Fallaize, R.; Livingstone, K. M. ; Celis-Morales, C.; Macready, A. L.; San Cristóbal Blanco, Rodrigo
; Navas Carretero, Santiago
; Marsaux, C. F. M.; O'Donovan, C. B.; Kolossa, S.; Moschonis, G.; Walsh, M. C.; Gibney, E. R.; Brennan, L.; Bouwman, J. ; Manios, Y.; Jarosz, M.; Martínez Hernández, Alfredo
; Daniel, H. ; Saris, W. H. M.; Gundersen, T. E.; Drevon, C. A.; Gibney, M. J. ; Mathers, J. C.; Lovegrove, J. A. (Autor de correspondencia)
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.