Dietary diversity is differentially associated with diet quality across food groups

Food-Based Dietary Guidelines - Guidance on a varied diet| Knowledge for policy. https://knowledge4policy.ec.europa.eu/health-promotion-knowledge-gateway/food-based-dietary-guidelines-europe-table-18_en. Accessed 17 Mar 2025

What are healthy diets? Joint statement by the Food and Agriculture Organization of the United Nations and the World Health Organization. https://www.who.int/publications/i/item/9789240101876. Accessed 22 Apr 2025

Foote JA, Murphy SP, Wilkens LR et al (2004) Dietary variety increases the probability of nutrient adequacy among adults. J Nutr 134:1779–1785. https://doi.org/10.1093/jn/134.7.1779

Article  CAS  PubMed  Google Scholar 

Murphy SP, Foote JA, Wilkens LR et al (2006) Simple measures of dietary variety are associated with improved dietary quality. J Am Diet Assoc 106:425–429. https://doi.org/10.1016/j.jada.2005.12.003

Article  PubMed  Google Scholar 

Bianchi CM, Egnell M, Huneau J-F, Mariotti F (2016) Plant protein intake and dietary diversity are independently associated with nutrient adequacy in French adults. J Nutr 146:2351–2360. https://doi.org/10.3945/jn.116.236869

Article  CAS  PubMed  Google Scholar 

Kruger R, Hepburn AJ, Beck KL et al (2021) Evaluating a novel dietary diversity questionnaire to assess dietary diversity and adequacy of New Zealand women. Nutrition 91–92:111468. https://doi.org/10.1016/j.nut.2021.111468

Article  PubMed  Google Scholar 

Amato M, Bonomi A, Laguzzi F et al (2020) Overall dietary variety and adherence to the Mediterranean diet show additive protective effects against coronary heart disease. Nutr Metab Cardiovasc Dis 30:1315–1321. https://doi.org/10.1016/j.numecd.2020.04.002

Article  PubMed  Google Scholar 

Hanley-Cook GT, Huybrechts I, Biessy C et al (2021) Food biodiversity and total and cause-specific mortality in 9 European countries: an analysis of a prospective cohort study. PLoS Med 18:e1003834. https://doi.org/10.1371/journal.pmed.1003834

Article  PubMed  PubMed Central  Google Scholar 

Garavello W, Giordano L, Bosetti C et al (2008) Diet diversity and the risk of oral and pharyngeal cancer. Eur J Nutr 47:280–284. https://doi.org/10.1007/s00394-008-0722-y

Article  PubMed  Google Scholar 

de Oliveira Otto MC, Anderson CAM, Dearborn JL et al (2018) Dietary diversity: implications for obesity prevention in adult populations: a science advisory from the american heart association. Circulation 138:e160–e168. https://doi.org/10.1161/CIR.0000000000000595

Article  PubMed  PubMed Central  Google Scholar 

Jayawardena R, Byrne NM, Soares MJ et al (2013) High dietary diversity is associated with obesity in Sri Lankan adults: an evaluation of three dietary scores. BMC Public Health 13:314. https://doi.org/10.1186/1471-2458-13-314

Article  PubMed  PubMed Central  Google Scholar 

Karimbeiki R, Pourmasoumi M, Feizi A et al (2018) Higher dietary diversity score is associated with obesity: a case-control study. Public Health 157:127–134. https://doi.org/10.1016/j.puhe.2018.01.028

Article  CAS  PubMed  Google Scholar 

Monteiro CA, Moubarac J-C, Cannon G et al (2013) Ultra-processed products are becoming dominant in the global food system. Obes Rev 14(Suppl 2):21–28. https://doi.org/10.1111/obr.12107

Article  PubMed  Google Scholar 

Demeke S, Rohde K, Chollet-Hinton L et al (2023) Change in hyper-palatable food availability in the US food system over 30 years: 1988–2018. Public Health Nutr 26:182–189. https://doi.org/10.1017/S1368980022001227

Article  PubMed  Google Scholar 

Vadiveloo M, Dixon LB, Mijanovich T et al (2014) Development and evaluation of the US healthy food diversity index. Br J Nutr 112:1562–1574. https://doi.org/10.1017/S0007114514002049

Article  CAS  PubMed  Google Scholar 

Agence Française de Sécurité Sanitaire des Aliments [French food safety agency] (2008) Setting of nutrient profiles for accessing nutrition and health claims: proposals and arguments

