Diet quality index: Capturing a multidimensional behavior

Patterson, Ruth E.; Haines, Pamela S.; Popkin, Barry M.

doi:10.1016/0002-8223(94)92042-7

Cited by 385 publications

(284 citation statements)

References 25 publications

Supporting

Mentioning

249

Contrasting

Unclassified

Order By: Relevance

“…Several international diet quality scores exist, some of which were widely used (21)(22)(23)(24)(25)(26)(27)(28) . However, their application to the present study has limitations as they do not take into account special characteristics of the Finnish diet, e.g.…”

Section: Discussionmentioning

confidence: 99%

Quality of diet and food choices of Finnish young men: a sociodemographic and health behaviour approach

Bingham

Jallinoja

Lahti-Koski

et al. 2010

Public Health Nutr.

View full text Add to dashboard Cite

Objective: Eating habits of Finns have improved dramatically in 40 years. The proportion of fat in the diet has decreased and vegetable and fruit consumption increased. Knowledge of Finnish young men's dietary habits is limited. The aim was to assess food choices and quality of diet among young men and to analyse how background and health behaviour factors explain it. Design: In 2007, data on eating habits, sociodemographic background factors and health behaviours of 17-21-year-old men (n 2905) entering military service were collected by self-administrated questionnaire. Two indexes -core food index (CFI) and extra food index (EFI) -were formed to describe daily and redundant snacking-type eating, respectively. Associations of background factors and health behaviours on the indexes were analysed by general linear modelling. Results: In all, 13 % consumed fruits and berries daily and 8 % consumed vegetables, whereas 24 % consumed pizza and 19 % consumed hamburgers more than once a week. CFI increased with educational level (P , 0?001) and was explained by background and health behaviour (smoking, physical activity and eating breakfast). EFI was inversely associated with BMI (P , 0?001) and explained by health behaviour: (smoking, physical activity, drinking beer and eating breakfast). Conclusions: These results indicate that in early adulthood, eating habits cluster with other health behaviours among men. In this age group, education is associated with core food but not with extra food eating habits. Furthermore, seasonal variation is seen in both types of eating. When promoting healthy eating, a distinction between core foods and extra foods by using feasible indexes will be helpful in targeting the efforts. Keywords Food choices Health behaviourQuality of diet Young men Eating habits at the population level have changed dramatically in Finland since the early 1970s. Intakes of total and saturated fats were high compared to other European countries (1,2) . In 40 years, the proportion of total fat has decreased from 38 % (2) to 33 % (1,3) and that of saturated fat from 21 % to 13 % (3) . High-fat milk and butter have largely been replaced by skimmed milk and margarine. Simultaneously, vegetable and fruit consumption has increased substantially (1,3,4) , but does not reach the national nutrition recommendations (5) .In the 1980s, the proportion of fat was still high (39-41 %) and consumption of potato, vegetables, cereals and milk products abundant among 18-year-old Finnish men (6,7) . After a 21-years' follow-up among these men, the overall proportion of fat was 36 % and the consumption of vegetables and fruit was higher than in youth (8) .These findings reflect positive changes in the prime everyday i.e. core diet. Despite these improvements, the prevalence of obesity and overweight has increased especially in young adults and adolescents in Finland (9) . Among 18-year-old boys, the prevalence of overweight (BMI . 25 kg/m 2 ) and obesity (BMI . 30 kg/m 2 ) increased 2? 5-fold in 1977-1999 (10) .One poss...

show abstract

Section: Discussionmentioning

confidence: 99%

Quality of diet and food choices of Finnish young men: a sociodemographic and health behaviour approach

Bingham

Jallinoja

Lahti-Koski

et al. 2010

Public Health Nutr.

View full text Add to dashboard Cite

show abstract

“…The development of the DQI for China began with existing DQI methodology for the US (Kant, 1996), which maximizes information on both macro-and micronutrients, as well as relying on national guidelines to insure applicability across population sub-groups and easy-interpretation by policy makers. The DQI for China differs from the US DQI and USDA HEI (Kennedy et al, 1995;Patterson et al, 1994;Popkin et al, 1996;Haines et al, 1999) by explicitly de®ning diet quality in terms of both under-and overnutrition, as well as by incorporating information about the direction, in addition to the distance, strayed from ideal diet quality. Both the USDA HEI and UNC-CH DQI provide a composite score showing the relative distance of a given diet from an ideal: overall, where is the diet with respect to where it should be?…”

