ArticlePublic health nutrition2020
Diet diversity score and healthy eating index in relation to diet quality and socio-demographic factors: results from a cross-sectional national dietary survey of Swedish adolescents.
Article in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Associations between Intake of Dietary Sugars and Diet Quality: A Systematic Review of Recent Literature.Nutrients · 2024Pooled it
- Healthy and Sustainable Dietary Patterns in Children and Adolescents: A Systematic Review.Advances in nutrition (Bethesda, Md.) · 2022Pooled it
- Primary school-based food environment intervention increases diet diversity: Project Daire, a cluster randomized controlled trial.The international journal of behavioral nutrition and physical activity · 2025Trial
- User engagement in relation to effectiveness of a digital lifestyle intervention (the HealthyMoms app) in pregnancy.Scientific reports · 2022Trial
- Effectiveness of a Smartphone App to Promote Healthy Weight Gain, Diet, and Physical Activity During Pregnancy (HealthyMoms): Randomized Controlled Trial.JMIR mHealth and uHealth · 2021Trial
- Diet Quality Among Hungarian Children Assessed Using the Healthy Eating Index-2020: Associations with Sociodemographic Factors.Nutrients · 2026Article
- Development and validation of the Brazilian Dietary Guidelines Adherence Score (BraScore): a novel index to assess the adherence to the Dietary Guidelines for the Brazilian Population.Public health nutrition · 2026Article
- Healthy Diet Metrics for Children and Adolescents and Their Suitability for Global Monitoring: A Critical Review.Advances in nutrition (Bethesda, Md.) · 2026Review
- Environmental impact of food consumption: determinants of carbon and water footprints in an Italian population.European journal of public health · 2026Article
- Cluster-Based Evaluation of Dietary Guideline Adherence and Food Literacy Among Adolescents: Implications for Tailored Diets.Nutrients · 2026Article
- Temporal meal patterns in relation to diet quality and body mass index: findings from a cross-sectional analysis.European journal of nutrition · 2025Article
- Diet quality and food insecurity in Lebanon: insights into dietary diversity, mediterranean diet adherence, and phytochemical intake among adults.Scientific reports · 2025Article
- Associations between antioxidant vitamin intake and mental health in Swedish adolescents: a cross-sectional study.European journal of nutrition · 2025Article
- Article
- Relationships of motivation, self-efficacy and social support with healthy eating behaviours among adolescents.BMJ nutrition, prevention & health · 2025Article
- Association of health behaviors in life's essential 8 and hypertension in adolescents: a cross-sectional study from the NHANES database.BMC cardiovascular disorders · 2024Article
- Co-occurrence of unhealthy lifestyle behaviours in middle-aged adults: findings from the Swedish CArdioPulmonary bioImage Study (SCAPIS).Scientific reports · 2024Article
- The Association of Dietary Diversity with Hyperuricemia among Community Inhabitants in Shanghai, China: A Prospective Research.Nutrients · 2024Article
- Path analysis model to identify the effect of poor diet quality on NAFLD among Iranian adults from Amol Cohort Study.Scientific reports · 2024Article
- Validation of an web-based dietary assessment tool (RiksmatenFlex) against doubly labelled water and 24 h dietary recalls in pregnant women.Nutrition journal · 2024Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveGroups with low socio-economic status have less healthy diets and higher prevalence of non-communicable diseases. Using the latest Swedish national dietary survey data, we developed a healthy eating index and a diet diversity score with the aim to explore associations between the scores and socio-demographic factors.
designCross-sectional national dietary survey. A web-based retrospective registration of food and beverages during 2 d was used to assess dietary intake. This information was used to construct the Swedish Healthy Eating Index for Adolescents 2015 (SHEIA15) and the Riksmaten Adolescents Diet Diversity Score (RADDS). The scores were based on the latest Swedish dietary guidelines from 2015. Intakes of food and nutrients across the scores were examined. Mixed-effects multilevel models were used to assess associations between the scores and household education, sex, school grade, weight status and school municipality.
settingSchool-based survey in Sweden.
participants2905 adolescents in grades 5, 8 and 11, 56 % girls.
resultsHigh scores on SHEIA15 and RADDS were associated with higher intake of vegetables, fish and several nutrients, and lower intake of sugar-sweetened beverages and red meat. Boys and participants in households with lower education level scored lower on both indices. Individuals with overweight/obesity scored lower on RADDS.
conclusionsThe newly developed indices can be used to identify healthy eating patterns among Swedish adolescents. Both indices show that boys and adolescents from households with lower education level have poorer dietary habits. Lower diet diversity was related to overweight/obesity, but the overall healthy eating index was not.
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