A Revised Australian Dietary Guideline Index and Its Association with Key Sociodemographic Factors, Health Behaviors and Body Mass Index in Peri-Retirement Aged Adults

Nutrients. 2016 Mar 11;8(3):160. doi: 10.3390/nu8030160.

Abstract

The Dietary Guideline Index, a measure of diet quality, was updated to reflect the 2013 Australian Dietary Guidelines. This paper describes the revision of the index (DGI-2013) and examines its use in older adults. The DGI-2013 consists of 13 components reflecting food-based daily intake recommendations of the Australian Dietary Guidelines. In this cross-sectional study, the DGI-2013 score was calculated using dietary data collected via an 111-item food frequency questionnaire and additional food-related behaviour questions. The DGI-2013 score was examined in Australian adults (aged 55-65 years; n = 1667 men; 1801 women) according to sociodemographics, health-related behaviours and BMI. Women scored higher than men on the total DGI-2013 and all components except for dairy. Those who were from a rural area (men only), working full-time (men only), with lower education, smoked, did not meet physical activity guidelines, and who had a higher BMI, scored lower on the DGI-2013, highlighting a group of older adults at risk of poor health. The DGI-2013 is a tool for assessing compliance with the Australian Dietary Guidelines. We demonstrated associations between diet quality and a range of participant characteristics, consistent with previous literature. This suggests that the DGI-2013 continues to demonstrate convergent validity, consistent with the original Dietary Guideline Index.

Keywords: Australian; BMI; diet quality; diet quality index; dietary guidelines; older adults.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Aged
  • Australia
  • Body Mass Index*
  • Cross-Sectional Studies
  • Diet* / adverse effects
  • Feeding Behavior
  • Female
  • Geriatric Assessment
  • Health Behavior*
  • Humans
  • Life Style*
  • Male
  • Middle Aged
  • Nutrition Assessment
  • Nutritional Status*
  • Recommended Dietary Allowances*
  • Retirement*
  • Rural Health
  • Socioeconomic Factors*
  • Surveys and Questionnaires
  • Urban Health