scholarly journals Diet quality – what is it and does it matter?

2009 ◽  
Vol 12 (12) ◽  
pp. 2473-2492 ◽  
Author(s):  
Annika Wirt ◽  
Clare E Collins

AbstractObjectiveMeasures of diet quality have evolved with a number of scoring indices currently in use. They are increasingly being used to examine epidemiological associations between dietary intake and nutrition-related health outcomes. The present review aims to describe current diet quality tools and their applications, and to examine the relationship between diet quality and morbidity and mortality.DesignA search was conducted of MEDLINE, Cochrane, EMBASE, CINAHL and ProQuest electronic databases. Inclusion criteria were: English language; published from 2004 on; conducted in adult populations; longitudinal/cohort/case–control or cross-sectional study; included a theoretically defined measure of diet quality.ResultsA total of twenty-five indices of overall diet quality and/or variety were found, with components ranging from nutrients only to adherence to recommended food group servings, to variety within healthful food groups. The majority of studies reviewed had methodological weaknesses but demonstrated that higher dietary quality was consistently inversely related to all-cause mortality, with a protective effect of moderate magnitude. The associations were stronger for men and for all-cause and CVD mortality.ConclusionsThe limitations of both the indices and the studies that use them need to be considered when interpreting and comparing results. However, diet quality indices do appear to be able to quantify risk of some health outcomes, including biomarkers of disease and risk of CVD, some cancers and mortality. Further research is needed to improve the validity of these tools and to adapt them for use in clinical dietetic practice.

2015 ◽  
Vol 19 (6) ◽  
pp. 1112-1121 ◽  
Author(s):  
Sang Eun Lee ◽  
Yoon Ju Song ◽  
Young Kim ◽  
Jeongsook Choe ◽  
Hee-Young Paik

AbstractObjectiveTo examine the association of food insufficiency with dietary intake and eating and health behaviours.DesignA cross-sectional study.SettingData were obtained from a secondary source, the Fifth Korea National Health and Nutrition Examination Survey (2010–2012).SubjectsThe sample size consisted of 15 603 adults over 19 years of age (8898 households).ResultsSignificant differences in socio-economic factors were observed according to food insufficiency level (P<0·05), but BMI was similar among groups. Regarding macronutrients, lower protein intake and higher carbohydrate intake were found in the severely food-insufficient group, but we found no association with fat intake. Regarding micronutrients, Ca, Fe, vitamin A, thiamin, riboflavin niacin and vitamin C intakes were negatively associated with food insufficiency level (Ptrend<0·05). Consumption of different food groups, such as meat, fish, eggs and beans, vegetables and fruits, was significantly lower as food insufficiency level decreased after controlling for all possible variables; food group consumption also differed by sex. Overall eating and health behaviours were poorer in the mildly and severely food-insufficient groups, who received more food assistance but less nutritional education.ConclusionsOur results showed that dietary intake as well as eating and health behaviours are adversely associated with food insufficiency. These findings suggest that specific strategies to help food-insufficient individuals should be developed in order to improve their dietary quality and health status.


Nutrients ◽  
2018 ◽  
Vol 10 (9) ◽  
pp. 1324 ◽  
Author(s):  
Emma Ruiz ◽  
José Ávila ◽  
Teresa Valero ◽  
Paula Rodriguez ◽  
Gregorio Varela-Moreiras

This study aimed to investigate energy, nutrient and food group intakes at breakfast in Spain and to examine for the first time, their relationship to the overall Diet Quality (DQ). The data used were from the Spanish ANIBES (anthropometric data, macronutrients and micronutrients intake, practice of physical activity, socioeconomic data and lifestyles in Spain), a cross-sectional study using a nationally representative sample of the Spanish population (9–75 years old). DQ was assessed using the Nutrient Rich Foods Index, adapted to total diets (NRF9.3d). Most (>85%) of the Spanish population were regular breakfast consumers, although one in five adolescents were breakfast skippers. Breakfast provides just 16–19% of the daily intake of energy. Relative to its daily energy contribution, the Spanish breakfast contributed a higher proportion of daily total carbohydrates, added sugars, sodium, thiamin, riboflavin, folates, iron, potassium, magnesium, phosphorus and especially in calcium. By contrast, the breakfast is low in water intake, protein, dietary fibre, total fat, polyunsaturated fatty acids, beta-carotene and vitamins E and D. In children and teenagers, the most commonly consumed breakfast food was chocolate (mainly as chocolate-flavoured milk and powder), followed by bakery and pastry, whole milk and semi-skimmed milk. In the older groups, a bigger variety of foods were reported. Consumers in the highest NRF9.3d tertile for diet quality tended to have a higher intake of positive nutrients at breakfast than other tertiles, most notably among adults.


2020 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Fillah Fithra Dieny ◽  
Firdananda Fikri Jauharany ◽  
Deny Yudi Fitranti ◽  
A Fahmy Arif Tsani ◽  
Ayu Rahadiyanti ◽  
...  

