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. 2019 May 25;77(8):515–540. doi: 10.1093/nutrit/nuz017

Table 4.

Identified diet quality indices from the literature for high-income countries, organized by region and country

Reference Index Theoretical basis Country and target group Components Scoring system Evaluationa
ASIA
Nishimura et al (2015)96 Food-based diet quality score for Japanese Japanese food guide Spinning Top (2005) Japan; adults Grain dishes, vegetable dishes, fish and meat, milk, fruits, snacks and alcoholic beverages 6 components, servings or energy, range 0–60 Sociodemographic factors, nutrient intakes, metabolic risk factors, BMI, anthropometrics
Kuriyama et al (2016)81 Modified food-based diet quality score for Japanese Japanese food guide Spinning Top (2005) Japan; adults Grain dishes, vegetable dishes, fish and meat, milk, fruits, snacks and alcoholic beverages, seasonings 7 components, servings or energy, range 0–70 Sociodemographic factors, nutrient intakes, food groups, original food-based diet quality score for Japanese
Lee et al (2008)84 Overall Dietary Index Revised (ODI-R) Taiwanese Dietary Recommendations Taiwan; adults Grains/starchy tubers (whole grains), vegetables, fruits, eggs/soy/fish/meat (soybean, fish), dairy products, K/Na ratio, cholesterol, dietary moderation (refined sugars, Na, alcohol), dietary diversity. 9 components, score based on servings, E%, or amounts consumed, range 0–100 Nutrient intakes, other DQ score (ODI)
NORTH AMERICA
Jessri et al (2017)75 Healthy Eating Index–Canada 2010 (HEI-C 2010) HEI-2010 and Canada’s Food Guide (CFG) 2007 Canada; children, adolescents, adults Total fruit and vegetables, whole fruit, greens and beans, whole grains, dairy, total protein foods, seafood and plant proteins, FAs, refined grains, Na, empty calories 11 components, amount intake per 1000 kcal and E%, range 0–100 Sociodemographic factors, nutrient intakes, food groups, reliability, BMI
Woodruff and Hanning (2010)117 Canadian Healthy Eating Index (HEIC-2009) Canada’s Food Guide recommendations (HEIC-2009) Canada; children, adolescents Grains, vegetables/fruits, milk, meat, other, total fat, saturated fat, cholesterol, dietary variety 9 components, score based on servings and E%, range 0–100 Other DQ index (HEI-C)
Sharafi et al (2015)105 Healthy Eating Preference Index (HEPI) Dietary Guidelines for Americans 2010 USA; preschool children High-fat/sweet/salty foods, fruits and vegetables, variety score 6 components, score based on liking scores, range −250 to 250 Sociodemographic factors, BMI, biomarker, other DQ score (HEI 2010), reliability
Anderson et al (2015)59 Healthy score and unhealthy score Not specified USA; preschool children Healthy: fruits, vegetables, milk Unhealthy: SSB, fast food, sweets, salty snacks Healthy/unhealthy score: 3 components / 4 components, both scores based on frequency, range 0–18/range 0–24 Food groups
Vadiveloo et al (2014)109 US Healthy Food Diversity (HFD) Index 2010 Dietary Guidelines for Americans and German algorithm USA; adults 26 food groups, not specified 26 components, score based on proportion of the food eaten and a health factor, range 0–1 Sociodemographic factors, food groups, (mean) probability of nutrient adequacy, other DQ score (DASH diet score)
Guenther et al (2013)71 Healthy Eating Index (HEI) 2010 2010 Dietary Guidelines for Americans USA; children, adolescents, adults Total fruit, whole fruit, total vegetables, greens and beans, whole grains, dairy, total protein foods, seafood and plant proteins, FAs, refined grains, Na, empty calories 12 components, amount intake per 1000 kcal and E%, range 0–100 Not described in this publication but for evaluation, see, for example, Guenther et al20 and Anic et al21
