NWS-16 Increase the contribution of whole grains to the diets of the population aged 2 years and older

National Data Source
National Health and Nutrition Examination Survey (NHANES); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
ounce equivalents per 1,000 calories (age adjusted—see Comments)
Baseline (Year)
0.3 (2001-2004)
Target
0.6
Target-Setting Method
Modeling
Numerator
Daily intake of ounce equivalents of whole grains from a first day 24 hour recall among persons aged 2 years and over
Denominator
Caloric intake from a first day 24 hour recall divided by 1000 among persons aged 2 years and over
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective

Comments

Methodology Notes

What We Eat in America (WWEIA) is the dietary intake interview component of the National Health and Nutrition Examination Survey (NHANES). WWEIA is conducted as a partnership between the U.S. Department of Agriculture (USDA) and the U.S. Department of Health and Human Services (DHHS). DHHS is responsible for the sample design and data collection, and USDA is responsible for the survey’s dietary data collection methodology, maintenance of the databases used to code and process the data, and data review and processing. USDA also funds the collection and processing of Day 2 dietary intake data, which are used to develop variance estimates and calculate usual nutrient intakes.

NHANES included the collection of 1 day of dietary data for all respondents through in-person 24 hour recalls and collection of a 2nd day 24-hour recall by telephone. For the analyses of mean intakes, only the first 24 hour recall will be used. Each respondent was asked to recall the kinds and amounts of foods eaten at home and away from home during the previous day. Amounts of foods reported in household measures were then converted to gram amounts. Cup equivalents were calculated using the USDA MyPyramid Equivalents Database.

Breast-fed children are excluded from the numerator and denominator.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 2-3, 4-8, 9-13, 14-18, 19-30, 31-50, 51-70, 71+
  • Sex: 2-3, 4-8, 9-13, 14-18, 19-30, 31-50, 51-70, 71+
  • Race/Ethnicity: 2-3, 4-8, 9-13, 14-18, 19-30, 31-50, 51-70, 71+
  • Education Level: 25-30, 31-50, 51-70, 71+
  • Family Income Level: 2-3, 4-8, 9-13, 14-18, 19-30, 31-50, 51-70, 71+
  • Country of Birth: 2-3, 4-8, 9-13, 14-18, 19-30, 31-50, 51-70, 71+
  • Disability Status: 20-30, 31-50, 51-70, 71+
  • Health Insurance Status: 2-3, 4-8, 9-13, 14-18, 19-30, 31-50, 51-64
  • Marital Status: 20-30, 31-50, 51-70, 71+
  • Veteran Status: 17-18, 19-30, 31-50, 51-70, 71+
  • Obesity Status, Adults: 20-30, 31-50, 51-70, 71+
Changes Between HP2010 and HP2020
Healthy People 2010 objective 19-7 assessed the proprotion of the population meeting the 2000 Dietary Guidelines for Americans (DGA) to consume six daily servings of grain products, with at least three being whole grains. Healthy People 2020 objective NWS-16 was modified to focus only on the contribution of whole grains to American diets, and to take into account the 2010 DGA recommendations for consumption of whole grains which are expressed in ounce equivalents relative to caloric intake. The objective tracks mean daily intake so that the objective will not need to be modified with changes in the guidelines.

References and More Information

  1. WWEIA, NHANES, and the MyPyramid Equivalents Database.
    http://www.ars.usda.gov/Services/docs.htm?docid=15044