Measuring the quality of main meals: Validation of a meal quality index

Autores

  • Bartira GORGULHO Universidade Federal de Mato Grosso
  • Gerda Karolien POT University of Amsterdam
  • Flavia Mori SARTI Universidade de São Paulo
  • Regina Mara FISBERG Universidade de São Paulo
  • Dirce Maria MARCHIONI Universidade de São Paulo

Palavras-chave:

Dietary patterns, Dietary quality, Meals

Resumo

Objective
To evaluate the internal validity and reliability of an index developed to assess the nutritional quality of meals.

Methods
The Main Meal Quality Index is composed of ten components. The fi nal scores range from 0-100 points. The index performance was measured using strategies for assessing content validity, construct validity, discriminant validity and reliability. The analyses were performed using the Stata statistical software at a 5% signifi cance level.

Results
The index was positively associated with carbohydrates, vegetable proteins, fi bers, vitamins, folate and potassium and negatively associated with energy, total fat, saturated fat, animal protein, cholesterol, phosphorus, sodium,added sugar, and cholesterol biomarker. Significant differences were found between the two groups with marked disparities in dietary quality, smokers (50.2 points) and non-smokers (53.5 points).

Conclusion
The index might be a useful tool for assessing the nutritional quality of meals and for monitoring and comparing groups.

Referências

Leech RM, Worsley A, Timperio A, McNaughton SA. Understanding meal patterns: Definitions, methodology and impact on nutrient intake and diet quality. Nutr Res Rev. 2015;28(1):1-21.

Gibson RS. The role of diet-and host-related factors in nutrient bioavailability and thus in nutrient-based dietary requirement estimates. Food Nutr Bull. 2007;28(Supl.1):S77-100.

Monfort-Pires M, Ferreira SRG. Modification in a single meal is sufficient to provoke benefits in inflammatory responses of individuals at lowto-moderate cardiometabolic risk. Clin Nutr. 2016;35(6):1242-50. http://dx.doi.org/10.1016/j.clnu.2016.02.015

Gorgulho BM, Pot GK, Sarti FM, Marchioni DM. Indices for the assessment of nutritional quality of meals: A systematic review. Brit J Nutr. 2016;115(11):2017-24.

Waijers PM, Feskens EJ, Ocké MC. A critical review of predefined diet quality scores. Brit J Nutr. 2007;97(2):219-31.

World Cancer Research Fund. American Institute for Cancer Research. Food, nutrition, physical activity, and the prevention of cancer: A global perspective. Washington (DC): AICR; 2007.

World Health Organization. Diet, nutrition and the prevention of chronic diseases. Geneva: WHO; 2003. WHO Rechnical Report Series, n.916.

Previdelli AN, Andrade SC, Pires MM, Ferreira SRG, Fisberg RM, Marchioni DM. A revised version of the Healthy Eating Index for the Brazilian population. Rev Saúde Pública. 2011;45(4):794-8.

Guenther PM, Reedy J, Krebs-Smith SM, Reeve BB, Basiotis PP. Development and evaluation of the healthy eating index-2005. Washington (DC): Department of Agriculture; 2007.

Guenther PM, Casavale KO, Reedy J, Kirkpatrick SI, Hiza HA, Kuczynski KJ, et al. Update of the Healthy Eating Index: HEI-2010. J Acad Nutr Diet. 2013;113(4):569-80.

Secretaria Municipal de Saúde de São Paulo. Inquéritos de saúde: primeiros resultados. Boletim ISA: capital 2008. São Paulo: Secretaria Municipal da Saúde de São Paulo; 2010.

Moshfegh AJ, Rhodes DG, Baer DJ, Murayi T, Clemens JC, Rumpler WV, et al. The US Department of Agriculture Automated MultiplePass Method reduces bias in the collection of energy intakes. Am J Clin Nutr. 2008;88(2):324-32.

Marchioni DML, Fisberg RM. Guideline of food consumption evaluation in population surveys: A health survey experience in São Paulo. Sao Paulo: Universidade de São Paulo; 2012.

Guenther PM, Reedy J, Krebs-Smith SM, Reeve BB. Evaluation of the Healthy Eating Index-2005. J Am Dietetic Assoc. 2008;108(11):1854-64.

Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16(3):297-334.

Santos JRA. Cronbach’s alpha: A tool for assessing the reliability of scales. J Extension. 1999;37(2):1-5.

Nunnally JC. Psychometric theory. New York: McGraw-Hill; 1978.

Guenther PM, Kirkpatrick SI, Reedy J, KrebsSmith SM, Buckman DW, Dodd KW, et al. The Healthy Eating Index-2010 is a valid and reliable measure of diet quality according to the2010 Dietary Guidelines for Americans. J Nutr. 2014;144(3):399-407. http://dx.doi.org/10.3945/jn.113.183079

Sabinsky MS, Toft U, Andersen KK, Tetens I. Index of dietary Quality (Meal IQ) to assess the dietary quality of school lunches. Public Health Nutr. 2012;15(11):2091-9.

Gorgulho BM, Lipi M, Marchioni DML. Nutritional quality of meals served by the cafeteria of a company located in the metropolitan region of São Paulo, Brazil. Rev Nutr. 2001;24(3):463-72. http://dx.doi.org/10.1590/S1415-52732011000300009

Montagnese C, Santarpia L, Buonifacio M, Nardelli A, Caldara AR, Silvestri E, et al. European food-based dietary guidelines: A comparison and update. Nutr. 2015;31(7-8):908-15.

McNaughton SA. Dietary patterns and diet quality: Approaches to assessing complex exposures in nutrition. Australas Epidemiol. 2010;17(1):35-7.

Willett WC, McCullough ML. Dietary pattern analysis for the evaluation of dietary guidelines. Asia Pac J Clin Nutr. 2008;17(Supl.1):75-8.

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Publicado

09-03-2023

Como Citar

GORGULHO, B. ., POT, G. K. ., Mori SARTI, F. ., FISBERG, R. M. ., & MARCHIONI, D. M. . (2023). Measuring the quality of main meals: Validation of a meal quality index. Revista De Nutrição, 31(6). Recuperado de https://periodicos.puc-campinas.edu.br/nutricao/article/view/7709

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ARTIGOS ORIGINAIS