Martinchik A N
Federal Research Centre for Nutrition, Biotechnology and Food Safety, Moscow, Russia.
Vopr Pitan. 2019;88(3):5-12. doi: 10.24411/0042-8833-2019-10024. Epub 2019 May 20.
The review presents an analysis of the construction and properties of indices of diet quality (IDQ), developed in different countries and known under different names: Diet quality index (DQI), Healthy eating index (HEI,) and other names. The analysis of the data on three directions of research on validation of IDQ - correlation with its components (internal validation), association with risk assessments of morbidity and mortality, and association with biomarkers of nutritional status and risk of noncommunicable chronic diseases (NCD), which strongly indicate the possibility of IDQ as a tool for epidemiological studies of the relationship of nutrition, nutritional status and health has been submitted. Analysis of the composition of various types of IDQ allowed to formulate general principles of their development (construction). IDQ are based on recommendations for healthy nutrition of the population and assess the degree of commitment of the population to adhere to the recommendations. The design of the IDQ should be applicable to all categories of the population, regardless of gender, age (older than 2 years), national and regional characteristics of nutrition of the population, which allows a comparative assessment of the diet quality of different categories of the population. IDQ focus on the assessment of four main aspects of a healthy diet: food diversity, adequacy of consumption of adequacy of consumption of major groups or some subgroups of the most valuable foods, moderation and balance of the diet. All IDQ consist of two groups of indicators-components: indicators of adequacy of food consumption and indicators of consumption of critically important food factors, the consumption of which should be limited, i.e. indicators of risk factors of NCD. The standard values of adequacy of consumption of both groups of indicators should be expressed in the «density» of consumption of foods and nutrients per 1000 calories or as a percentage of the total calorie intake. Based on these principles, it is planned to develop and evaluate the reliability and objectivity of IDQ according to the study of the dietary intake of Russian population.
本综述分析了不同国家制定的、有不同名称的饮食质量指数(IDQ)的构建及特性,如饮食质量指数(DQI)、健康饮食指数(HEI)等。提交了关于IDQ验证研究三个方向的数据的分析:与IDQ各组成部分的相关性(内部验证)、与发病和死亡风险评估的关联,以及与营养状况生物标志物和非传染性慢性病(NCD)风险的关联,这些有力地表明IDQ作为营养、营养状况和健康关系流行病学研究工具的可能性。对各类IDQ组成的分析有助于制定其发展(构建)的一般原则。IDQ基于人群健康营养建议,评估人群遵守这些建议的程度。IDQ的设计应适用于所有人群类别,无论性别、年龄(2岁以上)、人群营养的国家和地区特征如何,这使得能够对不同人群类别的饮食质量进行比较评估。IDQ侧重于评估健康饮食的四个主要方面:食物多样性、主要食物组或一些最有价值食物亚组的消费充足性、饮食的适度性和平衡性。所有IDQ均由两组指标组成部分:食物消费充足性指标和应限制消费的关键重要食物因素的消费指标,即非传染性慢性病风险因素指标。两组指标消费充足性的标准值应以每1000卡路里食物和营养素的消费“密度”表示,或以总卡路里摄入量的百分比表示。基于这些原则,计划通过对俄罗斯人群饮食摄入量的研究来开发和评估IDQ的可靠性和客观性。