The Global Diet Quality Score Is Inversely Associated with Nutrient Inadequacy, Low Midupper Arm Circumference, and Anemia in Rural Adults in Ten Sub-Saharan African Countries
| Autor: | Michelle D. Holmes, Sabri Bromage, Megan Deitchler, Shilpa N Bhupathiraju, Teresa T. Fung, Walter C. Willett, Sonia Ehrlich Sachs, Yiwen Zhang, Meir J. Stampfer, Wafaie W. Fawzi, Jeffrey D. Sachs, Roseline Remans, Carolina Batis, Yanping Li, Jessica Fanzo |
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| Rok vydání: | 2021 |
| Předmět: |
sub-Saharan Africa
Adult Male Rural Population Vitamin double burden of malnutrition Adolescent Anemia dietary diversity Medicine (miscellaneous) Overweight AcademicSubjects/MED00060 Young Adult chemistry.chemical_compound nutrition transition Nutrition transition medicine Humans Micronutrients Prospective cohort study noncommunicable disease Africa South of the Sahara Nutrition and Dietetics Anthropometry Nutritional epidemiology business.industry Malnutrition Millennium Villages Project Nutrients Middle Aged medicine.disease diet quality metrics Obesity Diet nutritional epidemiology chemistry Arm AcademicSubjects/SCI00960 Female Dietary Proteins GDQS Diet Healthy medicine.symptom business Supplement nutrient adequacy Demography |
| Zdroj: | The Journal of Nutrition |
| ISSN: | 0022-3166 |
| DOI: | 10.1093/jn/nxab161 |
| Popis: | Background Key nutrient deficits remain widespread throughout sub-Saharan Africa (SSA) whereas noncommunicable diseases (NCDs) now cause one-third of deaths. Easy-to-use metrics are needed to track contributions of diet quality to this double burden. Objectives We evaluated comparative performance of a novel food-based Global Diet Quality Score (GDQS) against other diet metrics in capturing nutrient adequacy and undernutrition in rural SSA adults. Methods We scored the GDQS, Minimum Dietary Diversity–Women (MDD-W), and Alternative Healthy Eating Index–2010 (AHEI-2010) using FFQ data from rural men and nonpregnant, nonlactating women of reproductive age (15–49 y) in 10 SSA countries. We evaluated Spearman correlations between metrics and energy-adjusted nutrient intakes, and age-adjusted associations with BMI, midupper arm circumference (MUAC), and hemoglobin in regression models. Results Correlations between the GDQS and an energy-adjusted aggregate measure of dietary protein, fiber, calcium, iron, zinc, vitamin A, folate, and vitamin B-12 adequacy were 0.34 (95% CI: 0.30, 0.38) in men and 0.37 (95% CI: 0.32, 0.41) in women. The GDQS was associated (P |
| Databáze: | OpenAIRE |
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