Validation of the Diet Quality Questionnaire in Chinese Children and Adolescents and Relationship with Pediatric Overweight and Obesity
The low-burden Diet Quality Questionnaire (DQQ) has been developed to rapidly assess diet quality globally. Poor diet is often correlated with body size, and certain dietary risk factors can result in overweight and obesity. We aimed to examine the extent to which the DQQ captured food group consump...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-08-01
|
| Series: | Nutrients |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6643/14/17/3551 |
| _version_ | 1797493802258137088 |
|---|---|
| author | Huan Wang Anna W. Herforth Bo Xi Zhiyong Zou |
| author_facet | Huan Wang Anna W. Herforth Bo Xi Zhiyong Zou |
| author_sort | Huan Wang |
| collection | DOAJ |
| description | The low-burden Diet Quality Questionnaire (DQQ) has been developed to rapidly assess diet quality globally. Poor diet is often correlated with body size, and certain dietary risk factors can result in overweight and obesity. We aimed to examine the extent to which the DQQ captured food group consumption among children and adolescents in China, and to understand the association of several new indicators of diet quality scores derived from the DQQ with overweight and obesity, using the 2011 wave of the China Health and Nutrition Survey. The DQQ questions are constructed using sentinel foods—that is, food items that are intended to capture a large proportion of the population consuming the food groups. The overall Global Dietary Recommendations (GDR) score, GDR-Healthy score, and GDR-Limit score are novel indicators of diet quality that reflect dietary risk factors for non-communicable diseases derived from the DQQ questions. Multivariable logistic regression analysis was used to examine the associations of the GDR scores with overweight and obesity in the sample. The DQQ questions captured over 95% of children who consumed the food groups. Additionally, we found that the GDR-Limit score was positively associated with general obesity (odds ratio (OR) = 1.43, 95% confidence interval (CI): 1.17–1.74) and abdominal obesity (OR = 1.22, 95% CI: 1.05–1.43), whereas the overall GDR score was negatively related to general obesity (OR = 0.85, 95% CI: 0.74–0.97). The low-burden DQQ could be a valid tool to assess diet quality for the Chinese pediatric population aged 7–18 years. Poor diet quality, as determined by the GDR-Limit score, is associated with the increased risk of obesity in Chinese children and adolescents. |
| first_indexed | 2024-03-10T01:25:10Z |
| format | Article |
| id | doaj.art-cbac5c74fe3a4b9a92e7b0a596ea8b46 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T01:25:10Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-cbac5c74fe3a4b9a92e7b0a596ea8b462023-11-23T13:52:21ZengMDPI AGNutrients2072-66432022-08-011417355110.3390/nu14173551Validation of the Diet Quality Questionnaire in Chinese Children and Adolescents and Relationship with Pediatric Overweight and ObesityHuan Wang0Anna W. Herforth1Bo Xi2Zhiyong Zou3National Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing 100191, ChinaDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USADepartment of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, ChinaNational Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing 100191, ChinaThe low-burden Diet Quality Questionnaire (DQQ) has been developed to rapidly assess diet quality globally. Poor diet is often correlated with body size, and certain dietary risk factors can result in overweight and obesity. We aimed to examine the extent to which the DQQ captured food group consumption among children and adolescents in China, and to understand the association of several new indicators of diet quality scores derived from the DQQ with overweight and obesity, using the 2011 wave of the China Health and Nutrition Survey. The DQQ questions are constructed using sentinel foods—that is, food items that are intended to capture a large proportion of the population consuming the food groups. The overall Global Dietary Recommendations (GDR) score, GDR-Healthy score, and GDR-Limit score are novel indicators of diet quality that reflect dietary risk factors for non-communicable diseases derived from the DQQ questions. Multivariable logistic regression analysis was used to examine the associations of the GDR scores with overweight and obesity in the sample. The DQQ questions captured over 95% of children who consumed the food groups. Additionally, we found that the GDR-Limit score was positively associated with general obesity (odds ratio (OR) = 1.43, 95% confidence interval (CI): 1.17–1.74) and abdominal obesity (OR = 1.22, 95% CI: 1.05–1.43), whereas the overall GDR score was negatively related to general obesity (OR = 0.85, 95% CI: 0.74–0.97). The low-burden DQQ could be a valid tool to assess diet quality for the Chinese pediatric population aged 7–18 years. Poor diet quality, as determined by the GDR-Limit score, is associated with the increased risk of obesity in Chinese children and adolescents.https://www.mdpi.com/2072-6643/14/17/3551Diet Quality Questionnaireglobal dietary recommendationsoverweightobesitychildren and adolescents |
| spellingShingle | Huan Wang Anna W. Herforth Bo Xi Zhiyong Zou Validation of the Diet Quality Questionnaire in Chinese Children and Adolescents and Relationship with Pediatric Overweight and Obesity Nutrients Diet Quality Questionnaire global dietary recommendations overweight obesity children and adolescents |
| title | Validation of the Diet Quality Questionnaire in Chinese Children and Adolescents and Relationship with Pediatric Overweight and Obesity |
| title_full | Validation of the Diet Quality Questionnaire in Chinese Children and Adolescents and Relationship with Pediatric Overweight and Obesity |
| title_fullStr | Validation of the Diet Quality Questionnaire in Chinese Children and Adolescents and Relationship with Pediatric Overweight and Obesity |
| title_full_unstemmed | Validation of the Diet Quality Questionnaire in Chinese Children and Adolescents and Relationship with Pediatric Overweight and Obesity |
| title_short | Validation of the Diet Quality Questionnaire in Chinese Children and Adolescents and Relationship with Pediatric Overweight and Obesity |
| title_sort | validation of the diet quality questionnaire in chinese children and adolescents and relationship with pediatric overweight and obesity |
| topic | Diet Quality Questionnaire global dietary recommendations overweight obesity children and adolescents |
| url | https://www.mdpi.com/2072-6643/14/17/3551 |
| work_keys_str_mv | AT huanwang validationofthedietqualityquestionnaireinchinesechildrenandadolescentsandrelationshipwithpediatricoverweightandobesity AT annawherforth validationofthedietqualityquestionnaireinchinesechildrenandadolescentsandrelationshipwithpediatricoverweightandobesity AT boxi validationofthedietqualityquestionnaireinchinesechildrenandadolescentsandrelationshipwithpediatricoverweightandobesity AT zhiyongzou validationofthedietqualityquestionnaireinchinesechildrenandadolescentsandrelationshipwithpediatricoverweightandobesity |