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Diet diversity score and healthy eating index in relation to diet quality and socio-demographic factors: results from a cross-sectional national dietary survey of Swedish adolescents

机译:饮食多样性评分和健康饮食指数与饮食质量和社会人口统计因素有关:瑞典青少年横断面国家膳食调查的结果

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Objective: Groups with low socio-economic status have less healthy diets and higher prevalence of non-communicable diseases. Using the latest Swedish national dietary survey data, we developed a healthy eating index and a diet diversity score with the aim to explore associations between the scores and socio-demographic factors. Design: Cross-sectional national dietary survey. A web-based retrospective registration of food and beverages during 2 d was used to assess dietary intake. This information was used to construct the Swedish Healthy Eating Index for Adolescents 2015 (SHEIA15) and the Riksmaten Adolescents Diet Diversity Score (RADDS). The scores were based on the latest Swedish dietary guidelines from 2015. Intakes of food and nutrients across the scores were examined. Mixed-effects multilevel models were used to assess associations between the scores and household education, sex, school grade, weight status and school municipality. Setting: School-based survey in Sweden. Participants: 2905 adolescents in grades 5, 8 and 11, 56 % girls. Results: High scores on SHEIA15 and RADDS were associated with higher intake of vegetables, fish and several nutrients, and lower intake of sugar-sweetened beverages and red meat. Boys and participants in households with lower education level scored lower on both indices. Individuals with overweight/obesity scored lower on RADDS. Conclusions: The newly developed indices can be used to identify healthy eating patterns among Swedish adolescents. Both indices show that boys and adolescents from households with lower education level have poorer dietary habits. Lower diet diversity was related to overweight/obesity, but the overall healthy eating index was not.
机译:目的:社会经济地位低的群体具有较少的健康饮食和不连续疾病的患病率较高。使用最新的瑞典国家膳食调查数据,我们开发了健康的饮食指数和饮食多样性得分,旨在探索分数与社会人口因子之间的关联。设计:横断面国家膳食调查。在2天期间,基于Web的回顾性食品和饮料登记,用于评估膳食摄入量。这些信息用于构建2015年青少年的瑞典健康饮食指数(Sheia15)和Rikmaten青少年饮食分集分数(RADDS)。该评分基于2015年的最新瑞典饮食指南。检查了分数的食物和营养素的摄入量。混合效应多级模型用于评估分数与家庭教育,性别,学生,体重状况和学校城市之间的协会。环境:瑞典的校本调查。参与者:5,8和11年级的2905名青少年,56%的女孩。结果:Sheia15和RADDS的高分性与摄入量高,摄入蔬菜,鱼类和几种营养素,以及降低糖加饮料和红肉的摄入量。在两种指数上受到较低教育水平的家庭的男孩和参与者。在RADDS上有超重/肥胖的个人较低。结论:新开发的指数可用于识别瑞典青少年之间的健康饮食模式。两个指数都表明,教育水平降低的家庭的男孩和青少年具有较差的饮食习惯。较低的饮食多样性与超重/肥胖有关,但整体健康的饮食指数不是。

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