title: Food-intake patterns assessed by using front-of-pack labeling program criteria associated with better diet quality and lower cardiometabolic risk.
abstract: BACKGROUND
  Front-of-pack labeling systems may provide additional guidance to that already available to facilitate the identification of foods that improve diet quality.
  
  
  OBJECTIVE
  We examined the association between choosing foods that meet criteria of an established front-of-pack labeling system with food-group and nutrient intakes and cardiometabolic risk factors.
  
  
  METHODS
  The association between the consumption of foods that met 2014 American Heart Association (AHA) Heart-Check Food Certification Program criteria and 2005 Healthy Eating Index (HEI-2005) scores, food-group intake, energy intake, nutrient intake, and cardiometabolic risk factors was analyzed in 11,296 men and women ≥ 19 y old by using 1-d dietary recall data from the NHANES 2007-2010. Individuals were categorized into consumers and nonconsumers of AHA Heart-Check Food Certification Program-certifiable foods and quartiles of intakes on the basis of the percentage of calories.
  
  
  RESULTS
  The consumption of AHA Heart-Check Food Certification Program-certifiable foods was positively associated with HEI-2005 scores and fruit, vegetable, whole-grain, total sugar, fiber, potassium, calcium, and vitamin D intakes and inversely associated with the percentage of energy from saturated fat, monounsaturated fat, added sugars, alcohol, and intakes of cholesterol and sodium. The highest quartile of daily energy intake from AHA Heart-Check Food Certification Program-certifiable foods was associated with lower risk of obesity (26%), lower risk of elevated waist circumference (29%), and lower risk of metabolic syndrome (24%) than with lowest intakes (all P < 0.05).
  
  
  CONCLUSIONS
  The choice of foods meeting one front-of-pack labeling system positively influences food-group and nutrient intakes and is associated with a higher diet quality and lower risk of cardiometabolic syndrome.
authors.affiliation: Cardiovascular Nutrition Laboratory, Jean Mayer USDA Human Nutrition Research Center, Tufts University, Boston, MA (AHL); the Clinical Nutrition Department, University of Texas Southwestern Medical Center, Dallas, TX (JSC); the Department of Nutrition and Food Sciences, University of Vermont, Burlington, VT (RKJ); the Department of Nutritional Sciences, Pennsylvania State University, University Park, PA (PMK-E); the American Heart Association, Dallas, TX (AP, LR, KFS, and DKV); and the Nutrition Impact LLC, Battle Creek, MI (VLF).
authors.forename: Alice H
authors.initials: AH
authors.lastname: Lichtenstein
authors.forename: JoAnn S
authors.initials: JS
authors.lastname: Carson
authors.forename: Rachel K
authors.initials: RK
authors.lastname: Johnson
authors.forename: Penny M
authors.initials: PM
authors.lastname: Kris-Etherton
authors.forename: Antigoni
authors.initials: A
authors.lastname: Pappas
authors.forename: Linda
authors.initials: L
authors.lastname: Rupp
authors.forename: Kimberly F
authors.initials: KF
authors.lastname: Stitzel
authors.forename: Dorothea K
authors.initials: DK
authors.lastname: Vafiadis
authors.forename: Victor L
authors.initials: VL
authors.lastname: Fulgoni
mesh_terms: D000328:Adult; D000572:American Heart Association; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D004032:Diet; D004034:Diet Surveys; D005260:Female; D005515:Food Labeling; D063427:Food Quality; D006293:Health Promotion; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology / Q000517:prevention & control*; D018673:Nutrition Policy; D009765:Obesity / Q000453:epidemiology / Q000517:prevention & control*; D010349:Patient Compliance; D064167:Recommended Dietary Allowances; D012307:Risk Factors; D014481:United States / Q000453:epidemiology; D014486:United States Food and Drug Administration