Dietary Diversity and Its Association with Diet Quality and Health Status of European Children, Adolescents, and Adults: Results from the I.Family Study

被引:4
作者
Dello Russo, Marika [1 ]
Formisano, Annarita [1 ]
Lauria, Fabio [1 ]
Ahrens, Wolfgang [2 ,3 ]
Bogl, Leonie H. [4 ,5 ]
Eiben, Gabriele [6 ,7 ]
De Henauw, Stefaan [8 ]
Hebestreit, Antje [2 ]
Intemann, Timm [2 ]
Hunsberger, Monica [9 ]
Lissner, Lauren [9 ]
Molnar, Denes [10 ]
Pala, Valeria [11 ]
Papoutsou, Stalo [12 ]
Santaliestra-Pasias, Alba M. [13 ,14 ]
Veidebaum, Toomas [15 ]
Wolters, Maike [2 ]
Siani, Alfonso [1 ]
Russo, Paola [1 ]
机构
[1] CNR, Inst Food Sci, I-83100 Avellino, Italy
[2] Leibniz Inst Prevent Res & Epidemiol BIPS, D-28359 Bremen, Germany
[3] Bremen Univ, Inst Stat, Fac Math & Comp Sci, D-28359 Bremen, Germany
[4] Bern Univ Appl Sci, Sch Hlth Profess, CH-30081 Bern, Switzerland
[5] Univ Helsinki, Finnish Inst Mol Med, Helsinki 00100, Finland
[6] Univ Skovde, Sch Hlth Sci, Dept Publ Hlth, S-54128 Skovde, Sweden
[7] Univ Gothenburg, Dept Publ Hlth & Community Med, S-40530 Gothenburg, Sweden
[8] Univ Ghent, Dept Publ Hlth & Primary Care, B-9000 Ghent, Belgium
[9] Univ Gothenburg, Sahlgrenska Acad, Inst Med, Dept Publ Hlth & Community Med, S-41390 Gothenburg, Sweden
[10] Univ Pecs, Med Sch, Dept Pediat, H-7623 Pecs, Hungary
[11] Fdn IRCCS, Dept Prevent & Predict Med, Ist Nazl Tumori, I-20133 Milan, Italy
[12] Res & Educ Inst Child Hlth, Attikis 8, CY-2027 Strovolos, Cyprus
[13] Univ Zaragoza, NUTRI GENUD Growth Exercise Nutr & Dev Res Grp, Fac Hlth Sci & Sports, Inst Invest Sanitaria Aragon IIS Aragon,IA2, Zaragoza 50009, Spain
[14] Inst Salud Carlos III, CIBER Fisiopatol Obes & Nutr CIBERObn, Madrid 28029, Spain
[15] Natl Inst Hlth Dev, Ctr Hlth & Behav Sci, EE-11619 Tallinn, Estonia
关键词
diet diversity; obesity; diet quality; NUTRIENT ADEQUACY; FOOD; NUTRITION; VARIETY; INDEXES; SCORE;
D O I
10.3390/foods12244458
中图分类号
TS2 [食品工业];
学科分类号
0832 ;
摘要
Dietary diversity (DD) plays a crucial role in fostering high-quality diets, but its association with health outcomes, particularly body adiposity and non-communicable diseases (NCDs), is inconsistent. This may be due to a lack of a standardized method for estimating DD. Our study investigates the association between two DD indices, namely the dietary diversity score (DDS) and food variety score (FVS), and anthropometric measures, biochemical parameters, and diet quality in a large population sample from the I.Family study across research centers in eight European countries. In our cross-sectional analysis of 3035 participants, DDSs varied among countries, with a higher prevalence in the third DDS tertile among those with higher education. DDS showed a positive association with diet quality across all age groups. Higher DDS tertile individuals showed increased fiber, fruit, and vegetable intake, greater meal frequency, and lower ultra-processed food consumption. No relevant biochemical differences were observed across DDS tertiles, and a higher DDS was associated with lower overweight/obesity prevalence only in adults. No significant associations were found with FVS. Our findings emphasize the need to consider food groups for a more accurate estimation of diet quality. This aligns with studies suggesting DDS alone is not an independent risk factor for obesity in children and adolescents. Public health programs should prioritize food diversity to promote improved nutrition and overall well-being in communities.
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页数:18
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