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. 2024 Jun 21;8(8):103798. doi: 10.1016/j.cdnut.2024.103798

TABLE 2.

The 29 food groups of the DQQ and rationale for their inclusion and the level of disaggregation.

Food groups1 Source and rationale for disaggregation beyond the aggregate food groups used in MDD-W and IYCF indicator calculation
Grains, white roots and tubers, and plantains MDD-W [12]
1 Foods made from grains Cognitive ease, more manageable questions; disaggregated in MDD-W example questionnaire [12]
2 White roots, tubers, and plantains
3 Whole grain foods Globally recommended for protection of health against NCDs [27]
4 Pulses/legumes (beans, peas, and lentils) MDD-W [12]
5 Nuts and seeds MDD-W [12]
Milk and milk products MDD-W [12]
6 Fluid milk 1) Cognitive ease, more manageable questions, 2) alignment with disaggregation in WHO and UNICEF 2021 [8], and 3) differential environmental impacts
7 Cheese
8 Yogurt
Meat, poultry, and fish MDD-W [12]
9 Processed meats 1) Cognitive ease, more manageable questions; recommended disaggregation in MDD-W example questionnaire [12], 2) differential health impacts, 3) differential environmental impacts, 4) information of possible interest to data users, as the food system determinants of each subgroup differ greatly
10 Unprocessed red meat (ruminant)
11 Unprocessed red meat (nonruminant)
12 Poultry
13 Fish and seafood
14 Eggs MDD-W [12]
15 Dark green leafy vegetables MDD-W [12]
Note: in the DQQ, this food group is sometimes asked with 2 questions to capture all common items in the food group, which are then aggregated at the analytical stage.
Other vitamin A-rich fruits and vegetables MDD-W [12]
16 Vitamin A-rich orange vegetables 1) Cognitive ease, more manageable questions; disaggregated in MDD-W example questionnaire [12], 2) used separately in indicators on total vegetable consumption, and total fruit consumption
17 Vitamin A-rich fruits
18 Other vegetables (i.e., vegetables that are not orange or dark green leafy) MDD-W [12]
Note: in the DQQ, this food group is sometimes asked 2 questions to capture all common items in the food group, which are then aggregated at the analytical stage.
Other fruits MDD-W [12]
19 Citrus 1) Easier to capture all common items if disaggregated into 2 questions, 2) indicators with 3 instead of 2 fruit subgroups proved to have a stronger correlation with total fruit intake [13], and 3) citrus is an easy-to-identify subgroup, common in all countries, and has been suggested to have a unique role in NCD prevention [14].
20 Other fruits (i.e., fruits that are not citrus or vitamin A-rich) Note: in the DQQ, this food group is sometimes asked with 2 questions to capture all common items in the food group, which are then aggregated at the analytical stage.
Sweet beverages WHO and UNICEF 2021 [8], FAO 2021 [12]
21 Sweet tea/coffee/cocoa 1) alignment with disaggregation in the example questionnaire of WHO and UNICEF 2021 and 2) indicators with 3 sweet beverage subgroups proved to have a stronger correlation with free sugar intake than if the groups are aggregated [13]
22 Fruit juice and fruit-flavored drinks
23 Soft drinks (sodas, energy drinks, and sports drinks)
Sweet foods WHO and UNICEF 2021 [8], FAO 2021 [12]
24 Baked/grain-based sweets 1) Easier to capture all common items if disaggregated into 2 questions and 2) indicators with 2 sweet food subgroups proved to have a stronger correlation with free sugar intake than if the groups are aggregated [13]
25 Other sweets
Fried and salty foods WHO and UNICEF 2021 [8], FAO 2021 [12]
26 Packaged ultraprocessed salty snacks 1) Easier to capture all common items if disaggregated into subquestions; FAO 2021 suggests collecting these disaggregated food groups along with MDD-W [12]; 2) indicators with 4 salty/fried snacks subgroups proved to have a stronger correlation with ultraprocessed foods and WHO recommendations than if the subgroups are aggregated [13], 3) information of possible interest to data users, as the food system determinants of each subgroup differ
27 Instant noodles
28 Deep-fried foods
29 Fast food

Abbreviations: DQQ, Diet Quality Questionnaire; FAO, Food and Agriculture Organization of the United Nations; MDD-W, Minimum Dietary Diversity—Women; NCDs, noncommunicable diseases.

1

Food groups used in MDD-W [12] and IYCF [8] indicator calculation are displayed in bold text.