Validation of the Global Diet Quality Score (GDQS) among children 10 to 14 years of age
Objective We aimed to evaluate the performance of the Global Diet Quality Score (GDQS) in predicting nutrient intake and health outcomes among children aged 10–14 years old in Mexico, the United States, the United Kingdom, and China. For comparison, we evaluated other dietary metrics (Minimum Dietar...
| Autores principales: | , , , , , , , , , , , , , |
|---|---|
| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Oxford University Press
2025
|
| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/175026 |
| _version_ | 1855518849803223040 |
|---|---|
| author | Batis, Carolina Castellanos-Gutiérrez, Analí Ali, Nazia Binte Arsenault, Joanne E. Atayde, Agata M. P. Bromage, Sabri Deitchler, Megan Diop, Loty Gelli, Aulo Kehoe, Sarah H. Leonardo, Sofia Moursi, Mourad Nkengfack, Brunhilda Tegomoh Willett, Walter C. |
| author_browse | Ali, Nazia Binte Arsenault, Joanne E. Atayde, Agata M. P. Batis, Carolina Bromage, Sabri Castellanos-Gutiérrez, Analí Deitchler, Megan Diop, Loty Gelli, Aulo Kehoe, Sarah H. Leonardo, Sofia Moursi, Mourad Nkengfack, Brunhilda Tegomoh Willett, Walter C. |
| author_facet | Batis, Carolina Castellanos-Gutiérrez, Analí Ali, Nazia Binte Arsenault, Joanne E. Atayde, Agata M. P. Bromage, Sabri Deitchler, Megan Diop, Loty Gelli, Aulo Kehoe, Sarah H. Leonardo, Sofia Moursi, Mourad Nkengfack, Brunhilda Tegomoh Willett, Walter C. |
| author_sort | Batis, Carolina |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Objective
We aimed to evaluate the performance of the Global Diet Quality Score (GDQS) in predicting nutrient intake and health outcomes among children aged 10–14 years old in Mexico, the United States, the United Kingdom, and China. For comparison, we evaluated other dietary metrics (Minimum Dietary Diversity for Women [MDD-W], the Global Dietary Recommendations score [GDR], and the Healthy Eating Index–2020 [HEI-2020]).
Background
Given the magnitude of the health burden associated with all forms of malnutrition, monitoring dietary quality is fundamental to improving global health. Early adolescence is a key stage of development, and thus validated tools to measure diet quality that are pertinent for the global context are needed.
Methods
The GDQS and comparison metrics were estimated from 24-hour dietary recalls (Mexico: n = 2533; United States: n = 685; China: n = 1087, and United Kingdom: n = 1675). Regression models were conducted to evaluate the association between the change in 1 SD of each metric score and usual intake of nutrients, mean probability of nutrient adequacy, and biomarker and anthropometric outcomes adjusted by age, sex, socioeconomic status, educational level, urban/rural area, and usual energy intake (for dietary outcomes).
Results
The GDQS showed a higher diet quality in China (16.7 points) and Mexico (15.9 points), followed by the United States (13.6 points) and the United Kingdom (12.2 points). The GDQS was found to be associated with the intake of micronutrients as well as noncommunicable disease (NCD)–related nutrients (fiber, added sugar, and saturated fat) (P < .05). The performance of the GDQS was comparable to all other metrics; yet, in the case of NCD-related nutrients the MDD-W was slightly inferior. Few associations were found across countries and metrics with biomarker and anthropometric outcomes.
