000 03802 am a22003373u 4500
042 _adc
100 1 0 _aRolands, Maryann Regina
_eauthor
_92350
700 1 0 _aToh, Jia Ying
_eauthor
_92351
700 1 0 _aSugianto, Ray
_eauthor
_92352
700 1 0 _aYuan, Wen Lun
_eauthor
_91134
700 1 0 _aLee, Yung Seng
_eauthor
_91152
700 1 0 _aTan, Kok Hian
_eauthor
_91143
700 1 0 _aYap, Fabian
_eauthor
_91145
700 1 0 _aGodfrey, Keith M
_eauthor
_91147
700 1 0 _aEriksson, Johan G
_eauthor
_91150
700 1 0 _aChong, Yap-Seng
_eauthor
_91146
700 1 0 _aVan der Horst, Klazine
_eauthor
_92353
700 1 0 _aChong, Mary Foong-Fong
_eauthor
_92354
245 0 0 _aDevelopment and evaluation of a Diet Quality Index for preschool children in an Asian population: the GUSTO cohort
260 _c2022-06-18.
500 _a/pmc/articles/PMC7614080/
500 _a/pubmed/35728798
520 _aBACKGROUND: Diet quality indices (DQIs) are useful tools to measure diet quality as they compare dietary intakes against recommendations. A DQI for Asian preschool children is lacking. OBJECTIVE: The aims of this study were to develop and evaluate a DQI for preschool children based on Singapore dietary recommendations and to examine diet quality in a cohort of 5-year-old children. An additional aim was to assess associations between sociodemographic characteristics and DQI-5 scores. DESIGN: A secondary analysis was conducted using dietary intake of children from the Growing Up in Singapore Towards healthy Outcomes (GUSTO) mother-offspring cohort assessed in 2015-2016 using a validated Food Frequency Questionnaire. The socio-demographic data was assessed at recruitment between June 2009 and September 2010. The DQI was evaluated using a construct validity approach, whereby nutritional parameters associated with diet quality were studied. PARTICIPANTS/SETTING: Participants were 767 Singaporean children aged 5 years of Chinese, Malay or Indian ethnicity. MAIN OUTCOME MEASURES: The main outcome measures were the DQI-5 scores and the sociodemographic characteristics associated with diet quality. STATISTICAL ANALYSES PERFORMED: Kruskal-Wallis tests were used to evaluate differences in adherence to dietary recommendations across DQI-5 tertiles. Linear multiple regression analysis was performed to identify sociodemographic characteristics that were associated with diet quality in the children. RESULTS: The DQI-5 consists of 12 food and nutrient components, with a minimum score of zero and a maximum score of 110 points. The higher scores indicate a healthier diet, the mean (SD) DQI-5 score for the children was 61.6 (13.2). DQI-5 components with low scores included wholegrains, vegetables and fatty acid ratio, while total rice and alternatives, milk and dairy products components were overconsumed by 18% and 24.4% of the children, respectively. Children with higher scores were more likely to meet dietary recommendations and had higher intake of nutrients such as dietary fibre, iron, vitamin A and beta carotene. Children whose mothers were of Malay ethnicity and whose mothers had low income, an education below university and shared primary caregiver responsibilities were more likely to have lower DQI-5 scores. CONCLUSIONS: The DQI-5 scores revealed diets to be low for several components and excessive for a few. The DQI-5 developed for preschool children in Singapore had adequate construct validity.
540 _a
540 _ahttps://creativecommons.org/licenses/by/4.0/This work is licensed under a CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/) International license.
546 _aen
690 _aArticle
655 7 _aText
_2local
786 0 _nJ Acad Nutr Diet
856 4 1 _uhttp://dx.doi.org/10.1016/j.jand.2022.06.013
_zConnect to this object online.
999 _c2091
_d2091