Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-22T10:19:24.009Z Has data issue: false hasContentIssue false

Determinants of diet quality

Published online by Cambridge University Press:  02 January 2007

Silke Thiele*
Affiliation:
University of Kiel, Department of Food Economics and Consumption Studies, Olshausenstraße 40, D-24098 Kiel, Germany
Gert BM Mensink
Affiliation:
Robert Koch-Institut, Seestraße 10, D-13353 Berlin, Germany
Roma Beitz
Affiliation:
Robert Koch-Institut, Seestraße 10, D-13353 Berlin, Germany
*
*Corresponding author: Email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Background:

An unbalanced diet is a main risk factor for several chronic diseases. This paper identifies groups of individuals with an unbalanced diet based on the consumption of nutrients. A characterisation of the groups may help to focus efforts aimed at improving the dietary behaviour of the population.

Methods:

Using nutritional data of 1763 men and 2267 women participating in the German Nutrition Survey of 1998, we constructed two indices for diet quality that each combines a large amount of nutrients into a single indicator. The impact of sociodemographic and lifestyle characteristics on the diet quality indices was analysed using multiple regression analyses.

Results:

The results show a considerable variation of diet quality between different groups of individuals. High diet quality in terms of the consumption of vitamins, minerals and trace elements is positively associated with income, education level, age, energy intake, food diversity, sport activity and vegetarianism. On the other hand, a low diet quality as indicated by high intakes of e.g. fat, sugar, alcohol and sodium can be expected when energy intake is high, for individuals of middle age and for pregnant and breast-feeding women.

Conclusion:

The results of this study help to identify groups of individuals with preferable and non-preferable diet quality. For developing public health strategies, in particular the impact of age on diet quality seems to be interesting. The rising diet quality with increasing age could reflect a changing health consciousness. It could thus be a challenge for health policy to promote a healthy way of living focused especially on young individuals.

Type
Research Article
Copyright
Copyright © CAB International 2004

References

1Patterson, R, Haines, P, Popkin, B. Diet Quality Index: capturing a multidimensional behavior. Journal of the American Dietetic Association 1994; 94(1): 5764.CrossRefGoogle ScholarPubMed
2Kant, AK. Indexes of overall diet quality: a review. Journal of the American Dietetic Association 1996; 96: 785–91.CrossRefGoogle ScholarPubMed
3Pietinen, P, Rimm, EB, Korhonen, P, Hartman, AM, Willett, WC, Albanes, D, et al. Intake of dietary fiber and risk of coronary heart diseases in a cohort of Finnish men. The Alpha-Tocopherol, Beta Carotene Cancer Prevention Study. Circulation 1996; 94: 2720–7.CrossRefGoogle Scholar
4Gerber, MJ, Scali, JD, Michaud, A, Durand, MD, Astre, CM, Dallongeville, J, et al. Profiles of a healthful diet and its relationship to biomarkers in a population sample from Mediterranean southern France. Journal of the American Dietetic Association 2000; 100(10): 1164–70.CrossRefGoogle Scholar
5Basiotis, P, Guthrie, JF, Browman, SP, Welsh, SO. Construction and evaluation of a diet status index. Family Economics and Nutrition Review 1995; 8(2): 213.Google Scholar
6Basiotis, P, Hirschman, J, Kenedy, E. Economic and sociodemographic determinants of ‘healthy eating’ as measured by USDA's Healthy Eating Index. Consumer Interests Annual 1996; 42: 81–8.Google Scholar
7Kennedy, ET, Ohls, J, Carlson, S, Fleming, K. The Healthy Eating Index: design and applications. Journal of the American Dietetic Association 1995; 95(10): 1103–8.CrossRefGoogle ScholarPubMed
8Herrmann, R, Röder, C. Some Neglected Issues in Food Demand Analysis: Retail-Level Demand, Health Information and Product Quality. Discussion Papers in Agricultural Economics No. 46. Giessen: University of Giessen.Google Scholar
9Huijbregts, P, Feskens, E, Rasanen, L, Fidanza, F, Nissinen, A, Menotti, A, et al. Dietary pattern and 20 year mortality in elderly men in Finland, Italy and The Netherlands: longitudinal cohort study. British Medical Journal 1995; 315(5): 13–7.CrossRefGoogle Scholar
10Huijbregts, PP, Feskens, EJM, Rasanen, L, Fidanza, F, Alberti-Fidanza, A, Nissinen, A, et al. Dietary patterns and cognitive function in elderly men in Finland, Italy and The Netherlands. European Journal of Clinical Nutrition 1998; 52: 826–31.CrossRefGoogle ScholarPubMed
11Gedrich, K, Karg, G. Dietary habits of German vs. non-German residents in Germany. In: Edwards, JSA, Hewedi, MM, et al. Culinary Arts and Sciences III – Global and National Perspectives. Al-FayoumEgypt: Al-Karma Press, 2001; 419–28.Google Scholar
12Dubois, L, Girard, M, Bergeron, N. The choice of a diet quality indicator to evaluate the nutritional health of populations. Public Health Nutrition 2000; 3(3): 357–65.CrossRefGoogle ScholarPubMed
13Mensink, G, Hermann-Kunz, E, Thamm, M. Der Ernährungssurvey. Das Gesundheitswesen 1998; 60: S83–6.Google Scholar
14Mensink, G, Haftenberger, M, Thamm, M. Validity of DISHES 98, a computerised dietary history interview: energy and macronutrient intake. European Journal of Clinical Nutrition 2001; 55: 409–17.CrossRefGoogle ScholarPubMed
15Beitz, R, Mensink, GB, Fischer, B, Thamm, M. Vitamins–dietary intake and intake from dietary supplements in Germany. European Journal of Clinical Nutrition 2002; 56: 539–45.CrossRefGoogle ScholarPubMed
16Murphy, SP, Rose, D, Hudes, M, Viteri, FE. Demographic and economic factors associated with dietary quality or adults in the 1987–88 Nationwide Food Consumption Survey. Journal of the American Dietetic Association 1992; 92: 1352–7.CrossRefGoogle ScholarPubMed
17Murphy, SP, Rose, D, Lane, S. What is the proper use of a Diet Quality Index? Journal of the American Dietetic Association 1994; 94: 968.CrossRefGoogle ScholarPubMed
18Madden, JP, Yoder, MD. Program evaluation: food stamps and commodity distribution in rural areas of central Pennsylvania. Pennsylvania Agricultural Experimental Station Bulletin 1972; 78: 1119.Google Scholar
19Madden, JP, Goodman, SJ, Guthrie, HA. Validity of the 24-hr recall. Analysis of data obtained from elderly subjects. Journal of the American Dietetic Association 1976; 68: 143–7.Google ScholarPubMed
20German Nutrition Society/Austrian Nutrition Society/Swiss Society for Nutrition Research/Swiss Nutrition Association. Reference Values for Nutrient Intake. Frankfurt: Umschau-Verlag, 2000.Google Scholar
21Krebs-Smith, SM, Smiciklas-Wright, H, Guthrie, HA, Krebs-Smith, J. The effects of variety in food choices on dietary quality. Journal of the American Dietetic Association 1987; 87: 897903.CrossRefGoogle ScholarPubMed