Assessment of the Dutch Healthy Diet Index 2015 in the Lifelines Cohort Study at Baseline

Overview

Journal Eur J Clin Nutr

Specialty Nutritional Sciences

Date 2023 Nov 28

PMID 38017142

Authors

A Mireille Baart

Elske M Brouwer-Brolsma

Hanne B T De Jong

Jeanne H M de Vries

Edith J M Feskens

Affiliations

Soon will be listed here.

Abstract

Background: Dietary indices are useful measures to investigate associations between dietary intake and disease development. The Dutch Healthy Diet index 2015 (DHD2015-index), a measure of diet quality, assesses adherence to the 2015 Dutch dietary guidelines. We assessed the DHD2015-index in the Lifelines cohort study, and compared calculations from basic and detailed dietary intake data. This article replaces the retracted article that was published on 16 May 2022 [1].

Methods: Dietary intake was assessed with a specially developed Food Frequency Questionnaire (FFQ) called Flower-FFQ, which consists of one main questionnaire (heart-FFQ), which asks for intakes of major food groups, and three complementary questionnaires (petal-FFQs), which ask for detailed information on food types within major food groups of the heart-FFQ. The DHD2015-index was assessed using data from the total Flower-FFQ (for 56,982 participants), and using data from the heart-FFQ only (for 129,030 participants). Agreement between the two indices was assessed with correlation and cross-classification.

Results: The median (25th-75th percentile) DHD2015-index score was 75 (65-85) for men and 81 (70-91) for women based on the Flower-FFQ, and 68 (58-77) for men and 73 (63-82) for women based on the heart-FFQ. The Kendall's tau-b correlation coefficient between the two scores was 0.67 for men and 0.66 for women. Cross-classification into quartiles of the DHD2015-index showed that 59-60% of participants were classified in the same quartile, 36-37% in the adjacent, and 4% in the non-adjacent.

Conclusion: Dietary data from the Flower-FFQ provide the most optimal information to assess the DHD2015-index. However, the DHD2015-index from the heart-FFQ showed good agreement with the index from the Flower-FFQ of ranking participants according to diet quality, and can be used when the DHD2015 index from the Flower-FFQ is not available.

Citing Articles

Association between diet quality and all-cause mortality in a large Dutch cohort.

Kirk D, Baart A, McLean J, Feskens E PLoS One. 2024; 19(8):e0302905.

PMID: 39178206 PMC: 11343414. DOI: 10.1371/journal.pone.0302905.

References

Bland J, Altman D . Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986; 1(8476):307-10. View

Ainsworth B, Haskell W, Herrmann S, Meckes N, Bassett Jr D, Tudor-Locke C . 2011 Compendium of Physical Activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011; 43(8):1575-81. DOI: 10.1249/MSS.0b013e31821ece12. View

Brink E, van Rossum C, Postma-Smeets A, Stafleu A, Wolvers D, Dooren C . Development of healthy and sustainable food-based dietary guidelines for the Netherlands. Public Health Nutr. 2019; 22(13):2419-2435. PMC: 7083597. DOI: 10.1017/S1368980019001435. View

Arvaniti F, Panagiotakos D . Healthy indexes in public health practice and research: a review. Crit Rev Food Sci Nutr. 2008; 48(4):317-27. DOI: 10.1080/10408390701326268. View

Satija A, Yu E, Willett W, Hu F . Understanding nutritional epidemiology and its role in policy. Adv Nutr. 2015; 6(1):5-18. PMC: 4288279. DOI: 10.3945/an.114.007492. View

Sijtsma A, Rienks J, van der Harst P, Navis G, Rosmalen J, Dotinga A . Cohort Profile Update: Lifelines, a three-generation cohort study and biobank. Int J Epidemiol. 2021; 51(5):e295-e302. PMC: 9558073. DOI: 10.1093/ije/dyab257. View

