Disparity in Dairy Servings Intake by Ethnicity and Age in NHANES 2015-2018

Curr Dev Nutr. 2022 Dec 22;7(2):100010. doi: 10.1016/j.cdnut.2022.100010. eCollection 2023 Feb.

Abstract

Background: Dairy products, especially milk, provide vital nutrients including several under consumed nutrients and nutrients of public health concern to the American diet. However, milk and dairy intake has been decreasing in recent years.

Objectives: The goal of this study was to provide an update of current milk and dairy intakes across the lifespan and to stratify these data by race/ethnicity.

Methods: The NHANES cycles 2015-2016 and 2017-2018 were used to determine dairy intake from foods included in USDA-defined dairy food groups as well as from "other foods," such as mixed dishes (for example, pizza) and nonmilk and dairy foods containing dairy (for example, desserts).

Results: Total dairy intake in cup equivalents per day decreased across the lifespan (2-8 y: 1.93; 14-18 y: 1.74; 19-50 y: 1.55; and 71+ y: 1.35 cup eq/d). Milk intake also decreased across the lifespan from 2 y to 51-70 and 71+ y, where milk intakes increased slightly than those of 19-50 y (0.61, 0.75, and 0.58 cup eq/d, respectively). Non-Hispanic Black and non-Hispanic Asian children and adults consumed the least dairy servings compared to other race/ethnic groups. "Other foods" contributed large percentages of dairy intake and accounted for more intake by adults (47.6%) than young children (25.9%) and adolescents (41.5%).

Conclusions: This study showed total dairy intake decreased across the lifespan, but "other foods" make a significant contribution to dairy intake, indicating their importance in helping Americans to meet DGA recommendations and nutrient needs. Further research is warranted to identify why these decreases and differences between ethnicities in dairy intake occur during childhood and throughout adulthood.

Keywords: NHANES; cheese; dairy; ethnic disparities; milk.