RESEARCH ARTICLE

Diet diversity and nutritional status among adults in southwest China Qiang Zhang1,2, Xinguang Chen2, Zhitao Liu1, Deepthi S. Varma2, Rong Wan1, Shiwen Zhao1* 1 Department of Nutrition and Food Hygiene, Yunnan Center for Disease Control and Prevention, Kunming, China, 2 Department of Epidemiology, University of Florida, Gainesville, Florida, United States of America * [email protected]

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Abstract Background With rapid urbanization in the past decades, diet diversity continues to increase in China. The present cross-sectional study aims to explore the association between dietary diversity and nutritional status among adults in southwest China.

OPEN ACCESS Citation: Zhang Q, Chen X, Liu Z, Varma DS, Wan R, Zhao S (2017) Diet diversity and nutritional status among adults in southwest China. PLoS ONE 12(2): e0172406. doi:10.1371/journal. pone.0172406 Editor: Rosely Sichieri, State University of Rio de janeiro, BRAZIL Received: July 12, 2016 Accepted: January 18, 2017 Published: February 23, 2017 Copyright: © 2017 Zhang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement: All relevant data are within the paper. Funding: The study was in part funded by research grants from Health and Family Planning Commission of Yunnan Province, China (2016NS146). This work was supported by infrastructure and staff of the department of epidemiology, University of Florida, the U.S. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Methods This study used data from 2011–2012 National Nutritional Survey in Yunnan Province, southwest China (N = 1105).Data of three consecutive 24-hour dietary recalls were used to calculate dietary diversity scores (DDS) and nutrient adequacy ratio (NAR). Body mass index and waist circumference were used to determine nutritional status. Surveylogistic procedure of SAS 9.2 software was used to examine the association between DDS and obesity by estimating odds ratio (OR) and 95% confidence intervals (CI).

Results The mean DDS was 5.2 (SD 1.1) out of nine points. Being female, younger age, belonging to Han ethnicity, having higher educational level and household income were positively associated with DDS (all P

Diet diversity and nutritional status among adults in southwest China.

With rapid urbanization in the past decades, diet diversity continues to increase in China. The present cross-sectional study aims to explore the asso...
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