison to those residing in the U.S. for \<10 years (28.8 vs. 26.7 kg/m2).

Eligibility criteria

Inclusion Criteria:

  • 22-79

Exclusion Criteria:

  • Pregnant subjects
  • Energy intakes of ≤600 kcal and ≥ 4800 kcal
  • No dietary data available
05

Study design

Observational model
Other
Time perspective
Cross-sectional
Enrollment
4,243 participants (actual)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Adapted AHEI-2010

    Components include: fruit (excluding fruit juice) (s/d); vegetables (excluding white potatoes) (s/d); whole grains (oz-equivalents/d); sugar-sweetened beverages (s/d); nuts, legumes, and vegetable protein (oz-equivalents/d); red/processed meat (s/d); long-chain omega-3 fats (EPA+DHA; mg/d); polyunsaturated fats (PUFA; % kcal/d); sodium (mg/d); and alcohol (drinks/d). Potential range of 0-100 points and higher scores indicative of higher diet quality

    Time frame: 2003-2012

Secondary outcomes

  1. Adapted DASH score

    Quintile-, food-based dietary score assessing adherence to the DASH diet, which was developed as a dietary approach to prevent and treat hypertension. Components of the revised score include vegetables, fruit, whole grains, nuts and legumes, sodium, red and processed meat, and sugar-sweetened beverages.

    Time frame: 2003-2012

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 30, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03266497
Lead sponsor
Sara C. Folta
Responsible party
Sara C. Folta (Associate Professor, Tufts University) — Sponsor-investigator
First posted
Aug 30, 2017
Start date
Jan 2003
Primary completion
Dec 2012
Completion
Dec 2012
Last update
Aug 30, 2017

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2017. You cannot join it, but the record below documents what was studied.

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