Development and evaluation of the Dutch Healthy Diet index 2015

• Published in: Public health nutrition Vol. 20; no. 13; pp. 2289 - 2299
• Main Authors: Looman, Moniek, Feskens, Edith JM, de Rijk, Mariëlle, Meijboom, Saskia, Biesbroek, Sander, Temme, Elisabeth HM, de Vries, Jeanne, Geelen, Anouk
• Format: Journal Article
• Language: English
• Published: Cambridge, UK Cambridge University Press 01.09.2017
• Subjects: Adult; Aged; Alcohol; Assessment and Methodology; body mass index; Breast cancer; Chair Nutrition and Disease; Chair Nutrition and Health over the Lifecourse; Chair Sensory Science and Eating Behaviour; Correlation coefficient; Correlation coefficients; Councils; Diet; Diet, Healthy - ethnology; Dietary Guidelines; Education; Energy; energy intake; Epidemiology; Female; Food; Global Nutrition; Grain; Guidelines; Health care; healthy diet; HNE Nutrition and Disease; HNE Nutrition and Health over the Lifecourse; HNE Sensoriek en Eetgedrag; HNE Sensory Science and Eating Behaviour; HNE Voeding en Gezondheid in de Levenscyclus; HNE Voeding en Ziekte; Humans; Intakes; Legumes; Longitudinal Studies; Male; Meat; men; Middle Aged; Netherlands; Nutrition and Disease; Nutrition Assessment; Nutrition research; Nutrition Surveys; nutritional adequacy; Oils & fats; Patient Compliance - ethnology; Public health; Research Papers; saturated fats; Secondary education; Sensoriek en eetgedrag; Sensory Science and Eating Behaviour; Sex Characteristics; Smoking; Studies; Trends; VLAG; Voeding en Ziekte; Wereldvoeding; women; Young Adult; Netherlands; Dietary guidelines; The Netherlands; Dietary patterns; Index; Dutch Healthy Diet
• ISSN: 1368-9800; 1475-2727; 1475-2727
• DOI: 10.1017/S136898001700091X

To update the Dutch Healthy Diet index, a measure of diet quality, to reflect adherence to the Dutch dietary guidelines 2015 and to evaluate against participants' characteristics and nutrient intakes with the score based on 24 h recall (24 hR) data and FFQ data. The Dutch Healthy Diet index 2015 (DHD15-index) consists of fifteen components representing the fifteen food-based Dutch dietary guidelines of 2015. Per component the score ranges between 0 and 10, resulting in a total score between 0 (no adherence) and 150 (complete adherence). Wageningen area, the Netherlands, 2011-2013. Data of 885 men and women, aged 20-70 years, participating in the longitudinal NQplus study, who filled out two 24 hR and one FFQ, were used. Mean (sd) score of the DHD15-index was 68·7 (16·1) for men and 79·4 (16·0) for women. Significant inverse trends were found between the DHD15-index and BMI, smoking, and intakes of energy, total fat and saturated fat. Positive trends were seen across sex-specific quintiles of the DHD15-index score with energy-adjusted micronutrient intakes. Mean DHD15-index score of the FFQ data was 15·5 points higher compared with 24 hR data, with a correlation coefficient of 0·56 between the scores. Observed trends of the DHD15-index based on FFQ with participant characteristics, macronutrient and energy-adjusted micronutrient intakes were similar to those with the DHD15-index based on 24 hR. The DHD15-index score assesses adherence to the Dutch dietary guidelines 2015 and indicates diet quality. The DHD15-index score can be based on 24 hR data and on FFQ data.