Validation of the Diet Quality Index for Adolescents by Comparison with Biomarkers, Nutrient and Food Intakes

The HELENA Study

Krishna Vyncke, Estefania Cruz Fernandez, Marta Fajó-Pascual, Magdalena Cuenca-García, Wilhelm De Keyzer, Marcela Gonzalez-Gross, Luis A. Moreno, Laurent Beghin, Christina Breidenassel, Mathilde Kersting, Ulrike Albers, Katharina Diethelm, Theodora Mouratidou, Evangelia Grammatikaki, Tineke De Vriendt, Ascensión Marcos, Karin Bammann, Claudia Börnhorst, Carine Vereecken, Lea Maes & 12 andre Wencke Gwozdz, Myriam van Winckel, Frédéric Gottrand, Michael Sjöström, Ligia E. Díaz, Anouk Geelen, Lena Hallström, Kurt Widhalm , Anthony Kafatos, Denes Molnar, Stefaan De Henauw, Inge Huybrechts

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    Resumé

    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.
    OriginalsprogEngelsk
    TidsskriftBritish Journal of Nutrition
    Vol/bind109
    Udgave nummer11
    Sider (fra-til)2067-2078
    Antal sider12
    ISSN0007-1145
    DOI
    StatusUdgivet - 2013

    Citer dette

    Vyncke, K., Cruz Fernandez, E., Fajó-Pascual, M., Cuenca-García, M., De Keyzer, W., Gonzalez-Gross, M., ... Huybrechts, I. (2013). Validation of the Diet Quality Index for Adolescents by Comparison with Biomarkers, Nutrient and Food Intakes: The HELENA Study. British Journal of Nutrition, 109(11), 2067-2078 . https://doi.org/10.1017/S000711451200414X
    Vyncke, Krishna ; Cruz Fernandez, Estefania ; Fajó-Pascual, Marta ; Cuenca-García, Magdalena ; De Keyzer, Wilhelm ; Gonzalez-Gross, Marcela ; A. Moreno, Luis ; Beghin, Laurent ; Breidenassel, Christina ; Kersting, Mathilde ; Albers, Ulrike ; Diethelm, Katharina ; Mouratidou, Theodora ; Grammatikaki, Evangelia ; De Vriendt, Tineke ; Marcos, Ascensión ; Bammann, Karin ; Börnhorst, Claudia ; Vereecken, Carine ; Maes, Lea ; Gwozdz, Wencke ; van Winckel, Myriam ; Gottrand, Frédéric ; Sjöström, Michael ; E. Díaz, Ligia ; Geelen, Anouk ; Hallström, Lena ; Widhalm , Kurt ; Kafatos, Anthony ; Molnar, Denes ; De Henauw, Stefaan ; Huybrechts, Inge. / Validation of the Diet Quality Index for Adolescents by Comparison with Biomarkers, Nutrient and Food Intakes : The HELENA Study. I: British Journal of Nutrition. 2013 ; Bind 109, Nr. 11. s. 2067-2078 .
    @article{c67021c8611840c1a94d71334b506e70,
    title = "Validation of the Diet Quality Index for Adolescents by Comparison with Biomarkers, Nutrient and Food Intakes: The HELENA Study",
    abstract = "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.",
    author = "Krishna Vyncke and {Cruz Fernandez}, Estefania and Marta Faj{\'o}-Pascual and Magdalena Cuenca-Garc{\'i}a and {De Keyzer}, Wilhelm and Marcela Gonzalez-Gross and {A. Moreno}, Luis and Laurent Beghin and Christina Breidenassel and Mathilde Kersting and Ulrike Albers and Katharina Diethelm and Theodora Mouratidou and Evangelia Grammatikaki and {De Vriendt}, Tineke and Ascensi{\'o}n Marcos and Karin Bammann and Claudia B{\"o}rnhorst and Carine Vereecken and Lea Maes and Wencke Gwozdz and {van Winckel}, Myriam and Fr{\'e}d{\'e}ric Gottrand and Michael Sj{\"o}str{\"o}m and {E. D{\'i}az}, Ligia and Anouk Geelen and Lena Hallstr{\"o}m and Kurt Widhalm and Anthony Kafatos and Denes Molnar and {De Henauw}, Stefaan and Inge Huybrechts",
    year = "2013",
    doi = "10.1017/S000711451200414X",
    language = "English",
    volume = "109",
    pages = "2067--2078",
    journal = "British Journal of Nutrition",
    issn = "0007-1145",
    publisher = "Cambridge University Press",
    number = "11",

