Determinants of diet quality

Thiele, Silke; Mensink, Gert; Beitz, Roma

doi:10.1079/phn2003516

Cited by 119 publications

(109 citation statements)

References 15 publications

(20 reference statements)

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“…Several epidemiological studies reported a direct association between diet quality and healthy lifestyle variables (Ruidavets et al, 2004;Thiele et al, 2004;Tur et al, 2004). In the present population, participants with a high adherence to low-energy density diets showed a trend towards a healthier lifestyle characterized through a higher degree of physical activity during leisure time, lower prevalence of smoking, sedentary lifestyle and alcohol consumption.…”

Section: Discussionmentioning

confidence: 53%

Diet quality and lifestyle associated with free selected low-energy density diets in a representative Spanish population

et al. 2007

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Objective: Dietary intake is strongly influenced by the energy density of the diet. The purpose of this study was to determine the association of energy density with diet quality, dietary reference intake (DRI) for energy and lifestyle characteristics in free-living people. Subjects: The subjects were Spanish men (n ¼ 1491) and women (n ¼ 1563) selected in between 1999 and 2000 among the general population according to the 1996 census. Results: A low-energy density diet was significantly associated (Po0.001) with a higher consumption of vegetables, fruits, legumes, fish and white meat as compared to high-energy density diets. More subjects (Po0.001) with a high adherence to low-energy density diets meet DRI for energy intake and tended to be closer (Po0.05) to the recommendations of dietary intakes, established by the Spanish Society of Community Nutrition than those following a high-energy density diet. Alcohol consumption, the prevalence of a sedentary lifestyle and smoking significantly increased (Po0.01) across quartile distribution of energy density. Conclusion: Low-energy density diets of the present population were associated with a healthier lifestyle. Furthermore, our data suggest that adherence to low-energy density diets, with similar characteristics to those found in the present population, promote adequate energy intakes and increase overall diet quality.

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Section: Discussionmentioning

confidence: 53%

Diet quality and lifestyle associated with free selected low-energy density diets in a representative Spanish population

et al. 2007

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“…The QFFQ was completed for foods eaten over the previous 30 d. The food intake was coded according to the South African Food Composition Database System of the South African Medical Research Council and then used to calculate the nutrient and food group intakes (23)(24)(25) . Table 1 presents the components and cut-off points of the HDI (13) and the Deficiency Score/Excess Score by Thiele et al (12) , which were used in the present study. The score by Thiele et al suggested using up to thirty nutrients in a Deficiency Score to identify a preferable diet quality and using six nutrients in an Excess Score to identify a nonpreferable diet quality.…”

Section: Methodsmentioning

confidence: 99%

The use of predefined diet quality scores in the context of CVD risk during urbanization in the South African Prospective Urban and Rural Epidemiological (PURE) study

Dolman

Wentzel-Viljoen

Jerling

et al. 2013

Public Health Nutr.

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Objective: Urbanization is generally associated with increased CVD risk and accompanying dietary changes. Little is known regarding the association between increased CVD risk and dietary changes using approaches such as diet quality. The relevance of predefined diet quality scores (DQS) in non-Western developing countries has not yet been established. Design: The association between dietary intakes and CVD risk factors was investigated using two DQS, adapted to the black South African diet. Dietary intake data were collected using a quantitative FFQ. CVD risk was determined by analysing known CVD risk factors. Setting: Urban and rural areas in North West Province, South Africa. Subjects: Apparently healthy volunteers from the South African Prospective Urban and Rural Epidemiological (PURE) study population (n 1710). Results: CVD risk factors were significantly increased in the urban participants, especially women. Urban men and women had significantly higher intakes of both macro-and micronutrients with macronutrient intakes well within the recommended CVD guidelines. While micronutrient intakes were generally higher in the urban groups than in the rural groups, intakes of selected micronutrients were low in both groups. Both DQS indicated improved diet quality in the urban groups and good agreement was shown between the scores, although they seemed to measure different aspects of diet quality. Conclusions: The apparent paradox between improved diet quality and increased CVD risk in the urban groups can be explained when interpreting the cut-offs used in the scores against the absolute intakes of individual nutrients. Predefined DQS as well as current guidelines for CVD prevention should be interpreted with caution in non-Western developing countries.

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“…In a further step, the nutrient intake data of the European adolescents were condensed to a single parameter, the Nutritional Quality Index (NQI), to assess overall diet quality (25) . The NQI was constructed on the basis of nutritional recommendations as evaluation criteria (26) and was used as a summary measure of the degree to which the adolescents' diet conformed to the D-A-CH recommendations.…”

mentioning

confidence: 99%

Nutrient intake of European adolescents: results of the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study

Diethelm

Huybrechts

Moreno

et al. 2013

Public Health Nutr.

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Objective: An adequate nutritional intake in childhood and adolescence is crucial for growth and the prevention of youth and adult obesity and nutrition-related morbidities. Improving nutrient intake in children and adolescents is of public health importance. The purpose of the present study was to describe and evaluate the nutrient intake in a European sample using the D-A-CH nutrient intake recommendations and the Nutritional Quality Index (NQI). Design: The HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study is a cross-sectional study, the main objective of which is to obtain comparable data on a variety of nutritional and health-related parameters in adolescents aged 12?5-17?5 years. Setting: Eight cities in Europe. Subjects: The initial sample consisted of 3528 European adolescents. Among these, 1590 adolescents (54 % female) had sufficient and plausible dietary data on energy and nutrient intakes from two 24 h recalls using the HELENA-DIAT software. Results: The intakes of most macronutrients, vitamins and minerals were in line with the D-A-CH recommendations. While the intakes of SFA and salt were too high, the intake of PUFA was too low. Furthermore, the intakes of vitamin D, folate, iodine and F were less than about 55 % of the recommendations. The median NQI was about 71 (of a maximum of 100). Conclusions: The intakes of most nutrients were adequate. However, further studies using suitable criteria to assess nutrient status are needed. Public health initiatives should educate children and adolescents regarding balanced food choices.

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Determinants of diet quality

Cited by 119 publications

References 15 publications

Diet quality and lifestyle associated with free selected low-energy density diets in a representative Spanish population

Diet quality and lifestyle associated with free selected low-energy density diets in a representative Spanish population

The use of predefined diet quality scores in the context of CVD risk during urbanization in the South African Prospective Urban and Rural Epidemiological (PURE) study

Nutrient intake of European adolescents: results of the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study

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