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...

Full description

Bibliographic Details
Main Authors: Sierra R. McDowell, Kevin Murray, Michael Hunter, Lauren C. Blekkenhorst, Joshua R. Lewis, Jonathan M. Hodgson, Nicola P. Bondonno
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/3/659
_version_ 1797623546011189248
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.
first_indexed 2024-03-11T09:30:28Z
format Article
id doaj.art-6db37ff43a3043069d5c704c09fea3c8
institution Directory Open Access Journal
issn 2072-6643
language English
last_indexed 2024-03-11T09:30:28Z
publishDate 2023-01-01
publisher MDPI AG
record_format Article
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
work_keys_str_mv AT sierrarmcdowell comparisonoffourdietarypatternindicesinaustralianbabyboomersfindingsfromthebusseltonhealthyageingstudy
AT kevinmurray comparisonoffourdietarypatternindicesinaustralianbabyboomersfindingsfromthebusseltonhealthyageingstudy
AT michaelhunter comparisonoffourdietarypatternindicesinaustralianbabyboomersfindingsfromthebusseltonhealthyageingstudy
AT laurencblekkenhorst comparisonoffourdietarypatternindicesinaustralianbabyboomersfindingsfromthebusseltonhealthyageingstudy
AT joshuarlewis comparisonoffourdietarypatternindicesinaustralianbabyboomersfindingsfromthebusseltonhealthyageingstudy
AT jonathanmhodgson comparisonoffourdietarypatternindicesinaustralianbabyboomersfindingsfromthebusseltonhealthyageingstudy
AT nicolapbondonno comparisonoffourdietarypatternindicesinaustralianbabyboomersfindingsfromthebusseltonhealthyageingstudy