Nutr Res Pract.  2011 Aug;5(4):322-328.

Evaluation of dietary quality of adolescents using Healthy Eating Index

Affiliations
  • 1Department of Nutrition and Dietetics Besevler, Gazi University Faculty of Health Sciences, Ankara, Turkey. ntek@gazi.edu.tr

Abstract

The aim of this study was to use the Healthy Eating Index-2005 (HEI-2005) to assess diet quality and determine the relationship between the HEI-2005 and the energy and nutrient intakes of adolescents. A cross-sectional study was conducted on 1,104 healthy adolescents, mean age of 15.8 +/- 1.24 years. Dietary intake was measured with the 24-hour dietary recall method, and dietary quality was assessed by means of the HEI-2005. Diet quality scores ranged from 23.7 to 77.5. The mean score was found to be 51.5 +/- 9.07 according to the HEI-2005. There were no differences according to gender; 42.8% had a poor diet and 57.2% had a diet that needs improvement. No subjects had a "good diet". Lower mean subgroup scores were found for whole grains, total vegetables, total fruits, dairy products, and meat and beans. Fruits and vegetables scores were significantly high in girls, whereas sodium, oil, and meat and beans scores were significantly high in boys. Total HEI-2005 scores were increasingly associated with parental education level when age and gender were adjusted. There was a negative correlation between HEI-2005 scores and age, total energy intake, and fat intake. Positive correlation was only observed in the HEI-2005 scores for protein and dietary fibre intakes. Consequently, the overall diet quality and nutritional habits of Turkish adolescents need modification and improvement. In the family, measures should be initiated by the government, including advertisements and campaigns.

Keyword

Adolescent; diet quality; healthy eating index; nutrition

MeSH Terms

Adolescent
Edible Grain
Cross-Sectional Studies
Dairy Products
Diet
Eating
Energy Intake
Fabaceae
Fruit
Humans
Meat
Parents
Sodium
Vegetables
Sodium

