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Modifying the Healthy Eating Index to assess diet quality in children and adolescents.
J Am Diet Assoc. 2004 Sep; 104(9):1375-83.JA

Abstract

OBJECTIVE

The Healthy Eating Index (HEI) is a scoring system used by the US government to assess adherence to the Dietary Guidelines for Americans. We examined the ability of the HEI to monitor diet quality among youth.

DESIGN

We modified and simplified the HEI for use by older children and adolescents. The new Youth Healthy Eating Index (YHEI) focuses on food quality and assesses both healthful and unhealthful foods and eating behaviors. Both HEI and YHEI scores were calculated from a food frequency questionnaire that was mailed to participants in the Growing Up Today Study in 1996.

SUBJECTS/SETTING

Girls (n=8,807) and boys (n=7,645) 9 to 14 years of age who are children of participants in the Nurses Health Study II cohort and who reside across the United States.

STATISTICAL ANALYSIS

Mean HEI and YHEI scores were calculated by sex and age, and associations with age, body mass index, activity, inactivity, energy intake, and several nutrients were assessed with Pearson correlations. Linear regression was used to examine the contributions of the individual HEI and YHEI components toward the total scores.

RESULTS

The HEI score was highly correlated with total energy intake (r =0.67), indicating a strong association with quantity of food consumption. In contrast, the YHEI was not strongly correlated with energy intake (r =0.12) but was inversely associated with time spent in inactive pursuits (r =-0.27). The HEI component for variety in food selection accounted for 60% of the variation in the total score and several HEI components were highly correlated with each other, particularly those for total and saturated fat (r =0.78).

CONCLUSIONS

To successfully monitor diet in a population of children and adolescents, the HEI may benefit from modifications that focus on food quality and include assessments of unhealthful foods. Further research is needed to determine the dietary elements that are most related to health in diverse populations of youth.

Authors+Show Affiliations

Channing Laboratory, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, 181 Longwood Avenue, Boston, MA 02115, USA. feskanich@channing.harvard.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

15354153

Citation

Feskanich, Diane, et al. "Modifying the Healthy Eating Index to Assess Diet Quality in Children and Adolescents." Journal of the American Dietetic Association, vol. 104, no. 9, 2004, pp. 1375-83.
Feskanich D, Rockett HR, Colditz GA. Modifying the Healthy Eating Index to assess diet quality in children and adolescents. J Am Diet Assoc. 2004;104(9):1375-83.
Feskanich, D., Rockett, H. R., & Colditz, G. A. (2004). Modifying the Healthy Eating Index to assess diet quality in children and adolescents. Journal of the American Dietetic Association, 104(9), 1375-83.
Feskanich D, Rockett HR, Colditz GA. Modifying the Healthy Eating Index to Assess Diet Quality in Children and Adolescents. J Am Diet Assoc. 2004;104(9):1375-83. PubMed PMID: 15354153.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Modifying the Healthy Eating Index to assess diet quality in children and adolescents. AU - Feskanich,Diane, AU - Rockett,Helaine R H, AU - Colditz,Graham A, PY - 2004/9/9/pubmed PY - 2004/10/13/medline PY - 2004/9/9/entrez SP - 1375 EP - 83 JF - Journal of the American Dietetic Association JO - J Am Diet Assoc VL - 104 IS - 9 N2 - OBJECTIVE: The Healthy Eating Index (HEI) is a scoring system used by the US government to assess adherence to the Dietary Guidelines for Americans. We examined the ability of the HEI to monitor diet quality among youth. DESIGN: We modified and simplified the HEI for use by older children and adolescents. The new Youth Healthy Eating Index (YHEI) focuses on food quality and assesses both healthful and unhealthful foods and eating behaviors. Both HEI and YHEI scores were calculated from a food frequency questionnaire that was mailed to participants in the Growing Up Today Study in 1996. SUBJECTS/SETTING: Girls (n=8,807) and boys (n=7,645) 9 to 14 years of age who are children of participants in the Nurses Health Study II cohort and who reside across the United States. STATISTICAL ANALYSIS: Mean HEI and YHEI scores were calculated by sex and age, and associations with age, body mass index, activity, inactivity, energy intake, and several nutrients were assessed with Pearson correlations. Linear regression was used to examine the contributions of the individual HEI and YHEI components toward the total scores. RESULTS: The HEI score was highly correlated with total energy intake (r =0.67), indicating a strong association with quantity of food consumption. In contrast, the YHEI was not strongly correlated with energy intake (r =0.12) but was inversely associated with time spent in inactive pursuits (r =-0.27). The HEI component for variety in food selection accounted for 60% of the variation in the total score and several HEI components were highly correlated with each other, particularly those for total and saturated fat (r =0.78). CONCLUSIONS: To successfully monitor diet in a population of children and adolescents, the HEI may benefit from modifications that focus on food quality and include assessments of unhealthful foods. Further research is needed to determine the dietary elements that are most related to health in diverse populations of youth. SN - 0002-8223 UR - https://www.unboundmedicine.com/medline/citation/15354153/Modifying_the_Healthy_Eating_Index_to_assess_diet_quality_in_children_and_adolescents_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002822304010934 DB - PRIME DP - Unbound Medicine ER -