Lipsky et al (2012)87 Whole Plant Foods (WPF) MyPyramid and Center for Nutrition Policy and Promotion of Fruit and Fruit Juice USA; children, adolescents, adults Whole fruit, vegetables, whole grains, legumes, nuts, seeds 6 compounds, score based on amounts, or proportion of intake Biomarker, biomarkers for CVD, diabetes, and inflammation, other DQ score (HEI-2005)
Rumawas et al (2009)103 Mediterranean-Style Dietary Pattern Score (MSDPS) Mediterranean diet pyramid USA; adults Whole-grain cereals, fruits, vegetables, dairy, wine, fish, poultry, olives/ legumes, nuts/potatoes, eggs, sweets, meats, olive oil 13 components, score based on servings, range 1–100 Sociodemographic factors, anthropometrics, nutrient intakes, food groups
Falciglia et al (2009)65 Dietary variety score US MyPyramid (2005) USA; children Number of foods and beverages consumed in 1 day based on servings All foods and drinks consumed, score based on prediction equation Reproducibility (3-day recall vs 15-day recall)
Guenther et al (2008)72 Healthy Eating Index–2005 (HEI-2005) Dietary Guidelines for Americans 2005 USA; children, adolescents, adults (not pregnant) Total fruit, whole fruit, total vegetables, dark green and orange vegetables and legumes, total grains, whole grains, milk, meat and beans, oils, saturated fat, Na, calories from solid fats/alcoholic beverages/added sugars 12 components, score based on amounts consumed /1000 kcal, range 0–100 Not described in this article but for evaluation see, for example, Guenther et al18 and Grimstvedt et al19
Fung et al (2008)67 DASH-style diet DASH diet USA; women Fruits, vegetables, whole grains, nuts and legumes, low-fat dairy, red and processed meats, sweetened beverages, and Na 8 components, score based on quintiles of intake, range 8–40 Sociodemographic factors, nutrient intakes, food group, CHD, stroke, BMI
AUSTRALIA/NEW ZEALAND
Gasser et al (2017)68 Dietary score Australian Dietary Guidelines 2013 Australia; children Fruits, vegetables, water, fatty foods, sugary foods, SSB, milk products or alternatives 7 components, frequency, range 0–14 Dietary patterns, change of food group trajectories over age
Roy et al (2016)101 Healthy Eating Index for Australian Adults (HEIF-2013) Australian Dietary Guidelines 2013 Australia; young adults Adequacy: vegetables, fruits, grain (cereal) foods, milk and milk alternatives, meat and protein food alternatives, water 11 components, score based on servings, range 0–100 Nutrient intakes, food groups, relative validity
Limitation: discretionary foods high in saturated fat or added sugars, added salt, alcohol
Thorpe et al (2016)108 Dietary Guideline Index 3013 (DGI-2013) Australian Dietary Guidelines 2013 Australia; adults Adequacy: Food variety, vegetables, fruits, grain (cereal) foods, lean meat and poultry/fish/eggs/nuts/seeds/legumes/beans, milk/yogurt/cheese and alternatives, water 13 components, score based on servings or type of product, range 0–130 Sociodemographic factors, health behaviors, BMI
Limitation: foods containing SFA/salt/sugars/alcohol, foods high in SFA, fatty foods, salty foods, sugary foods, alcohol
Taylor et al (2015)107 Healthy trolley index (HETI) Australian Guide to Healthy Eating Australia; adults Grains/cereals, meat and alternatives, dairy foods and alternatives, fruit, vegetables, discretionary (eg, savory snacks, confectionery, SSB, alcohol, processed meat, baked goods) 6 components, score based on monthly food expenditure, range 0–100 Sociodemographic factors, foods/food groups, overweight/obesity
Zarrin et al (2013)118 Aussie_DQI National dietary guidelines linked to the Australia National Health Priority Areas Australia; adults Vegetables, fruit, dairy products, meat and alternatives, cereals, E% SFA, E% sugar, alcohol, processed meat, added salt/Na, dietary variety (vegetables, fruits, wholegrain, fish) 11 components, score based on servings, E%, and amounts, range 0–120 Sociodemographic factors, nutrient intakes, food groups, BP, all-cause and cancer mortality, overweight, obesity
