Martinchik A N, Mikhailov N A, Keshabyants E E, Kudryavtseva K V
Federal Research Centre of Nutrition, Biotechnology and Foоd Safety, 109240, Moscow, Russian Federation.
Vopr Pitan. 2021;90(5):77-86. doi: 10.33029/0042-8833-2021-90-5-77-86. Epub 2021 Sep 1.
For the integral assessment of diet, tools have been proposed, called nutritional quality indices, and, as separate options, healthy eating indices (HEI), which assess diets in relation to compliance with existing national recommendations for healthy eating for the population. of this work was to investigate the suitability and reliability of the developed baseline HEI for assessing the nature of the diet, modifications of the diet and eating behavior of the population. . To analyze the suitability and reliability of the HEI for assessing the features of dietary intake and eating behavior of the population, the data on the actual nutrition and eating behavior of adults 19+ years of both sexes obtained by Rosstat in 2013 and 2018 have been used. Along with using the 24-hour food replay method to study actual food intake, the questionnaires included a form for assessing the frequency of consumption of major food groups in a standard format: daily or several times a week, once a week, several times a month, once a month or less often, practically do not consume. . The average HEI values for women in all food consumption groups are significantly higher than for men (p<0.01). Changes in average HEI values depending on the level of consumption of various products are multidirectional. When foods such as grains, vegetables and fruits are consumed in quantities greater than the median, the HEI is significantly higher than when consumed at less than the median level. On the contrary, when consuming more than the median of meat products, fatty products and confectionery products, as well as for those who consumed sausages, the HEI for both women and men is significantly lower than for those who consumed less than the median or did not consume these products. The average HEI values in men and women who consumed cottage cheese, kefir or yogurt are significantly higher than among those who did not consume these foods. Significantly higher HEI values were found in vegetarians compared to non-vegetarians. The average HEI values of adults of both sexes in autumn are significantly higher than in spring, which is confirmed by the significantly higher consumption of vegetables and fruits in autumn, w hich are components- indicators of the integral HEI. The dependence of the HEI values on the frequency of consumption of the main food groups, which are its components or affect the consumption of components, has been shown. The higher the frequency of consumpt ion of meat products, butter, salad dressings, chocolate and sweets or sweet carbonated drinks the lower is the HEI. On the other hand, the higher the frequency of consumption of vegetables, fruits, milk, fermented milk, cottage cheese or curd the higher is the HEI. . The changes in the values of the HEI at various values, as well as the frequency, of food consumption indicate the possibility of HEI using as a marker for assessing the relationship between diet, health status and the incidence of chronic noncommunicable diseases.
为了对饮食进行综合评估,人们提出了一些工具,称为营养质量指数,另外还有健康饮食指数(HEI)作为单独的选项,HEI用于评估饮食是否符合现有的国家健康饮食建议。这项工作的目的是研究已制定的基线HEI在评估人群饮食性质、饮食变化和饮食行为方面的适用性和可靠性。为了分析HEI在评估人群饮食摄入特征和饮食行为方面的适用性和可靠性,使用了俄罗斯国家统计局在2013年和2018年获得的19岁及以上成年男女实际营养和饮食行为的数据。除了使用24小时食物回顾法研究实际食物摄入量外,问卷还包括一种以标准格式评估主要食物组消费频率的表格:每天或每周几次、每周一次、每月几次、每月一次或更少、几乎不消费。所有食物消费组中女性的平均HEI值显著高于男性(p<0.01)。平均HEI值随各种产品消费水平的变化是多方向的。当谷物、蔬菜和水果的消费量高于中位数时,HEI显著高于消费量低于中位数时。相反,当肉类产品、脂肪类产品和糖果产品的消费量超过中位数时,以及对于食用香肠的人来说,男性和女性的HEI均显著低于消费量低于中位数或未食用这些产品的人。食用奶酪、开菲尔或酸奶的男性和女性的平均HEI值显著高于未食用这些食物的人。与非素食者相比,素食者的HEI值显著更高。秋季成年男女的平均HEI值显著高于春季,这一点得到秋季蔬菜和水果消费量显著更高的证实,而蔬菜和水果是综合HEI的组成指标。已经表明HEI值取决于主要食物组的消费频率,这些食物组是其组成部分或影响组成部分的消费。肉类产品、黄油、沙拉酱、巧克力和糖果或甜碳酸饮料的消费频率越高,HEI越低。另一方面,蔬菜、水果、牛奶、发酵乳、奶酪或凝乳的消费频率越高,HEI越高。HEI值在不同食物消费值以及频率上的变化表明,HEI有可能用作评估饮食、健康状况和慢性非传染性疾病发病率之间关系的指标。