New NHANES Analysis Reveals Meals Including Mangos Associated with Higher Healthy Eating Index and Better Nutrition for Healthy Pregnancies
Women trying to conceive, currently pregnant or lactating have unique nutritional needs often unmet by current dietary choices. A recent study, published in Nutrients, shows a significant finding: when mangos are incorporated into the diets of women of childbearing age (WCA), both overall diet quality and the intake of vital nutrients crucial for a healthy pregnancy markedly improve. These nutrients, often under-consumed by 10 – 30% in the diets of pregnant women, see a significant boost in intake when mangos are consumed.
“Pregnant women are at risk for several health conditions, like gestational diabetes and hypertension, putting their health and the health of the unborn baby at risk,” says study co-author Kristin Fulgoni. “Diet is a key component of prevention plans, and mangos are a healthful fruit that contributes many of the nutrients associated with reducing the risk of pregnancy-related diseases—including fiber, folate, magnesium, potassium, and vitamin E.”
Researchers gathered information from 16,744 women ages 15-44 years, participating in the National Health and Nutrition Examination Survey (NHANES) from 1988-1994 and 1999-2018. The investigation used the Healthy Eating Index (HEI), a validated measure of diet quality to assess how well participants followed recommendations from the 2020 Dietary Guidelines for Americans (DGA).
Compared to diets without mangos, HEI scores were 16% higher among WCA who included mangos in their diet.
The higher diet quality is, in part, attributed to the nutrient intake differences between the groups. When WCA incorporates mangos into their diets, they have a significantly higher consumption of beneficial nutrients and a lower intake of undesirable ones. Noteworthy differences include:
Nutrient to Encourage
- 70% higher vitamin C
- 31% higher Fiber
- 30% higher vitamin E
- 26% higher Folate
- 16% higher Magnesium
- 11% higher Potassium
Nutrients to Avoid
- 17% lower Added Sugars
- 11% lower Saturated Fat
- 9% lower Total Fat
The study also included a second arm of older Americans, 60 years and above—another population requiring special nutritional attention. Findings among mango eaters versus non-mango eaters show a 13% higher HEI score; higher intakes of fiber and vitamin C; and lower intakes of cholesterol, niacin, phosphorus, protein, riboflavin, saturated fat, and vitamin B12. Researchers determined older mango consumers had a higher percentage of individuals identifying as vegetarian/vegan which could explain these lower nutrient intakes, as many of these nutrients are typically found in higher amounts in animal products.
“These findings add to a growing body of research showing the positive impacts of adding mangos to diverse diets,” says Leonardo Ortega, PhD, Research Director, National Mango Board. “As a heritage-based food culturally connected to more than 1 out of every 4 Americans, mangos can be an important bridge to improve nutrition equity and the diet and nutrition quality of our multi-cultural country.”
Study design, strengths, and limitations
Food and nutrient intakes were determined based on two 24-hour dietary recalls using dietary components from NHANES and What We Eat in America surveys. The first recall was conducted in person, and most participants completed the second by telephone. Mango consumers were defined as anyone eating any amount of raw mangos as reported in either the first or second recall. Nutrient intakes were obtained from both interviews and usual intake was determined by using the National Cancer Institute method. Diet quality was measured using HEI-2020, which gives a maximum score of 100 based on 13 subcomponents, each reflecting a food or nutrient group highlighted in the 2020 DGA.
Study strengths included using several cycles of NHANES data resulting in a larger sample size of mango consumers. Additionally, limitations exist including the observational nature of NHANES analysis, which precludes causal relationship assessments; the dependence on dietary recalls; and the relatively small percentage of the U.S. population that consumes mangos.
The research manuscript, “Mango Consumption Was Associated with Higher Nutrient Intake and Diet Quality in Women of Childbearing Age and Older Adults,” is published in Nutrients (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10820848/). Authors include Kristin Fulgoni and Victor L Fulgoni III, Ph.D. Funding was provided by the National Mango Board (NMB); however, NMB had no input on the interpretation of results or drafting of the manuscript.
SOURCE: The National Mango Board
