This study used 2011–2016 National Health and Nutrition Examination Survey (NHANES) data to examine the relationship between estimated program participation, diet quality, indicators of nutrition and health, food consumption patterns, and nutrient intakes. 

The diets of most Americans fall short of the Dietary Guidelines for Americans. This exploratory analysis examines dietary patterns of low-income individuals classified as healthy and less healthy eaters based on their score on the Healthy Eating Index (HEI)-2005. The HEI-2005 is a 100-point score that measures how well populations adhere to the Dietary Guidelines for Americans. 

This report, required under the 2008 Farm Bill, reviews the nutritional quality of the food package provided through USDA’s Food Distribution Program on Indian Reservations, comparing its content to scientific standards including the Dietary Guidelines for Americans, the Dietary Reference Intakes, the Thrifty Food Plan nutrient standards and the Healthy Eating Index-2005.