Abstract
Objective
Using 24-hour dietary recalls, compare Healthy Eating Index (HEI)-2005 scores of Expanded Food and Nutrition Education Program participants before and after 8–12 weekly lessons.
Design
Analysis of preexisting 24-hour dietary recalls information collected from October,
2012 through September, 2014.
Participants
Participants with complete pre-post dietary data (n = 122,961); subset of those with
complete demographic data (n = 97,522).
Main Outcome Measures
Change in HEI-2005 scores (total and components).
Statistical Analysis
Linear regression model fit separately for total HEI and 12 components. The response
variable was changed in the HEI-2005 score; predictor variables included age, education,
sex, and race/ethnicity.
Results
The mean total HEI scores were 51.1 (SD, 13.7) at entry and 56.5 (SD, 13.7) at exit,
with a change of 5.4 (SD, 16.2). Nine of 12 component scores increased. Changes were
greater as age increased, with increasing education, and in women. Hispanics had the
greatest improvement (mean ± SE) in total HEI score (8.3 ± 0.1).
Conclusions and Implications
Although diet quality remained poor, participation in the Expanded Food and Nutrition Education Program resulted in improvement in dietary quality. The degree of improvements varied among
demographic groups, but all groups improved.
Key Words
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Article info
Publication history
Published online: February 01, 2021
Accepted:
December 11,
2020
Footnotes
Conflict of Interest Disclosure: Susan S. Baker served as Colorado's State Expanded Food and Nutrition Education Program Coordinator.
Identification
Copyright
© 2020 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
