https://library.icmglt.org/files/original/36291b778f1b5d13d33abe52e5743391.pdf 4feb61949356372f9bad13581668dc18 Electronic Resource View Source <a href="https://jn.nutrition.org/article/S0022-3166(24)00455-3/fulltext">https://jn.nutrition.org/article/S0022-3166(24)00455-3/fulltext</a> Document Type Journal article Author(s) Valerie K Sullivan, Eurídice Martínez-Steele, Vanessa Garcia-Larsen, Casey M Rebholz Volume Vol. 154 Issue No. 12 Publisher American Society for Nutrition Journal Name The Journal of Nutrition Publication Date 2024 Region United States Language English Access Open Access Abstract Background Interest in plant-based eating has increased alongside increased variety and availability of highly processed plant-based meat and dairy alternatives. The impact of the shifting commercial landscape and public interest in plant-based eating on dietary intake is unknown. Objectives To examine trends in the consumption and composition of plant-based diets in the United States adults. Methods Serial cross-sectional data from the National Health and Nutrition Examination Survey were used to assess trends in the proportion of United States adults aged ≥20 y consuming a plant-based diet (defined as ≥50% total protein from plants on a 24-h dietary recall) from 1999–2000 to 2017–March 2020 (n = 51,698). Trends in processing level (percentage energy intake from ultraprocessed foods) and diet quality [Healthy Eating Index (HEI)-2020 scores] were assessed in the subset of adults consuming plant-based diets (n = 8327). Results The proportion of United States adults consuming plant-based diets increased from 14.4% (95% CI: 12.9%, 16.0%) to 17.2% (95% confidence interval [CI]: 15.5%, 19.1%; P = 0.005 for trend). In all survey cycles, ultraprocessed foods accounted for the majority of energy intake, and ultraprocessed food intake in plant-based diets did not significantly change over time [50.7% kcal (95% CI: 47.3%, 54.1%) in 1999–2000 compared with 52.7% kcal (95% CI: 49.7%, 55.6%) in 2017–March 2020; P for trend = 0.34]. The quality of plant-based diets, measured by HEI-2020 scores, improved from 52.1 (95% CI: 49.7, 54.6) to 55.8 (95% CI: 54.1, 57.5; P for trend &lt;0.001). Conclusions Between 1999 and March 2020, the proportion of United States adults consuming a plant-based diet increased. Among people consuming plant-based diets, ultraprocessed foods contributed most to energy intake and there was no sustained change in intake over time. The mean diet quality was low but improved modestly. Cataloger Kristen Walker Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Trends in Plant-Based Diets among United States Adults, 1999–March 2020 Subject The topic of the resource Nutrition--Health aspects Adults Diet Plant-based United States