Diet quality of a population sample from coastal north-east Spain evaluated by a Mediterranean adaptation of the Diet Quality Index (DQI)

Bondia‐Pons, Isabel; Mayneris‐Perxachs, Jordi; Serra-Majem, Lluís; Castellote, Ana I.; Mariné, Abel; López-Sabater, M. Carmen

doi:10.1017/s1368980009990231

Cited by 16 publications

(22 citation statements)

References 68 publications

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“…Therefore, it is important to not only compare the DHD-index based on FFQ data with the DHD-index based on 24hR data, but also examine associations with objective urinary and plasma biomarkers of dietary intake and metabolism. Serum total cholesterol, EPA, DHA and several carotenoids have shown significant associations with existing indices of diet quality ( 8 – 12 ) . These significant correlations between diet quality indices and single biomarkers ranged between 0.19 and 0.44 ( 8 , 11 , 12 ) .…”

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confidence: 99%

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The Dutch Healthy Diet index as assessed by 24 h recalls and FFQ: associations with biomarkers from a cross-sectional study

et al. 2013

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The Dutch Healthy Diet index (DHD-index) was developed using data from two 24 h recalls (24hR) and appeared useful to evaluate diet quality in Dutch adults. As many epidemiologic studies use FFQ, we now estimated the DHD-index score using FFQ data. We compared whether this score showed similar associations with participants' characteristics, micronutrient intakes, and biomarkers of intake and metabolism compared with the DHD-index using 24hR data. Data of 121 Dutch participants of the European Food Consumption Validation study were used. Dietary intake was assessed by two 24hR and a 180-item FFQ. Biomarkers measured were serum total cholesterol and carotenoids, EPA + DHA in plasma phospholipids and 24 h urinary Na. A correlation of 0·48 (95 % CI 0·33, 0·61) was observed between the DHD-index score based on 24hR data and on FFQ data. Classification of participants into the same tertiles of the DHD-index was achieved for 57 %. Women showed higher DHD-index scores. Energy intake was inversely associated with both DHD-index scores. Furthermore, age and intakes of folate, Fe, Mg, K, vitamin B6 and vitamin C were positively associated with both DHD-index scores. DHD-index scores showed acceptable correlations with the four combined biomarkers taking energy intake into account (r24hR 0.55; rFFQ 0.51). In conclusion, the DHD-index score based on FFQ data shows similar associations with participants' characteristics, energy intake, micronutrient intake and biomarkers compared with the score based on 24hR data. Furthermore, ranking of participants was acceptable for both methods. FFQ data may therefore be used to assess diet quality using the DHD-index in Dutch populations.

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confidence: 99%

“…Furthermore, we will compare the ranking of participants between the DHD-index scores based on the two dietary assessment methods. The biomarkers of dietary intake were selected based on the literature ( 8 – 12 ) and on the availability of data.…”

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confidence: 99%

The Dutch Healthy Diet index as assessed by 24 h recalls and FFQ: associations with biomarkers from a cross-sectional study

et al. 2013

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“…With these values, the Mediterranean Diet Quality Index (MDQI) of the parents was estimated adopting the Gerber criteria (26,27) , which consider the proportion of SFA in relation to energy and intakes of cholesterol, meat, olive oil, fish, cereals, vegetables and fruit. The result was expressed as a percentage (with a value >50 % corresponding to an acceptable MD).…”

Section: Elaboration Of the Resultsmentioning

confidence: 99%

Educational intervention to improve adherence to the Mediterranean diet among parents and their children aged 1–2 years. EniM clinical trial

Roset-Salla¹,

Salabarnada-Torras²,

Pera³

et al. 2015

Public Health Nutr.

