Evaluation of dietary quality of adolescents using Healthy Eating Index
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
The aim of this study was to use the Healthy Eating Index-2005 (HEI-2005) to assess diet quality and determine the relationship between the HEI-2005 and the energy and nutrient intakes of adolescents. A cross-sectional study was conducted on 1,104 healthy adolescents, mean age of 15.8 ± 1.24 years. Dietary intake was measured with the 24-hour dietary recall method, and dietary quality was assessed by means of the HEI-2005. Diet quality scores ranged from 23.7 to 77.5. The mean score was found to be 51.5 ± 9.07 according to the HEI-2005. There were no differences according to gender; 42.8% had a poor diet and 57.2% had a diet that needs improvement. No subjects had a “good diet”. Lower mean subgroup scores were found for whole grains, total vegetables, total fruits, dairy products, and meat and beans. Fruits and vegetables scores were significantly high in girls, whereas sodium, oil, and meat and beans scores were significantly high in boys. Total HEI-2005 scores were increasingly associated with parental education level when age and gender were adjusted. There was a negative correlation between HEI-2005 scores and age, total energy intake, and fat intake. Positive correlation was only observed in the HEI-2005 scores for protein and dietary fibre intakes. Consequently, the overall diet quality and nutritional habits of Turkish adolescents need modification and improvement. In the family, measures should be initiated by the government, including advertisements and campaigns.
Abstract
The aim of this study was to use the Healthy Eating Index-2005 (HEI-2005) to assess diet quality and determine the relationship between the HEI-2005 and the energy and nutrient intakes of adolescents. A cross-sectional study was conducted on 1,104 healthy adolescents, mean age of 15.8 ± 1.24 years. Dietary intake was measured with the 24-hour dietary recall method, and dietary quality was assessed by means of the HEI-2005. Diet quality scores ranged from 23.7 to 77.5. The mean score was found to be 51.5 ± 9.07 according to the HEI-2005. There were no differences according to gender; 42.8% had a poor diet and 57.2% had a diet that needs improvement. No subjects had a “good diet”. Lower mean subgroup scores were found for whole grains, total vegetables, total fruits, dairy products, and meat and beans. Fruits and vegetables scores were significantly high in girls, whereas sodium, oil, and meat and beans scores were significantly high in boys. Total HEI-2005 scores were increasingly associated with parental education level when age and gender were adjusted. There was a negative correlation between HEI-2005 scores and age, total energy intake, and fat intake. Positive correlation was only observed in the HEI-2005 scores for protein and dietary fibre intakes. Consequently, the overall diet quality and nutritional habits of Turkish adolescents need modification and improvement. In the family, measures should be initiated by the government, including advertisements and campaigns.
참고문헌 (41)
- Miller PE, "Development and evaluation of a method for calculating the Healthy Eating Index-2005 using the Nutrition Data System for Research", Public Health Nutr, 14, pp.306~313 (2011)
- McCabe-Sellers BJ, "Assessment of the diet quality of US adults in the Lower Mississippi Delta", Am J Clin Nutr, 86, pp.697~706 (2007)
- Pick ME, "Assessment of diet quality in pregnant women using the Healthy Eating Index", J Am Diet Assoc, 105, pp.240~246 (2005)
- Guenther PM, "Development of the Healthy Eating Index-2005", J Am Diet Assoc, 108, pp.1896~1901 (2008)
- Khalil CB, "Emerging obesity and dietary habits among James Bay Cree youth", Public Health Nutr, 13, pp.1829~1837 (2010)
- Shahar DR, "Health, Aging and Body Composition Study. Dietary factors in relation to daily activity energy expenditure and mortality among older adults", J Nutr Health Aging, 13, pp.414~420 (2009)
- Breslow RA, "Alcoholic beverage consumption, nutrient intakes, and diet quality in the US adult population, 1999-2006", J Am Diet Assoc, 110, pp.551~562 (2010)
- Feskanich D, "Modifying the Healthy Eating Index to Assess Diet quality in children and adolescents", J Am Diet Assoc, 104, pp.1375~1383 (2004)
- Mirmiran P, "Dietary quality-adherence to the dietary guidelines in Tehranian adolescents: Tehran Lipid and Glucose Study", Int J Vitam Nutr Res, 75, pp.195~200 (2005)
