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Development and evaluation of the Dutch Healthy Diet index 2015

  • Moniek Looman (a1), Edith JM Feskens (a1), Mariëlle de Rijk (a1), Saskia Meijboom (a1), Sander Biesbroek (a2), Elisabeth HM Temme (a2), Jeanne de Vries (a1) and Anouk Geelen (a1)...
Abstract
Objective

To update the Dutch Healthy Diet index, a measure of diet quality, to reflect adherence to the Dutch dietary guidelines 2015 and to evaluate against participants’ characteristics and nutrient intakes with the score based on 24 h recall (24 hR) data and FFQ data.

Design

The Dutch Healthy Diet index 2015 (DHD15-index) consists of fifteen components representing the fifteen food-based Dutch dietary guidelines of 2015. Per component the score ranges between 0 and 10, resulting in a total score between 0 (no adherence) and 150 (complete adherence).

Setting

Wageningen area, the Netherlands, 2011–2013.

Subjects

Data of 885 men and women, aged 20–70 years, participating in the longitudinal NQplus study, who filled out two 24 hR and one FFQ, were used.

Results

Mean (sd) score of the DHD15-index was 68·7 (16·1) for men and 79·4 (16·0) for women. Significant inverse trends were found between the DHD15-index and BMI, smoking, and intakes of energy, total fat and saturated fat. Positive trends were seen across sex-specific quintiles of the DHD15-index score with energy-adjusted micronutrient intakes. Mean DHD15-index score of the FFQ data was 15·5 points higher compared with 24 hR data, with a correlation coefficient of 0·56 between the scores. Observed trends of the DHD15-index based on FFQ with participant characteristics, macronutrient and energy-adjusted micronutrient intakes were similar to those with the DHD15-index based on 24 hR.

Conclusions

The DHD15-index score assesses adherence to the Dutch dietary guidelines 2015 and indicates diet quality. The DHD15-index score can be based on 24 hR data and on FFQ data.

