Adolescence and early adulthood are marked by major life transitions, including leaving the parental home, which may influence dietary behaviours and related health risks. This study examined diet quality trajectories from adolescence into early adulthood and the influence of leaving home. Data were drawn from 1135 participants aged 14 to 27 years in the Raine Study (Australia), who completed food frequency questionnaires at five follow-ups. Diet quality was assessed using the Dietary Approaches to Stop Hypertension (DASH) diet score and proportion of energy from discretionary foods and beverages. Multilevel regression models examined diet quality trajectories, investigating interactions with leaving the parental home and subsequent living arrangements (partner, friends or alone). Diet quality was generally poor and followed a quadratic trajectory. Leaving the parental home was associated with a decline in diet quality, reflected in a lower DASH diet score: β = −1.11 95% CI: 1.80, −0.41; and increased discretionary food intake: β = 1.28 95% CI: 0.30, 2.26. The decline persisted over time for DASH diet score and diminished for discretionary food intake. Moving in with a partner was associated with the greatest decrease in DASH diet score: β = −1.18 95% CI: 2.08, −0.28. Leaving home, particularly to live with a partner, is associated with a small decrease in diet quality in a population with already sub-optimal diets. Public health strategies targeting life transitions may help support healthier dietary behaviours in adolescents and young adults in Australia and other high-income countries. • Diet quality is poor among adolescents and young adults in Australia. • Diet quality follows a quadratic trajectory with age, lowest point around 20 years. • Moving away from the parental home was associated with a decrease in diet quality. • Beginning cohabiting with a partner showed the greatest drop in diet quality.
Braune et al. (Fri,) studied this question.