Validation of the nutrient-rich foods index estimated by 24-h dietary recall method among adults in Henan province of China

Abstract

Objective: A family of nutrient-rich food (NRF) indices was validated against the mean adequacy ratio (MAR) and their associations with obesity were tested. Design: Cross-sectional study. NRF indices include nutrients to encourage ranging from 6–11 (protein; fibre; vitamin A, vitamin C, vitamin E and vitamin B12; Ca; Fe; K; Mg; Zn) and two nutrients to limit (saturated fat and Na), described as NRFn.2 (where n 6–11), based on reference amount of 100 g or 100 kcal using the NRF index family of algorithms. The percentage of variation in MAR (R2) was the criteria of index performance. Logistic regression models were applied to predict the association between NRF index and obesity. Setting: Three communities in Zhengzhou city, Henan province, China. Participants: A total of 656 adults were recruited from Henan as the subjects. Results: The NRF9·2 index, based on nine beneficial nutrients and two nutrients to limit, using the algorithm based on sums and 100 kcal, had the higher R2 values (R2 = 0·232). The OR for overweight (defined by BMI) in the 4th quartile (Q4) v. the 1st quartile (Q1) of the NRF9·2 index was 0·61 (95 % CI = 0·37, 0·98) after multiple adjustments. Conclusion: NRF9·2 index using the algorithm based on sums and 100 kcal gave the best predicted model for diet quality. NRF9·2 index score was associated with overweight defined by BMI, but it was not associated with central obesity. The NRF9·2 index is a valid tool to assess the overall diet quality among adults in Henan province of China.

Perbedaan Berat Badan Bayi, Asupan Zat Gizi Ibu dan Bayi serta Pengetahuan Ibu Sebelum dan Sesudah Program Keluarga Binaan di Desa Kaliwangi, Purwokerto, Jawa Tengah

“…Metode intervensi meliputi: wawancara, ceramah dan diskusi dan demonstrasi. Penelitian yang dilakukan oleh Junya et al, 2021 di China metode pengukuran asupan makan menggunakan formulir food recall digunakan menilai kualitas diet secara keseluruhan di kalangan orang dewasa Provinsi Henan Cina (14). Penelitian yang dilakukan oleh Yatiman et al, 2019 di Jepang, metode pengukuran asupan makan menggunakan formulir Food Frequency Questionnaire (FFQ) digunakan menilai asupan makan pada anak pra-sekolah (15).…”

Association of dietary nutrient density with the risk of sarcopenia and its components in Chinese adults from Henan province

“…Nutrient-rich food (NRF) indices, a priori method for evaluating dietary nutrient density, which is the ratio of the food's nutrient composition to the nutrient requirements of the human consumer [10] . A family of NRF indices has been validated against the healthy eating index (HEI) [11] , the Dutch healthy diet index (DHD) [12] , and the mean adequacy ratio (MAR) [13] . Not limited to total diets only, the NRF approach can be applied to food groups, meal menus, and individual food [14] and provides a valuable tool for education and guidance [15] .…”

“…Not limited to total diets only, the NRF approach can be applied to food groups, meal menus, and individual food [14] and provides a valuable tool for education and guidance [15] . Diets with high NRF index scores protected against central obesity [16] and higher body mass index (BMI) [13,17] and were inversely associated with all-cause mortality [18] . The relationship between nutrient density and sarcopenia was not fully explored.…”

“…The relationship between nutrient density and sarcopenia was not fully explored. Although our research team proposed the NRF9.2 index score (including two limited nutrients and nine bene t nutrients) to predict overall diet quality among Chinese adults and was negatively associated with obesity [13] , it has not yet been evaluated concerning muscle health. Therefore, we examined the association between the NRF9.2 index and the risk of sarcopenia and its elements based on a cross-sectional study of general Chinese adults from Henan Province.…”

The development of a dietary nutrient density educational tool and the investigation of its acceptance by Chinese residents from Henan province

“…The nutrition transition in China substantially impacts the dietary quality and health outcomes of Chinese consumers, re ecting discernible shifts in dietary patterns and nutritional pro les [3] . To address this issue, the Dietary Guidelines for Chinese Residents, a series of versions published by the Chinese Nutrition Society, guide Chinese residents to eat rationally [4] . Jiajie Zang et al show that keeping a healthy and balanced diet, as re ected in adherence to the Chinese Dietary Guidelines (CDGs), is related to increased overall health among Shanghai residents [5] .…”