Department of Food Nutrition Dietetics and Health, Kansas State University, Manhattan, KS 66506, USA.
Physical Activity and Nutrition Clinical Research Consortium, Kansas State University, Manhattan, KS 66506, USA.
Int J Environ Res Public Health. 2023 Feb 23;20(5):3986. doi: 10.3390/ijerph20053986.
Numerous dietary quality indices exist to help quantify overall dietary intake and behaviors associated with positive health outcomes. Most indices focus solely on biomedical factors and nutrient or food intake, and exclude the influence of important social and environmental factors associated with dietary intake. Using the Diet Quality Index- International as one sample index to illustrate our proposed holistic conceptual framework, this critical review seeks to elucidate potential adaptations to dietary quality assessment by considering-in parallel-biomedical, environmental, and social factors. Considering these factors would add context to dietary quality assessment, influencing post-assessment recommendations for use across various populations and circumstances. Additionally, individual and population-level evidence-based practices could be informed by contextual social and environmental factors that influence dietary quality to provide more relevant, reasonable, and beneficial nutritional recommendations.
有许多饮食质量指数可以帮助量化整体饮食摄入和与健康结果相关的行为。大多数指数仅关注生物医学因素以及营养素或食物摄入，并排除与饮食摄入相关的重要社会和环境因素的影响。本文以饮食质量指数-国际作为一个示例指数，来阐明我们提出的整体概念框架，通过同时考虑生物医学、环境和社会因素，本文批判性地探讨了对饮食质量评估进行潜在调整的方法。考虑这些因素将为饮食质量评估增添背景信息，从而影响针对不同人群和不同情况的评估后使用建议。此外，基于个体和人群的循证实践可以参考影响饮食质量的社会和环境因素，以提供更相关、合理和有益的营养建议。
