Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.
Department of Social Medicine, School of Public Health, Medical University of Alborz, Karaj, Iran.
Minerva Pediatr (Torino). 2021 Feb;73(1):50-58. doi: 10.23736/S2724-5276.16.04419-4.
Adolescence is a critical period with respect to mental and psychological issues. The role of nutrients is well known in health condition in adolescents, but little emphasis is placed on total diet quality. Dietary diversity score (DDS) is often used to assess diet quality. The objective of this study was to investigate the relationship between DDS and general health in girl students.
The present research is a cross-sectional study which used descriptive-analytical approach. A total of 384 high-school female students selected using proportional stratified sampling. Physical activity level, diet and general health information collected using International Physical Activity Questionnaire (IPAQ), Dietary Diversity Questionnaire (FAO-2013) and 28-item self-reported general health questionnaire (GHQ-28), respectively. In addition, weight, height and waist circumference (WC) measured. Data analyzed using Chi-Square test, one-way ANOVA and Multinomial Logistic Regression.
Mean DDS was 4.43±1.09. After adjustment for confounders of age, body mass index, physical activity, socioeconomic status and nutritional supplement intake, students with higher DDS were less prone to general health disorders (P≤0.05).
These finding implicate higher DDS in adolescents may associate with better general health.
青春期是一个心理和精神问题的关键时期。营养物质在青少年的健康状况中起着重要作用，但人们对整体饮食质量的重视程度较低。饮食多样性评分（DDS）常用于评估饮食质量。本研究旨在探讨 DDS 与女学生总体健康之间的关系。
本研究为横断面研究，采用描述性分析方法。采用比例分层抽样法，共选取 384 名高中女生。使用国际体力活动问卷（IPAQ）、膳食多样性问卷（粮农组织-2013）和 28 项自评一般健康问卷（GHQ-28）分别收集身体活动水平、饮食和一般健康信息。此外，还测量了体重、身高和腰围（WC）。使用卡方检验、单因素方差分析和多项逻辑回归分析数据。
DDS 的平均值为 4.43±1.09。在校正年龄、体重指数、体力活动、社会经济地位和营养补充剂摄入等混杂因素后，DDS 较高的学生更不易出现一般健康障碍（P≤0.05）。
这些发现表明，青少年的 DDS 较高可能与更好的总体健康有关。
