Simple Measures of Dietary Variety Are Associated with Improved Dietary Quality

Murphy, Suzanne P.; Foote, Jonathan; Wilkens, Lynne R.; Basiotis, P. Peter; Carlson, Andrea; White, Kami; Yonemori, Kim

doi:10.1016/j.jada.2005.12.003

Cited by 90 publications

(72 citation statements)

References 3 publications

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“…they were positively associated with feasibility. Overall, these results are consistent with evidence that low energy density and high fruit and vegetable consumption (30,31), high energy cost (32), and high food variety (33,34) are important indicators of nutritional quality.…”

Section: Discussionsupporting

confidence: 87%

To Meet Nutrient Recommendations, Most French Adults Need to Expand Their Habitual Food Repertoire

Maillot

Vieux

Ferguson

et al. 2009

The Journal of Nutrition

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Simultaneous dietary achievement of a comprehensive set of nutrient recommendations is difficult. Our objective was to assess the feasibility of achieving a set of 30 nutrient recommendations at the individual level and characterize factors associated with feasibility. Seven-day food records collected from adults participating in the French national food consumption survey (n = 1171) were modified using an individualized diet optimization approach. For each individual, departure from his/her recorded diet was minimized, using only foods reported in his/her weekly diet record to fulfill a set of nutritional constraints. These constraints aimed to achieve or exceed the French Estimated Average Requirements and varied depending on the individual's gender, age, and observed nutrient intake levels. Acceptability constraints ensured realistic food portion sizes and food patterns. Model feasibility (i.e. percentage of feasible optimized diets) was calculated for all diets and by tertiles of dietary variety (i.e. the number of foods in the weekly food repertoire). Among the 1171 modeled diets, only 22% were mathematically feasible, showing that 78% of French adults would need to expand their weekly food repertoire to fulfill nutrient recommendations. Model feasibility increased from 6.6 to 50.3% and from 2.7 to 42.9% in tertiles 1 and 3 of dietary variety for men and women, respectively. The vitamin D constraint was the most difficult to fulfill (feasibility doubled after its removal), followed by sodium (maximum), magnesium (minimum), and SFA (maximum). The new approach developed in this study provides a method for identifying nutrient levels to carefully evaluate when establishing recommendations.

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Section: Discussionsupporting

confidence: 87%

To Meet Nutrient Recommendations, Most French Adults Need to Expand Their Habitual Food Repertoire

Maillot

Vieux

Ferguson

et al. 2009

The Journal of Nutrition

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“…Furthermore, previous literature shows that greater dietary variety and diversity are associated with a decreased risk for nutritional inadequacy. [36][37][38][39] The inconsistent findings in the literature of dietary variety or diversity may be due, in part, to different serving cutoff points to determine if the consumption of a particular food will count toward the variety or diversity score. For example, in the study by Mirmiran et al, 10 at least half a serving of a food must be consumed for it to count toward the diversity score; in the Diet Diversity 10-g score created by…”

Section: Discussionmentioning

confidence: 99%

Association of Dietary Variety and Diversity With Body Mass Index in US Preschool Children

Fernandez¹,

Kasper

Miller

et al. 2016

Pediatrics

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“…A modified version of the measure developed by Murphy and co-workers 21 was used to assess dietary variety (i.e., variability in foods chosen from across food groups), operationalized as a count of the number of food groups consumed. The original measure, which included 22 food groups, 21 was modified in accordance with the recently published 2010 Dietary Guidelines for Americans, 1 which include specific recommendations to reduce intake of processed meat and non-whole grains, and to emphasize low-fat versus high-fat dairy products.…”

Section: Methodsmentioning

confidence: 99%

Relationships of neophobia and pickiness with dietary variety, dietary quality and diabetes management adherence in youth with type 1 diabetes

et al. 2013

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BACKGROUND/OBJECTIVES Neophobia, pickiness and diet variety are associated with diet quality and health outcomes in young children. Limited research has examined these associations among youth with type 1 diabetes (T1D), a population at risk for poor health outcomes when dietary quality is inadequate. SUBJECTS/METHODS Youth (n = 252, age 13.2±2.8 years, 92% white, diabetes duration 6.3±3.4 years) with T1D and their parents completed 3-day youth diet records; parents completed questionnaires regarding youth neophobia, pickiness and diabetes management adherence. Medical records provided biomedical data. Dietary quality indicators included Nutrient-Rich Foods Index 9.3 (NRF9.3), Healthy Eating Index-2005 (HEI-2005), Whole Plant Food Density (WPFD) and key single nutrients. Dietary variety was operationalized as a count of 20 recommended food groups consumed. Relationships of dietary quality and diabetes management adherence with neophobia, pickiness and dietary variety as independent variables were examined using multiple linear regression analyses adjusted for total energy intake, age, height and weight. RESULTS In multiple linear regression analyses, NRF9.3 and HEI-2005 were each inversely associated with neophobia and pickiness, and positively associated with dietary variety. WPF and potassium were each positively associated and saturated fat was inversely associated with dietary variety. However, in models simultaneously including neophobia, pickiness and dietary variety as independent correlates of dietary quality, only relationships with dietary variety remained significant. Diabetes management adherence was negatively associated with both neophobia and pickiness and positively associated with dietary variety. CONCLUSIONS Findings suggest that increasing dietary variety may contribute toward improved dietary quality among youth with T1D, despite potentially adverse influences of neophobia and pickiness.

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Simple Measures of Dietary Variety Are Associated with Improved Dietary Quality

Cited by 90 publications

References 3 publications

To Meet Nutrient Recommendations, Most French Adults Need to Expand Their Habitual Food Repertoire

To Meet Nutrient Recommendations, Most French Adults Need to Expand Their Habitual Food Repertoire

Association of Dietary Variety and Diversity With Body Mass Index in US Preschool Children

Relationships of neophobia and pickiness with dietary variety, dietary quality and diabetes management adherence in youth with type 1 diabetes

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