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Corresponding author
* Corresponding author: Email moniek.looman@wur.nl
References
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1. van Lee, L, Geelen, A, van Huysduynen, EJ et al. (2012) The Dutch Healthy Diet index (DHD-index): an instrument to measure adherence to the Dutch Guidelines for a Healthy Diet. Nutr J 11, 49.
2. Sluik, D, van Lee, L, Geelen, A et al. (2014) Alcoholic beverage preference and diet in a representative Dutch population: the Dutch national food consumption survey 2007–2010. Eur J Clin Nutr 68, 287294.
3. Struijk, EA, Beulens, JW, May, AM et al. (2014) Dietary patterns in relation to disease burden expressed in disability-adjusted life years. Am J Clin Nutr 100, 11581165.
4. Struijk, EA, May, AM, Beulens, JW et al. (2014) Adherence to the Dutch Guidelines for a Healthy Diet and cancer risk in the European Prospective Investigation into Cancer and Nutrition-Netherlands (EPIC-NL) cohort. Public Health Nutr 17, 25462553.
5. van Lee, L, Feskens, EJ, Hooft van Huysduynen, EJ et al. (2013) The Dutch Healthy Diet index as assessed by 24 h recalls and FFQ: associations with biomarkers from a cross-sectional study. J Nutr Sci 2, e40.
6. van Lee, L, Geelen, A, Kiefte-de Jong, JC et al. (2016) Adherence to the Dutch dietary guidelines is inversely associated with 20-year mortality in a large prospective cohort study. Eur J Clin Nutr 70, 262268.
7. Struijk, EA, May, AM, Wezenbeek, NL et al. (2014) Adherence to dietary guidelines and cardiovascular disease risk in the EPIC-NL cohort. Int J Cardiol 176, 354359.
8. Fransen, HP, Beulens, JW, May, AM et al. (2015) Dietary patterns in relation to quality-adjusted life years in the EPIC-NL cohort. Prev Med 77, 119124.
9. Health Council of the Netherlands (2015) Dutch Dietary Guidelines 2015. Publication no. 2015/24. The Hague: Health Council of the Netherlands.
10. Kromhout, D, Spaaij, CJ, de Goede, J et al. (2016) The 2015 Dutch food-based dietary guidelines. Eur J Clin Nutr 70, 869878.
11. van Lee, L, Geelen, A, Hooft van Huysduynen, EJ et al. (2016) Associations between company at dinner and daily diet quality in Dutch men and women from the NQplus study. Eur J Clin Nutr 70, 13681373.
12. Conway, JM, Ingwersen, LA, Vinyard, BT et al. (2003) Effectiveness of the US Department of Agriculture 5-step multiple-pass method in assessing food intake in obese and nonobese women. Am J Clin Nutr 77, 11711178.
13. NEVO-tabel (2011) Dutch Food Composition Table 2011/version 3. The Hague: National Institute for Public Health and the Environment/Netherlands Nutrition Centre.
14. Siebelink, E, Geelen, A & de Vries, JH (2011) Self-reported energy intake by FFQ compared with actual energy intake to maintain body weight in 516 adults. Br J Nutr 106, 274281.
15. Streppel, MT, de Vries, JH, Meijboom, S et al. (2013) Relative validity of the food frequency questionnaire used to assess dietary intake in the Leiden Longevity Study. Nutr J 12, 75.
16. Netherlands Nutrition Centre (2016) Richtlijnen Schijf van Vijf. The Hague: Netherlands Nutrition Centre.
17. van Rossum, CTM, Fransen, HP, Verkaik-Kloosterman, J et al. (2011) Dutch National Food Consumption Survey 20072010: Diet of Children and Adults 7 to 69 Years . Bilthoven: National Institute for Public Health and the Environment.
18. Health Council of the Netherlands (2015) Dutch Dietary Guidelines 2015 – Background Document Legumes. Publication no. A15/18. The Hague: Health Council of the Netherlands.
19. Health Council of the Netherlands (2015) Dutch Dietary Guidelines 2015 – Background Document Meat. Publication no. A15/27. The Hague: Health Council of the Netherlands.
20. Health Council of the Netherlands (2015) Dutch Dietary Guidelines 2015 – Background Document Sugar-Sweetened Beverages. Publication no. A15/08. The Hague: Health Council of the Netherlands.
21. Health Council of the Netherlands (2015) Dutch Dietary Guidelines 2015 – Background Document Alcohol. Publication no. A15/05. The Hague: Health Council of the Netherlands.
22. van Rossum, CTM, Buurma-Rethans, EJM, Fransen, HP et al. (2012) Zoutconsumptie van kinderen en volwassenen in Nederland Resultaten uit de Voedselconsumptiepeiling 20072010 . Bilthoven: National Institute for Public Health and the Environment.
23. Aune, D, Norat, T, Romundstad, P et al. (2013) Dairy products and the risk of type 2 diabetes: a systematic review and dose–response meta-analysis of cohort studies. Am J Clin Nutr 98, 10661083.
24. Dong, JY, Zhang, L, He, K et al. (2011) Dairy consumption and risk of breast cancer: a meta-analysis of prospective cohort studies. Breast Cancer Res Treat 127, 2331.
25. Guenther, PM, Casavale, KO, Reedy, J et al. (2013) Update of the Healthy Eating Index: HEI-2010. J Acad Nutr Diet 113, 569580.
26. Willett, WC (2013) Nutritional Epidemiology, 3rd ed. New York: Oxford University Press.
27. de Boer, EJ, Slimani, N, van ’t Veer, P et al. (2011) The European Food Consumption Validation Project: conclusions and recommendations. Eur J Clin Nutr 65, Suppl. 1, S102S107.
28. Brown, IJ, Tzoulaki, I, Candeias, V et al. (2009) Salt intakes around the world: implications for public health. Int J Epidemiol 38, 791813.
29. Trichopoulou, A, Costacou, T, Bamia, C et al. (2003) Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med 348, 25992608.
30. Dekker, LH, Nicolaou, M, van Dam, RM et al. (2015) Socio-economic status and ethnicity are independently associated with dietary patterns: the HELIUS-Dietary Patterns study. Food Nutr Res 59, 26317.
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