Systematic review of diet quality indices and their associations with health‐related outcomes in children and adolescents

Journal of Human Nutrition and Dietetics - Tập 27 Số 6 - Trang 577-598 - 2014
Skye Marshall1, Tracy Burrows2, Clare E. Collins2
1Nutrition and Dietetics Faculty of Health School of Health Sciences The University of Newcastle Callaghan NSW Australia
2Priority Research Centre in Physical Activity and Nutrition, The University of Newcastle, Callaghan, NSW, Australia

Tóm tắt

AbstractBackgroundDiet quality indices add an important dimension to dietary assessment. The aim of this systematic review was to: (i) identify and describe the attributes and applications of diet quality indices developed for use or used in paediatric populations; (ii) describe associations between these diet quality indices and health‐related variables in paediatric populations; and (iii) identify factors that are associated with diet quality in paediatric populations worldwide.MethodsStudies were identified by searching electronic databases for relevant papers from 1980 to October 2013 using keywords. Inclusion criteria were original studies that utilised a quantitative measure of diet quality in children and adolescents aged 0–18 years.ResultsOne hundred and nineteen studies met the inclusion criteria, from which 80 different diet quality indices were identified. The majority of studies had >1000 participants and were of acceptable quality. Of the 56 studies that investigated health‐related outcomes, weight status was the most researched. Europe produced the most number of diet quality indices (n = 27 indices). Of the 119 studies, seven intervention studies were identified. Paediatric diet quality indices were found to be associated with environmental, behavioural and maternal factors.ConclusionsThe use of diet quality indices in paediatric populations is a rapidly expanding area of research in diverse populations internationally. In economically disadvantaged countries, diet quality indices may be predictive of child growth. However, prospective cohort, intervention and validation studies are required to draw stronger conclusions concerning risk of future disease in paediatric populations in general.

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Journal of Human Nutrition and Dietetics

Tập 27 Số 6

577-598

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