Diet quality and dietary diversity in France: Implications for the French paradox

Diet quality and dietary diversity in France: Implications for the French paradox
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DOI:
10.1016/s0002-8223(96)00185-x
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发表时间:
1996-07-01
影响因子:
--
通讯作者:
Hercberg, S
Hercberg, S
中科院分区:
其他
文献类型:
--
作者:
Drewnowski, A;Henderson, SA;Hercberg, S

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目的膳食质量评价是营养流行病学研究的一个较新的热点。健康饮食模式的新指数在很大程度上仅限于美国人口。本研究使用的评价标准,在美国开发,以评估饮食质量和饮食多样性的法国adultes.Methods习惯的饮食摄入量的一个代表性样本的837名成年人(361名男性和476名女性)在瓦尔-德-马恩省进行了评估。饮食质量的评价指标包括改良饮食质量指数(DQI)、饮食多样性(DD)评分和饮食多样性评分(DVS)。5点DQI评估了对美国农业部(USDA)健康人群关键指南的遵守情况。DD得分计数的主要食物组消耗的数量,而DVS计数的食物消耗的总数定期based.Results很少有法国成年人消耗的饮食与美国农业部的饮食建议一致。只有14%的受访者从脂肪中获得的能量不到30%,只有4%的人从饱和脂肪中获得的能量不到10%。结果,63%的样本的DQI得分为0或1。相比之下,接近90%的受访者在DD中的得分最高为5。人的饮食符合美国的饮食recommendations也有最低的DVSs.Conclusions方法因素和文化偏见可以解释法国和美国的数据之间的一些观察到的差异。然而,饮食质量和多样性的研究是一个有前途的新方法,研究的总饮食和相关的健康结果,并可能提供新的见解法国悖论。
Objective Assessing the quality of the total diet is a relatively new focus of studies in nutritional epidemiology. New indexes of healthful eating patterns have been largely limited to US populations. This study used evaluative criteria developed in the United States to assess diet quality and dietary diversity of French adults.Methods Habitual dietary intakes of a representative sample of 837 adults (361 men and 476 women) in the Val-de-Marne Departement were evaluated. Evaluative measures of diet quality included a modified diet quality index (DQI), a dietary diversity (DD) score, and a dietary variety score (DVS). The 5-point DQI assessed compliance with the key guidelines of the US Department of Agriculture (USDA) for healthy people. The DD score counted the number of major food groups consumed whereas the DVS counted the total number of foods consumed on a regular basis.Results Few French adults consumed diets consistent with the USDA dietary recommendations. Only 14% of respondents derived less than 30% of energy from fat and only 4% derived less than 10% of energy from saturated fat. As a result, 63% of the sample had DQI scores of either 0 or 1. In contrast, close to 90% of respondents scored a maximum of 5 in DD. Persons whose diets met US dietary recommendations also had the lowest DVSs.Conclusions Methodologic factors and cultural biases may account for some of the observed differences between French and US data. Nevertheless, studies of diet quality and diversity are a promising new approach to the study of the total diet and associated health outcomes and may provide new insight into the French paradox.