Lutski Miri, Stark Aliza H, Dichtiar Rita, Lubel Shay Y, Ornan Efrat Monsonego, Sinai Tali
School of Nutritional Sciences, The Robert H. Smith Faculty of Agriculture, Food and Environment, The Hebrew University of Jerusalem, Rehovot, Israel.
Israel Center for Disease Control, Israel Ministry of Health, Ramat Gan, Israel.
Prev Chronic Dis. 2025 Jun 26;22:E31. doi: 10.5888/pcd22.240426.
Whether using nutrition facts labels (NFLs) leads to adherence to higher-quality dietary patterns - such as the Dietary Approaches to Stop Hypertension (DASH) diet, which is associated with lower risk of chronic diseases - is unclear. We investigated whether people aged 21 to 64 years who use NFLs were more likely to adhere to the DASH dietary pattern.
We analyzed data from the nationally representative, cross-sectional Israeli National Health and Nutrition Survey for Adults from 2014-2016. Adherence to the DASH diet was determined from a single 24-hour dietary recall using a DASH score calculated on the basis of adherence to 9 nutrient targets. Multivariable logistic regression was used to estimate odds ratios (ORs) and 95% CIs for DASH accordance (DASH score ≥4.5 [accordant] vs DASH score <4.5 [nonaccordant]) and for each separate nutrient target of the DASH diet.
The data set comprised 2,579 participants (NFL users, n = 931 [36.1%]). Of the NFL users, 299 (32.1%) were classified as DASH accordant, compared with 339 (20.6%) of the non-NFL users. After adjusting for potential confounders, the OR for DASH adherence among NFL users was 1.52 (95% CI, 1.20-1.93) compared with non-NFL users. Compared with non-NFL users, NFL users' odds of meeting individual DASH nutrient targets were 1.30 (95% CI, 1.06-1.59) for protein; 1.46 (95% CI, 1.17-1.81) for dietary fiber; 1.48 (95% CI, 1.18-1.85) for magnesium; 1.38 (95% CI, 1.12-1.70) for calcium; and 1.60 (95% CI, 1.30-1.97) for potassium. Age, female sex, and performing recommended physical activity were associated with DASH adherence.
These results highlight the importance of nutrition education and awareness, as well as the potential role of NFLs in promoting healthier dietary habits.
使用营养成分标签（NFLs）是否会促使人们遵循更高质量的饮食模式，例如与较低慢性病风险相关的终止高血压膳食疗法（DASH）饮食，目前尚不清楚。我们调查了年龄在21至64岁之间使用NFLs的人群是否更有可能遵循DASH饮食模式。
我们分析了2014 - 2016年以色列全国成人健康与营养调查的全国代表性横断面数据。根据基于对9个营养目标的遵循情况计算出的DASH评分，通过单次24小时饮食回顾来确定对DASH饮食的遵循情况。多变量逻辑回归用于估计DASH符合情况（DASH评分≥4.5[符合]与DASH评分<4.5[不符合]）以及DASH饮食的每个单独营养目标的优势比（ORs）和95%置信区间（CIs）。
数据集包括2579名参与者（NFL使用者，n = 931[36.1%]）。在NFL使用者中，299人（32.1%）被归类为符合DASH饮食，而非NFL使用者中这一比例为339人（20.6%）。在对潜在混杂因素进行调整后，与非NFL使用者相比，NFL使用者中遵循DASH饮食的OR为1.52（95% CI，1.20 - 1.93）。与非NFL使用者相比，NFL使用者达到DASH饮食单个营养目标的优势比，蛋白质为1.30（95% CI，1.06 - 1.59）；膳食纤维为1.46（95% CI，1.17 - 1.81）；镁为1.48（95% CI，1.18 - 1.85）；钙为1.38（95% CI，1.12 - 1.70）；钾为1.60（95% CI，1.30 - 1.97）。年龄、女性性别以及进行推荐的体育活动与遵循DASH饮食有关。
这些结果凸显了营养教育和意识的重要性，以及NFLs在促进更健康饮食习惯方面的潜在作用。