    }

    Vyncke, K, Cruz Fernandez, E, Fajó-Pascual, M, Cuenca-García, M, De Keyzer, W, Gonzalez-Gross, M, A. Moreno, L, Beghin, L, Breidenassel, C, Kersting, M, Albers, U, Diethelm, K, Mouratidou, T, Grammatikaki, E, De Vriendt, T, Marcos, A, Bammann, K, Börnhorst, C, Vereecken, C, Maes, L, Gwozdz, W, van Winckel, M, Gottrand, F, Sjöström, M, E. Díaz, L, Geelen, A, Hallström, L, Widhalm , K, Kafatos, A, Molnar, D, De Henauw, S & Huybrechts, I 2013, 'Validation of the Diet Quality Index for Adolescents by Comparison with Biomarkers, Nutrient and Food Intakes: The HELENA Study', British Journal of Nutrition, bind 109, nr. 11, s. 2067-2078 . https://doi.org/10.1017/S000711451200414X

    Validation of the Diet Quality Index for Adolescents by Comparison with Biomarkers, Nutrient and Food Intakes : The HELENA Study. / Vyncke, Krishna; Cruz Fernandez, Estefania; Fajó-Pascual, Marta; Cuenca-García, Magdalena; De Keyzer, Wilhelm ; Gonzalez-Gross, Marcela; A. Moreno, Luis ; Beghin, Laurent; Breidenassel, Christina; Kersting, Mathilde; Albers, Ulrike; Diethelm, Katharina; Mouratidou, Theodora; Grammatikaki, Evangelia; De Vriendt, Tineke; Marcos, Ascensión; Bammann, Karin; Börnhorst, Claudia; Vereecken, Carine; Maes, Lea; Gwozdz, Wencke; van Winckel, Myriam; Gottrand, Frédéric ; Sjöström, Michael; E. Díaz, Ligia ; Geelen, Anouk ; Hallström, Lena; Widhalm , Kurt; Kafatos, Anthony; Molnar, Denes; De Henauw, Stefaan; Huybrechts, Inge.

    I: British Journal of Nutrition, Bind 109, Nr. 11, 2013, s. 2067-2078 .

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    TY - JOUR

    T1 - Validation of the Diet Quality Index for Adolescents by Comparison with Biomarkers, Nutrient and Food Intakes

    T2 - The HELENA Study

    AU - Vyncke, Krishna

    AU - Cruz Fernandez, Estefania

    AU - Fajó-Pascual, Marta

    AU - Cuenca-García, Magdalena

    AU - De Keyzer, Wilhelm

    AU - Gonzalez-Gross, Marcela

    AU - A. Moreno, Luis

    AU - Beghin, Laurent

    AU - Breidenassel, Christina

    AU - Kersting, Mathilde

    AU - Albers, Ulrike

    AU - Diethelm, Katharina

    AU - Mouratidou, Theodora

    AU - Grammatikaki, Evangelia

    AU - De Vriendt, Tineke

    AU - Marcos, Ascensión

    AU - Bammann, Karin

    AU - Börnhorst, Claudia

    AU - Vereecken, Carine

    AU - Maes, Lea

    AU - Gwozdz, Wencke

    AU - van Winckel, Myriam

    AU - Gottrand, Frédéric

    AU - Sjöström, Michael

    AU - E. Díaz, Ligia

    AU - Geelen, Anouk

    AU - Hallström, Lena

    AU - Widhalm , Kurt

    AU - Kafatos, Anthony

    AU - Molnar, Denes

    AU - De Henauw, Stefaan

    AU - Huybrechts, Inge

    PY - 2013

    Y1 - 2013

    N2 - 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.

    AB - 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.

    U2 - 10.1017/S000711451200414X

    DO - 10.1017/S000711451200414X

    M3 - Journal article

    VL - 109

    SP - 2067

    EP - 2078

    JO - British Journal of Nutrition

    JF - British Journal of Nutrition

    SN - 0007-1145

    IS - 11

    ER -