Association between Diet-Quality Scores, Adiposity, Total Cholesterol and Markers of Nutritional Status in European Adults: Findings from the Food4Me Study Academic Article uri icon


  • Diet-quality scores (DQS), which are developed across the globe, are used to define adherence to specific eating patterns and have been associated with risk of coronary heart disease and type-II diabetes. We explored the association between five diet-quality scores (Healthy Eating Index, HEI; Alternate Healthy Eating Index, AHEI; MedDietScore, MDS; PREDIMED Mediterranean Diet Score, P-MDS; Dutch Healthy Diet-Index, DHDI) and markers of metabolic health (anthropometry, objective physical activity levels (PAL), and dried blood spot total cholesterol (TC), total carotenoids, and omega-3 index) in the Food4Me cohort, using regression analysis. Dietary intake was assessed using a validated Food Frequency Questionnaire. Participants (n = 1480) were adults recruited from seven European Union (EU) countries. Overall, women had higher HEI and AHEI than men (p < 0.05), and scores varied significantly between countries. For all DQS, higher scores were associated with lower body mass index, lower waist-to-height ratio and waist circumference, and higher total carotenoids and omega-3-index (p trends < 0.05). Higher HEI, AHEI, DHDI, and P-MDS scores were associated with increased daily PAL, moderate and vigorous activity, and reduced sedentary behaviour (p trend < 0.05). We observed no association between DQS and TC. To conclude, higher DQS, which reflect better dietary patterns, were associated with markers of better nutritional status and metabolic health.


  • Fallaize, Rosalind
  • Livingstone, Katherine M
  • Celis-Morales, Carlos
  • Macready, Anna L
  • San-Cristobal, Rodrigo
  • Navas-Carretero, Santiago
  • Marsaux, Cyril FM
  • O'Donovan, Clare B
  • Kolossa, Silvia
  • Moschonis, George
  • Walsh, Marianne C
  • Gibney, Eileen R
  • Brennan, Lorraine
  • Bouwman, Jildau
  • Manios, Yannis
  • Jarosz, Miroslaw
  • Martinez, J Alfredo
  • Daniel, Hannelore
  • Saris, Wim HM
  • Gundersen, Thomas E
  • Drevon, Christian A
  • Gibney, Michael J
  • Mathers, John C
  • Lovegrove, Julie A

publication date

  • 2018

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