Comparison of Four Dietary Pattern Indices in Australian Baby Boomers: Findings from the Busselton Healthy Ageing Study
The assessment of dietary patterns comprehensively represents the totality of the diet, an important risk factor for many chronic diseases. This study aimed to characterise and compare four dietary pattern indices in middle-aged Australian adults. In 3458 participants (55% female) from the Busselton...
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MDPI AG
2023-01-01
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author | Sierra R. McDowell Kevin Murray Michael Hunter Lauren C. Blekkenhorst Joshua R. Lewis Jonathan M. Hodgson Nicola P. Bondonno |
author_facet | Sierra R. McDowell Kevin Murray Michael Hunter Lauren C. Blekkenhorst Joshua R. Lewis Jonathan M. Hodgson Nicola P. Bondonno |
author_sort | Sierra R. McDowell |
collection | DOAJ |
description | The assessment of dietary patterns comprehensively represents the totality of the diet, an important risk factor for many chronic diseases. This study aimed to characterise and compare four dietary pattern indices in middle-aged Australian adults. In 3458 participants (55% female) from the Busselton Healthy Ageing Study (Phase Two), a validated food frequency questionnaire was used to capture dietary data between 2016 and 2022. Four dietary patterns [Australian Dietary Guideline Index 2013 (DGI-2013); the Mediterranean Diet Index (MedDiet); the Literature-based Mediterranean Diet Index (Lit-MedDiet); and the EAT-Lancet Index], were calculated and compared by measuring total and sub-component scores, and concordance (𝜌<sub>c</sub>). Cross-sectional associations between the dietary indices and demographic, lifestyle, and medical conditions were modelled with linear regression and restricted cubic splines. Participants had the highest standardised scores for the DGI-2013 followed by the EAT-Lancet Index and the MedDiet, with the lowest standardised scores observed for the Lit-MedDiet. The DGI-2013 had the lowest agreement with the other scores (𝜌<sub>c</sub> ≤ 0.47). These findings indicate that the diets included in this Australian cohort align more closely with the Australian Dietary Guidelines than with the other international dietary patterns, likely due to the wide variation of individual food group weightings in the construction of these indices. |
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issn | 2072-6643 |
language | English |
last_indexed | 2024-03-11T09:30:28Z |
publishDate | 2023-01-01 |
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series | Nutrients |
spelling | doaj.art-6db37ff43a3043069d5c704c09fea3c82023-11-16T17:40:03ZengMDPI AGNutrients2072-66432023-01-0115365910.3390/nu15030659Comparison of Four Dietary Pattern Indices in Australian Baby Boomers: Findings from the Busselton Healthy Ageing StudySierra R. McDowell0Kevin Murray1Michael Hunter2Lauren C. Blekkenhorst3Joshua R. Lewis4Jonathan M. Hodgson5Nicola P. Bondonno6School of Population and Global Health, University of Western Australia, Perth, WA 6009, AustraliaSchool of Population and Global Health, University of Western Australia, Perth, WA 6009, AustraliaSchool of Population and Global Health, University of Western Australia, Perth, WA 6009, AustraliaNutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaNutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaNutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaNutrition & Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027, AustraliaThe assessment of dietary patterns comprehensively represents the totality of the diet, an important risk factor for many chronic diseases. This study aimed to characterise and compare four dietary pattern indices in middle-aged Australian adults. In 3458 participants (55% female) from the Busselton Healthy Ageing Study (Phase Two), a validated food frequency questionnaire was used to capture dietary data between 2016 and 2022. Four dietary patterns [Australian Dietary Guideline Index 2013 (DGI-2013); the Mediterranean Diet Index (MedDiet); the Literature-based Mediterranean Diet Index (Lit-MedDiet); and the EAT-Lancet Index], were calculated and compared by measuring total and sub-component scores, and concordance (𝜌<sub>c</sub>). Cross-sectional associations between the dietary indices and demographic, lifestyle, and medical conditions were modelled with linear regression and restricted cubic splines. Participants had the highest standardised scores for the DGI-2013 followed by the EAT-Lancet Index and the MedDiet, with the lowest standardised scores observed for the Lit-MedDiet. The DGI-2013 had the lowest agreement with the other scores (𝜌<sub>c</sub> ≤ 0.47). These findings indicate that the diets included in this Australian cohort align more closely with the Australian Dietary Guidelines than with the other international dietary patterns, likely due to the wide variation of individual food group weightings in the construction of these indices.https://www.mdpi.com/2072-6643/15/3/659diet qualitydietary patternsdietary guideline index 2013EAT-lancetMediterranean diet |
spellingShingle | Sierra R. McDowell Kevin Murray Michael Hunter Lauren C. Blekkenhorst Joshua R. Lewis Jonathan M. Hodgson Nicola P. Bondonno Comparison of Four Dietary Pattern Indices in Australian Baby Boomers: Findings from the Busselton Healthy Ageing Study Nutrients diet quality dietary patterns dietary guideline index 2013 EAT-lancet Mediterranean diet |
title | Comparison of Four Dietary Pattern Indices in Australian Baby Boomers: Findings from the Busselton Healthy Ageing Study |
title_full | Comparison of Four Dietary Pattern Indices in Australian Baby Boomers: Findings from the Busselton Healthy Ageing Study |
title_fullStr | Comparison of Four Dietary Pattern Indices in Australian Baby Boomers: Findings from the Busselton Healthy Ageing Study |
title_full_unstemmed | Comparison of Four Dietary Pattern Indices in Australian Baby Boomers: Findings from the Busselton Healthy Ageing Study |
title_short | Comparison of Four Dietary Pattern Indices in Australian Baby Boomers: Findings from the Busselton Healthy Ageing Study |
title_sort | comparison of four dietary pattern indices in australian baby boomers findings from the busselton healthy ageing study |
topic | diet quality dietary patterns dietary guideline index 2013 EAT-lancet Mediterranean diet |
url | https://www.mdpi.com/2072-6643/15/3/659 |
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