A Systematic Review of Diet Quality Index and Obesity among Chinese Adults

Diet quality scores are designed mainly based on Western-style dietary patterns. They were demonstrated to be good indicators of obesity in developed but not developing countries. Several diet quality scores were developed based on the Chinese dietary guidelines, yet no systematic review exists rega...

Full description

Bibliographic Details
Main Authors: Isma’il Kadam, Sudeep Neupane, Jingkai Wei, Lee Ann Fullington, Tricia Li, Ruopeng An, Li Zhao, Amy Ellithorpe, Xinyin Jiang, Liang Wang
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/10/3555
_version_ 1797513591750918144
author Isma’il Kadam
Sudeep Neupane
Jingkai Wei
Lee Ann Fullington
Tricia Li
Ruopeng An
Li Zhao
Amy Ellithorpe
Xinyin Jiang
Liang Wang
author_facet Isma’il Kadam
Sudeep Neupane
Jingkai Wei
Lee Ann Fullington
Tricia Li
Ruopeng An
Li Zhao
Amy Ellithorpe
Xinyin Jiang
Liang Wang
author_sort Isma’il Kadam
collection DOAJ
description Diet quality scores are designed mainly based on Western-style dietary patterns. They were demonstrated to be good indicators of obesity in developed but not developing countries. Several diet quality scores were developed based on the Chinese dietary guidelines, yet no systematic review exists regarding how they were related to obesity. We searched research articles published between 2000 and 2021 in PubMed, CINAHL, and Scopus databases. Both cross-sectional and prospective studies that examined the relationship between a diet quality score and weight, body mass index, obesity, or waist circumference conducted in a Chinese population were selected. From the 602 articles searched, 20 articles were selected (12 are cross-sectional studies and 8 are prospective cohort studies). The relationship between internationally used scores and obesity was inconsistent among studies. Scores tailored to the Chinese diet demonstrated a strong relationship with both being underweight and obesity. The heterogeneity of the populations and the major nutrition transition in China may partially explain the discrepancies among studies. In conclusion, diet quality scores tailored to the Chinese diet may be associated with both undernutrition and overnutrition, as well as being underweight and obesity outcomes.
first_indexed 2024-03-10T06:18:44Z
format Article
id doaj.art-fb1452d2e8254958bd2dd1d79f0e695e
institution Directory Open Access Journal
issn 2072-6643
language English
last_indexed 2024-03-10T06:18:44Z
publishDate 2021-10-01
publisher MDPI AG
record_format Article
series Nutrients
spelling doaj.art-fb1452d2e8254958bd2dd1d79f0e695e2023-11-22T19:30:24ZengMDPI AGNutrients2072-66432021-10-011310355510.3390/nu13103555A Systematic Review of Diet Quality Index and Obesity among Chinese AdultsIsma’il Kadam0Sudeep Neupane1Jingkai Wei2Lee Ann Fullington3Tricia Li4Ruopeng An5Li Zhao6Amy Ellithorpe7Xinyin Jiang8Liang Wang9Program in Biochemistry, Graduate Center of the City University of New York, New York, NY 10016, USADepartment of Public Health, Robbins College of Human Health and Sciences, Baylor University, Waco, TX 76711, USADepartment of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USALibrary Department, Brooklyn College of the City University of New York, Brooklyn, NY 11210, USADepartment of Public Health, Robbins College of Human Health and Sciences, Baylor University, Waco, TX 76711, USABrown School, Washington University, St. Louis, MO 63130, USAWest China Fourth Hospital, West China School of Public Health, Sichuan University, Chengdu 610041, ChinaDepartment of Health and Nutrition Sciences, Brooklyn College of the City University of New York, Brooklyn, NY 11210, USAProgram in Biochemistry, Graduate Center of the City University of New York, New York, NY 10016, USADepartment of Public Health, Robbins College of Human Health and Sciences, Baylor University, Waco, TX 76711, USADiet quality scores are designed mainly based on Western-style dietary patterns. They were demonstrated to be good indicators of obesity in developed but not developing countries. Several diet quality scores were developed based on the Chinese dietary guidelines, yet no systematic review exists regarding how they were related to obesity. We searched research articles published between 2000 and 2021 in PubMed, CINAHL, and Scopus databases. Both cross-sectional and prospective studies that examined the relationship between a diet quality score and weight, body mass index, obesity, or waist circumference conducted in a Chinese population were selected. From the 602 articles searched, 20 articles were selected (12 are cross-sectional studies and 8 are prospective cohort studies). The relationship between internationally used scores and obesity was inconsistent among studies. Scores tailored to the Chinese diet demonstrated a strong relationship with both being underweight and obesity. The heterogeneity of the populations and the major nutrition transition in China may partially explain the discrepancies among studies. In conclusion, diet quality scores tailored to the Chinese diet may be associated with both undernutrition and overnutrition, as well as being underweight and obesity outcomes.https://www.mdpi.com/2072-6643/13/10/3555diet qualityobesitybody weightChinese
spellingShingle Isma’il Kadam
Sudeep Neupane
Jingkai Wei
Lee Ann Fullington
Tricia Li
Ruopeng An
Li Zhao
Amy Ellithorpe
Xinyin Jiang
Liang Wang
A Systematic Review of Diet Quality Index and Obesity among Chinese Adults
Nutrients
diet quality
obesity
body weight
Chinese
title A Systematic Review of Diet Quality Index and Obesity among Chinese Adults
title_full A Systematic Review of Diet Quality Index and Obesity among Chinese Adults
title_fullStr A Systematic Review of Diet Quality Index and Obesity among Chinese Adults
title_full_unstemmed A Systematic Review of Diet Quality Index and Obesity among Chinese Adults
title_short A Systematic Review of Diet Quality Index and Obesity among Chinese Adults
title_sort systematic review of diet quality index and obesity among chinese adults
topic diet quality
obesity
body weight
Chinese
url https://www.mdpi.com/2072-6643/13/10/3555
work_keys_str_mv AT ismailkadam asystematicreviewofdietqualityindexandobesityamongchineseadults
AT sudeepneupane asystematicreviewofdietqualityindexandobesityamongchineseadults
AT jingkaiwei asystematicreviewofdietqualityindexandobesityamongchineseadults
AT leeannfullington asystematicreviewofdietqualityindexandobesityamongchineseadults
AT triciali asystematicreviewofdietqualityindexandobesityamongchineseadults
AT ruopengan asystematicreviewofdietqualityindexandobesityamongchineseadults
AT lizhao asystematicreviewofdietqualityindexandobesityamongchineseadults
AT amyellithorpe asystematicreviewofdietqualityindexandobesityamongchineseadults
AT xinyinjiang asystematicreviewofdietqualityindexandobesityamongchineseadults
AT liangwang asystematicreviewofdietqualityindexandobesityamongchineseadults
AT ismailkadam systematicreviewofdietqualityindexandobesityamongchineseadults
AT sudeepneupane systematicreviewofdietqualityindexandobesityamongchineseadults
AT jingkaiwei systematicreviewofdietqualityindexandobesityamongchineseadults
AT leeannfullington systematicreviewofdietqualityindexandobesityamongchineseadults
AT triciali systematicreviewofdietqualityindexandobesityamongchineseadults
AT ruopengan systematicreviewofdietqualityindexandobesityamongchineseadults
AT lizhao systematicreviewofdietqualityindexandobesityamongchineseadults
AT amyellithorpe systematicreviewofdietqualityindexandobesityamongchineseadults
AT xinyinjiang systematicreviewofdietqualityindexandobesityamongchineseadults
AT liangwang systematicreviewofdietqualityindexandobesityamongchineseadults