Table 1 Scoring of the Healthy Diet Score
From: Feel4Diabetes healthy diet score: development and evaluation of clinical validity
Component and F4D dietary goal | Content | Categories | Score |
|---|---|---|---|
1. Breakfast Eating (healthy and balanced) breakfast daily | Weekdays and weekend days | 5 times on weekdays | 7 |
3–4 times on weekdays | 4 | ||
1–2 times on weekdays | 1 | ||
I don’t eat breakfast | 0 | ||
2 times during weekend | 3 | ||
1 time during weekend | 2 | ||
I don’t eat breakfast | 0 | ||
Total score | 10 | ||
2. Vegetables ≥ 5 servings of vegetable per day | Raw and cooked vegetables, cooked legumes | 5 servings per day | 10 |
4 servings per day | 8 | ||
3 servings per day | 6 | ||
2 servings per day | 4 | ||
1 servings per day | 2 | ||
< 1 serving per day | 0 | ||
3. Fruits and berries ≥ 3 servings of fruit & berries per day | Fruit and berries | 3 or more servings per day | 10 |
1–2 servings per day | 8 | ||
5–6 servings per week | 6 | ||
3–4 servings per week | 4 | ||
1–2 servings per week | 2 | ||
< 1 serving per week | 0 | ||
4. Sugary drinks < 1 serving of sugary drinks per day | Soft drinks with sugar, juices with sugar, beer, cider, wine, spirits | < 1 serving per day | 10 |
1–2 servings per day | 8 | ||
3–4 servings per day | 6 | ||
5–6 servings per day | 4 | ||
≥ 7 servings per day | 0 | ||
5. Whole-grain cereals ≥ 4 servings of whole-grain foods/cereals per day | Whole-grain bread, porridge, whole-grain cereals | ≥ 4 servings per day | 10 |
3 servings per day | 7 | ||
2 servings per day | 4 | ||
1 serving per day | 1 | ||
< 1 serving per day | 0 | ||
6. Nuts and Seeds ≥ 3 servings of nuts & seeds a week | Nuts and seeds | ≥ 3 servings per week | 6 |
1–2 servings per week | 3 | ||
< 1 time per week | 0 | ||
7. Low-fat Dairy ≥ 1 serving of low-fat dairy products per day | Low-fat dairy < 2% fat Full-fat dairy > 2% fat | ≥ 1 servings per day and no full-fat dairy products | 6 |
≥ 1 servings per day and ≥ 1 servings of full-fat dairy products | 3 | ||
< 1 serving per day and ≤ 1 servings of full-fat dairy products | 0 | ||
8. Oils and fats daily use of olive or rapeseed oil or soft margarine including cooking fats and spreads | Favorable fats: vegetable oils, margarine, soft and reduced-fat margarine, oil based dressings Avoidable fats: butter, butter mixtures, I don’t use any | Cooking (option to choose several): | |
Daily use of vegetable oils and margarines and no use of butter | 4 | ||
Daily use of vegetable oils and margarines and some usage of butter | 2 | ||
Daily use or no usage of vegetable oils or margarines and higher usage of butter or no usage of daily fats | 0 | ||
Bread spreads (option to choose only one): | 4 | ||
Daily use of vegetable oil, Soft margarine 70–80% or fat | 0 | ||
Reduced-fat margarine 28–60% fat | |||
Daily use of butter-vegetable oil mixture, butter or I do not use fat spread on bread | 8 | ||
Total score | |||
9. Red meat ≤ 2 servings of red and/or processed meat a week | Red and processed meat | ≤ 2 servings per week | 10 |
3 servings per week | 8 | ||
4 servings per week | 6 | ||
5 servings per week | 4 | ||
6 servings per week | 2 | ||
≥ 7 servings per week | 0 | ||
10. Sweet snacks ≤ 1 serving of sweet snacks per week | Biscuits, ice cream, cakes, pastries etc. | ≤ 1 servings per week | 6 |
2 servings per week | 5 | ||
3–4 servings per week | 3 | ||
5–6 servings per week | 1 | ||
≥1 servings per day | 0 | ||
11. Salty snacks ≤ 1 serving of salty snacks/fast food per week | Hamburger, chips, pizza, savory pastries etc. | ≤ 1 servings per week | 6 |
2 servings per week | 5 | ||
3–4 servings per week | 3 | ||
5–6 servings per week | 1 | ||
≥1 servings per day | 0 | ||
12. Family meals Meals eaten with others | Breakfast, lunch and dinner with a friend, colleague, or with a family member | Breakfast | |
≥ 7 times per week | 2 | ||
5–6 times per week | 1 | ||
≤ 4 times per week | 0 | ||
Lunch | |||
≥ 7 times per week | 2 | ||
5–6 times per week | 1 | ||
≤ 4 times per week | 0 | ||
Dinner | |||
≥ 7 times per week | 4 | ||
5–6 times per week | 2 | ||
≤ 4 times per week | 0 | ||
Total score | 0–8 | ||
Total Healthy Diet Score | All components (1–12) | 0–100 |