Diyet kalitesi; bireylerin beslenme alışkanlıklarının ve bazı hastalık risklerinin değerlendirilmesinde önemli bir kavram olarak yer almakta ve genellikle bireyin beslenme örüntüsünün önerilere uygunluk düzeyini belirlemek için kullanılmaktadır. Diyet kalitesi kavramının evrensel bir tanımı olmamasına rağmen besinlerin yeterliliği, çeşitliliği, ölçülü alımı ve besin gruplarının, enerji ve besin ögelerinin dengeli dağılımı olmak üzere 4 ana bileşenden oluştuğu konusunda genel bir fikir birliği bulunmaktadır. Bu bağlamda diyet kalitesinin değerlendirilebilmesi için birçok ülkede tüketilen besinler, besin ögeleri ve beslenme alışkanlıklarının puanlamasına dayanan çok sayıda indeks geliştirilmiştir. Ancak bu indekslerin diğer ülkelerde kullanılmak amacıyla uyarlanması durumunda o ülkenin beslenme rehberlerine uygunluğunun sağlanması ve beslenme örüntüsünün yansıtılması konusunda yetersiz kaldığı durumlar söz konusudur. Bu nedenle uluslararası düzeyde ortak kullanım için geliştirilmiş indeksler bulunmaktadır. Bu indekslerden ulusal olarak geliştirilen ancak uluslararası düzeyde kullanılan Akdeniz Diyet Kalite İndeksi ve Sağlıklı Yeme İndeksi gibi indekslerin yanı sıra uluslararası düzeyde geliştirilen Uluslararası Diyet Kalite İndeksi, Küresel Diyet Kalite Skoru, Prime Diyet Kalite Skoru, Yeterli Besin Ögesi Alım Olasılığı Skoru, Kadınlar için Minimum Diyet Çeşitliliği, Hipertansiyonun Önlenmesi için Diyet Yaklaşımları Diyet İndeksi, Sağlıklı Gezegen Diyet İndeksi ve Uluslararası DiyetSağlık İndeksi gibi indeksler bulunmaktadır. Bu derlemede, erişkin bireylerde uluslararası düzeyde yaygın olarak kullanılan diyet kalite indekslerinin incelenmesi ve diyet kalitesini değerlendirmeye yönelik yapılacak çalışmalara yol gösterilmesi amaçlanmıştır.
Anahtar Kelimeler: Diyet; diyet kalite indeksi; indeks
Diet quality is an important concept in the evaluation of individuals' nutritional habits and some disease risks and is generally used to determine the compliance level of the individual's nutritional pattern with the recommendations. Although there is no universal definition of the concept of diet quality, there is a general consensus that it consists of 4 main components: adequacy, variety, moderate intake of nutrients, and balanced distribution of food groups, energy, and nutrients. In this context, many indices based on the scoring of the foods, nutrients, and nutritional habits consumed in many countries have been developed to evaluate diet quality. However, if these indices are adapted for use in other countries, there are cases where they are insufficient to comply with the nutritional guidelines of that country and to reflect the nutrition pattern. For this reason, there are indexes developed for common use at the international level. Among these indices, such as the Mediterranean Diet Quality Index and the Health Eating Index developed nationally but used internationally, and the Diet Quality Index International developed at an international level. There are many indexes such as Global Diet Quality Score, Prime Diet Quality Score, Probability of Adequate Nutrient Intake Score, Minimum Dietary Diversity for Women, Dietary Approaches to Stop Hypertension Diet Index, Healthy Planet Diet Index, and International Diet-Health Index. In this review, it is aimed to examine the diet quality indices that are widely used in adults at the international level and to guide studies to evaluate diet quality.
Keywords: Diet; diet quality index; index
- Health and Welfare Canada. Nutrition Recommendations: The Report of the Scientific Review Committee. 1st ed. Canada: Authority of the Minister of Health and Welfare.; 1990.