Reference

1. Miller PE, Mitchell DC, Harala PL, Pettit JM, Smiciklas-Wright H Hartman TJ. Development and evaluation of a method for calculating the Healthy Eating Index-2005 using the Nutrition Data System for Research. Public Health Nutr. 2011. 14:306–313.
Article
2. McCabe-Sellers BJ, Bowman S, Stuff JE, Champagne CM, Simpson PM, Bogle ML. Assessment of the diet quality of US adults in the Lower Mississippi Delta. Am J Clin Nutr. 2007. 86:697–706.
Article
3. Pick ME, Edwards M, Moreau D, Ryan EA. Assessment of diet quality in pregnant women using the Healthy Eating Index. J Am Diet Assoc. 2005. 105:240–246.
Article
4. Guenther PM, Reedy J, Krebs-Smith SM. Development of the Healthy Eating Index-2005. J Am Diet Assoc. 2008. 108:1896–1901.
Article
5. Khalil CB, Johnson-Down L, Egeland GM. Emerging obesity and dietary habits among James Bay Cree youth. Public Health Nutr. 2010. 13:1829–1837.
Article
6. Shahar DR, Yu B, Houston DK, Kritchevsky SB, Lee JS, Rubin SM, Sellmeyer DE, Tylavsky FA, Harris TB. Health, Aging and Body Composition Study. Dietary factors in relation to daily activity energy expenditure and mortality among older adults. J Nutr Health Aging. 2009. 13:414–420.
Article
7. Breslow RA, Guenther PM, Juan W, Graubard BI. Alcoholic beverage consumption, nutrient intakes, and diet quality in the US adult population, 1999-2006. J Am Diet Assoc. 2010. 110:551–562.
Article
8. Feskanich D, Rockett HR, Colditz GA. Modifying the Healthy Eating Index to Assess Diet quality in children and adolescents. J Am Diet Assoc. 2004. 104:1375–1383.
Article
9. Mirmiran P, Azadbakht L, Azizi F. Dietary quality-adherence to the dietary guidelines in Tehranian adolescents: Tehran Lipid and Glucose Study. Int J Vitam Nutr Res. 2005. 75:195–200.
Article
10. Hurley KM, Oberlander SE, Merry BC, Wrobleski MM, Klassen AC, Black MM. The Healthy Eating Index and Youth Healthy Eating Index are unique, nonredundant measures of diet quality among low-income, African American Adolescents. J Nutr. 2009. 139:359–364.
Article
11. Story M, Holt K, Sofka D. Bright Futures in Practice: Nutrition. 2002. 2nd ed. Arlington VA: National Center for Education in Maternal and Child Health.
12. Katz DL, Friedman RSC. Diet and Adolescence. Nutrition in Clinical Practice. 2008. 2nd ed. Philadelphia: Wolters Kluwer, Lippincot Williams & Wilkins;326–327.
13. Lohman TG, Roche AF, Martorell R. Anthropometric Standardization Reference Manual. 1988. Champaign, Illinois: Kinetics Books.
14. Rakıcıoğlu N, Tek-Acar N, Ayaz A, Pekcan G. Meal and Food Catalog: Measurements and Quantities. 2009. 2nd ed. Ankara: Ata Ofset publications.
15. Bebis Nutrition Data Base Software Data Base 2004. The German Food Code and Nutrient Data Base (BLS II.3, 1999) with additions from USDA-sr and other sources. Istanbul, Turkey.
16. Freedman LS, Guenther PM, Krebs-Smith SM, Kott PS. A population's mean Healthy Eating Index-2005 scores are best estimated by the score of the population ratio when one 24-hour recall is available. J Nutr. 2008. 138:1725–1729.
Article
17. Woodruff SJ, Hanning RM, McGoldrick K, Brown KS. Healthy eating index-C is positively associated with family dinner frequency among students in grades 6-8 from Southern Ontario, Canada. Eur J Clin Nutr. 2010. 64:454–460.
Article
18. Monge-Rojas R, Smith-Castro V, Colon-Ramos U, Garita-Arce C, Sánchez-López M Chinnock A. Parental feeding styles and adolescents' healthy eating habits. Structure and correlates of a Costa Rican questionnaire. Appetite. 2010. 55:253–262.
Article
19. Serra-Majema L, Ribasb L, Pérez-Rodrigoc C, García-Closasd R, Peña-Quintanaa L, Arancetac J. Determinants of nutrient intake among children and adolescents: Results from the enKid Study. Ann Nutr Metab. 2002. 46:Suppl 1. 31–38.
Article
20. Woodruff SJ, Hanning RM, Lambraki I, Storey KE, McCargarL L. Healthy Eating Index-C is compromised among adolescents with body weight concerns, weight loss dieting, and meal skipping. Body Image. 2008. 5:404–408.
Article
21. de Andrade SC, de Azevedo Barros MB, Carandina L, Goldbaum M, Cesar CL, Fisberg RM. Dietary quality index and associated factors among adolescents of the state of Sao Paulo, Brazil. J Pediatr. 2010. 156:456–460.
Article
22. Wang Y, Jahns L, Tussing-Humphreys L, Xie B, Rockett H, Liang H, Johnson L. Dietary intake patterns of low-income urban african-american adolescents. J Am Diet Assoc. 2010. 110:1340–1345.
Article
23. Guo X, Warden BA, Paeratakul S, Bray GA. Healthy Eating Index and obesity. Eur J Clin Nutr. 2008. 58:1580–1586.
Article
24. Kuhnlein HV, Receveur O, Chan HM. Traditional food systems research with Canadian Indigenous Peoples. Int J Circumpolar Health. 2001. 60:112–122.
25. Goodwin DK, Knol LK, Eddy JM, Fitzhugh EC, Kendrick O, Donohue RE. Sociodemographic correlates of overall quality of dietary intake of US adolescents. Nutr Res. 2006. 26:105–110.
Article
26. Freedman DS, Dietz WH, Srinivasan SR, Berenson GS. The Relation of overweight to cardiovascular risk factors among children and adolescents: the Bogalusa Heart Study. Pediatrics. 1999. 103:1175–1182.
Article
27. Pekcan G. Food and nutrition policies: what's being done in Turkey. Public Health Nutr. 2006. 9:158–162.
Article
28. U.S. Department of Health and Human Services. Healthy People 2010. 2000. US Government Printing Office.
29. O'Neil CE, Nicklas TA, Zanovec M, Cho SS, Kleinman R. Consumption of whole grains is associated with improved diet quality and nutrient intake in children and adolescents: the National Health and Nutrition Examination Survey 1999-2004. Public Health Nutr. 2011. 14:347–355.
30. Harnack L, Walters S A, Jacobs DR Jr. Dietary intake and food sources of whole grains among US children and adolescents: data from the 1994-1996 Continuing Survey of Food Intakes by Individuals. J Am Diet Assoc. 2003. 103:1015–1019.
Article
31. Larson NI, Neumark-Sztainer D, Story M, Burgess-Champoux T. Whole-grain intake correlates among adolescents and young adults: findings from Project EAT. J Am Diet Assoc. 2010. 110:230–237.
Article
32. Unüsan N. Fruit and vegetable consumption among Turkish university students. Int J Vitam Nutr Res. 2004. 74:341–348.
Article
33. Baş M, Altan T, Dinçer D, Aran E, Kaya HG, Yüksek O. Determination of dietary habits as a risk factor of cardiovascular heart disease in Turkish adolescents. Eur J Nutr. 2005. 44:174–182.
Article
34. Neumark-Sztainer D, Story M, Resnick MD, Blum RW. Correlates of inadequate fruit and vegetable consumption among adolescents. Prev Med. 1996. 25:497–505.
Article
35. Krebs-Smith SM, Cook A, Subar AF, Cleveland L, Friday J, Kahle LL. Fruit and vegetable intakesof children and adolescents in the United States. Arch Pediatr Adolesc Med. 1996. 150:81–86.
Article
36. Nutrition Country Profiles - Turkey (2001). Food and Agriculture Organization (FAO). Prepared in the collaboration of Pekcan G (Turkey) and Marchesich R (ESNA-FAO). accessed 8 October 2010. Available from: ftp://ftp.fao.org/es/esn/nutrition/ncp/turmap.pdf.
37. Dwyer J, Cosentino C, Li D, Feldman H, Garceau A, Stevens M Perry C, Hoelscher D, Webber LS, Zive M. Evaluating school-based interventions using the Healthy Eating Index. J Am Diet Assoc. 2002. 102:257–259.
Article
38. Pekcan G, Karaagaoglu N. State of nutrition in Turkey. Nutr Health. 2000. 14:41–52.
Article
39. Larowe TL, Moeller SM, Adams AK. Beverage patterns, diet quality, and body mass index of US preschool and school-aged children. J Am Diet Assoc. 2007. 107:1124–1133.
Article
40. Troiano RP, Briefel RR, Carroll MD, Bialostosky K. Energy and fat intakes of children and adolescents in the United States: data from the National Health and Nutrition Examination Surveys. Am J Clin Nutr. 2000. 72:Suppl 5. 1343S–1353S.
Article
41. Marshall TA, Eichenberger Gilmore JM, Broffitt B, Stumbo PJ, Levy SM. Diet quality in young children is influenced by beverage consumption. J Am Coll Nutr. 2005. 24:65–75.
Article
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