Introduction: Pre-conception women are potential mothers or vulnerable groups who need special attention. The less of nutrients Intake than necessary can lead to nutritional problems such as Chronic Energy Deficiencyand nutritional anemia that have an impact on the next phase of life such as the risk of giving birth to babies with low birth weight (LBW), babies stunting, and growth disruption and development of the fetus / baby during pregnancy or after that. Objective: To analyze the relationship between diet quality, chronic energy malnutrition status with anemia in the bride.Methods: A cross-sectional study with 70 subjects who were brides aged 16-30 years. Selection of subjects with consecutive sampling method. Dietary quality data was measured through the Semi Quantitative Food Frequency Questionnaire (SQ-FFQ) and Diet Quality Index - International (DQI-I) forms, SEZ status assessed from body mass index (BMI) and upper arm circumference (LiLA). Anemia status was measured from hemoglobin levels, MCV, MCH, and MCHC. To examine the relationship between diet quality, chronic energy malnutrition, and anemia using a linear regression test.Results: The subject aged 16-30 years, and 41.4% are still <20 years old. A total of 10 subjects (14.3%) belonged to Chronic Energy Deficiency. Haemoglobin level measurements showed there were 8 subjects (11.4%) who had low Hb levels, and 4 of them had anemia with microcytic hypychromic type which was characterized by low MCV, MCH and MCHC values. Based on the calculation of intake was known that 55 subjects (78.6%) had a low quality diet. This study showed no relationship between diet quality and anemia, but the sub-components of diet quality were adequacy of protein intake (p = 0.007), iron intake (p = 0.009) and upper arm circumference (p = 0.018) indicating a significant relationship with anemia (hemoglobin level) in the bride. Conclusion: the less protein and iron intake and lower upper arm circumference associated with a decrease in the bride's hemoglobin level


2014 ◽  
Vol 17 (11) ◽  
pp. 2425-2435 ◽  
Author(s):  
Esther Molina-Montes ◽  
Irina Uzhova ◽  
Elena Molina-Portillo ◽  
José-María Huerta ◽  
Genevieve Buckland ◽  
...  

AbstractObjectiveDietary guidelines are intended to prevent chronic diseases and obesity. The aim of the present study was to develop a diet quality index based on the Spanish Food Pyramid (SFP) and to further explore its association with obesity in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Granada study.DesignCross–sectional study. The SFP score considered recommendations given for twelve food groups, and for physical activity and alcohol consumption. Obesity was defined as BMI over 30 kg/m2 and abdominal obesity as waist circumference larger than 102 cm (men) and 88 cm (women). Logistic regression was conducted to estimate odds ratios of obesity by quintiles and by 10-point increment in adherence to the score, controlling for potential confounders.SettingEPIC-Granada study.SubjectsParticipants (n 6717) aged 35–69 years (77 % women).ResultsA 10-point increase in adherence to the SFP score was associated with a 14 % (OR=0·86; 95 % CI 0·79, 0·94) lower odds of obesity in men (P interaction by sex=0·02). The odds of abdominal obesity decreased globally by 12 % (OR=0·88; 95 % CI 0·84, 0·93) per 10-point increase in adherence to this score. The effect of higher adherence to the score on abdominal obesity was stronger in physically inactive men and women (ORper 10-point increase=0·79; 95 % CI 0·68, 0·92 and ORper 10-point increase=0·89; 95 % CI 0·84, 0·95, respectively).ConclusionsThese findings support that the Spanish dietary guidelines might be an effective tool for obesity prevention. However, prospective studies investigating this association are warranted.


2020 ◽  
Vol 26 (3) ◽  
pp. 197-207
Author(s):  
Shinji Iizaka ◽  
Emiko Koitabashi ◽  
Takako Negishi ◽  
Aki Kawamura ◽  
Yuzuru Iizuka

Background: Low accessibility to grocery stores may change dietary habits and increase health problems for elderly people living in communities. Aim: This study investigated whether the distance from the nearest grocery stores, including supermarkets, convenience stores, and drugstores, and the frequency of store-specific shopping were associated with dietary intake frequency among elderly people. Methods: A cross-sectional study was conducted in two towns of suburban cities. A total of 177 people aged ≥65 years were recruited ( M age=76.7 years). The frequency of intake of 10 food groups and dietary variety scores (DVS) were evaluated. Distances from the districts to the nearest grocery stores and the frequency of shopping during a week at each store were evaluated using a geographic information system. Results: For supermarkets, people living <300 metres from the nearest supermarket showed a higher intake frequency of fruit ( p=0.024) and oil/fat ( p=0.045), and those shopping three or more times a week showed a higher intake frequency of meat ( p=0.025). In the case of drugstores, people shopping one or more times a week showed a higher intake frequency of eggs ( p=0.006) and oil/fat ( p=0.048). People living <300 m from the nearest supermarkets ( p=0.048) and drugstores ( p=0.047) showed higher DVS than those living ≥500 m from the nearest supermarkets and drugstores. Conclusions: Our findings suggest that shopping at supermarkets and drugstores is associated with dietary intake frequency and dietary quality for elderly people living in suburban cities.