- Drewnowski A, Henderson SA, Shore AB, Fischler C, Preziosi P, Hercberg S. Diet quality and dietary diversity in France: implications for the French paradox. J Am Diet Assoc. 1996;96(7):663-9. [Crossref] [PubMed]
- Patterson RE, Haines PS, Popkin BM. Diet quality index: capturing a multidimensional behavior. J Am Diet Assoc. 1994;94(1):57-64. [Crossref] [PubMed]
- Key T. Diet and the risk of cancer. BMJ. 2007;335(7626):897. [Crossref] [PubMed] [PMC]
- Elmadfa I, Meyer AL. Diet quality, a term subject to change over time. Int J Vitam Nutr Res. 2012;82(3):144-7. [Crossref] [PubMed]
- Coulston AM. The search continues for a tool to evaluate dietary quality. Am J Clin Nutr. 2001;74(4):417. [Crossref] [PubMed]
- Fransen HP, Ocké MC. Indices of diet quality. Curr Opin Clin Nutr Metab Care. 2008;11(5):559-65. [Crossref] [PubMed]
- Kant AK, Graubard BI. A comparison of three dietary pattern indexes for predicting biomarkers of diet and disease. J Am Coll Nutr. 2005;24(4):294-303. [Crossref] [PubMed]
- Jacka FN, Kremer PJ, Berk M, de Silva-Sanigorski AM, Moodie M, Leslie ER, et al. A prospective study of diet quality and mental health in adolescents. PLoS One. 2011;6(9):e24805. [Crossref] [PubMed] [PMC]
- Alkerwi A. Diet quality concept. Nutrition. 2014;30(6):613-8. [Crossref] [PubMed]
- Scott P. Global Panel on Agriculture and Food Systems for Nutrition. Food Systems and Diets: Facing the Challenges of the 21st century. Food Secur. 2017;9(3):653-4. [Crossref]
- Herforth A, Frongillo EA, Sassi F, Mclean MS, Arabi M, Tirado C, et al. Toward an integrated approach to nutritional quality, environmental sustainability, and economic viability: research and measurement gaps. Ann N Y Acad Sci. 2014;1332:1-21. [Crossref] [PubMed]
- Fanelli MT, Stevenhagen KJ. Characterizing consumption patterns by food frequency methods: core foods and variety of foods in diets of older Americans. J Am Diet Assoc. 1985;85(12):1570-6. [Crossref] [PubMed]
- Fernandez E, Negri E, La Vecchia C, Franceschi S. Diet diversity and colorectal cancer. Prev Med. 2000;31(1):11-4. [Crossref] [PubMed]
- Guenther PM, Kirkpatrick SI, Reedy J, Krebs-Smith SM, Buckman DW, Dodd KW, et al. The Healthy Eating Index-2010 is a valid and reliable measure of diet quality according to the 2010 Dietary Guidelines for Americans. J Nutr. 2014;144(3):399-407. [Crossref] [PubMed] [PMC]
- Lipsky LM, Cheon K, Nansel TR, Albert PS. Candidate measures of whole plant food intake are related to biomarkers of nutrition and health in the US population (National Health and Nutrition Examination Survey 1999-2002). Nutr Res. 2012;32(4):251-9. [Crossref] [PubMed] [PMC]
- Kennedy ET, Ohls J, Carlson S, Fleming K. The Healthy Eating Index: design and applications. J Am Diet Assoc. 1995;95(10):1103-8. [Crossref] [PubMed]
- Guenther PM, Reedy J, Krebs-Smith SM. Development of the Healthy Eating Index-2005. J Am Diet Assoc. 2008;108(11):1896-901. [Crossref] [PubMed]
- Guenther PM, Casavale KO, Reedy J, Kirkpatrick SI, Hiza HA, Kuczynski KJ, et al. Update of the Healthy Eating Index: HEI-2010. J Acad Nutr Diet. 2013;113(4):569-80. Erratum in: J Acad Nutr Diet. 2016;116(1):170. [Crossref] [PubMed] [PMC]
- National Cancer Instıtute [Internet]. [Cited: May 14, 2022]. Comparing Versions of the HEI. Available from: [Link]
- Krebs-Smith SM, Pannucci TE, Subar AF, Kirkpatrick SI, Lerman JL, Tooze JA, et al. Update of the Healthy Eating Index: HEI-2015. J Acad Nutr Diet. 2018;118(9):1591-602. Erratum in: J Acad Nutr Diet. 2019. [Crossref] [PubMed] [PMC]
- Previdelli AN, Andrade SC, Pires MM, Ferreira SR, Fisberg RM, Marchioni DM. A revised version of the Healthy Eating Index for the Brazilian population. Rev Saude Publica. 2011;45(4):794-8. English, Portuguese. [Crossref] [PubMed]
- Jessri M, Ng AP, L'Abbé MR. Adapting the healthy eating index 2010 for the Canadian population: evidence from the Canadian national nutrition survey. Nutrients. 2017;9(8):910. [Crossref] [PubMed] [PMC]