- Hurley KM, "The Healthy Eating Index and Youth Healthy Eating Index are unique, nonredundant measures of diet quality among low-income, African American Adolescents", J Nutr, 139, pp.359~364 (2009)
- Story M, "Bright Futures in Practice: Nutrition. 2nd ed" (2002), Arlington VA: National Center for Education in Maternal and Child Health
- Katz DL, "Diet and Adolescence. Nutrition in Clinical Practice. 2nd ed", pp.326~327 (2008), Philadelphia: Wolters Kluwer, Lippincot Williams & Wilkins
- Lohman TG, "Anthropometric Standardization Reference Manual" (1988), Champaign, Illinois: Kinetics Books
- Rakıcıoğ lu N, "Meal and Food Catalog: Measurements and Quantities" (2009), Ankara: Ata Ofset publications
- Bebis Nutrition Data Base Software Data Base 2004, "The German Food Code and Nutrient Data Base (BLS II.3, 1999) with additions from USDA-sr and other sources", ~ (2004)
- Freedman LS, "A population's mean Healthy Eating Index-2005 scores are best estimated by the score of the population ratio when one 24-hour recall is available", J Nutr, 138, pp.1725~1729 (2008)
- Woodruff SJ, "Healthy eating index-C is positively associated with family dinner frequency among students in grades 6-8 from Southern Ontario, Canada", Eur J Clin Nutr, 64, pp.454~460 (2010)
- Monge-Rojas R, "Parental feeding styles and adolescents' healthy eating habits. Structure and correlates of a Costa Rican questionnaire", Appetite, 55, pp.253~262 (2010)
- Serra-Majema L, "Determinants of nutrient intake among children and adolescents: Results from the enKid Study", Ann Nutr Metab, 46(1), pp.31~8. (2002)
- Woodruff SJ, "Healthy Eating Index-C is compromised among adolescents with body weight concerns, weight loss dieting, and meal skipping", Body Image, 5, pp.404~408 (2008)
- de Andrade SC, "Dietary quality index and associated factors among adolescents of the state of Sao Paulo, Brazil", J Pediatr, 156, pp.456~460 (2010)
- Wang Y, "Dietary intake patterns of low-income urban african-american adolescents", J Am Diet Assoc, 110, pp.1340~1345 (2010)
- Guo X, "Healthy Eating Index and obesity", Eur J Clin Nutr, 58, pp.1580~1586 (2008)
- Kuhnlein HV, "Traditional food systems research with Canadian Indigenous Peoples", Int J Circumpolar Health, 60, pp.112~122 (2001)
- Goodwin DK, "Sociodemographic correlates of overall quality of dietary intake of US adolescents", Nutr Res, 26, pp.105~110 (2006)
- Freedman DS, "The Relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study", Pediatrics, 103, pp.1175~1182 (1999)
- Pekcan G, "Food and nutrition policies: what's being done in Turkey", Public Health Nutr, 9, pp.158~162 (2006)
- U.S. Department of Health and Human Services, "Healthy People 2010" (2000), Washington, DC: U.S. Government Printing Office
- O'Neil CE, "Consumption of whole grains is associated with improved diet quality and nutrient intake in children and adolescents: the National Health and Nutrition Examination Survey 1999-2004", Public Health Nutr, 14, pp.347~355 (2011)
- Harnack L, "Dietary intake and food sources of whole grains among US children and adolescents: data from the 1994-1996 Continuing Survey of Food Intakes by Individuals", J Am Diet Assoc, 103, pp.1015~1019 (2003)
- Larson NI, "Whole-grain intake correlates among adolescents and young adults: findings from Project EAT", J Am Diet Assoc, 110, pp.230~237 (2010)
- Unüsan N, "Fruit and vegetable consumption among Turkish university students", Int J Vitam Nutr Res, 74, pp.341~348 (2004)
- BaşM, Altan T, "Determination of dietary habits as a risk factor of cardiovascular heart disease in Turkish adolescents", Eur J Nutr, 44, pp.174~182 (2005)
- Neumark-Sztainer D, "Correlates of inadequate fruit and vegetable consumption among adolescents", Prev Med, 25, pp.497~505 (1996)
- Krebs-Smith SM, "Fruit and vegetable intakes of children and adolescents in the United States", Arch Pediatr Adolesc Med, 150, pp.81~86 (1996)
- Dwyer J, "Evaluating school-based interventions using the Healthy Eating Index", J Am Diet Assoc, 102, pp.257~259 (2002)
- Pekcan G, "State of nutrition in Turkey", Nutr Health, 14, pp.41~52 (2000)
- Larowe TL, "Beverage patterns, diet quality, and body mass index of US preschool and school-aged children", J Am Diet Assoc, 107, pp.1124~1133 (2007)
- Troiano RP, "Energy and fat intakes of children and adolescents in the United States: data from the National Health and Nutrition Examination Surveys", Am J Clin Nutr, 72(5), pp.1343~1353 (2000)
- Marshall TA, "Diet quality in young children is influenced by beverage consumption", J Am Coll Nutr, 24, pp.65~75 (2005)