The development and evaluation of the Australian child and adolescent recommended food score: A cross-sectional study

Skye Marshall; Jane Watson; Tracy Burrows; Maya Guest; Clare E. Collins

doi:10.1186/1475-2891-11-96

The development and evaluation of the Australian child and adolescent recommended food score: A cross-sectional study

Skye Marshall, Jane Watson, Tracy Burrows, Maya Guest, Clare E. Collins^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Research › peer-review

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Abstract

Background: Diet quality tools have been developed to assess the adequacy of dietary patterns for predicting future morbidity and mortality. This study describes the development and evaluation of a brief food-based diet quality index for use with children at the individual or population level. The Australian Child and Adolescent Recommended Food Score (ACARFS) was developed to reflect adherence to the Dietary Guidelines for Children and Adolescents in Australia and modelled on the approach of the US Recommended Food Score.

Methods: The ACARFS has eight sub-scales and is scored from zero to 73. The diet quality score was evaluated by assessing correlation (Spearman's correlations) and agreement (weighted. statistics) between ACARFS scores and nutrient intakes, derived from a food frequency questionnaire in 691 children (mean age 11.0, SD 1.1) in New South Wales, Australia. Nutrient intakes for ACARFS quartiles were compared with the relevant Australian nutrient reference values.

Results: ACARFS showed slight to substantial agreement (kappa 0.13-0.64) with nutrient intakes, with statistically significant moderate to strong positive correlations with all vitamins, minerals and energy intake (r = 0.42-0.70). ACARFS was not related to BMI. Participants who scored less than the median ACARFS were more likely to have sub-optimal intakes of fibre, folic acid and calcium.

Conclusion: ACARFS demonstrated sufficient accuracy for use in future studies evaluating diet quality. Future research on its utility in targeting improvements in the nutritional quality of usual eating habits of children and adolescents is warranted.

Original language	English
Article number	96
Number of pages	10
Journal	Nutrition Journal
Volume	11
DOIs	https://doi.org/10.1186/1475-2891-11-96
Publication status	Published - 19 Nov 2012
Externally published	Yes

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The development and evaluation of the Australian child and adolescentFinal published version, 336 KBLicence: CC BY

Nutrition for Chronic Disease and Disability: Research to improve health related quality of life and bring forward the under-represented voice
Reidlinger, D., Davidson, A., Campbell, K., Kelly, J., Mayr, H., English, C., Odgers-Jewell, K., MacKenzie-Shalders, K., Van der Meij, B., Crichton, M., Marshall, S., Turner, C., Marx, W., Utter, J., Maugeri, B. & Tang, X.
1/01/14 → 31/08/30
Project: Research

Malnutrition in the older Australian rural rehabilitation community : indentification, patient outcomes and the role of informal caregivers,
Author: Marshall, S., 8 Oct 2016
Supervisor: Isenring, E. A. (Supervisor), Young, A. M. (External person) (Supervisor) & Bauer, J. D. (External person) (Supervisor)
Student thesis: Doctoral Thesis

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@article{2d932fcd4c6f4dda82386fd570b6eced,

title = "The development and evaluation of the Australian child and adolescent recommended food score: A cross-sectional study",

abstract = "Background: Diet quality tools have been developed to assess the adequacy of dietary patterns for predicting future morbidity and mortality. This study describes the development and evaluation of a brief food-based diet quality index for use with children at the individual or population level. The Australian Child and Adolescent Recommended Food Score (ACARFS) was developed to reflect adherence to the Dietary Guidelines for Children and Adolescents in Australia and modelled on the approach of the US Recommended Food Score.Methods: The ACARFS has eight sub-scales and is scored from zero to 73. The diet quality score was evaluated by assessing correlation (Spearman's correlations) and agreement (weighted. statistics) between ACARFS scores and nutrient intakes, derived from a food frequency questionnaire in 691 children (mean age 11.0, SD 1.1) in New South Wales, Australia. Nutrient intakes for ACARFS quartiles were compared with the relevant Australian nutrient reference values.Results: ACARFS showed slight to substantial agreement (kappa 0.13-0.64) with nutrient intakes, with statistically significant moderate to strong positive correlations with all vitamins, minerals and energy intake (r = 0.42-0.70). ACARFS was not related to BMI. Participants who scored less than the median ACARFS were more likely to have sub-optimal intakes of fibre, folic acid and calcium.Conclusion: ACARFS demonstrated sufficient accuracy for use in future studies evaluating diet quality. Future research on its utility in targeting improvements in the nutritional quality of usual eating habits of children and adolescents is warranted.",