2009 ◽  
Vol 12 (2) ◽  
pp. 249-258 ◽  
Author(s):  
Therese A O’Sullivan ◽  
Monique Robinson ◽  
Garth E Kendall ◽  
Margaret Miller ◽  
Peter Jacoby ◽  
...  

AbstractObjectiveBreakfast consumption has been associated with better mental health in adulthood, but the relationship between breakfast and mental health in adolescence is less well known. The aims of the present study were to evaluate breakfast quality in a cohort of adolescents and to investigate associations with mental health.DesignCross-sectional population-based study. Breakfast quality was assessed by intake of core food groups at breakfast, as determined from 3 d food diaries. Mental health was assessed using the Child Behaviour Checklist (CBCL), with higher scores representing poorer behaviour.SettingThe Western Australian Pregnancy Cohort (Raine) Study, Perth, Western Australia.SubjectsEight hundred and thirty-six males and females aged between 13 and 15 years.ResultsMean mental health score as assessed by the CBCL was 45·24 (sd11·29). A high-quality breakfast consisting of at least three food groups was consumed by 11 % of adolescents, while 7 % of adolescents did not consume any items from core food groups on average over the 3 d period. The two most common core food groups consumed at breakfast in this population were dairy products followed by breads and cereals. For every additional food group eaten at breakfast, the associated total mental health score decreased by 1·66 (95 % CI −2·74, −0·59) after adjustment for potential confounding factors, representing an improvement in mental health score.ConclusionThese findings support the concept that breakfast quality is an important component in the complex interaction between lifestyle factors and mental health in early adolescence.


2015 ◽  
Vol 19 (11) ◽  
pp. 2011-2023 ◽  
Author(s):  
Keiko Asakura ◽  
Ken Uechi ◽  
Shizuko Masayasu ◽  
Satoshi Sasaki

AbstractObjectiveGlobally, the Na consumption of most people exceeds the WHO recommendation. To be effective, salt reduction programmes require assessment of the dietary sources of Na. Due to methodological difficulties however, comprehensive assessments are rare. Here, we identified Na sources in the Japanese diet using a 4 d diet record that was specifically designed for Na source description.DesignA cross-sectional study.SubjectsApparently healthy men (n 196) and women (n 196) aged 20–69 years.SettingThe subjects were recruited from twenty-three of forty-seven prefectures in Japan.ResultsThe proportion of discretionary Na intake in total Na intake was 52·3 % in men and 57·1 % in women, and was significantly lower in younger subjects. The two major food groups contributing to Na intake were seasonings such as salt or soya sauce (61·7 % of total Na intake in men, 62·9 % in women) and fish and shellfish (6·7 % in men, 6·6 % in women). The third major contributor differed between men and women (noodles in men, 4·9 %; bread in women, 5·0 %). Further, the contribution of each food group to total Na intake differed among age groups.ConclusionsWhile individual efforts to decrease Na intake remain important, population approaches to reducing Na content in processed foods are already equally important and will assume greater importance in the future even in Japan, an Asian country facing a rapid Westernization in dietary habits.


2020 ◽  
pp. 026010602096784
Author(s):  
Rola A Jalloun ◽  
Tiwaporn Maneerattanasuporn

Background: Diet quality is a term used to assess both the quality and variety of food intake by comparing dietary guidelines. The quality of dietary intake can be used to determine the association between food intake and health status. Studies comparing diet quality among students from different departments are limited. Aim: The aim of this study was to determine the dietary quality of female college students with majors in different departments at Taibah University, Madinah, Kingdom of Saudi Arabia. Methods: This study was a cross-sectional study conducted with 658 female participants. The Diet Quality Index-International (DQI-I) was used to describe dietary quality. Results: The total DQI-I score of the College of Applied Medical Sciences (CAMS) students (55.5%) was higher than those of the College of Sciences (CS) (52.3%) and College of Arts and Humanities (CAH) (50.4%) students. The risk of having a poor diet was higher among the CS (odds ratio (OR) = 1.154, 95% confidence interval (CI) (95% CI) = 1.007–1.879) and CAH students (OR = 1.624, CI = 1.012–2.604) than among the CAMS students. Having a low DQI-I score was associated with a high risk of obesity (OR= 2.478, 95% CI = 1.007–3.879) and a high body fat % (OR = 3.920, 95% CI = 1.757–8.749). Conclusion: This study showed the need to raise awareness among the younger population about the importance of healthy eating, which involves implementing healthy habits to improve one’s quality of life.


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