Spence et al (2013)106 Obesity Protective Dietary Index (OPDI) Based on the intended trial outcomes Australia; toddlers Fruits, vegetables, noncore foods 3 components, score based on grams and KJ, range 0–30 Nutrient intakes, intervention vs control group of intervention
Scott et al (2012)104 Fruit and Vegetable Variety Score (FVVS) Australian Guide to Healthy Eating Australia; children Vegetables, fruits 16 components, score based on consumption, range 0–16 Sociodemographic factors, breastfeeding
Scott et al (2012)104 Core Food Variety Score (CFVS) Australian Guide to Healthy Eating Australia; children Milk/dairy, grains and grain products, vegetables, fruits, meat or other nondairy protein sources 34 components, score based on consumption, range 0–34 Sociodemographic factors, breastfeeding
Marshall et al (2012)93 Australian Child and Adolescent Recommended Food Score (ACARFS) Dietary Guidelines for Children and Adolescents in Australia and US Recommended Food Score Australia; children and adolescents Vegetables, fruit, protein foods (meat/flesh), protein foods (meat/flesh alternatives), grains, dairy, water, extras 8 components, score based on frequency and servings, range 0–73 Sociodemographic factors, BMI, nutrient intakes, nutrient reference values
Li et al (2012)86 Index of Diet Quality Scientific literature and Australian recommendations Australia; adolescents Breads/cereals/rice/pasta/noodles, vegetables, fruit, milk/yoghurt/cheese, meat/fish/poultry/eggs/nuts/legumes, extra foods (soft drinks, chips etc.), vitamin C, vitamin A, dietary fiber, Fe, Ca, protein, total fat (%KJ), saturated fat (%KJ), n-6/n-3 FA ratio 15 components, score based on amounts consumed and E%, range 20–150 Sociodemographic factors
Golley et al (2011)69 Dietary Guideline Index for Children and Adolescents (DGI-CA) Australian Dietary Guidelines 2003 for children and adolescents Australia; children and adolescents Fruit, vegetables, bread and cereals, whole-grain cereals, meat and alternatives, dairy foods, reduced-fat dairy, fluids, extra foods (nutrient poor and high in fat, salt, and added sugar), healthy fats/oils, diet variety 11 components, score based on servings, range 0–100 Sociodemographic factors, anthropometrics, food groups, nutrient intakes
McNaughton et al (2008)94 Dietary Guideline Index (DGI) Australian Guide to Healthy Eating Australia; adults Vegetables/legumes, fruit, total cereals, meat and alternatives, total dairy, beverages, Na, saturated fat, alcoholic beverages, added sugars, whole-grain cereals, lean meat, reduced/low fat dairy, dietary variety, extra foods 15 components, score based on servings, type or frequency, range 0–150 Sociodemographic factors, anthropometrics, nutrient intakes, BP
Wong et al (2017)115 Healthy Dietary Habits Index (HDHI) New Zealand Food and Nutrition Guidelines for Healthy Adults 2003 New Zealand; adults Red meat, chicken, fish/shellfish, milk, spread, low-fat foods, fries, bread, fruit, vegetables, soft drinks, breakfast, fast foods, added salt, low-salt foods. 15 components, score based on frequencies, servings or type of product, range 0–60 Sociodemographic factors, BMI, nutrient intakes, nutritional biomarkers
Wong et al (2014)114 Healthy Dietary Habits Score for Adolescents (HDHS-A) Scientific literature and New Zealand Food and Nutrition Guidelines for Healthy Children and Young people New Zealand; adolescents Fat from meat/poultry/fish, other fats, fruit, vegetables and bread, sugar sources, meal habits 17 components grouped in 5 clusters, score based on frequency and servings, range 0–68 Sociodemographic factors, BMI, nutrient intakes, biomarker, expert review, reliability
