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Holistic Framework To Contextualize Dietary Quality Assessment: A Critical Review, Jessica M. Phelan, Richard R. Rosenkranz, Connor J. Phelan, Sara K. Rosenkranz

Kinesiology and Nutrition Sciences Faculty Publications

Numerous dietary quality indices exist to help quantify overall dietary intake and behaviors associated with positive health outcomes. Most indices focus solely on biomedical factors and nutrient or food intake, and exclude the influence of important social and environmental factors associated with dietary intake. Using the Diet Quality Index- International as one sample index to illustrate our proposed holistic conceptual framework, this critical review seeks to elucidate potential adaptations to dietary quality assessment by considering—in parallel—biomedical, environmental, and social factors. Considering these factors would add context to dietary quality assessment, influencing post-assessment recommendations for use across various populations and circumstances. …