Development and validation of the global diet quality score (GDQS) for children 24 to 59 months of age
Objectives To develop the Global Diet Quality Score (GDQS) for children aged 24-59 months and evaluate its performance in predicting outcomes related to nutrient adequacy and diet-related noncommunicable disease (NCD) risk. Background The GDQS is a food-based metric developed and validated fo...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Journal Article |
| Language: | Inglés |
| Published: |
Oxford University Press
2025
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| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/175015 |
| _version_ | 1855528888687394816 |
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| author | Ali, Nazia Binte Arsenault, Joanne E. Castellanos-Gutiérrez, Analí Moursi, Mourad Deitchler, Megan Batis, Carolina Atayde, Agata Marina Perez Kehoe, Sarah H. Tadesse, Amare W. Leonardo, Sofia Nkengfack, Brunhilda Tegomoh Diop, Loty Gelli, Aulo Fawzi, Wafaie W. Willett, Walter C. Bromage, Sabri |
| author_browse | Ali, Nazia Binte Arsenault, Joanne E. Atayde, Agata Marina Perez Batis, Carolina Bromage, Sabri Castellanos-Gutiérrez, Analí Deitchler, Megan Diop, Loty Fawzi, Wafaie W. Gelli, Aulo Kehoe, Sarah H. Leonardo, Sofia Moursi, Mourad Nkengfack, Brunhilda Tegomoh Tadesse, Amare W. Willett, Walter C. |
| author_facet | Ali, Nazia Binte Arsenault, Joanne E. Castellanos-Gutiérrez, Analí Moursi, Mourad Deitchler, Megan Batis, Carolina Atayde, Agata Marina Perez Kehoe, Sarah H. Tadesse, Amare W. Leonardo, Sofia Nkengfack, Brunhilda Tegomoh Diop, Loty Gelli, Aulo Fawzi, Wafaie W. Willett, Walter C. Bromage, Sabri |
| author_sort | Ali, Nazia Binte |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Objectives
To develop the Global Diet Quality Score (GDQS) for children aged 24-59 months and evaluate its performance in predicting outcomes related to nutrient adequacy and diet-related noncommunicable disease (NCD) risk.
Background
The GDQS is a food-based metric developed and validated for capturing diets' contributions to nutrient adequacy and NCD risk among adult men and nonpregnant and nonlactating women aged ≥15 years globally. Despite the importance of ensuring healthy diets in preschool children and the need for systematic monitoring, no food-based metrics exist that holistically measure diet quality among children aged 24-59 months in diverse populations.
Methods
We developed candidate versions of the GDQS for children aged 24-59 months by adapting the gram cutoff values used for adults to account for children’s lower energy requirements. Using dietary data sets from Bangladesh, Burkina Faso, China, Ethiopia, Mexico, the United Kingdom, and the United States, we evaluated candidate versions’ performance in predicting energy-adjusted nutrient intakes and adequacy, nutritional biomarkers, and overweight using Spearman’s correlation and multivariable-adjusted regression models, and we statistically compared performance of the strongest candidate with that of the Minimum Dietary Diversity–Women (MDD-W) indicator and Global Dietary Recommendations (GDR) score.
Results
The GDQS exhibited significant (P <.05) positive correlations with energy-adjusted intakes of protein, fiber, and most micronutrients in most data sets; significant negative correlations with added sugar and saturated fat in 2 data sets; and inconsistent correlations with monounsaturated and polyunsaturated fat. In multivariable-adjusted models, the GDQS, MDD-W, and GDR were positively associated with serum folate in Ethiopia (and the GDQS was in the United Kingdom), and the GDR was positively associated with high-density lipoprotein cholesterol in China (P <.05). The GDQS was more strongly associated with the mean probability of adequacy of 8 nutrients than the GDR in 2 data sets, whereas the MDD-W outperformed the GDQS in 3 data sets (P <.05).
