Water and Food Consumption Patterns of U.S. Adults from 1999 to 2001
Open accessAbstract
Objective: High water consumption has been proposed as an aid to weight control and as a means of reducing the energy density of the diet. This study examines the relationship between water consumption and other drinking and eating patterns. Research Methods and Procedures: The National Health and Nutrition Examination Survey 1999 to 2001, with responses from 4755 individuals ≥18 years of age, provides the data for this cross‐sectional analysis. A cluster analysis was performed using z‐scores of specific food and beverage consumption to examine patterns. A multinomial logit analysis was used to examine sociodemographic characteristics of each dietary pattern and to examine the effects of water consumption on the likelihood of consuming a non–dairy caloric beverage. All results were weighted to be nationally representative and controlled for design effects. Results: Within the sample, 87% consumed water, with an average daily consumption of 51.9 oz (1.53 liters) per consumer. Water consumers drank fewer soft/fruit drinks and consumed 194 fewer calories per day. Water consumers (potentially a self‐selected sample) consumed more fruits, vegetables, and low‐ and medium‐fat dairy products. Four distinct unhealthy dietary patterns were found that included little or no water consumption. Older and more educated persons used healthier food patterns. Mexican dietary patterns were much healthier than dietary patterns of blacks. Discussion: Water consumption potentially is a dietary component to be promoted, but much more must be understood about its role in a healthy diet. Because high water consumption is linked with healthier eating patterns—patterns more likely to be followed by higher‐educated, older adults—the target of water promotion and healthy diet options should focus on younger and less educated adults.
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Epidemiologic studies suggest that energy intake is significantly lower in water drinkers than in non-water drinkers.
“Epidemiologic studies suggest that energy intake is significantly lower in water drinkers than in non-water drinkers (14), which may contribute to weight gain.”
From Effects on weight loss in adults of replacing diet beverages with water during a hypoenergetic diet: a randomized, 24-wk clinical trial (2015) · cites this paper as [14]
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Stookey, J. D. (2010) · Clinical Nutrition INSIGHT · doi:10.1097/01.nmd.0000369473.09859.eb
Vinicius, N., Andrade, M. L., & Teixeira, V. H. (2013)
Karandish, M., Zilaee, M., Momeni, A., & Fathi, M. (2016) · Jundishapur Journal of Health Sciences · doi:10.17795/jjhs-38233
- Authors
- Popkin, B. M., Barclay, D. V., & Nielsen, S. J.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Nestlé (Switzerland) (CH)
- Corresponding author
- Popkin, Barry M.
- ORCID
- Popkin, Barry M.
- Venue
- Obesity Research
- Publisher
- Wiley
- Published
- 2005-12
- Volume
- 13
- Issue
- 12
- Pages
- 2146-2152
- ISSN
- 1071-7323 (ISSN-L)
- 1550-8528
- OpenAlex
- W2003695584
- Cited by
- 104
- References
- 8
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 5 · 2019: 5 · 2018: 4 · 2017: 3 · 2016: 3 · 2015: 6 · 2014: 6 · 2013: 7 · 2012: 11
- FWCI
- 4.57
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (NIH-R01)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD039183, R01-HD39183)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- water consumption, dietary habits, soft drinks, caloric beverages, fruit and vegetable intake, dairy consumption, energy intake, sociodemographic differences, Mexican Americans, racial and ethnic differences, weight management, healthy eating promotion
- MeSH terms
- Adult, Age Factors, Beverages, Energy Intake, Cross-Sectional Studies, Drinking, Educational Status, Feeding Behavior, Female, Food Preferences, Humans, Male, Middle Aged, Nutrition Surveys, Obesity, Surveys and Questionnaires, Cluster Analysis, Logistic Models
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