Masset G, Scarborough P, Rayner M et al (2015) Can nutrient profiling help to identify foods which diet variety should be encouraged? Results from the Whitehall II cohort. Br J Nutr 113:1800–1809. https://doi.org/10.1017/S000711451500094X

Article  CAS  PubMed  Google Scholar 

Drewnowski A (2017) Uses of nutrient profiling to address public health needs: from regulation to reformulation. Proc Nutr Soc 76:220–229. https://doi.org/10.1017/S0029665117000416

Article  PubMed  Google Scholar 

Vadiveloo M, Parekh N, Parkeh N, Mattei J (2015) Greater healthful food variety as measured by the US Healthy Food Diversity index is associated with lower odds of metabolic syndrome and its components in US adults. J Nutr 145:564–571. https://doi.org/10.3945/jn.114.199125

Article  CAS  PubMed  Google Scholar 

Bhupathiraju SN, Tucker KL (2011) Greater variety in fruit and vegetable intake is associated with lower inflammation in Puerto Rican adults. Am J Clin Nutr. https://doi.org/10.3945/ajcn.2010.29913

Article  PubMed  PubMed Central  Google Scholar 

McCrory MA, Fuss PJ, McCallum JE et al (1999) Dietary variety within food groups: association with energy intake and body fatness in men and women. Am J Clin Nutr 69:440–447. https://doi.org/10.1093/ajcn/69.3.440

Article  CAS  PubMed  Google Scholar 

Verger EO, Le Port A, Borderon A et al (2021) Dietary diversity indicators and their associations with dietary adequacy and health outcomes: a systematic scoping review. Adv Nutr 12:1659–1672. https://doi.org/10.1093/advances/nmab009

Article  PubMed  PubMed Central  Google Scholar 

Mozaffari H, Hosseini Z, Lafrenière J, Conklin AI (2022) Is eating a mixed diet better for health and survival?: a systematic review and meta-analysis of longitudinal observational studies. Crit Rev Food Sci Nutr 62:8120–8136. https://doi.org/10.1080/10408398.2021.1925630

Article  CAS  PubMed  Google Scholar 

Mozaffari H, Hosseini Z, Lafrenière J, Conklin AI (2021) The role of dietary diversity in preventing metabolic-related outcomes: findings from a systematic review. Obes Rev 22:e13174. https://doi.org/10.1111/obr.13174

Article  PubMed  Google Scholar 

Nishi SK, Khoury N, Valle Hita C et al (2023) Vegetable and fruit intake variety and cardiovascular health and mortality: a systematic review and meta-analysis of observational studies. Nutrients 15:4913. https://doi.org/10.3390/nu15234913

Article  PubMed  PubMed Central  Google Scholar 

Hanley-Cook GT, Daly AJ, Remans R et al (2022) Food biodiversity: quantifying the unquantifiable in human diets. Crit Rev Food Sci Nutr. https://doi.org/10.1080/10408398.2022.2051163

Article  PubMed  Google Scholar 

Chan S, Mozaffari H, Conklin AI (2023) How is food variety conceptualised and measured as a diet quality indicator in developed settings? Protocol for a systematic scoping review. BMJ Open 13:e072154. https://doi.org/10.1136/bmjopen-2023-072154

Article  PubMed  PubMed Central  Google Scholar 

Ruel MT (2003) Operationalizing dietary diversity: a review of measurement issues and research priorities. J Nutr 133:3911S-3926S. https://doi.org/10.1093/jn/133.11.3911S

Article  CAS  PubMed  Google Scholar 

Bolo A, Verger E, Fouillet H, Mariotti F (2024) Exploring multidimensional and within-food group diversity for diet quality and long-term health in high-income countries. Adv Nutr 15:100278. https://doi.org/10.1016/j.advnut.2024.100278

Article  PubMed  PubMed Central  Google Scholar 

de Oliveira Otto MC, Padhye NS, Bertoni AG et al (2015) Everything in moderation—dietary diversity and quality, central obesity and risk of diabetes. PLoS ONE 10:e0141341. https://doi.org/10.1371/journal.pone.0141341

Article  CAS  PubMed Central  Google Scholar 

Lachat C, Raneri JE, Smith KW et al (2018) Dietary species richness as a measure of food biodiversity and nutritional quality of diets. Proc Natl Acad Sci 115:127–132. https://doi.org/10.1073/pnas.1709194115

Article  CAS  PubMed  Google Scholar 

Dubuisson C, Dufour A, Carrillo S et al (2019) The third French Individual and nati

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