Energy Density, Portion Size, and Eating Occasions: Contributions to Increased Energy Intake in the United States, 1977–2006
2011

Energy Intake Changes in the US: Portion Size, Eating Occasions, and Energy Density

Sample size: 17 publication Evidence: moderate

Author Information

Author(s): Kiyah J. Duffey, Barry M. Popkin

Primary Institution: University of North Carolina at Chapel Hill

Hypothesis

What are the contributions of energy density, portion size, and eating occasions to changes in daily total energy intake in the US from 1977 to 2006?

Conclusion

Changes in eating occasions and portion sizes have accounted for most of the increase in daily energy intake among US adults over the past 30 years.

Supporting Evidence

  • Total daily energy intake increased by 570 kcal/d from 1977–78 to 2003–06.
  • The average number of daily eating occasions increased from 3.8 to 4.9.
  • Changes in portion size contributed to an increase in energy intake, but their impact decreased over time.

Takeaway

People in the US are eating more often and in larger portions, which is making them consume more calories than before.

Methodology

The study used cross-sectional data from four nationally representative food surveys to analyze changes in total energy intake.

Potential Biases

Self-reporting may lead to underestimation of calorie intake, especially from unhealthy foods.

Limitations

The study's findings may be affected by self-reporting biases and methodological changes in dietary assessment over time.

Participant Demographics

Adults aged 19 and older, with varying demographics across four survey years.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pmed.1001050

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