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Objective: The objective of the present study was to evaluate the effectiveness of an educational programme on healthy alimentation, carried out in day-care centres and aimed at the parents of children from 1 to 2 years of age, regarding the acquisition of healthy eating habits among themselves and their children. Design: We performed a multicentre, multidisciplinary, randomized controlled study in a community setting. Setting: The EniM study (nutritional intervention study among children from Mataró) was performed in twelve day-care centres in Mataró (Spain). Centres were randomized into a control group (CG) and an intervention group (IG). IG received four or five educational workshops on diet, CG did not have workshops. Subjects: Children, not exclusively breast-fed, from 1 to 2 years of age, in the participating day-care centres and the persons responsible for their alimentation (mother or father). Results: Thirty-five per cent of the IG did not attend the minimum of three workshops and were excluded. The CG included seventy-four children and seventytwo parents and the IG seventy-five children and sixty-seven parents. Both groups were comparable at baseline. Basal adherence to the Mediterranean diet was 56·4 % in parents (Gerber index) and 7·7 points in children (Kidmed test). At 8 months, Mediterranean diet adherence had improved in the IG by 5·8 points in the Gerber index (P = 0·01) and 0·6 points in the Kidmed test (P = 0·02) compared with the CG. Conclusions: This educational intervention performed in parents at the key period of incorporation of a 1-2-year-old child to the family table showed significant increases in adherence of the parents to the Mediterranean diet, suggesting future improvement in different indicators of health and an expected influence on the diet of their children.

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“…In addition, on the basis of the quality of the diet, we calculated the M-DQI used to verify the adhesion of young students to the Mediterranean diet that is considered a diet of reference worldwide [7][8][9][10][11][12][13][14][15][16][17][18]. Surprisingly, the cohort of investigated students revealed a quality of diet far removed from the Mediterranean diet model (48.1% of adhesion).…”

Section: Discussionmentioning

confidence: 99%

“…The M-DQI was finally calculated from the total score obtained, ranging from 0 (maximum adherence to M-DQI) to 14 (minimum adherence to M-DQI) [1]. The score was further classified as follows: very good (0-1), good (2-4), medium-poor (5-7), poor (8)(9)(10), and very poor (11)(12)(13)(14) and this score was used to evaluate the quality of diet in our enrolled population. The percentage of adhesion to the Mediterranean diet (MD) was also estimated in the entire cohort using the following formula: [12] Percentage of adhesion to the MD ð%Þ…”

Section: Methodsmentioning

confidence: 99%

Quality of diet, screened by the Mediterranean diet quality index and the evaluation of the content of advanced glycation endproducts, in a population of high school students from Emilia Romagna

Tarabusi

Cavazza

Pasqui

et al. 2010

Mediterr J Nutr Metab

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This observational study aims to evaluate the eating habits of a population of high school students from Emilia Romagna. 492 students aged between 15 and 19 years (265 females and 227 males) were personally interviewed by a dietician regarding their dietary habits, used to assess the macro and micronutrient composition of the diet, the quality of the diet according to the Mediterranean diet quality index (M-DQI) and the total amounts of advanced glycation endproducts (AGEs) ingested daily. The analysis of macronutrients showed a deficit in carbohydrates and an excess in fat, particularly saturated fat, when compared to the recommended daily intake (RDA), particularly evident in males (30.9 ± 7.5 vs. 23.9 ± 6.0, p \ 0.001; RDA \ 20 g). The analysis of micronutrients depicted a deficit in fibres, particularly in females (15.9 ± 4.0 vs. 18.5 ± 4.5, p \ 0.001; RDA = 20-30 g), and in vitamin D (3.04 ± 1.80 lg/day; RDA = 10-15 lg/ day). Most of the subjects analysed had M-DQI between medium-poor (280/492, 56.9%) and poor (208/492, 42.3%) while none had a very good score and only three females had a good score. Collectively, males had a worse M-DQI with respect to females. Finally, the total amount of AGEs ingested daily correlated significantly and positively with M-DQI (r = 0.283, p \ 0.001) and, accordingly, it was significantly higher in males with respect to females. The evaluation of the M-DQI in this population of high school students indicates a loss of food traditions typical to Mediterranean countries, with a consequent imbalance in macro and micronutrients with respect to the guidelines for healthy nutrition. Consequently, there is an increase in the intake of AGEs that could be one of the causes of the increased incidence of cardiovascular and metabolic complications in Mediterranean countries.

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Diet quality of a population sample from coastal north-east Spain evaluated by a Mediterranean adaptation of the Diet Quality Index (DQI)

Cited by 16 publications

References 68 publications

The Dutch Healthy Diet index as assessed by 24 h recalls and FFQ: associations with biomarkers from a cross-sectional study

The Dutch Healthy Diet index as assessed by 24 h recalls and FFQ: associations with biomarkers from a cross-sectional study

Educational intervention to improve adherence to the Mediterranean diet among parents and their children aged 1–2 years. EniM clinical trial

Quality of diet, screened by the Mediterranean diet quality index and the evaluation of the content of advanced glycation endproducts, in a population of high school students from Emilia Romagna

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