Table 1.
Scoring of the Healthy Diet Score
| Component and F4D dietary goal | Content | Categories | Score |
|---|---|---|---|
|
1. Breakfast Eating (healthy and balanced) breakfast daily |
Weekdays and weekend days | 5 times on weekdays | 7 |
| 3–4 times on weekdays | 4 | ||
| 1–2 times on weekdays | 1 | ||
| I don’t eat breakfast | 0 | ||
| 2 times during weekend | 3 | ||
| 1 time during weekend | 2 | ||
| I don’t eat breakfast | 0 | ||
| Total score | 10 | ||
|
2. Vegetables ≥ 5 servings of vegetable per day |
Raw and cooked vegetables, cooked legumes | 5 servings per day | 10 |
| 4 servings per day | 8 | ||
| 3 servings per day | 6 | ||
| 2 servings per day | 4 | ||
| 1 servings per day | 2 | ||
| < 1 serving per day | 0 | ||
|
3. Fruits and berries ≥ 3 servings of fruit & berries per day |
Fruit and berries | 3 or more servings per day | 10 |
| 1–2 servings per day | 8 | ||
| 5–6 servings per week | 6 | ||
| 3–4 servings per week | 4 | ||
| 1–2 servings per week | 2 | ||
| < 1 serving per week | 0 | ||
|
4. Sugary drinks < 1 serving of sugary drinks per day |
Soft drinks with sugar, juices with sugar, beer, cider, wine, spirits | < 1 serving per day | 10 |
| 1–2 servings per day | 8 | ||
| 3–4 servings per day | 6 | ||
| 5–6 servings per day | 4 | ||
| ≥ 7 servings per day | 0 | ||
|
5. Whole-grain cereals ≥ 4 servings of whole-grain foods/cereals per day |
Whole-grain bread, porridge, whole-grain cereals | ≥ 4 servings per day | 10 |
| 3 servings per day | 7 | ||
| 2 servings per day | 4 | ||
| 1 serving per day | 1 | ||
| < 1 serving per day | 0 | ||
|
6. Nuts and Seeds ≥ 3 servings of nuts & seeds a week |
Nuts and seeds | ≥ 3 servings per week | 6 |
| 1–2 servings per week | 3 | ||
| < 1 time per week | 0 | ||
|
7. Low-fat Dairy ≥ 1 serving of low-fat dairy products per day |
Low-fat dairy < 2% fat Full-fat dairy > 2% fat |
≥ 1 servings per day and no full-fat dairy products | 6 |
| ≥ 1 servings per day and ≥ 1 servings of full-fat dairy products | 3 | ||
| < 1 serving per day and ≤ 1 servings of full-fat dairy products | 0 | ||
|
8. Oils and fats daily use of olive or rapeseed oil or soft margarine including cooking fats and spreads |
Favorable fats: vegetable oils, margarine, soft and reduced-fat margarine, oil based dressings Avoidable fats: butter, butter mixtures, I don’t use any |
Cooking (option to choose several): | |
| Daily use of vegetable oils and margarines and no use of butter | 4 | ||
| Daily use of vegetable oils and margarines and some usage of butter | 2 | ||
| Daily use or no usage of vegetable oils or margarines and higher usage of butter or no usage of daily fats | 0 | ||
| Bread spreads (option to choose only one): | 4 | ||
| Daily use of vegetable oil, Soft margarine 70–80% or fat | 0 | ||
| Reduced-fat margarine 28–60% fat | |||
| Daily use of butter-vegetable oil mixture, butter or I do not use fat spread on bread | 8 | ||
| Total score | |||
|
9. Red meat ≤ 2 servings of red and/or processed meat a week |
Red and processed meat | ≤ 2 servings per week | 10 |
| 3 servings per week | 8 | ||
| 4 servings per week | 6 | ||
| 5 servings per week | 4 | ||
| 6 servings per week | 2 | ||
| ≥ 7 servings per week | 0 | ||
|
10. Sweet snacks ≤ 1 serving of sweet snacks per week |
Biscuits, ice cream, cakes, pastries etc. | ≤ 1 servings per week | 6 |
| 2 servings per week | 5 | ||
| 3–4 servings per week | 3 | ||
| 5–6 servings per week | 1 | ||
| ≥1 servings per day | 0 | ||
|
11. Salty snacks ≤ 1 serving of salty snacks/fast food per week |
Hamburger, chips, pizza, savory pastries etc. | ≤ 1 servings per week | 6 |
| 2 servings per week | 5 | ||
| 3–4 servings per week | 3 | ||
| 5–6 servings per week | 1 | ||
| ≥1 servings per day | 0 | ||
|
12. Family meals Meals eaten with others |
Breakfast, lunch and dinner with a friend, colleague, or with a family member | Breakfast | |
| ≥ 7 times per week | 2 | ||
| 5–6 times per week | 1 | ||
| ≤ 4 times per week | 0 | ||
| Lunch | |||
| ≥ 7 times per week | 2 | ||
| 5–6 times per week | 1 | ||
| ≤ 4 times per week | 0 | ||
| Dinner | |||
| ≥ 7 times per week | 4 | ||
| 5–6 times per week | 2 | ||
| ≤ 4 times per week | 0 | ||
| Total score | 0–8 | ||
| Total Healthy Diet Score | All components (1–12) | 0–100 |