Low-energy-density diets are associated with higher diet quality and higher diet costs in French adults

J Am Diet Assoc. 2007 Jun;107(6):1028-32. doi: 10.1016/j.jada.2007.03.013.

Abstract

Low-energy-density diets are often recommended for weight control. Such diets have a higher nutrient content than do high-energy-density diets. This study tested the hypothesis that energy-dense diets have a relatively low monetary cost, whereas less energy-dense diets are more expensive. In this cross-sectional study, dietary intakes of 1,474 French adults (672 men, 802 women), aged 15 to 92 years, were assessed using 7-day diet records. Dietary energy density (kcal/g) was calculated by dividing total dietary energy by the edible weight of foods and caloric beverages consumed. Diet cost ($/7 days or $/2,000 kcal) was estimated using mean national food prices for 895 foods. The relationship between dietary energy density and diet cost was examined in a linear regression model. Within each quintile of energy intakes, the more energy-dense diets were associated with lower diet quality and with lower diet costs (r(2)=0.38 to 0.44). In a regression model, the more energy-dense diets cost less, whereas low-energy-density diets cost substantially more, adjusting for energy intakes, sex, and age. The finding that energy-dense diets cost less per 2,000 kcal may help explain why the highest rates of obesity are observed among groups of limited economic means. The finding that low-energy-density diets are associated with higher diet costs suggests that lasting improvements in diet quality may require economic as well as behavioral interventions.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Costs and Cost Analysis
  • Cross-Sectional Studies
  • Diet / economics*
  • Diet / standards*
  • Diet, Reducing / economics
  • Energy Intake / physiology*
  • Female
  • Food / economics*
  • Food Analysis / economics
  • Humans
  • Linear Models
  • Male
  • Middle Aged
  • Nutritive Value
  • Obesity / diet therapy
  • Obesity / etiology*
  • Socioeconomic Factors
  • Weight Loss