TY - JOUR
T1 - Association between Diet-Quality Scores, Adiposity, Total Cholesterol and Markers of Nutritional Status in European Adults
T2 - Findings from the Food4Me Study
AU - Fallaize, Rosalind
AU - Livingstone, Katherine M.
AU - Celis-Morales, Carlos
AU - Macready, Anna L.
AU - San-Cristobal, Rodrigo
AU - Navas-Carretero, Santiago
AU - Marsaux, Cyril F. M.
AU - O'Donovan, Clare B.
AU - Kolossa, Silvia
AU - Moschonis, George
AU - Walsh, Marianne C.
AU - Gibney, Eileen R.
AU - Brennan, Lorraine
AU - Bouwman, Jildau
AU - Manios, Yannis
AU - Jarosz, Miroslaw
AU - Martinez, J. Alfredo
AU - Daniel, Hannelore
AU - Saris, Wim H. M.
AU - Gundersen, Thomas E.
AU - Drevon, Christian A.
AU - Gibney, Michael J.
AU - Mathers, John C.
AU - Lovegrove, Julie A.
PY - 2018/1/6
Y1 - 2018/1/6
N2 - Diet-quality scores (DQS), which are developed across the globe, are used to define adherence to specific eating patterns and have been associated with risk of coronary heart disease and type-II diabetes. We explored the association between five diet-quality scores (Healthy Eating Index, HEI; Alternate Healthy Eating Index, AHEI; MedDietScore, MDS; PREDIMED Mediterranean Diet Score, P-MDS; Dutch Healthy Diet-Index, DHDI) and markers of metabolic health (anthropometry, objective physical activity levels (PAL), and dried blood spot total cholesterol (TC), total carotenoids, and omega-3 index) in the Food4Me cohort, using regression analysis. Dietary intake was assessed using a validated Food Frequency Questionnaire. Participants (n = 1480) were adults recruited from seven European Union (EU) countries. Overall, women had higher HEI and AHEI than men (p < 0.05), and scores varied significantly between countries. For all DQS, higher scores were associated with lower body mass index, lower waist-to-height ratio and waist circumference, and higher total carotenoids and omega-3-index (p trends < 0.05). Higher HEI, AHEI, DHDI, and P-MDS scores were associated with increased daily PAL, moderate and vigorous activity, and reduced sedentary behaviour (p trend < 0.05). We observed no association between DQS and TC. To conclude, higher DQS, which reflect better dietary patterns, were associated with markers of better nutritional status and metabolic health.
AB - Diet-quality scores (DQS), which are developed across the globe, are used to define adherence to specific eating patterns and have been associated with risk of coronary heart disease and type-II diabetes. We explored the association between five diet-quality scores (Healthy Eating Index, HEI; Alternate Healthy Eating Index, AHEI; MedDietScore, MDS; PREDIMED Mediterranean Diet Score, P-MDS; Dutch Healthy Diet-Index, DHDI) and markers of metabolic health (anthropometry, objective physical activity levels (PAL), and dried blood spot total cholesterol (TC), total carotenoids, and omega-3 index) in the Food4Me cohort, using regression analysis. Dietary intake was assessed using a validated Food Frequency Questionnaire. Participants (n = 1480) were adults recruited from seven European Union (EU) countries. Overall, women had higher HEI and AHEI than men (p < 0.05), and scores varied significantly between countries. For all DQS, higher scores were associated with lower body mass index, lower waist-to-height ratio and waist circumference, and higher total carotenoids and omega-3-index (p trends < 0.05). Higher HEI, AHEI, DHDI, and P-MDS scores were associated with increased daily PAL, moderate and vigorous activity, and reduced sedentary behaviour (p trend < 0.05). We observed no association between DQS and TC. To conclude, higher DQS, which reflect better dietary patterns, were associated with markers of better nutritional status and metabolic health.
KW - diet scores
KW - metabolic health
KW - personalized nutrition
KW - Healthy Eating Index
KW - Mediterranean Diet Score
KW - Dutch Healthy Diet Index
KW - nutritional biomarkers
KW - dried blood spots
KW - HEALTHY EATING INDEX
KW - CORONARY-HEART-DISEASE
KW - LIFE-STYLE FACTORS
KW - DRIED BLOOD SPOTS
KW - PLASMA CAROTENOIDS
KW - MEDITERRANEAN DIET
KW - PHYSICAL-ACTIVITY
KW - OMEGA-3 INDEX
KW - PERSONALIZED NUTRITION
KW - 10-YEAR MORTALITY
KW - Health Status Disparities
KW - Nutritive Value
KW - Anthropometry
KW - Healthy Diet
KW - Humans
KW - Middle Aged
KW - Male
KW - Nutrition Assessment
KW - Young Adult
KW - Adiposity
KW - Cholesterol/blood
KW - Adult
KW - Biomarkers/blood
KW - Female
KW - Surveys and Questionnaires
KW - Nutritional Status
KW - Europe
KW - Feeding Behavior
KW - Health Knowledge, Attitudes, Practice
KW - Health Behavior
KW - Adolescent
KW - Aged
U2 - 10.3390/nu10010049
DO - 10.3390/nu10010049
M3 - Article
C2 - 29316612
SN - 2072-6643
VL - 10
SP - 1
EP - 15
JO - Nutrients
JF - Nutrients
IS - 1
M1 - 49
ER -