Conclusion
The GDQS is a useful metric for measuring diet quality among children aged 24-59 months in diverse populations. |
| format | Journal Article |
| id | CGSpace175015 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Oxford University Press |
| publisherStr | Oxford University Press |
| record_format | dspace |
| spelling | CGSpace1750152025-06-06T15:13:28Z Development and validation of the global diet quality score (GDQS) for children 24 to 59 months of age Ali, Nazia Binte Arsenault, Joanne E. Castellanos-Gutiérrez, Analí Moursi, Mourad Deitchler, Megan Batis, Carolina Atayde, Agata Marina Perez Kehoe, Sarah H. Tadesse, Amare W. Leonardo, Sofia Nkengfack, Brunhilda Tegomoh Diop, Loty Gelli, Aulo Fawzi, Wafaie W. Willett, Walter C. Bromage, Sabri diet quality measurement preschool children child nutrition nutrient intake non-communicable diseases Objectives To develop the Global Diet Quality Score (GDQS) for children aged 24-59 months and evaluate its performance in predicting outcomes related to nutrient adequacy and diet-related noncommunicable disease (NCD) risk. Background The GDQS is a food-based metric developed and validated for capturing diets' contributions to nutrient adequacy and NCD risk among adult men and nonpregnant and nonlactating women aged ≥15 years globally. Despite the importance of ensuring healthy diets in preschool children and the need for systematic monitoring, no food-based metrics exist that holistically measure diet quality among children aged 24-59 months in diverse populations. Methods We developed candidate versions of the GDQS for children aged 24-59 months by adapting the gram cutoff values used for adults to account for children’s lower energy requirements. Using dietary data sets from Bangladesh, Burkina Faso, China, Ethiopia, Mexico, the United Kingdom, and the United States, we evaluated candidate versions’ performance in predicting energy-adjusted nutrient intakes and adequacy, nutritional biomarkers, and overweight using Spearman’s correlation and multivariable-adjusted regression models, and we statistically compared performance of the strongest candidate with that of the Minimum Dietary Diversity–Women (MDD-W) indicator and Global Dietary Recommendations (GDR) score. Results The GDQS exhibited significant (P <.05) positive correlations with energy-adjusted intakes of protein, fiber, and most micronutrients in most data sets; significant negative correlations with added sugar and saturated fat in 2 data sets; and inconsistent correlations with monounsaturated and polyunsaturated fat. In multivariable-adjusted models, the GDQS, MDD-W, and GDR were positively associated with serum folate in Ethiopia (and the GDQS was in the United Kingdom), and the GDR was positively associated with high-density lipoprotein cholesterol in China (P <.05). The GDQS was more strongly associated with the mean probability of adequacy of 8 nutrients than the GDR in 2 data sets, whereas the MDD-W outperformed the GDQS in 3 data sets (P <.05). Conclusion The GDQS is a useful metric for measuring diet quality among children aged 24-59 months in diverse populations. 2025-05-01 2025-06-06T15:13:27Z 2025-06-06T15:13:27Z Journal Article https://hdl.handle.net/10568/175015 en https://doi.org/10.1093/nutrit/nuae146 https://doi.org/10.1093/nutrit/nuaf006 Open Access Oxford University Press Ali, Nazia Binte; Arsenault, Joanne E.; Castellanos-Gutiérrez, Analí; Moursi, Mourad; Deitchler, Megan; et al. 2025. Development and validation of the global diet quality score (GDQS) for children 24 to 59 months of age. Nutrition Reviews 83(Supplement 1): 17-36. https://doi.org/10.1093/nutrit/nuaf005 |
| spellingShingle | diet quality measurement preschool children child nutrition nutrient intake non-communicable diseases Ali, Nazia Binte Arsenault, Joanne E. Castellanos-Gutiérrez, Analí Moursi, Mourad Deitchler, Megan Batis, Carolina Atayde, Agata Marina Perez Kehoe, Sarah H. Tadesse, Amare W. Leonardo, Sofia Nkengfack, Brunhilda Tegomoh Diop, Loty Gelli, Aulo Fawzi, Wafaie W. Willett, Walter C. Bromage, Sabri Development and validation of the global diet quality score (GDQS) for children 24 to 59 months of age |
| title | Development and validation of the global diet quality score (GDQS) for children 24 to 59 months of age |
| title_full | Development and validation of the global diet quality score (GDQS) for children 24 to 59 months of age |
| title_fullStr | Development and validation of the global diet quality score (GDQS) for children 24 to 59 months of age |
| title_full_unstemmed | Development and validation of the global diet quality score (GDQS) for children 24 to 59 months of age |
| title_short | Development and validation of the global diet quality score (GDQS) for children 24 to 59 months of age |
| title_sort | development and validation of the global diet quality score gdqs for children 24 to 59 months of age |
| topic | diet quality measurement preschool children child nutrition nutrient intake non-communicable diseases |
| url | https://hdl.handle.net/10568/175015 |
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