Development of an index to assess adherence to the traditional Mexican diet using a modified Delphi method

Bibliographic Data

ID15092986
AuthorsSelene Valerino‐Perea (0000-0001-8567-4140, corresponding author), Miranda Elaine Glynis Armstrong (0000-0001-8946-5776), Anna Papadaki (0000-0002-5728-3975)
Year2021
Volume24
Issue14
Pages4387-4396
Publication date2021-10-01
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980020004565
PMID33183382
OpenAlexW3098374960
LanguageEN
Citations received2
References cited46

Objective: Promoting a traditional Mexican diet (TMexD) could potentially reduce high rates of non-communicable diseases (NCD) and support food sustainability in Mexico. This study aimed to develop an index to assess adherence to the TMexD. Design: A three-round Delphi study was conducted to examine the food groups, specific foods and food-related habits that would constitute a TMexD index. Participants selected the TMexD items using Likert scales, lists of responses, and yes/no questions. Consensus was determined using percentages of agreement, mean values and/or coefficients of variation. Setting: Online Delphi study. Participants: Seventeen nutrition and food experts in Mexico completed all three rounds. Results: The resulting index (ranging from 0 to 21 points) consisted of 15 food groups, containing 102 individual foods. Food groups included in higher quantities were maize, other grains, legumes, vegetables, fruits, herbs, nuts and seeds, and tubers. Animal foods, vegetable fats and oils, homemade beverages, maize-based dishes, and plain water were also included, but in lower quantities. The food-related habits included were consuming homemade meals, socialising at meals and buying food in local markets. Consensus was reached for all index items apart from quantities of consumption of six food groups (herbs, nuts, grains, tubers, dairy and eggs). Conclusions: Although future research could improve the measures for which consensus was not reached, the TMexD index proposed in this study potentially displays a healthy and sustainable dietary pattern and could be used to examine links between the TMexD and health outcomes in Mexican populations

Biology · Delphi method · Environmental health · Food group · Geography · Index (typography · Likert scale · Novel food · Statistics · Consumer Attitudes and Food Labeling · Global Public Health Policies and Epidemiology · Mathematics · Medicine · Nutritional Studies and Diet · Food Science · Toxicology

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