Validation of the Diet Quality Index for Adolescents by comparison with biomarkers, nutrient and food intakes: the HELENA study

Autor: Magdalena Cuenca-García, Evangelia Grammatikaki, Wencke Gwozdz, Ulrike Albers, Anouk Geelen, Inge Huybrechts, Marta Fajó-Pascual, Lena Hallström, Dénes Molnár, Marcela González-Gross, Willem De Keyzer, Jean Dallongeville, Krishna Vyncke, Carine Vereecken, Christina Breidenassel, Claudia Börnhorst, Frédéric Gottrand, Ligia E. Díaz, Caterine Leclercq, Katharina Diethelm, Stefaan De Henauw, Michael Sjöström, Myriam Van Winckel, Yannis Manios, Karin Bammann, Lea Maes, Kurt Widhalm, Laurent Béghin, Luis A. Moreno, Estefania Cruz Fernandez, Tineke De Vriendt, Ascensión Marcos, Anthony Kafatos, Mathilde Kersting, Theodora Mouratidou
Rok vydání: 2012
Předmět:
Zdroj: Digital.CSIC. Repositorio Institucional del CSIC
instname
British Journal of Nutrition 109 (2013)
British Journal of Nutrition, 109, 2067-2078
ISSN: 1475-2662
0007-1145
Popis: Food-based dietary guidelines (FBDG) aim to address the nutritional requirements at population level in order to prevent diseases and promote a healthy lifestyle. Diet quality indices can be used to assess the compliance with these FBDG. The present study aimed to investigate whether the newly developed Diet Quality Index for Adolescents (DQI-A) is a good surrogate measure for adherence to FBDG, and whether adherence to these FBDG effectively leads to better nutrient intakes and nutritional biomarkers in adolescents. Participants included 1804 European adolescents who were recruited in the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) Study. Dietary intake was assessed by two, non-consecutive 24 h recalls. A DQI-A score, considering the components' dietary quality, diversity and equilibrium, was calculated. Associations between the DQI-A and food and nutrient intakes and blood concentration biomarkers were investigated using multilevel regression analysis corrected for centre, age and sex. DQI-A scores were associated with food intake in the expected direction: positive associations with nutrient-dense food items, such as fruits and vegetables, and inverse associations with energy-dense and low-nutritious foods. On the nutrient level, the DQI-A was positively related to the intake of water, fibre and most minerals and vitamins. No association was found between the DQI-A and total fat intake. Furthermore, a positive association was observed with 25-hydroxyvitamin D, holo-transcobalamin and n-3 fatty acid serum levels. The present study has shown good validity of the DQI-A by confirming the expected associations with food and nutrient intakes and some biomarkers in blood. Copyright © 2012 The Authors.
Databáze: OpenAIRE