Conclusion
The GDQS was associated with the intake of micronutrients and NCD-related nutrients; these results suggest that the GDQS is an appropriate tool to monitor dietary quality among 10–14-year-olds across several contexts globally. |
| format | Journal Article |
| id | CGSpace175026 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Oxford University Press |
| publisherStr | Oxford University Press |
| record_format | dspace |
| spelling | CGSpace1750262025-10-26T12:54:26Z Validation of the Global Diet Quality Score (GDQS) among children 10 to 14 years of age Batis, Carolina Castellanos-Gutiérrez, Analí Ali, Nazia Binte Arsenault, Joanne E. Atayde, Agata M. P. Bromage, Sabri Deitchler, Megan Diop, Loty Gelli, Aulo Kehoe, Sarah H. Leonardo, Sofia Moursi, Mourad Nkengfack, Brunhilda Tegomoh Willett, Walter C. diet quality children nutrient intake health adolescents Objective We aimed to evaluate the performance of the Global Diet Quality Score (GDQS) in predicting nutrient intake and health outcomes among children aged 10–14 years old in Mexico, the United States, the United Kingdom, and China. For comparison, we evaluated other dietary metrics (Minimum Dietary Diversity for Women [MDD-W], the Global Dietary Recommendations score [GDR], and the Healthy Eating Index–2020 [HEI-2020]). Background Given the magnitude of the health burden associated with all forms of malnutrition, monitoring dietary quality is fundamental to improving global health. Early adolescence is a key stage of development, and thus validated tools to measure diet quality that are pertinent for the global context are needed. Methods The GDQS and comparison metrics were estimated from 24-hour dietary recalls (Mexico: n = 2533; United States: n = 685; China: n = 1087, and United Kingdom: n = 1675). Regression models were conducted to evaluate the association between the change in 1 SD of each metric score and usual intake of nutrients, mean probability of nutrient adequacy, and biomarker and anthropometric outcomes adjusted by age, sex, socioeconomic status, educational level, urban/rural area, and usual energy intake (for dietary outcomes). Results The GDQS showed a higher diet quality in China (16.7 points) and Mexico (15.9 points), followed by the United States (13.6 points) and the United Kingdom (12.2 points). The GDQS was found to be associated with the intake of micronutrients as well as noncommunicable disease (NCD)–related nutrients (fiber, added sugar, and saturated fat) (P < .05). The performance of the GDQS was comparable to all other metrics; yet, in the case of NCD-related nutrients the MDD-W was slightly inferior. Few associations were found across countries and metrics with biomarker and anthropometric outcomes. Conclusion The GDQS was associated with the intake of micronutrients and NCD-related nutrients; these results suggest that the GDQS is an appropriate tool to monitor dietary quality among 10–14-year-olds across several contexts globally. 2025-05-01 2025-06-09T13:06:27Z 2025-06-09T13:06:27Z Journal Article https://hdl.handle.net/10568/175026 en https://doi.org/10.1093/nutrit/nuaf005 https://doi.org/10.1093/nutrit/nuae146 Open Access Oxford University Press Batis, Carolina; Castellanos-Gutiérrez, Analí; Ali, Nazia Binte; Arsenault, Joanne E; Atayde, Agata M P; Bromage, Sabri; et al. 2025. Validation of the Global Diet Quality Score (GDQS) among children 10 to 14 years of age. Nutrition Reviews 83(Supplement 1): 50–60. https://doi.org/10.1093/nutrit/nuaf006 |
| spellingShingle | diet quality children nutrient intake health adolescents Batis, Carolina Castellanos-Gutiérrez, Analí Ali, Nazia Binte Arsenault, Joanne E. Atayde, Agata M. P. Bromage, Sabri Deitchler, Megan Diop, Loty Gelli, Aulo Kehoe, Sarah H. Leonardo, Sofia Moursi, Mourad Nkengfack, Brunhilda Tegomoh Willett, Walter C. Validation of the Global Diet Quality Score (GDQS) among children 10 to 14 years of age |
| title | Validation of the Global Diet Quality Score (GDQS) among children 10 to 14 years of age |
| title_full | Validation of the Global Diet Quality Score (GDQS) among children 10 to 14 years of age |
| title_fullStr | Validation of the Global Diet Quality Score (GDQS) among children 10 to 14 years of age |
| title_full_unstemmed | Validation of the Global Diet Quality Score (GDQS) among children 10 to 14 years of age |
| title_short | Validation of the Global Diet Quality Score (GDQS) among children 10 to 14 years of age |
| title_sort | validation of the global diet quality score gdqs among children 10 to 14 years of age |
| topic | diet quality children nutrient intake health adolescents |
| url | https://hdl.handle.net/10568/175026 |
| work_keys_str_mv | AT batiscarolina validationoftheglobaldietqualityscoregdqsamongchildren10to14yearsofage AT castellanosgutierrezanali validationoftheglobaldietqualityscoregdqsamongchildren10to14yearsofage AT alinaziabinte validationoftheglobaldietqualityscoregdqsamongchildren10to14yearsofage AT arsenaultjoannee validationoftheglobaldietqualityscoregdqsamongchildren10to14yearsofage AT ataydeagatamp validationoftheglobaldietqualityscoregdqsamongchildren10to14yearsofage AT bromagesabri validationoftheglobaldietqualityscoregdqsamongchildren10to14yearsofage AT deitchlermegan validationoftheglobaldietqualityscoregdqsamongchildren10to14yearsofage AT dioploty validationoftheglobaldietqualityscoregdqsamongchildren10to14yearsofage AT gelliaulo validationoftheglobaldietqualityscoregdqsamongchildren10to14yearsofage AT kehoesarahh validationoftheglobaldietqualityscoregdqsamongchildren10to14yearsofage AT leonardosofia validationoftheglobaldietqualityscoregdqsamongchildren10to14yearsofage AT moursimourad validationoftheglobaldietqualityscoregdqsamongchildren10to14yearsofage AT nkengfackbrunhildategomoh validationoftheglobaldietqualityscoregdqsamongchildren10to14yearsofage AT willettwalterc validationoftheglobaldietqualityscoregdqsamongchildren10to14yearsofage |