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    The link between dietary diversity and body composition in New Zealand European, Māori and Pacific women : the women's EXPLORE study : a thesis presented in partial fulfilment of the requirements for the degree Master of Science in Nutrition and Dietetics, Massey University, Albany, New Zealand
    (Massey university, 2019) Bell, Catherine Anne
    Eating a diverse diet improves diet quality and nutritional adequacy, but may be higher in energy and discretionary foods, which are associated with obesity. We aimed to utilise a newly validated dietary diversity questionnaire (DDQ) to explore the dietary diversity and food variety of New Zealand European, Māori and Pacific women and how dietary diversity and food variety may link to different body composition profiles (BCPs). Women’s (n=235) waist circumference, body mass index and body fat percentage (BF%) was used to categorise them into one of three BCP groups (normal-fat, hidden-fat, apparent- fat). Dietary intake was assessed using a Food Frequency Questionnaire (energy and nutrients), alongside a validated DDQ, which assessed participants dietary diversity and food variety scores (DDS and FVS). Dietary diversity was high (88%, 22/25) whilst food variety was comparatively low (31%, 78/237), especially within carbohydrates, fruits, vegetables and seafood. Overall, DDS and nutritious-DDS was lower for Pacific participants (P<0.005), whilst discretionary-FVS was higher for Māori and Pacific participants (both P<0.001). Regarding obesity, nutritious-DDS was higher in participants with a non-obese BMI (P=0.024) and BF% (P=0.029), compared to obese participants. Both DDS and N-DDS negatively correlated to WC and BF% (P<0.005). Participants in the highest tertile of DDS and nutritious-DDS had a lower WC (P=0.015, P<0.001), BMI (P=0.048, P=0.004), and BF% (P=0.002, P=0.011), despite consuming more energy (P=0.016). We were unable to demonstrate any significant anthropometric differences between tertiles of discretionary DDS nor discretionary FVS. Our results support previous prospective studies, showing that consuming an increased variety of nutritious foods may be associated with reduced female obesity, possibly more so than omitting discretionary foods. Health promotion should encourage exchanging rather than excluding, discretionary foods.
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    A consensus proposal for nutritional indicators to assess the sustainability of a healthy diet: The mediterranean diet as a case study
    (Nature Publishing Group, 29/08/2016) Donini LM; Dernini S; Lairon D; Serra-Majem L; Amiot MJ; Balzo V; Giusti AM; Burlingame B; Belahsen R; Maiani G; Polito A; Turrin A; Intorre F; Trichopoulou A; Berry E
    There is increasing evidence of the multiple effects of diets on public health nutrition, society, and environment. Sustainability and food security are closely interrelated. The traditional Mediterranean Diet (MD) is recognized as a healthier dietary pattern with a lower environmental impact. As a case study, the MD may guide innovative inter-sectorial efforts to counteract the degradation of ecosystems, loss of biodiversity, and homogeneity of diets due to globalization through the improvement of sustainable healthy dietary patterns. This consensus position paper defines a suite of the most appropriate nutrition and health indicators for assessing the sustainability of diets based on the MD.