Evaluation of a nutrient-rich food index score in the Netherlands

Sluik, Diewertje; Streppel, Martinette T; Lee, Linde van; Geelen, Anouk; Feskens, Edith J. M.

doi:10.1017/jns.2015.4

Cited by 34 publications

(35 citation statements)

References 20 publications

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“…The NRF9.3 score for each food group was calculated by subtracting LIM 100 kcal from NRn 100 kcal. Following the methodology applied by Sluik et al [ 17 ], NRF9.3 food scores, per food group, were converted to individual NRF9.3 index scores. The energy consumed from each food group (in 100 kcal units) was multiplied by the NRF9.3 score calculated for each food group.…”

Section: Methodsmentioning

confidence: 99%

Regularity of Breakfast Consumption and Diet: Insights from National Adult Nutrition Survey

et al. 2018

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Breakfast is considered to be one of the most important meals of the day. Its omission has been reported to be associated with increased disease risk, such as obesity, diabetes, and coronary heart disease, as well as unhealthy lifestyle and lower dietary quality. Using data from the National Adult Nutrition Survey (NANS)—a food consumption survey conducted among 1500 Irish men and women over 18 years of age, residing in the Republic of Ireland at the time the survey was conducted—we aimed to characterize breakfast regularity, identify dietary patterns associated with regular breakfast consumption, and assess the nutritional quality of such dietary patterns, using the nutrient-rich food index score NRF9.3. We determined two breakfast regularity categories and assessed dietary quality, by means of adherence to the principal component analysis derived dietary patterns and the NRF9.3 dietary index. Regular breakfast consumers were identified as those who consumed breakfast 3–4 times out of the 4 days of the collection period; such consumers comprised the majority of the population (94.4%). They had the highest adherence to healthier dietary patterns, namely, the “vegetarian” (odds ratio (OR): 2.59: 95% Confidence Interval (CI): 1.40, 4.77), “fish and vegetables” (OR: 2.88: 95% CI: 1.63, 5.10), and “breakfast cereals” (OR: 4.62: 95% CI: 2.43, 8.79) dietary patterns. Breakfast significantly contributed to the daily micronutrient intake by providing, on average, 24% of dietary fiber, 32% of iron, 30% of calcium, 32% of folate, and 37% of riboflavin. The importance of regular breakfast consumption on those who skip breakfast should be highlighted, in order to improve compliance with nutritional recommendations and adherence to a healthy lifestyle.

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Section: Methodsmentioning

confidence: 99%

Regularity of Breakfast Consumption and Diet: Insights from National Adult Nutrition Survey

et al. 2018

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“…At least 13 children's diet quality indices have been developed across different countries (Andrade, Previdelli, Marchioni, & Fisberg, ; Burrows et al, ; Cheng, Duan, Kranz, Libuda, & Zhang, ; Golley et al, ; Huybrechts et al, ; Kyttala et al, ; Manios et al, ; Marshall, Watson, Burrows, Guest, & Collins, ; Serra‐Majem et al, ; Sluik, Streppel, van Lee, Geelen, & Feskens, ; Sotos‐Prieto et al, ; Vyncke et al, ; Wong, Parnell, Howe, Black, & Skidmore, ). Three of these indices were developed in Australia (Burrows et al, ; Golley et al, ; Marshall et al, ).…”

Section: Introductionmentioning

confidence: 99%

The validity and reliability of the Dietary Index for a Child's Eating in 2–8‐year old children living in New Zealand

