The Dutch Healthy Diet index as assessed by 24 h recalls and FFQ: associations with biomarkers from a cross-sectional study

The Dutch Healthy Diet index (DHD-index) was developed using data from two 24 h recalls (24hR) and appeared useful to evaluate diet quality in Dutch adults. As many epidemiologic studies use FFQ, we now estimated the DHD-index score using FFQ data. We compared whether this score showed similar assoc...

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Main Authors: Linde van Lee, Edith J. M. Feskens, Eveline J. C. Hooft van Huysduynen, Jeanne H. M. de Vries, Pieter van 't Veer, Anouk Geelen
Format: Article
Language:English
Published: Cambridge University Press 2013-01-01
Series:Journal of Nutritional Science
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2048679013000281/type/journal_article
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author Linde van Lee
Edith J. M. Feskens
Eveline J. C. Hooft van Huysduynen
Jeanne H. M. de Vries
Pieter van 't Veer
Anouk Geelen
author_facet Linde van Lee
Edith J. M. Feskens
Eveline J. C. Hooft van Huysduynen
Jeanne H. M. de Vries
Pieter van 't Veer
Anouk Geelen
author_sort Linde van Lee
collection DOAJ
description The Dutch Healthy Diet index (DHD-index) was developed using data from two 24 h recalls (24hR) and appeared useful to evaluate diet quality in Dutch adults. As many epidemiologic studies use FFQ, we now estimated the DHD-index score using FFQ data. We compared whether this score showed similar associations with participants' characteristics, micronutrient intakes, and biomarkers of intake and metabolism compared with the DHD-index using 24hR data. Data of 121 Dutch participants of the European Food Consumption Validation study were used. Dietary intake was assessed by two 24hR and a 180-item FFQ. Biomarkers measured were serum total cholesterol and carotenoids, EPA + DHA in plasma phospholipids and 24 h urinary Na. A correlation of 0·48 (95 % CI 0·33, 0·61) was observed between the DHD-index score based on 24hR data and on FFQ data. Classification of participants into the same tertiles of the DHD-index was achieved for 57 %. Women showed higher DHD-index scores. Energy intake was inversely associated with both DHD-index scores. Furthermore, age and intakes of folate, Fe, Mg, K, vitamin B6 and vitamin C were positively associated with both DHD-index scores. DHD-index scores showed acceptable correlations with the four combined biomarkers taking energy intake into account (r 24hR 0.55; r FFQ 0.51). In conclusion, the DHD-index score based on FFQ data shows similar associations with participants' characteristics, energy intake, micronutrient intake and biomarkers compared with the score based on 24hR data. Furthermore, ranking of participants was acceptable for both methods. FFQ data may therefore be used to assess diet quality using the DHD-index in Dutch populations.
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spelling doaj.art-ae396c3aef19401695320f387858d8602023-03-09T12:38:38ZengCambridge University PressJournal of Nutritional Science2048-67902013-01-01210.1017/jns.2013.28The Dutch Healthy Diet index as assessed by 24 h recalls and FFQ: associations with biomarkers from a cross-sectional studyLinde van Lee0Edith J. M. Feskens1Eveline J. C. Hooft van Huysduynen2Jeanne H. M. de Vries3Pieter van 't Veer4Anouk Geelen5Division of Human Nutrition, Wageningen University, PO Box 8129, 6700 EV Wageningen, The NetherlandsDivision of Human Nutrition, Wageningen University, PO Box 8129, 6700 EV Wageningen, The NetherlandsDivision of Human Nutrition, Wageningen University, PO Box 8129, 6700 EV Wageningen, The NetherlandsDivision of Human Nutrition, Wageningen University, PO Box 8129, 6700 EV Wageningen, The NetherlandsDivision of Human Nutrition, Wageningen University, PO Box 8129, 6700 EV Wageningen, The NetherlandsDivision of Human Nutrition, Wageningen University, PO Box 8129, 6700 EV Wageningen, The NetherlandsThe Dutch Healthy Diet index (DHD-index) was developed using data from two 24 h recalls (24hR) and appeared useful to evaluate diet quality in Dutch adults. As many epidemiologic studies use FFQ, we now estimated the DHD-index score using FFQ data. We compared whether this score showed similar associations with participants' characteristics, micronutrient intakes, and biomarkers of intake and metabolism compared with the DHD-index using 24hR data. Data of 121 Dutch participants of the European Food Consumption Validation study were used. Dietary intake was assessed by two 24hR and a 180-item FFQ. Biomarkers measured were serum total cholesterol and carotenoids, EPA + DHA in plasma phospholipids and 24 h urinary Na. A correlation of 0·48 (95 % CI 0·33, 0·61) was observed between the DHD-index score based on 24hR data and on FFQ data. Classification of participants into the same tertiles of the DHD-index was achieved for 57 %. Women showed higher DHD-index scores. Energy intake was inversely associated with both DHD-index scores. Furthermore, age and intakes of folate, Fe, Mg, K, vitamin B6 and vitamin C were positively associated with both DHD-index scores. DHD-index scores showed acceptable correlations with the four combined biomarkers taking energy intake into account (r 24hR 0.55; r FFQ 0.51). In conclusion, the DHD-index score based on FFQ data shows similar associations with participants' characteristics, energy intake, micronutrient intake and biomarkers compared with the score based on 24hR data. Furthermore, ranking of participants was acceptable for both methods. FFQ data may therefore be used to assess diet quality using the DHD-index in Dutch populations.https://www.cambridge.org/core/product/identifier/S2048679013000281/type/journal_articleDutch Healthy Diet indexDietary patternsBiomarkersDietary assessment methods
spellingShingle Linde van Lee
Edith J. M. Feskens
Eveline J. C. Hooft van Huysduynen
Jeanne H. M. de Vries
Pieter van 't Veer
Anouk Geelen
The Dutch Healthy Diet index as assessed by 24 h recalls and FFQ: associations with biomarkers from a cross-sectional study
Journal of Nutritional Science
Dutch Healthy Diet index
Dietary patterns
Biomarkers
Dietary assessment methods
title The Dutch Healthy Diet index as assessed by 24 h recalls and FFQ: associations with biomarkers from a cross-sectional study
title_full The Dutch Healthy Diet index as assessed by 24 h recalls and FFQ: associations with biomarkers from a cross-sectional study
title_fullStr The Dutch Healthy Diet index as assessed by 24 h recalls and FFQ: associations with biomarkers from a cross-sectional study
title_full_unstemmed The Dutch Healthy Diet index as assessed by 24 h recalls and FFQ: associations with biomarkers from a cross-sectional study
title_short The Dutch Healthy Diet index as assessed by 24 h recalls and FFQ: associations with biomarkers from a cross-sectional study
title_sort dutch healthy diet index as assessed by 24 h recalls and ffq associations with biomarkers from a cross sectional study
topic Dutch Healthy Diet index
Dietary patterns
Biomarkers
Dietary assessment methods
url https://www.cambridge.org/core/product/identifier/S2048679013000281/type/journal_article
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