Wong et al (2013)116 New Zealand Diet Quality Index for Adolescents (NZDQI-A) New Zealand Food and Nutrition Guidelines for Healthy Adolescents New Zealand; adolescents Fruits, vegetables, bread and cereals, milk and milk products, meat and alternatives 5 components, score based on servings and frequency, range 0–100 Nutrient intakes, reproducibility, reliability, relative validity
EUROPE
Freisling et al (2009)66 Food frequency index (FFI) Austrian Food Based Dietary Guidelines Austria; adults Vegetables, fruits, whole-meal bread, pasta/rice, pulses, nuts, milk products, beef/pork, processed meats, poultry 10 components, score based on frequency, range 0–70 Sociodemographic factors, BMI, nutrient intakes, biomarker, cholesterol
Vandevijvere et al (2010)110 Dietary diversity, dietary adequacy, dietary moderation, and dietary balance scores Food-based dietary guidelines (FBDG) Belgium; adults Water (including coffee, tea and broth), bread/cereals, grains and potatoes, vegetables, fruits, dairy products (including Ca-enriched soy products, excluding cheese), cheese, meat/fish/eggs/legumes/nuts/meat substitutes, spreadable fats, energy-dense nutrient-poor foods 4 scores, based on servings Sociodemographic factors, BMI, scores are compared among each other
Huybrechts et al (2010)74 Diet Quality Index (DQI) Flemish Dietary gGidelines 2004 Belgium; preschool children Dietary diversity, dietary quality, dietary moderation, dietary adequacy, dietary equilibrium, meal index 6 components, score based on amounts and recommendations, range 25%–100% Nutrient intakes, reproducibility, relative validity
Lazarou et al (2009)82 E-KINDEX Not mentioned Cyprus; children Bread, cereals, and grain foods (excluding bread), fruit and fruit juices, vegetables, legumes, milk, fish and seafood, meat, salted and smoked meat food, sweets and snack items, soft drinks, fried food, grilled food 13 components, Score based on frequency, range 0–37 BP
Biltoft-Jensen et al (2008)60 Simple Diet Quality Index (SDQI) Danish Dietary Guidelines, NNR 2004 Denmark; adults Saturated fat, fiber 2 components, score based recommended intake, range 0–100 Sociodemographic factors, nutrient intakes, food groups, obesity, overweight
Meinilä et al (2016)95 Healthy Food Intake Index (HFII) Nordic Nutrition Recommendations (NNR) Finland; pregnant women Vegetables, fruits/berries, high-fiber grains, fish, low-fat milk, low-fat cheese, cooking fat, fat spread, snacks, SSB, fast food 11 components, frequencies, range 0–17 Sociodemographic factors, BMI, nutrient intakes, reproducibility
Roytio et al (2015)102 Children’s Index of Diet Quality (CIDQ) Nordic Nutrition Recommendations Finland; children Fiber, vegetables, fruits and berries, SFA, PUFA, saccharose, Ca 6 components, score based on E% and gram intake, range 0–21 BMI, nutrient intakes, biomarker, se/sp analysis
Kanerva et al (2014)77 Baltic Sea Diet Score (BSDS) Baltic Sea Diet Pyramid Finland; adults Fruits and berries, vegetables, cereals, low-fat milk, fish, meat products, total fat, fat ratio (PUFA to SFA + trans fatty acids), alcohol. 9 components, score based on quartiles, range 0–25; or score based on median, range 0–9 Sociodemographic factors, BMI, nutrient intakes
Leppala et al (2010)85 Index of Diet Quality (IDQ) Nordic Nutrition Recommendations and Finish Nutrition Recommendations Finland; adults Whole-grain products, fat-containing foods, dairy products, vegetables/ fruits/berries, sugar, meal pattern 6 components, score based on frequency, range 0–15 Nutrient intakes, se/sp analysis, BMI
Estaquio et al (2008)64 French Score of Indicators of the PNNS Objectives (FSIPO) Program Nutritional Nutrition Santé France; adults Fruits/vegetables, Ca, total fat, saturated fat, carbohydrate consumption, complex carbohydrates, simple sugars, fiber, alcohol, cholesterol level, SBP, BMI, physical activity 13 components, score based on servings or RDA or %E intake, range 0–17.5 Sociodemographic factors, nutrient intakes, biomarkers, NCDs