Delshad

Beck

Hurst

et al. 2019

Maternal & Child Nutrition

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This study aimed to examine the validity and reliability of the Dietary Index for a Child's Eating (DICE) in children living in New Zealand (NZ). Caregivers of healthy children aged 2-8 years completed a 4-day estimated food record (4DFR) for their child and completed the DICE online on two separate occasions, 8 weeks apart. Relative validity was assessed by comparing the DICE and 4DFR total score and component subscores using the Wilcoxon test, Spearman rank correlation coefficients, crossclassification, and weighted kappa (ĸ) statistic. For evaluating construct validity, the DICE total score was compared with energy and nutrient intake from the 4DFR using linear contrast analysis. Intraclass correlation coefficients (Cronbach's α) and Bland-Altman plots were used to assess the reliability of DICE. From a possible score of 100, the mean ± standard deviation of DICE was 78.2 ± 11.5 and from the 4DFR, was 73.8 ± 10.8, with a positive correlation (r = 0.72; p < 0.001) and moderate agreement (ĸ = 0.49). Cross-classification showed 61.9% were correctly categorised into the same tertile group from DICE and the 4DFR. Participants in the highest tertile of DICE had higher intakes of fibre, vitamin C, vitamin A, vitamin D, folate, and calcium. Good agreement (α = 0.87) was found for reliability. DICE is a valid and reliable tool for the assessment of children's adherence to a healthy diet, as recommended by the NZ Ministry of Health Food and Nutrition guidelines. a 4-day estimated food record (4DFR), and an online SurveyMonkey link to the DICE questionnaire. Participants completed the online DICE questionnaire and returned their consent and 4DFR booklet in the post by a prepaid envelope. Eight weeks later, participants were asked to complete the DICE a second time (to assess reliability). When determining reliability, it is recommended to have 4 to 8 weeks between the first and second administration of dietary assessment method. This period of time is long enough so that the respondent is not simply remembering his/her answers, but is short enough to minimise real dietary changes in the interval (Block & Hartman, 1989). To assess validity, data from the first administration of DICE was compared with the 4DFR. The study protocol was approved by the Human Ethics Committee of Massey University (Southern A; approval no. MUHECN14/023), and all caregivers provided written informed consent prior to participating. | Dietary assessment tools | Dietary Index for a Child's EatingThe DICE consists of 13 questions. The DICE components, scoring, and cut-off points are based on the NZ MoH Food and Nutrition Guidelines for 2-18 year olds (Ministry of Health, 2012). These guidelines are evidence-based and specific for the NZ population, therefore providing a standard reference for evaluating the quality of children's diets. The DICE was scored from 0 to 100, with a higher score representing greater adherence to these guidelines. The daily servings of main food groups including fruits, vegetables, milk products, meat/meat-alternatives, br...

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“…The NRF9.3 score includes nine nutrients to encourage and three nutrients to limit based on nutrients of concern for American adults (22). The NRF9.3 has been validated with the Healthy Eating Index in the USA (23) and with the Dutch Healthy Diet index (DHD) in the Netherlands (24). The NRF9.3 can be used to study associations with health outcomes, such as cardiovascular diseases and mortality (25) and to study the contribution of foods or food groups to the overall nutrient intake (17, 24).…”

Section: Introductionmentioning

confidence: 99%

“…The NRF9.3 has been validated with the Healthy Eating Index in the USA (23) and with the Dutch Healthy Diet index (DHD) in the Netherlands (24). The NRF9.3 can be used to study associations with health outcomes, such as cardiovascular diseases and mortality (25) and to study the contribution of foods or food groups to the overall nutrient intake (17, 24). However, as the NRF9.3 is based on requirements for American adults it might be of limited use for studying nutrient density within an aging European population as it does not include several important nutrients for older adults, such as vitamin D and folate (17).…”

Section: Introductionmentioning

confidence: 99%

The Newly Developed Elderly Nutrient-Rich Food Score Is a Useful Tool to Assess Nutrient Density in European Older Adults

2019

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Objective: To develop a nutrient-rich food (NRF) score that captures dietary reference values for older adults and to validate this against a diet index that was specifically designed to assess adherence to dietary guidelines for the older population. Design: A cross-sectional study within the Dutch National Food Consumption Survey (DNFCS, n = 735 men and women aged 70–94 years, enrolled between October 2010 and February 2012) and within the NU-AGE study ( n = 250 men and women aged 65–79 years, enrolled between April 2012 and March 2013). Dietary intake was assessed by means of two non-consecutive dietary record assisted 24-h recalls and 7-day food records, respectively. Structured questionnaires collected data on lifestyle and socio-economic information. Anthropometrics were measured by trained dieticians or research assistants. We evaluated Elderly NRF (E-NRF) scores against the NU-AGE index, a measure of adherence to European dietary guidelines for the aging population. The E-NRF scores were composed of nutrients that: ( 1 ) have been shown to be of inadequate intake in the aging population (>20%), ( 2 ) were defined as nutrients of public health relevance, and ( 3 ) were associated with relevant health outcomes. Results: The E-NRF score that best predicted the NU-AGE index included seven nutrients to encourage (protein, dietary fiber, folate, vitamin D, calcium, magnesium, potassium) and three nutrients to limit (saturated fat, sodium and mono- and disaccharides) on a 100-kcal basis, the E-NRF7.3 score (model R 2 0.27 in DNFCS and 0.41 in NU-AGE). Food groups contributing the most to the individual E-NRF7.3 scores were vegetables, bread, potatoes and milk and milk products. Conclusion: The E-NRF7.3 score is a useful tool for assessing nutrient density of diets within the older population. No index has previously been developed with the aim of evaluating nutrient density of diets and foods specifically capturing dietary reference values for older adults.

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Evaluation of a nutrient-rich food index score in the Netherlands

Cited by 34 publications

References 20 publications

Regularity of Breakfast Consumption and Diet: Insights from National Adult Nutrition Survey

Regularity of Breakfast Consumption and Diet: Insights from National Adult Nutrition Survey

The validity and reliability of the Dietary Index for a Child's Eating in 2–8‐year old children living in New Zealand

The Newly Developed Elderly Nutrient-Rich Food Score Is a Useful Tool to Assess Nutrient Density in European Older Adults

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