Dietary Patterns and Years Living in the United States by Hispanic/Latino Heritage in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

Luis E. Maldonado, Linda S. Adair, Daniela Sotres-Alvarez, Josiemer Mattei, Yasmin Mossavar-Rahmani, Krista M. Perreira, Martha L. Daviglus, Linda V. Van Horn, Linda C. Gallo, Carmen R. Isasi, Sandra S. Albrecht

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Previous diet findings in Hispanics/Latinos rarely reflect differences in commonly consumed and culturally relevant foods across heritage groups and by years lived in the United States. Objectives: We aimed to identify and compare a posteriori heritage-specific dietary patterns (DPs) and evaluate their associations with "healthfulness"[using the Alternative Healthy Eating Index-2010 (AHEI-2010)] and years living in the United States. Methods: We used baseline data from a population-based cohort of 14,099 Hispanics/Latinos aged 18-74 y in the Hispanic Community Health Study/Study of Latinos. We performed principal factor analysis using two 24-h recalls to derive DPs, separately, in each heritage group (Cuban, Dominican, Mexican, Puerto Rican, Central American, and South American), and identified overarching DPs based on high-loading foods shared by ≥2 groups. We used multivariable linear regression to test associations of DPs with AHEI-2010 and years living in the United States. Results: We identified 5 overarching DPs (Burgers, Fries, & Soft Drinks; White Rice, Beans, & Red Meats; Fish; Egg & Cheese; and Alcohol). All Burgers, Fries, & Soft Drinks DPs were inversely associated with AHEI-2010, whereas all Fish DPs (except Dominican) were positively associated with this index (all P-trend < 0.001). White Rice, Beans, & Red Meats DPs showed inverse associations in Cuban and Central American groups and positive associations in Mexican-origin individuals (all P-trend < 0.001). Fewer years living in the United States was associated with higher scores for White Rice, Beans, & Red Meats DPs in Cuban and Mexican heritage groups and lower scores on Burgers, Fries, & Soft Drinks DPs in Cuban, Mexican, and Puerto Rican groups (all P-trend < 0.01). Conclusions: Our findings show substantial variation in DPs across Hispanics/Latinos and adherence to DPs by time in the United States, which could inform dietary interventions targeting this diverse US population. This trial was registered at clinicaltrials.gov as NCT02060344.

Original languageEnglish (US)
Pages (from-to)2749-2759
Number of pages11
JournalJournal of Nutrition
Volume151
Issue number9
DOIs
StatePublished - Sep 1 2021

Keywords

  • HCHS/SOL
  • Hispanics/Latinos
  • a posteriori
  • diet
  • dietary acculturation
  • dietary patterns
  • heritage
  • nativity
  • principal factor analysis

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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