Kleiser et al (2009)78 Healthy Nutrition Score for Kids and Youth (HuSKY) OMD recommendations Germany; children and adolescents Beverages, vegetables, fruit, fish, bread/ cereals, pasta/rice/potatoes, milk/dairy products, eggs, fats, meat/ sausages, sweets/fatty snacks/soft drinks 11 components, score based on the proportion to recommended intake, range 0–100 Sociodemographic factors, biomarkers
Manios et al (2015)91 Revised Healthy Lifestyle-Diet Index (R-HLD-Index) USDA’s Choose My Plate recommendations Greece; children and adolescents Fruits, vegetables, grains, milk/dairy products, meat/meat products, fish/seafood, legumes, eggs, soft drinks, sweets, physical activity status, time spend on moderate to vigorous physical activity 12 components, score based on servings and time spent on activity, range 0–48 overweight, obesity, iron deficiency
Manios et al (2010)90 Healthy Lifestyle-Diet Index (HLD-Index) MyPyramid, American Academy of Pediatrics Greece; children Fruits, vegetables, grains, dairy products, meat, fish/seafood, soft drinks, sweets, physical activity, screen time 10 components, score based on servings and time spent on activity, range 0–40 Nutrient intakes, insulin resistance, estimated average requirements
Manios et al (2010)89 Preschoolers Diet-Lifestyle Index (PDL-Index) USDA food guide pyramid, Canada’s Food Guide, American Heart Association, American Academy of Pediatrics Greece; preschool children Fruits, vegetables, total grains, dairy products, red meat, white meat/ legumes, fish/seafood, unsaturated fats, sweets, physical activity, screen time 11 components, score based on servings and time spent on activity, range 0–44 Nutrient intakes, food groups, estimated average requirements, obesity, overweight
Kourlaba et al (2009)80 Elderly Dietary Index (EDI) Modified MyPyramid for Older Adults and features of the Mediterranean diet Greece; elderly Meat, fish, fruits, vegetables, cereals, legumes, olive oil, alcohol, type of bread, dairy products 10 components, score based on frequency, range 10–40 Sociodemographic factors, food groups, obesity, hypertension, hypercholesterolemia, diabetes
Kosti et al (2009)79 Diet-Lifestyle Index Scientific literature Greece; adolescents Vegetables, fruits, whole grains, sweets/added sugars, breakfast cereals, dairy products, sports activities, sedentary behavior, consumption of breakfast, eating away from home, number of eating episodes a day, visible fat consumption, obesity status of parents 13 components, score based on servings, type or behavior, range 11–57 Sociodemographic factors, obesity, overweight
Perry et al (2015)98 Diet Quality Score (DQS) Irish guidelines Ireland; children Fruit, fruit juice, meat/chicken/fish, eggs, cooked vegetables, raw vegetables, meat pie/hamburger/hot dog/sausage, hot chips or french fries, crisps/savory snacks, bread, potatoes/pasta/rice, cereals, biscuits/doughnut/cake/pie/chocolate, cheese/yoghurt/fromage frais, low fat cheese/low fat yogurt, water, soft drinks (not diet), soft drinks (diet), full-cream milk and products, skimmed milk and products 20 components, score based on frequency, range 12–28 Sociodemographic factors, food groups, obesity/ overweight
Looman et al (2017)88 Dutch Healthy Diet Index 2015 (DHD15-Index) Dutch Dietary Guidelines 2015 The Netherlands; adults Vegetables, fruit, whole-grain products, legumes, nuts, dairy, fish, tea, fats and oils, coffee, red meat, processed meat, SSsB and fruit juices, alcohol, salt 15 components, grams per day, range 0–150 Sociodemographic factors, nutrient intakes, relative validity