Section: Discussionmentioning

confidence: 99%

“…To develop a DQI for China we followed the same general strategy used to develop the UNC-CH DQI and revised version of this DQI (Haines et al, 1999;Patterson et al, 1994). DQI components were selected to represent aspects of diet quality highlighted by the Dietary Guidelines for Chinese Residents.…”

Section: Choice Of Components For the Chinese Diet Quality Indexmentioning

confidence: 99%

“…Development of the DQI for China began with concepts from existing DQI for the US (Haines et al, 1999;Patterson et al, 1994), and went further to incorporate the two-dimensional (de®ciency and overconsumption) concerns of the Chinese Nutrition Society. The following paragraphs present the DQI components, structure and rationale for a total DQI score, and introduce a strategy for evaluating DQI patterns in China.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Measuring diet quality in China: the INFH-UNC-CH Diet Quality Index

Stookey

Wang

Ge³

et al. 2000

Eur J Clin Nutr

View full text Add to dashboard Cite

Objective: This paper describes the development and ef®cacy of a diet quality index (DQI) for China. Design: The Dietary Guidelines for Chinese Residents motivated the selection of 10 DQI components. These components were weighted and assigned cut-offs and point schemes based on the Chinese Food Guide Pagoda, Chinese andaor international dietary reference values. The ef®cacy of resulting DQI scores was assessed relative to a priori expectations. Subjects: The Chinese DQI was evaluated using cross-sectional 3 day diet record and anthropometric data on 7450 adults from the 1991 China Health and Nutrition Survey. Methods: For each individual, a DQI total score was calculated as the sum of components, and DQI pattern scores calculated to re¯ect the underlying composition of diet quality problems. The DQI scores were compared with component scores, food and nutrient intake, weight status and sociodemographic variables. Results: The total DQI score simultaneously represented all component aspects of diet quality as well as micronutrients not explicitly built into the index. The total DQI score was signi®cantly correlated with food and nutrient intakes, BMI, urban residence and income. The DQI pattern scores correlated with DQI components and weight status as expected. Conclusions: The China DQI captures variation along several components of diet quality, appears sensitive to under-and overnutrition, as well as sociodemographic variables. The China DQI may prove useful for monitoring the nutrition transition and epidemiologic trends in China. Sponsorship: National Institutes of Health (HD 38700 and R01-HD30880) and the Chinese Academy of Preventive Medicine. Descriptors: China; dietary intake; diet quality

show abstract

“…Examples include the Diet Quality Index (Patterson et al, 1994;Haines et al, 1999), the Diet Diversity Score (Kant et al, 1995), and the Healthy Eating Index (HEI) (Kennedy et al, 1995;McCullough et al, 2000a). Some studies have examined dietary intake patterns, which were then used to describe the effects of dietary quality on health outcomes (Kant et al, 1995;McCullough et al, 2000a, b).…”

Section: Introductionmentioning

confidence: 99%

Healthy Eating Index and obesity

Guo¹,

Warden²,

et al. 2004

View full text Add to dashboard Cite

Background: There is a continuing need to examine the relationship between diet quality and health in the population. The Healthy Eating Index (HEI) has been developed as a composite measure of diet quality by the US Department of Agriculture. Objectives: The first objective was to use the HEI to assess the diet quality of a representative sample of the US population and population groups. The second objective was to examine the association between HEI and obesity. Design: Cross-sectional analysis of data from 10 930 adults who participated in the Third National Health and Nutrition Examination Survey. Sociodemographic, physical activity, dietary, and health data were used in the analysis. Diet quality was assessed with the HEI score, ranging from 0 to 100, based on 10 dietary criteria. A low HEI score indicates poor diet. Results: A majority of survey participants had a low HEI score. The percentage of individuals classified as having a poor diet varied by age, gender, race/ethnicity, income, and education. A low HEI score was associated with overweight and obesity. There was a graded increase in the odds ratio of obesity across the HEI category after adjusting for age, gender, race/ethnicity, physical activity, smoking, alcohol use, income, and education. Conclusions: An index of diet quality, such as HEI, may provide a comprehensive assessment of diet in the population. Since the HEI is based on the US Dietary Guidelines, the use of these guidelines as a way to improve health should be emphasized. However, the overall effectiveness of these guidelines in disease prevention needs to be studied further. Sponsorship: None.

show abstract

Diet quality index: Capturing a multidimensional behavior

Cited by 385 publications

References 25 publications

Quality of diet and food choices of Finnish young men: a sociodemographic and health behaviour approach

Quality of diet and food choices of Finnish young men: a sociodemographic and health behaviour approach

Measuring diet quality in China: the INFH-UNC-CH Diet Quality Index

Healthy Eating Index and obesity

Contact Info

Product

Resources

About