Development and Application of a Total Diet Quality Index for Toddlers
For the first time, the 2020–2025 Dietary Guidelines for Americans include recommendations for infants and toddlers under 2 years old. We aimed to create a diet quality index based on a scoring system for ages 12 to 23.9 months, the Toddler Diet Quality Index (DQI), and evaluate its construct validi...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-06-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/6/1943 |
| _version_ | 1797531246560018432 |
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| author | Melissa C. Kay Emily W. Duffy Lisa J. Harnack Andrea S. Anater Joel C. Hampton Alison L. Eldridge Mary Story |
| author_facet | Melissa C. Kay Emily W. Duffy Lisa J. Harnack Andrea S. Anater Joel C. Hampton Alison L. Eldridge Mary Story |
| author_sort | Melissa C. Kay |
| collection | DOAJ |
| description | For the first time, the 2020–2025 Dietary Guidelines for Americans include recommendations for infants and toddlers under 2 years old. We aimed to create a diet quality index based on a scoring system for ages 12 to 23.9 months, the Toddler Diet Quality Index (DQI), and evaluate its construct validity using 24 h dietary recall data collected from a national sample of children from the Feeding Infants and Toddlers Study (FITS) 2016. The mean (standard error) Toddler DQI was 49 (0.6) out of 100 possible points, indicating room for improvement. Toddlers under-consumed seafood, greens and beans, and plant proteins and over-consumed refined grains and added sugars. Toddler DQI scores were higher among children who were ever breastfed, lived in households with higher incomes, and who were Hispanic. The Toddler DQI performed as expected and offers a measurement tool to assess the dietary quality of young children in accordance with federal nutrition guidelines. This is important for providing guidance that can be used to inform public health nutrition policies, programs, and practices to improve diets of young children. |
| first_indexed | 2024-03-10T10:41:08Z |
| format | Article |
| id | doaj.art-8881b53389884b48ac3d9a262fa21fdd |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T10:41:08Z |
| publishDate | 2021-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-8881b53389884b48ac3d9a262fa21fdd2023-11-21T22:55:56ZengMDPI AGNutrients2072-66432021-06-01136194310.3390/nu13061943Development and Application of a Total Diet Quality Index for ToddlersMelissa C. Kay0Emily W. Duffy1Lisa J. Harnack2Andrea S. Anater3Joel C. Hampton4Alison L. Eldridge5Mary Story6Duke Global Health Institute, Duke University, Durham, NC 27708, USAGillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USASchool of Public Health, University of Minnesota, Minneapolis, MN 55454, USAResearch Triangle Institute International, Research Triangle Park, NC 27709, USAResearch Triangle Institute International, Research Triangle Park, NC 27709, USANestlé Research, Nestlé Institute of Health Sciences, Route du Jorat 57, 1000 Lausanne, SwitzerlandDuke Global Health Institute, Duke University, Durham, NC 27708, USAFor the first time, the 2020–2025 Dietary Guidelines for Americans include recommendations for infants and toddlers under 2 years old. We aimed to create a diet quality index based on a scoring system for ages 12 to 23.9 months, the Toddler Diet Quality Index (DQI), and evaluate its construct validity using 24 h dietary recall data collected from a national sample of children from the Feeding Infants and Toddlers Study (FITS) 2016. The mean (standard error) Toddler DQI was 49 (0.6) out of 100 possible points, indicating room for improvement. Toddlers under-consumed seafood, greens and beans, and plant proteins and over-consumed refined grains and added sugars. Toddler DQI scores were higher among children who were ever breastfed, lived in households with higher incomes, and who were Hispanic. The Toddler DQI performed as expected and offers a measurement tool to assess the dietary quality of young children in accordance with federal nutrition guidelines. This is important for providing guidance that can be used to inform public health nutrition policies, programs, and practices to improve diets of young children.https://www.mdpi.com/2072-6643/13/6/1943diet qualitytoddlersdietary guidelinesdietary recommendationseating patternsHealthy Eating Index |
| spellingShingle | Melissa C. Kay Emily W. Duffy Lisa J. Harnack Andrea S. Anater Joel C. Hampton Alison L. Eldridge Mary Story Development and Application of a Total Diet Quality Index for Toddlers Nutrients diet quality toddlers dietary guidelines dietary recommendations eating patterns Healthy Eating Index |
| title | Development and Application of a Total Diet Quality Index for Toddlers |
| title_full | Development and Application of a Total Diet Quality Index for Toddlers |
| title_fullStr | Development and Application of a Total Diet Quality Index for Toddlers |
| title_full_unstemmed | Development and Application of a Total Diet Quality Index for Toddlers |
| title_short | Development and Application of a Total Diet Quality Index for Toddlers |
| title_sort | development and application of a total diet quality index for toddlers |
| topic | diet quality toddlers dietary guidelines dietary recommendations eating patterns Healthy Eating Index |
| url | https://www.mdpi.com/2072-6643/13/6/1943 |
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