Lee et al (2012)83 Dutch Healthy Diet Index (DHD-Index) Dutch Guidelines for a Healthy Diet 2006 The Netherlands; adults Physical activity, vegetables, fruit / fruit juices, fiber, fish, SFA, TFA, acid drinks and foods, Na, alcohol 10 components, score based on activities, grams or E%, range 0–100 Sociodemographic factors, BMI, food groups, nutrient intakes
Voortman et al (2015)113 Diet Quality Score (DQS) National and international guidelines and scientific literature The Netherlands; toddlers Vegetables, fruit, bread/cereals, rice/ pasta/potatoes/ legumes, dairy, meat/ eggs, fish, oils/fats, candy/snacks, SSBs 10 components, score based on intake in grams and adjusted for energy intake, range 0–10 Sociodemographic factors, anthropometrics, BMI (NS), nutrient intakes
Jonge et al (2015)76 Bone Mineral Density (BMD) diet score Scientific literature The Netherlands; elderly Vegetables, fruits, dairy products, whole grain products, fish/seafood, legumes/ beans, meat, confectionary 8 components, score based on quartiles, range 8–24 Sociodemographic factors, biomarker, anthropometrics, NCDs, bone mineral density, other DQ score (HDI)
Jonge et al (2015)76 Healthy Diet Indicator (HDI) (adapted from Jankovic et al119) WHO dietary guidelines 2003 The Netherlands; elderly SFA, mono- and disaccharides, cholesterol, trans fat, Na, PUFA, protein, total fat, n-6 PUFA, n-3 PUFA, dietary fiber, fruits/vegetables 12 components, score based on grams intake, range 0–120 Bone Mineral Density
Hillesund et al (2014)73 New Nordic Diet (NND) Score Guidelines of the NND Norway; women (mothers) Meal pattern, Nordic fruit consumption, root vegetables, cabbages, potatoes, whole grain breads, oatmeal porridge, food from the wild countryside, milk, water 10 components, score based on frequency and type, range 0–10 Sociodemographic factors, food groups, nutrient intakes, BMI, pregnancy outcomes
Rodríguez-Martin et al (2017)100 EVIDENT diet quality index Scientific literature Spain; adults Adequacy: Low-fat dairy, poultry, rabbit, fish, dark-yellow vegetables, green leafy vegetables, cruciferous vegetables, other vegetables, gazpacho, potatoes, fruits, fresh fruit juice, beans/lentils/chickpeas, whole-grain bread/rice/cereal/pasta, olive oil, green/black tea, red wine, beer 36 components, frequency per week/day, range 0–100 Sociodemographic and lifestyle factors, nutrient intake, food groups, Mediterranean diet, CVD risk, BP, anthropometrics, pulse wave velocity
Limiting: whole-fat dairy, ice cream, red meat, processed meat, pizza, fried potatoes, salty snack foods, added fats/ oils, butter, sweet breads, desserts, added sweets, precooked meals, sauce (ketchup, mayonnaise), honey, jam, soda, bottled juices
Mariscal-Arcas et al (2009)92 Mediterranean Diet Index for pregnant women (MDS-P) Mediterranean diet and specific needs during pregnancy based on scientific literature Spain; pregnant women Vegetables, fruits/nuts, pulses, cereals, fish, MUFA/SFA ratio, meat, dairy products, Fe, Ca, folic acid 11 components, scored based on RDI, range 0–11 Anthropometrics, nutrient intakes, food groups, pregnancy outcomes
Drake et al (2011)63 Diet Quality Index–Swedish Nutrition Recommendations (DQI-SNR) Swedish Nutrition Recommendations (SNR) and the Swedish Dietary Guidelines (SDG) Sweden; adults SFA, PUFA, fish and shellfish, dietary fiber, fruit and vegetables, sucrose 6 components, score based on intake in weights and E%, range 0–6 Sociodemographic factors, anthropometrics, food groups, nutrient intakes, BP and NCDs
Cleghorn et al (2016)61 Dietary quality score (DQS) WHO/FAO expert consultation group 2003 UK; adults Fruit, vegetable, oily fish, nonmilk extrinsic sugar, fat 5 components, servings or gram per day, range 0–15 Relative validity, foods
