Critical analysis of the revised diet quality index for the Brazilian population : aplicacao no ELSA-Brasil

The scope of this study was to conduct a critical analysis of the application of the Brazilian Healthy Eating Index--Revised (BHEI-R), to explain the ease and difficulties in its calculation, to suggest adaptations and to compare its distribution. This was done in accordance with sociodemographic va...

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Veröffentlicht in:Ciência & saude coletiva 2020-02, Vol.25 (2), p.703
Hauptverfasser: Pires, Raphaela Kistenmacker, Luft, Vivian Cristine, Araujo, Marina Campos, Bandoni, Daniel, del Carmen Molina, Maria, Chor, Dora, de Oliveira Cardoso, Leticia
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Zusammenfassung:The scope of this study was to conduct a critical analysis of the application of the Brazilian Healthy Eating Index--Revised (BHEI-R), to explain the ease and difficulties in its calculation, to suggest adaptations and to compare its distribution. This was done in accordance with sociodemographic variables among the 15,105 public servants participating in the Longitudinal Study of Adult Health from 2008 to 2010. Food consumption was assessed based on a Food Frequency Questionnaire and BHEI-R was estimated in four ways: original; weighted for frequency of consumption of fruits and vegetables; modified considering legumes separated from other vegetables, and adapted covering the two previous changes. The results indicated that irrespective of the adaptation performed, women, individuals over 65 years of age and individuals with lower schooling had higher mean scores indicating a better quality diet. It is believed that the proposed adaptations may be useful for future studies that apply BHEI-R. Key words Diet, Dietary pattern, Healthy Eating Index, Adults O objetivo deste estudo foi analisar criticamente a aplicacao do Indice de Qualidade da Dieta--Revisado (IQD-R), explicitar facilidades e dificuldades em seu calculo, sugerir adaptacoes e comparar sua distribuicao segundo variaveis sociodemograficas entre os 15.105 servidores publicos participantes do Estudo Longitudinal de Saude do Adulto, no periodo de 2008 a 2010. O consumo alimentar foi aferido com base em Questionario de Frequencia Alimentar e o IQD-R foi estimado de quatro maneiras: original; ponderado para frequencia de consumo de frutas e hortalicas; modificado considerando leguminosas separado dos demais vegetais e adaptado abrangendo as duas alteracoes anteriores. Os resultados indicaram que independentemente da adaptacao realizada, as mulheres, os individuos com mais de 65 anos e os individuos de menor escolaridade apresentaram escores medios mais altos indicando dieta de melhor qualidade. Acredita-se que as adaptacoes propostas podem ser uteis para estudos futuros que apliquem o IQD-R. Palavras-chave Dieta, Padrao alimentar, Indice de Qualidade da Dieta, Adultos
ISSN:1413-8123
DOI:10.1590/1413-81232020252.12102018