@article{fdi:010044127,
  title = {{D}ietary diversity is a good predictor of the micronutrient density of the diet of 6-to 23-month-old children in {M}adagascar},
  author = {{M}oursi, {M}ourad and {A}rimond, {M}. and {D}ewey, {K}. {G}. and {T}r{\`e}che, {S}erge and {R}uel, {M}. {T}. and {D}elpeuch, {F}rancis},
  editor = {},
  language = {{ENG}},
  abstract = {{T}his study was conducted in the context of a multicountry validation of indicators of diet quality and had the following objectives: 1) to determine how well dietary diversity scores ({DIDS}) predict diet quality of children aged 6-23 mo in urban {M}adagascar; and 2) to assess whether the prediction was improved by changing the food groups included and by imposing a minimum amount restriction. {C}orrelation and regression were used to describe the relationship between 4 diversity scores (2 based on 8 and 7 food groups, the latter excluding fats and oils, and 2 that imposed a 10-g minimum restriction on food groups) and the mean micronutrient density adequacy ({MMDA}) of the diet. {MMDA}, the dietary quality score used, was calculated as the mean individual micronutrient density adequacy for 9 or 10 "problem" nutrients (depending on age and breast-feeding status), each capped at 100%. {W}e used sensitivity and specificity analysis to determine how well {DDS} predicted {MMDA} below or above selected cut-offs. {A}ll scores were positively correlated with {MMDA}. {W}hen the fats and oils group was omitted, correlations were 10-16% higher for breast-fed children and 19-28% higher for non-breast-fed children. {C}orrelations were only slightly improved with the 10-g minimum. {W}ith the 7-food group score, a score of ! 2 best predicted low dietary quality ({MMDA} <50%), with 64% sensitivity, 82% specificity, and 22% misclassification. {I}mposing a 10-g minimum increased misclassification (30%). {T}hese results support the growing evidence of the usefulness of dietary diversity to predict dietary quality, and among infants and young children more specifically. {J}. {N}utr. 138: 24482453,2008.},
  keywords = {},
  booktitle = {},
  journal = {{J}ournal of {N}utrition},
  volume = {138},
  numero = {12},
  pages = {2448--2453},
  ISSN = {0022-3166},
  year = {2008},
  DOI = {10.3945/jn.108.093971},
  URL = {https://www.documentation.ird.fr/hor/fdi:010044127},
}