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

Lee, Linde van; Feskens, Edith J. M.; Huysduynen, Eveline J. C. Hooft van; Vries, J.H.M. de; Veer, P. van ‘t; Geelen, Anouk

doi:10.1017/jns.2013.28

Cited by 37 publications

(40 citation statements)

References 38 publications

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“…The DHD-index derived from the DHD-FFQ was associated with sex, age, following a diet regimen, supplement use, smoking and antihypertensive medication use. The DHD-index scores based on a full-length FFQ and on two 24-h recalls showed similar associations with sex (3,4,35) , age (4,35) , smoking (35) and following a diet regimen (3) in other Dutch populations. However, in these other populations, the DHD-index was also associated with higher education (35) , which was not seen in the present study.…”

Section: Discussionmentioning

confidence: 70%

Evaluation of a screener to assess diet quality in the Netherlands

et al. 2015

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Generally, there is a need for short questionnaires to estimate diet quality in the Netherlands. We developed a thirty-four-item FFQ -the Dutch Healthy Diet FFQ (DHD-FFQ) -to estimate adherence to the most recent Dutch guidelines for a healthy diet of 2006 using the DHD-index. The objectives of the present study were to evaluate the DHD-index derived from the DHD-FFQ by comparing it with the index based on a reference method and to examine associations with participant characteristics, nutrient intakes and levels of cardiometabolic risk factors. Data of 1235 Dutch men and women, aged between 20 and 70 years, participating in the Nutrition Questionnaires plus study were used. The DHD-index was calculated from the DHD-FFQ and from a reference method consisting of a 180-item FFQ combined with a 24-h urinary Na excretion value. Ranking was studied using Spearman's correlations, and absolute agreement was studied using a Bland-Altman plot. Nutrient intakes derived from the 180-item FFQ were studied according to quintiles of the DHD-index using DHD-FFQ data. The correlation between the DHD-index derived from the DHD-FFQ and the reference method was 0·56 (95 % CI 0·52, 0·60). The Bland-Altman plot showed a small mean overestimation of the DHD-index derived from the DHD-FFQ compared with the reference method. The DHD-index score was in the favourable direction associated with most macronutrient and micronutrient intakes when adjusted for energy intake. No associations between the DHD-index score and cardiometabolic risk factors were observed. In conclusion, the DHD-index derived from the DHD-FFQ was considered acceptable in ranking but relatively poor in individual assessment of diet quality.

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Section: Discussionmentioning

confidence: 70%

Evaluation of a screener to assess diet quality in the Netherlands

et al. 2015

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“…Medication (including BH4) and dietary intake of AAM/natural diet and supplementary vitamins/minerals were assessed. Patient reported intake was compared with the most recent dietary prescription from the treating dietician [11]. Patient records were studied to obtain Phe concentrations from dried blood spots over the last 12 months, and BMD Z-scores from dual-energy X-ray absorptiometry scans (DXA) performed between 2 years before to 6 months after inclusion.…”

Section: Methodsmentioning

confidence: 99%

Micronutrients, Essential Fatty Acids and Bone Health in Phenylketonuria

et al. 2017

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Introduction: In phenylketonuria (PKU), a natural protein-restricted dietary treatment prevents severe cognitive impairment. Nutrient deficiencies may occur due to strict diet. This study is aimed at evaluating the dietary intake and blood concentrations of micronutrients and essential fatty acids (FA), bone mineral density (BMD) and fracture history in patients on long-term dietary treatment. Methods: Sixty early diagnosed Dutch patients (aged 1-39 years) were included in a multi-center cross-sectional study. Their dietary intake, blood concentrations of micronutrients, FA, fracture history and BMD were assessed. Results: Selenium dietary intake and serum concentrations were low in 14 and 46% of patients, respectively. The serum 25-OH vitamin D2 + D3 concentration was low in 14% of patients while 20% of patients had a low vitamin D intake. Zinc serum concentrations were below normal in 14% of patients, despite adequate intake. Folic acid serum concentrations and intake were elevated. Despite safe total protein and fat intake, arginine plasma concentrations and erythrocyte eicosapentaenoic acid were below reference values in 19 and 6% of patients, respectively. Low BMD (Z-score <-2) was slightly more prevalent in patients, but the lifetime fracture prevalence was comparable to the general population. Conclusions: Dutch patients with PKU on long-term dietary treatment have a near normal nutrient status. Supplementation of micronutrients of which deficiency may be deleterious (e.g., vitamin D and selenium) should be considered. BMD warrants further investigation.

