Development of a stand-alone index for the assessment of diet quality in elementary school-aged children
Bibliographic Data
| ID | 15097035 |
|---|---|
| Authors | Ella Koivuniemi (0000-0002-5751-3064, University of Turku, corresponding author), Outi Nuutinen (University of Eastern Finland), Markus Riskumäki (University of Turku), Tero Vahlberg (0000-0002-4935-3056, University of Turku), Kirsi Laitinen (0000-0001-5245-8118, Turku University Hospital) |
| Year | 2021 |
| Volume | 24 |
| Issue | 17 |
| Pages | 5629-5640 |
| Publication date | 2021-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980021003657 |
| PMID | 34420540 |
| OpenAlex | W3194746132 |
| Language | EN |
| References cited | 49 |
Objective: To develop and evaluate a stand-alone Elementary School-aged Children’s Index of Diet Quality (ES-CIDQ). Design: In this cross-sectional study, children filled in a food frequency questionnaire (FFQ) with twenty-nine multiple-item questions on the consumption of foods, portion sizes and eating frequency and a 5-d food diary. Nutrient intakes were calculated with nutrient analysis software. FFQ questions best reflecting a health-promoting diet with reference to dietary recommendations were identified by correlations, logistic regression modelling and receiver-operating characteristics curve analysis. Setting: Southwest and Eastern Finland. Participants: Healthy elementary school-aged volunteers [ n 266, mean ( sd ) age 9·7 (1·7) years] were recruited between March 2017 and February 2018. Results: A set of questions was identified from the FFQ that best depicted the children’s diet quality as defined in the dietary recommendations. These fifteen questions were scored and formulated into a stand-alone index as a continuous index score (range 0–16·5 points) and a two-category score: good and poor diet quality. The cut-off score of six points for a good diet quality had a sensitivity of 0·60 and a specificity of 0·78. Children with a good diet quality (49·8 % of the children) had higher intakes of protein, dietary fibre, and several vitamins and minerals, and lower intakes of sucrose, total fat, SFA and cholesterol compared to children with a poor diet quality. Conclusions: The developed short stand-alone index depicted diet quality as defined in the dietary recommendations. Thus, ES-CIDQ may be used for assessing diet quality in Finnish elementary school-aged children in school health care and nutrition research
Food group · Food intake · Healthy diet · Index (typography · Quality (philosophy · Consumer Attitudes and Food Labeling · Nutritional Studies and Diet · Obesity, Physical Activity, Diet
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| Citation velocity | historical |
|---|---|
| Highly cited | No |