Verger et al (2015)112 Probability of Adequate Nutrient Intake (PANDiet) score (updated) United Kingdom nutritional recommendations UK; young children Protein, total carbohydrates, non-milk extrinsic sugars, total fat, SFA, PUFA, thiamin, riboflavin, niacin, folate, vitamin A, vitamin B6, vitamin B12, vitamin C, vitamin D, Ca, magnesium, zinc, phosphorus, potassium, Fe, copper, selenium, iodine, Na 25 nutrients, scored based on adequacy probability, range 0–100 Sociodemographic factors, food groups, consumption of infant formula/foods
Pot et al (2014)99 Eating Choices Index (ECI) Based on NSHD consumption data and discussion with researchers UK; adults Consumption of breakfast, consumption of 2 portions of fruit per day, type of milk consumed, type of bread consumed 4 components, score based on frequency and type, range 4–20 Sociodemographic factors, nutrient intakes, overweight, obesity
Golley et al (2012)70 Complementary Feeding Utility Index (CFUI) Complementary feeding guidelines of Australia, New Zealand, USA, and UK UK; infants Breastfeeding duration, feeding on demand, timing of introduction to solids, exposure to Fe-rich cereals, fruit, vegetables, protein foods variety, exposure to sugary drinks, exposure to confectionary, cakes, savory snacks, cow milk introduction, exposure to tea, timing of lumpy food intro, exposure to commercial infant foods, daily meal/snack frequency. 14 components, score based on probability function, range 0–1 Sociodemographic factors, BMI, food group, nutrient intake, feeding behavior
Crombie et al (2009)62 Diet quality score Caroline Walker Trust, Eat Well plate UK; women (mothers) Bread/other cereals/potatoes, fruit/ vegetables, dairy products, meat/ fish/ alternatives, high-fat/ high-sugar snacks 5 components, score based on daily portions, range 0–5 Maternal knowledge and views
Oliveira et al (2015)97 Healthy Plate Variety Score Modified version of food variety index for toddlers Portugal, UK, France; children Starchy foods (including potatoes), fruits, vegetables, meat/fish/alternatives, dairy foods 5 components, score based on servings, range 0–5 Children’s eating behavior
Vereecken et al (2008)111 Fruit and vegetable index, fiber index, calcium index, variety index, excess index, short excess index Not mentioned Belgium and Italy; children Fruit and vegetable index, fiber index (FV and brown bread), Ca index (whole-fat milk, semi-skimmed milk, cheese, and other milk products), variety index (combination of fiber index and Ca index), excess index (carbonated sugared soft drinks, sweets, chips, crisps), short excess index (soft drinks, sweets) Not specified Nutrient intakes, reproducibility, relative validity

Abbreviations: BMI, body mass index; BP, blood pressure; Ca, calcium; CHD, coronary heart disease; CVD, cardiovascular disease; DASH, Dietary Approaches to Stop Hypertension; DQ, diet quality; EVIDENT, Estilos de vida y disfunción endotelial; E%, percentage of energy; FA, fatty acid; FAO, Food and Agricultural Organization of the United Nations; Fe, iron; FV, food variety; HEI, Healthy Eating Index; K, potassium; %KJ, percentage of kilojoule; MUFA, monounsaturated fatty acid; Na, sodium; NCD, noncommunicable disease; NS, not significant; NSHD, The Medical Research Council National Survey of Health and Development; OMD, optimized mixed diet; PNNS, Program Nutritional Nutrition Santé; PUFA, polyunsaturated fatty acid; RDA, Recommended Dietary Allowance; RDI, Recommended Dietary Intake; SBP, systolic blood pressure; se/sp analysis, sensitivity/specificity analysis; SFA, saturated fatty acids; SSB, sugar-sweetened beverage; TFA, total fatty acid; USDA, United States Agency for International Development; WHO, World Health Organization of the United Nations.

a

Some diet quality indices are more extensively evaluated and described in additional publications; however, our review search was not specifically set up for such validation studies, and thus articles describing such validation studies are not included in our review.