Modest improvements in American diets have been noted in the last two decades, but those improvements are not reaching certain economic and geographic populations since poor diet continues to be a risk factor for obesity, diabetes, heart disease and certain cancers. More than one million die every year from diet related diseases, often from lack of access to nourishing foods. The Tufts University study in Annals of Internal Medicine says despite improvements such as lower consumption of added sugar in our diets, we still face a national nutrition crisis. Their findings show older adults, especially men, experienced the greatest issue with poor diet along with food insecurity and other risks associated with low income living.