- Bekele TH, de Vries JJ, Trijsburg L, Feskens E, Covic N, Kennedy G, et al. Methodology for developing and evaluating food-based dietary guidelines and a Healthy Eating Index for Ethiopia: a study protocol. BMJ Open. 2019;9(7):e027846. [Crossref] [PubMed] [PMC]
- Yuan YQ, Li F, Dong RH, Chen JS, He GS, Li SG, et al. The development of a Chinese healthy eating index and its application in the general population. Nutrients. 2017;9(9):977. [Crossref] [PubMed] [PMC]
- Taechangam S, Pinitchun U, Pachotikarn C. Development of nutrition education tool: healthy eating index in Thailand. Asia Pac J Clin Nutr. 2008;17 Suppl 1:365-7. [PubMed]
- Jailani M, Elias SM, Rajikan R. The new standardized Malaysian healthy eating index. Nutrients. 2021;13(10):3474. [Crossref] [PubMed] [PMC]
- Roy R, Hebden L, Rangan A, Allman-Farinelli M. The development, application, and validation of a Healthy eating index for Australian Adults (HEIFA-2013). Nutrition. 2016;32(4):432-40. [Crossref] [PubMed]
- Kim S, Haines PS, Siega-Riz AM, Popkin BM. The Diet Quality Index-International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr. 2003;133(11):3476-84. [Crossref] [PubMed]
- Cacau LT, De Carli E, de Carvalho AM, Lotufo PA, Moreno LA, Bensenor IM, et al. Development and validation of an index based on EAT-lancet recommendations: the planetary health diet index. Nutrients. 2021;13(5):1698. [Crossref] [PubMed] [PMC]
- Kronsteiner-Gicevic S, Mou Y, Bromage S, Fung TT, Willett W. Development of a diet quality screener for global use: evaluation in a sample of US women. J Acad Nutr Diet. 2021;121(5):854-71.e6. [Crossref] [PubMed]
- Bromage S, Batis C, Bhupathiraju SN, Fawzi WW, Fung TT, Li Y, et al. Development and validation of a novel food-based global diet quality score (GDQS). J Nutr. 2021;151(12 Suppl 2):75S-92S. [Crossref] [PubMed] [PMC]
- Verger EO, Mariotti F, Holmes BA, Paineau D, Huneau JF. Evaluation of a diet quality index based on the probability of adequate nutrient intake (PANDiet) using national French and US dietary surveys. PLoS One. 2012;7(8):e42155. [Crossref] [PubMed] [PMC]
- Food and Agriculture Organization. Minimum dietary diversity for women: A guide for measurement. Rome: FAO; 2016. [Link]
- Wang J, Masters WA, Bai Y, Mozaffarian D, Naumova EN, Singh GM. The International Diet-Health Index: a novel tool to evaluate diet quality for cardiometabolic health across countries. BMJ Glob Health. 2020;5(7):e002120. [Crossref] [PubMed] [PMC]
- Fung TT, Chiuve SE, McCullough ML, Rexrode KM, Logroscino G, Hu FB. Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women. Arch Intern Med. 2008;168(7):713-20. Erratum in: Arch Intern Med. 2008;168(12):1276. [Crossref] [PubMed]
- Di Daniele N, Noce A, Vidiri MF, Moriconi E, Marrone G, Annicchiarico-Petruzzelli M, et al. Impact of mediterranean diet on metabolic syndrome, cancer and longevity. Oncotarget. 2017;8(5):8947-79. [Crossref] [PubMed] [PMC]
- De Pergola G, D'Alessandro A. Influence of mediterranean diet on blood pressure. Nutrients. 2018;10(11):1700. [Crossref] [PubMed] [PMC]
- Trichopoulou A, Kouris-Blazos A, Wahlqvist ML, Gnardellis C, Lagiou P, Polychronopoulos E, et al. Diet and overall survival in elderly people. BMJ. 1995;311(7018):1457-60. [Crossref] [PubMed] [PMC]
- Scali J, Richard A, Gerber M. Diet profiles in a population sample from Mediterranean southern France. Public Health Nutr. 2001;4(2):173-82. [Crossref] [PubMed]
- Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a mediterranean diet and survival in a Greek population. N Engl J Med. 2003;348(26):2599-608. [Crossref] [PubMed]
- Trichopoulou A, Orfanos P, Norat T, Bueno-de-Mesquita B, Ocké MC, Peeters PH, et al. Modified Mediterranean diet and survival: EPIC-elderly prospective cohort study. BMJ. 2005;330(7498):991. [Crossref] [PubMed] [PMC]
.: Process List