Imamura F, Micha R, Khatibzadeh S, Fahimi S, Shi P, Powles J . Dietary quality among men and women in 187 countries in 1990 and 2010: a systematic assessment. Lancet Glob Health. 2015; 3(3):e132-42. PMC: 4342410. DOI: 10.1016/S2214-109X(14)70381-X. View

Looman M, Feskens E, de Rijk M, Meijboom S, Biesbroek S, Temme E . Development and evaluation of the Dutch Healthy Diet index 2015. Public Health Nutr. 2017; 20(13):2289-2299. PMC: 10261559. DOI: 10.1017/S136898001700091X. View

Brouwer-Brolsma E, Perenboom C, Sluik D, van de Wiel A, Geelen A, Feskens E . Development and external validation of the 'Flower-FFQ': a FFQ designed for the Lifelines Cohort Study. Public Health Nutr. 2021; 25(2):225-236. PMC: 8883771. DOI: 10.1017/S1368980021002111. View

10.

Lombard M, Steyn N, Charlton K, Senekal M . Application and interpretation of multiple statistical tests to evaluate validity of dietary intake assessment methods. Nutr J. 2015; 14:40. PMC: 4471918. DOI: 10.1186/s12937-015-0027-y. View

11.

Kromhout D, Spaaij C, de Goede J, Weggemans R . The 2015 Dutch food-based dietary guidelines. Eur J Clin Nutr. 2016; 70(8):869-78. PMC: 5399142. DOI: 10.1038/ejcn.2016.52. View

12.

Trijsburg L, Geelen A, Hollman P, Hulshof P, Feskens E, Vant Veer P . BMI was found to be a consistent determinant related to misreporting of energy, protein and potassium intake using self-report and duplicate portion methods. Public Health Nutr. 2016; 20(4):598-607. PMC: 10261408. DOI: 10.1017/S1368980016002743. View

13.

Jacobs D, Tapsell L . Food synergy: the key to a healthy diet. Proc Nutr Soc. 2013; 72(2):200-6. DOI: 10.1017/S0029665112003011. View

14.

Baart A, Brouwer-Brolsma E, De Jong H, de Vries J, Feskens E . RETRACTED ARTICLE: Assessment of the Dutch Healthy Diet index 2015 in the Lifelines cohort study at baseline. Eur J Clin Nutr. 2022; 78(1):77. DOI: 10.1038/s41430-022-01163-w. View

15.

Rhee J, Sampson L, Cho E, Hughes M, Hu F, Willett W . Comparison of methods to account for implausible reporting of energy intake in epidemiologic studies. Am J Epidemiol. 2015; 181(4):225-33. PMC: 4325679. DOI: 10.1093/aje/kwu308. View

16.

Jacobs Jr D, Tapsell L . Food, not nutrients, is the fundamental unit in nutrition. Nutr Rev. 2007; 65(10):439-50. DOI: 10.1111/j.1753-4887.2007.tb00269.x. View

17.

Baart A, Brouwer-Brolsma E, Perenboom C, de Vries J, Feskens E . Dietary Intake in the Lifelines Cohort Study: Baseline Results from the Flower Food Frequency Questionnaire among 59,982 Participants. Nutrients. 2022; 14(1). PMC: 8746534. DOI: 10.3390/nu14010048. View

18.

Vart P, Gansevoort R, Coresh J, Reijneveld S, Bultmann U . Socioeconomic measures and CKD in the United States and The Netherlands. Clin J Am Soc Nephrol. 2013; 8(10):1685-93. PMC: 3789356. DOI: 10.2215/CJN.12521212. View

19.

Goldbohm R, van t Veer P, van den Brandt P, van t Hof M, Brants H, Sturmans F . Reproducibility of a food frequency questionnaire and stability of dietary habits determined from five annually repeated measurements. Eur J Clin Nutr. 1995; 49(6):420-9. View

20.

Hu F . Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002; 13(1):3-9. DOI: 10.1097/00041433-200202000-00002. View