author = "Skye Marshall and Jane Watson and Tracy Burrows and Maya Guest and Collins, {Clare E.}",

year = "2012",

month = nov,

day = "19",

doi = "10.1186/1475-2891-11-96",

language = "English",

volume = "11",

journal = "Nutrition Journal",

issn = "1475-2891",

publisher = "BioMed Central Ltd.",

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T1 - The development and evaluation of the Australian child and adolescent recommended food score

T2 - A cross-sectional study

AU - Marshall, Skye

AU - Watson, Jane

AU - Burrows, Tracy

AU - Guest, Maya

AU - Collins, Clare E.

PY - 2012/11/19

Y1 - 2012/11/19

N2 - Background: Diet quality tools have been developed to assess the adequacy of dietary patterns for predicting future morbidity and mortality. This study describes the development and evaluation of a brief food-based diet quality index for use with children at the individual or population level. The Australian Child and Adolescent Recommended Food Score (ACARFS) was developed to reflect adherence to the Dietary Guidelines for Children and Adolescents in Australia and modelled on the approach of the US Recommended Food Score.Methods: The ACARFS has eight sub-scales and is scored from zero to 73. The diet quality score was evaluated by assessing correlation (Spearman's correlations) and agreement (weighted. statistics) between ACARFS scores and nutrient intakes, derived from a food frequency questionnaire in 691 children (mean age 11.0, SD 1.1) in New South Wales, Australia. Nutrient intakes for ACARFS quartiles were compared with the relevant Australian nutrient reference values.Results: ACARFS showed slight to substantial agreement (kappa 0.13-0.64) with nutrient intakes, with statistically significant moderate to strong positive correlations with all vitamins, minerals and energy intake (r = 0.42-0.70). ACARFS was not related to BMI. Participants who scored less than the median ACARFS were more likely to have sub-optimal intakes of fibre, folic acid and calcium.Conclusion: ACARFS demonstrated sufficient accuracy for use in future studies evaluating diet quality. Future research on its utility in targeting improvements in the nutritional quality of usual eating habits of children and adolescents is warranted.

AB - Background: Diet quality tools have been developed to assess the adequacy of dietary patterns for predicting future morbidity and mortality. This study describes the development and evaluation of a brief food-based diet quality index for use with children at the individual or population level. The Australian Child and Adolescent Recommended Food Score (ACARFS) was developed to reflect adherence to the Dietary Guidelines for Children and Adolescents in Australia and modelled on the approach of the US Recommended Food Score.Methods: The ACARFS has eight sub-scales and is scored from zero to 73. The diet quality score was evaluated by assessing correlation (Spearman's correlations) and agreement (weighted. statistics) between ACARFS scores and nutrient intakes, derived from a food frequency questionnaire in 691 children (mean age 11.0, SD 1.1) in New South Wales, Australia. Nutrient intakes for ACARFS quartiles were compared with the relevant Australian nutrient reference values.Results: ACARFS showed slight to substantial agreement (kappa 0.13-0.64) with nutrient intakes, with statistically significant moderate to strong positive correlations with all vitamins, minerals and energy intake (r = 0.42-0.70). ACARFS was not related to BMI. Participants who scored less than the median ACARFS were more likely to have sub-optimal intakes of fibre, folic acid and calcium.Conclusion: ACARFS demonstrated sufficient accuracy for use in future studies evaluating diet quality. Future research on its utility in targeting improvements in the nutritional quality of usual eating habits of children and adolescents is warranted.

U2 - 10.1186/1475-2891-11-96

DO - 10.1186/1475-2891-11-96

M3 - Article

SN - 1475-2891

VL - 11

JO - Nutrition Journal

JF - Nutrition Journal

M1 - 96

ER -

The development and evaluation of the Australian child and adolescent recommended food score: A cross-sectional study

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Nutrition for Chronic Disease and Disability: Research to improve health related quality of life and bring forward the under-represented voice

Student theses

Malnutrition in the older Australian rural rehabilitation community : indentification, patient outcomes and the role of informal caregivers,

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