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The global diet quality score as an indicator of adequate nutrient intake and dietary quality - a nation-wide representative study.
Norde, Marina M; Bromage, Sabri; Marchioni, Dirce M L; Vasques, Ana Carolina; Deitchler, Megan; Arsenaut, Joanne; de Carvalho, Aline M; Velloso, Lício; Willett, Walter; Giovannucci, Edward; Geloneze, Bruno.
Afiliación
  • Norde MM; Obesity and Comorbidities Research Center, University of Campinas, Campinas, SP, Brazil. mnorde@unicamp.br.
  • Bromage S; Institute of Nutrition, Mahidol University, Phuttamonton, Thailand.
  • Marchioni DML; Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
  • Vasques AC; Department of Nutrition, School of Public Health of the University of Sao Paulo, Sao Paulo, SP, Brazil.
  • Deitchler M; Obesity and Comorbidities Research Center, University of Campinas, Campinas, SP, Brazil.
  • Arsenaut J; School of Applied Sciences, University of Campinas, Limeira, SP, Brazil.
  • de Carvalho AM; Intake-Center for Dietary Assessment, FHI 360, Washington, DC, USA.
  • Velloso L; Intake-Center for Dietary Assessment, FHI 360, Washington, DC, USA.
  • Willett W; Department of Nutrition, School of Public Health of the University of Sao Paulo, Sao Paulo, SP, Brazil.
  • Giovannucci E; Obesity and Comorbidities Research Center, University of Campinas, Campinas, SP, Brazil.
  • Geloneze B; Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Nutr J ; 23(1): 42, 2024 Apr 17.
Article en En | MEDLINE | ID: mdl-38627669
ABSTRACT

BACKGROUND:

The Global Diet Quality Score (GDQS) was developed to be a simple, timely and cost-effective tool to track, simultaneously, nutritional deficiency and non-communicable disease risks from diet in diverse settings. The objective was to investigate the performance of GDQS as an indicator of adequate nutrient intake and dietary quality in a national-representative sample of the Brazilian population.

METHODS:

Nationally-representative data from 44,744 men and non-pregnant and non-lactating women aging ≥ 10 years, from the Brazilian National Dietary Survey were used. Dietary data were collected through two 24-h recalls (24HR). The GDQS was calculated and compared to a proxy indicator of nutrient adequate intake (the Minimum Dietary Diversity for Women-MDD-W) and to an indicator of high-risk diet for non-communicable diseases (caloric contribution from ultra-processed foods-UPF). To estimate the odds for overall nutrient inadequacy across MDD-W and GDQS quintiles, a multiple logistic regression was applied, and the two metrics' performances were compared using Wald's post-test.

RESULTS:

The mean GDQS for Brazilians was 14.5 (0-49 possible range), and only 1% of the population had a low-risk diet (GDQS ≥ 23). The GDQS mean was higher in women, elderly individuals and in higher-income households. An inverse correlation was found between the GDQS and UPF (rho (95% CI) = -0.20(-0.21;-0.19)). The odds for nutrient inadequacy were lower as quintiles of GDQS and MDD-W were higher (p-trend < 0.001), and MDD-W had a slightly better performance than GDQS (p-diff < 0.001). Having a low-risk GDQS (≥ 23) lowered the odds for nutrient inadequacy by 74% (95% CI63%-81%).

CONCLUSION:

The GDQS is a good indicator of overall nutrient adequacy, and correlates well with UPF in a nationally representative sample of Brazil. Future studies must investigate the relationship between the GDQS and clinical endpoints, strengthening the recommendation to use this metric to surveillance dietary risks.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desnutrición / Dieta / Pueblos Sudamericanos Límite: Aged / Female / Humans / Male Idioma: En Revista: Nutr J Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Desnutrición / Dieta / Pueblos Sudamericanos Límite: Aged / Female / Humans / Male Idioma: En Revista: Nutr J Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido