Korean J Nutr. 2009 Jul;42(5):453-463. Korean.
Published online Jul 31, 2009.
© 2009 The Korean Nutrition Society
Original Article

Diet Quality Index-International Score is Correlated with Weight Loss in Female College Students on a Weight Management Program

Hee Kyung Yun, Hyesook Kim and Namsoo Chang
    • Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 120-750, Korea.
Received February 26, 2009; Revised April 06, 2009; Accepted July 08, 2009.

Abstract

This study was to evaluate the effectiveness of the weight control program for female college students. The program was composed of diet and behavioral modifications for 8 weeks. A total of 78 participants enrolled the weight control program. Upon completion of the program, 53 participants experienced weight loss and 25 did not. The intakes of carbohydrate and fat were significantly decreased in both groups. However, the total diet quality index-international (DQII) scores as well as individual scores such as variety scores for protein source and adequacy scores for vegetable, fiber, calcium and vitamin C and moderation scores for empty calorie food were increased significantly in weight loss group only. In the weight loss group, weight, BMI, body fat, percent body fat and waist-hip ratio were decreased significantly. In addition, compared to the weight gain group, the weight loss group had higher changes in weight (weight loss group: -2.6% vs weight gain group: 1.5%, p < 0.001), body fat (-6.0% vs 0.0%, p < 0.001), percent body fat (-3.1% vs -0.3%, p < 0.001), waist-hip ratio (-1.0% vs 0.5%, p < 0.001) and BMI (-2.6% vs 1.3%, p < 0.01). There was no difference in blood profiles between the two groups. The changes in DQI-I scores were significantly correlated with the changes in body weight (r = -0.239, p < 0.05) and BMI (r = -0.224, p < 0.05), indicating that effective nutrition education could help improve diet quality leading to successful weight management among female college students.

Keywords
diet quality index-international; body weight; BMI; female college students

Tables

Table 1
Components of Diet Quality Index-international (DQI-I)23)

Table 2
Body weight and composition for college women at baseline and after 8 wks of weight management program along with nutrition education

Table 3
Nutrient intake at baseline and after 8 wks of weight management program along with nutrition education

Table 4
DQI-I at baseline and after 8 wks of weight management program along with nutrition education

Table 5
Blood profile at baseline and after 8 wks of weight management program along with nutrition education

Table 6
The pearson's correlation coefficients between changes in DQI-I scores1) and changes in anthropometric2) and blood lipid profile measurements3)

References

    1. Burke GL, Bertoni AG, Shea S, Tracy R, Watson KE, Blumenthal RS, Chung H, Carnethon MR. The impact of obesity on cardiovascular disease risk factors and subclinical vascular disease: the Multi-Ethnic Study of Atherosclerosis. Arch Intern Med 2008;168(9):928–935.
    1. James PT, Rigby N, Leach R. The obesity epidemic, metabolic syndrome and future prevention strategies. International Obesity Task Force. Eur J Cardiovasc Prev Rehabil 2004;11(1):3–8.
    1. Ascaso JF, Romero P, Real JT, Lorente RI, Martinez-Valls J, Carmena R. Abdominal obesity, insulin resistance, and metabolic syndrome in a southern European population. Eur J Intern Med 2003;14:101–106.
    1. Hill MJ, Metcalfe D, McTernan PG. Obesity and diabetes: lipids, 'nowhere to run to'. Clin Sci 2009;116(2):113–123.
    1. Norris SL, Zhang X, Avenell A, Gregg E, Schmid CH, Kim C, Lau J. Efficacy of pharmacotherapy for weight loss in adults with type 2 diabetes mellitus: a meta-analysis. Arch Intern Med 2004;164(13):1395–1404.
    1. Moon HK, Lee HJ, Park Y. Comparison of health status and dietary habits by percent body fat (PBF) change for adult women in the weight control program by the community health center. Korean J Community Nutr 2007;12(4):477–488.
    1. Matuschka P. Diebetes and 'normal' lifestyle. Am Fam Physician 1995;52(7):2011–2012.
    1. Park JA, Yoon JS. Dietary behaviors and status of nutrient intakes by the obesity levels of housewives in Daegu. Korean J Community Nutr 2005;10(5):623–632.
    1. Yi KO, Kim JY, Kim WY. Effects of obesity treatment program. J Korean Aerobic Exerc 2001;5(1):69–84.
    1. Jeon ER. Effect of nutrition education and aerobic exercise program on weight control program of middle aged abdominal obese women. Korean J Human Ecology 2006;9(2):65–73.
    1. Lee KW. The effects of obesity management program on body composition and blood lipids profile in obese female collegiate students. J Sport Leisure Studies 2001;15:663–339.
    1. Seo JH. Evaluation of weight control program for obese female college students. J Korean Soc Food Sci Nutr 2005;24(9):1381–1387.
    1. McArdle W, Katch F, Katch V. In: Exercise Physiology: Energy Nutrition and Human Performance. Fourth edition. Williams & Wilkins Pub; 1996. pp. 603-630.
    1. Yu OK, Cha YS. A comparative study on dietary life according to the obesity assessment methods of higher grade elementary school students in Jeonju. Korean J Human Ecology 2006;9(4):83–93.
    1. Lee YA, Kim KN, Chang NS. The effect of nutrition education on weight control and diet quality in middle-aged women. Korean J Nutr 2008;41(1):54–64.
    1. Ledikwe JH, Rolls BJ, Diane HS, Mitchell DC, Ard JD, Champagne C, Karanja N, Lin PH, Stevens VJ, Appel LJ. Reduction in dietary energy density are associated with weight loss in overweight and obese participants in the PREMIER trial. Am J Clin Nutr 2007;85:1212–1221.
    1. Oh KW, Nam CM, Park JH, Yoon JY. A case-control study on dietary quality and risk for coronary heart disease in Korean men. Korean J Nutr 2003;36(6):613–621.
    1. Lee SH, Chang NS. Effectiveness of nutrition education on dietary habits and diet quality in the weight loss and weight gain groups in college women. Korean J Nutr 2007;40(5):463–474.
    1. Brinkworth GD, Noakes M, Keogh JB, Luscombe ND, Wittert GA, Clifton PM. Long-term effects of a high-protein, low-carbohydrate diet on weight control and cardiovascular risk markers in obese hyperinsulinemic subjects. Intern J Obes 2004;28:661–670.
    1. Aleixandre A, Miguel M. Dietary fiber in the prevention and treatment of metabolic syndrome: a review. Crit Rev Food Sci Nutr 2008;48(10):905–912.
    1. Duvigneaud N, Wijndaele K, Matton L, Philippaerts R, Lefevre J, Thomis M, Delecluse C, Duquet W. Dietary factors associated with obesity indicators and level of sports participation in Flemish adults: a cross-sectional study. Nutr J 2007;6:26.
    1. Kim HJ, Kim SN, Kim S. Effects of diet-records on body composition and calorie intake in obese school girls. Korean J Physical Edu 2005;44(6):567–577.
    1. Friewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma without use of the preparative ultracentrifuge. Clin Chem 1972;18:499–502.
    1. Lauer RM, Clarke WP, Lee J. Factors affecting the relationship between childhood and adult cholesterol levels. Pediatrics 1988;82:309–318.
    1. The Korean Nutrition Society. Dietary Reference Intakes for Koreans. Seoul: 2005.
    1. Kim S, Haines PS, Siega-Riz AM, Popkin BM. The Diet Quality Index-International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr 2003;133:3476–3483.
    1. Korean Society for Lipid and Atherosclerosis. Korean Guidelines of Hyperlipidemia Treatment for Prevention of Atherosclerosis. 2002.
    1. Drewnowski A. Concept of a nutritious food: toward a nutrient density score. Am J Clin Nutr 2005;82(4):721–732.
    1. Inoue S, Zimmet P, Caterson I, Chunming C, Ikeda Y, Kim YS, Bassett J. In: The Asia-pacific perspective: redefining obesity and its treatment. The International Diabetes Institute; 2000.
    1. Lee HJ. In: Evaluation of multilateral weight control program for female college students by follow-up search [dissertation]. Seoul: Ewha Womans University Graduate School; 2005.
    1. Lee JS, Park JS, Lee GH, Ko YS, Kim EK. Effect of body composition, serum lipid level, and resting metabolic rate by nutritional education and exercise program in middle aged women. J Korean Dietetic Assoc 2008;14(1):64–76.
    1. Stern L, Iqbal N, Seshadri P, Chicano KL, Daily DA, McGrory J. The effects of low-carbohydrate versus conventional weight loss diets in severely obese adults: one-year follow-up of a randomized trial. Ann Intern Med 2004;140:778–785.
    1. Daubenmier JJ, Weidner G, Sumner MD, Mendell N, Merritt-Worden T, Studley J, Ornish D. The contribution of changes in diet, exercise, and stress management to changes in coronary risk in women and men in the multisite cardiac lifestyle intervention program. Ann Behav Med 2007;33(1):57–68.
    1. Kang YH, Lee KO, Ha EH, Kim JY, Kim WY. Evaluation of short term weight control program for female college students. Korean J Nutr 2004;37(6):493–501.
    1. Lee JS, Lee HO, Yim JE, Kim YS, Choue RW. Effects of medical nutrition therapy on changes of anthropometric measurements, dietary pattern and blood parameters in over weight or obese women. Korean J Nutr 2005;38(6):432–444.
    1. Quatromoni PA, Pencina M, Cobain MR, Jacques PF, D'Agostino RB. Dietary quality predicts adult weight gain: Findings from the Framingham Offspring Study. Obesity 2006;14(8):1383–1391.

Metrics
Share
Tables

1 / 6

PERMALINK