Validation of the Brazilian Healthy Eating Index-Revised Using Biomarkers in Children and Adolescents

Overview

Journal Nutrients

Date 2018 Feb 2

PMID 29385742

Citations 12

Authors

Roseli B D Toffano

Elaine Hillesheim

Mariana G Mathias

Carolina A Coelho-Landell

Roberta G Salomao

Maria O R V Almada

Joyce M Camarneiro

Tamiris T Barros

Jose S Camelo-Junior

Serge Rezzi

Laurence Goulet

Maria P Giner

Laeticia Da Silva

Francois-Pierre Martin

Ivan Montoliu

Sofia Moco

Sebastiano Collino

Jim Kaput

Jacqueline P Monteiro

Affiliations

Soon will be listed here.

Abstract

The Brazilian Healthy Eating Index-Revised (BHEI-R) can be used to determine overall dietary patterns. We assessed the BHEI-R scores in children and adolescents, aged from 9 to 13 years old, and associated its component scores with biomarkers of health and dietary exposure. Three 24-h recalls were used to generate BHEI-R. Biomarkers were analyzed in plasma and red blood cells. Correlation tests, agreement, and covariance analyses were used to associate BHEI-R components with biomarkers. Data from 167 subjects were used. The strongest correlations were between fruits, vegetables and legumes with omega-6 and omega-3 fatty acids, and β-carotene intakes. Milk and dairy correlated with plasma retinol and pyridoxine. All components rich in vegetable and animal protein sources correlated with plasma creatine. Total BHEI-R scores were positively associated with intakes of omega-6, omega-3, fiber and vitamin C, and inversely associated with energy and saturated fat intakes of individuals. Plasma β-carotene and riboflavin biomarkers were positively associated with total BHEI-R. An inadequate food consumption pattern was captured by both biomarkers of health and dietary exposure. BHEI-R was validated for the above dietary components and can be associated with metabolomics and nutritional epidemiological data in future pediatric studies.

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