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“…Before testing, physical measurements of obesity were taken (weight, waist and hip circumference), digit span was assessed 35 , and self-report questionnaires were administered to characterize the participants ( Table 1). The following self-report questionnaires and scales were administered for explanatory purposes (i.e., to characterize the sample and account for between-group differences at baseline that could occur by chance), and to address the secondary aim of the study (i.e., to assess the effectiveness of the intervention programs in physical and self-reported measures of overeating) ( 36 to assess smoking and nicotine dependence; the Positive And Negative Affect Scale (PANAS) 37 to assess positive and negative affect before scanning; the Barratt Impulsiveness Scale-11 (BIS-11) 38 to assess impulsivity; the Behavioral Inhibition System/Behavioral Approach System questionnaire (BIS/BAS) 39 to assess punishment and reward sensitivity; the Kirby questionnaire 40 to assess delayed reward discounting; the Food Frequency Questionnaire, Dutch Healthy Diet (FFQ-DHD) 41 to assess the degree to which participants eat according to the national guidelines for a Dutch healthy diet; a shortened version of the Food Behavior Questionnaire (FBQ) to assess behavior towards food; the Dutch Eating Behaviour Questionnaire (DEBQ) 42 to assess emotional, external and restraint eating behavior; the Five Facet Mindfulness Questionnaire -Short Form (FFMQ-SF) 43 to assess degree 32 to assess levels of anxiety and depression; a Treatment Credibility Questionnaire (TCQ) to assess how much participants believed the intervention would work for them. Note that the pre-measurement of the TCQ was taken at the first session of the intervention program rather than on the pre-test session, as participants were unaware of the contents of their intervention at that time.…”

Section: Participantsmentioning

confidence: 99%

Greater mindful eating practice is associated with better reversal learning

Janssen¹,

Duif²,

Loon³

et al. 2017

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1Mindfulness-based interventions are thought to reduce compulsive behavior such as overeating by promoting behavioral flexibility. Here the main aim was to provide support for mindfulness-mediated improvements in reversal learning, a direct measure of behavioral flexibility. We investigated whether an 8-week mindful eating intervention improved outcome-based reversal learning relative to an educational cooking (i.e., active control) intervention in a non-clinical population. Sixty-five healthy participants with a wide BMI range (19-35 kg/m 2 ), who were motivated to change their eating habits, performed a deterministic reversal learning task that enabled the investigation of reward-and punishment-based reversal learning at baseline and following the intervention. No group differences in reversal learning were observed. However, time invested in the mindful eating, but not the educational cooking intervention correlated positively with changes in reversal learning, in a manner independent of outcome valence. These findings suggest that greater amount of mindfulness practice can lead to increased behavioral flexibility, which, in turn, might help overcome compulsive eating in clinical populations.Mindfulness has been associated with a multitude of beneficial health outcomes 1,2 and improvements in cognition 3 in clinical as well as non-clinical populations. Mindfulness is defined as paying attention to present moment experience, purposefully and non-judgmentally 4 . Shapiro and colleagues 5 have proposed that practicing mindfulness may lead to reperceiving, or deautomization, and suggest that one direct mechanism of action underlying the beneficial effects of mindfulness-based interventions may be increased cognitive, emotional and behavioral flexibility. Some studies have indeed shown a mindfulness-mediated increase in the ability to inhibit automatic responses, as measured with classic or emotional Stroop tasks [6][7][8] , which has been interpreted as evidence for increased cognitive flexibility. However, studies investigating cognitive flexibility with paradigms that require attention switching have not shown effects of mindfulness 9,10 . No studies to date have investigated the effects of mindfulness on reward-based flexibility such as reversal learning.Reversal learning requires the ability to flexibly adapt one's behavior in response to outcome-contingency changes in the environment and is highly relevant in the context of compulsive behavior such as addiction 11 or overeating (i.e., consuming more energy than is expended). Although occasional overeating is a common phenomenon in our obesogenic environment, chronic overeating often results in obesity. Recent theory suggests that, rather than hyper-or hyposensitivity to food rewards, obesity may be related to impaired outcome-based learning [12][13][14] . Impaired reward and punishment learning may maintain overeating in obesity by leading to compulsive over-selection of actions directed at food rewards and/or decreased sensitivity to negative consequences a...

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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

Cited by 37 publications

References 38 publications

Evaluation of a screener to assess diet quality in the Netherlands

Evaluation of a screener to assess diet quality in the Netherlands

Micronutrients, Essential Fatty Acids and Bone Health in Phenylketonuria

Greater mindful eating practice is associated with better reversal learning

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