Healthy Food Intake Index (HFII) - Validity and reproducibility in a gestational-diabetes-risk population

Show full item record



Permalink

http://hdl.handle.net/10138/167007

Citation

Meinila , J , Valkama , A , Koivusalo , S B , Stach-Lempinen , B , Lindstrom , J , Kautiainen , H , Eriksson , J G & Erkkola , M 2016 , ' Healthy Food Intake Index (HFII) - Validity and reproducibility in a gestational-diabetes-risk population ' , BMC Public Health , vol. 16 , 680 . https://doi.org/10.1186/s12889-016-3303-7

Title: Healthy Food Intake Index (HFII) - Validity and reproducibility in a gestational-diabetes-risk population
Author: Meinila, Jelena; Valkama, Anita; Koivusalo, Saila B.; Stach-Lempinen, Beata; Lindstrom, Jaana; Kautiainen, Hannu; Eriksson, Johan G.; Erkkola, Maijaliisa
Contributor: University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Department of Obstetrics and Gynecology
University of Helsinki, Department of General Practice and Primary Health Care
University of Helsinki, Clinicum
University of Helsinki, Department of Food and Nutrition
Date: 2016-07-30
Language: eng
Number of pages: 11
Belongs to series: BMC Public Health
ISSN: 1471-2458
URI: http://hdl.handle.net/10138/167007
Abstract: Background: The aim was to develop and validate a food-based diet quality index for measuring adherence to the Nordic Nutrition Recommendations (NNR) in a pregnant population with high risk of gestational diabetes (GDM). Methods: This study is a part of the Finnish Gestational Diabetes Prevention Study (RADIEL), a lifestyle intervention conducted between 2008 and 2014. The 443 pregnant participants (61 % of those invited), were either obese or had a history of GDM. Food frequency questionnaires collected at 1st trimester served for composing the HFII; a sum of 11 food groups (available score range 0-17) with higher scores reflecting higher adherence to the NNR. Results: The average HFII of the participants was 10.2 (SD 2.8, range 2-17). Factor analysis for the HFII component matrix revealed three factors that explained most of the distribution (59 %) of the HFII. As an evidence of the component relevance 9 out of 11 of the HFII components independently contributed to the total score (item-rest correlation coefficients Conclusions: The HFII components reflect the food guidelines of the NNR, intakes of relevant nutrients, and characteristics known to vary with diet quality. It largely ignores energy intake, its components have independent contribution to the HFII, and it exhibits reproducibility. The main shortcomings are absence of red and processed meat component, and the validation in a selected study population. It is suitable for ranking participants according to the adherence to the NNR in pregnant women at high risk of GDM.
Subject: Diet quality index
Dietary pattern
Gestational diabetes
Nutrition and pregnancy
Validation
Nordic nutrition recommendations
DIETARY GLYCEMIC LOAD
NUTRITIONAL EPIDEMIOLOGY
MEDITERRANEAN DIET
WEIGHT-GAIN
LIFE-STYLE
PATTERNS
QUALITY
PREGNANCY
MELLITUS
ENERGY
3142 Public health care science, environmental and occupational health
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
Healthy_Food_Intake_Index.pdf 896.9Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record