Diet quality among older adults: What the Index Associated with the Digital Food Guide and the Brazilian Healthy Eating Index-Revised Reveal

Author(s)

Daniela de Assumpção ^[1] ; Simone Caivano ^[2] ; Ligiana Pires Corona ^[3] ; Marilisa Berti de Azevedo Barros ^[4] ; Antonio de Azevedo Barros Filho ^[5] ; Semíramis Martins Álvares Domene ^[6]

Affiliation

^[1] Universidade Estadual de Campinas. Faculdade de Ciências Médicas - Brasil

^[2] Universidade Federal de São Paulo - Brasil

^[3] Universidade Estadual de Campinas. Faculdade de Ciências Aplicadas. Laboratório de Epidemiologia Nutricional - Brasil

^[4] Universidade Estadual de Campinas. Faculdade de Ciências Médicas - Brasil

^[5] Universidade Estadual de Campinas. Faculdade de Ciências Médicas - Brasil

^[6] Universidade Federal de São Paulo - Brasil

• Document type: Journal article
• Source: Ciênc. saúde coletiva; v. 27, n. 4, p. 1477-1490, 2022-04-22.

Abstract

Abstract The aim of the present study was to compare the Diet Quality Index-Digital Food Guide (DQI-DFG) to a more widely used measure in the literature: the Brazilian Healthy Eating Index-Revised (BHEI-R). A cross-sectional population-based study was conducted with 822 older adults (≥ 60 years) from the city of Campinas/SP, Brazil. The BHEI-R resulted in a higher overall score compared to DQI-DFG (62.9 vs. 47.7). For the BHEI-R, mean scores increased with age and were worse among smokers and individuals with a higher level of schooling. Regarding the DQI-DFG scores, no significant associations with age, schooling or smoking were detected; however, scores were higher in higher income segments. The components with the worst scores were whole grains, sodium and milk (BHEI-R); fruits, whole grains, roots/tubers, milk, refined cereals and red meat/processed (DQI-DFG). Divergences were found in the global scores and components of the indicators, reflecting important methodological differences. Studies of this nature constitute an opportunity to increase awareness regarding indicators of particular aspects of diet. (AU)

• FAPESP's process: 12/23324-3 - Analysis and monitoring of health status of the population through household survey (IsaCamp 2013)
• Grantee: Marilisa Berti de Azevedo Barros
• Support Opportunities: Regular Research Grants
• FAPESP's process: 13/16808-7 - Household health survey: monitoring trend and social inequality in the food pattern of population
• Grantee: Antonio de Azevedo Barros Filho
• Support Opportunities: Regular Research Grants