title: The choice of a diet quality indicator to evaluate the nutritional health of populations.
abstract: BACKGROUND
  The USA and Canada both want to reduce social health inequalities in their population. These two countries have recently begun a process of harmonization of their nutrient recommendations.
  
  
  OBJECTIVE
  To develop a standardized indicator to measure the impact of these recommendations on the health of different social groups in North America. The authors have compared three of the methods currently used for measuring overall diet quality for a population.
  
  
  METHODS
  The three methods, adjusted to the 1990 Canadian nutrition recommendations, were used to analyse the Québec Nutrition Survey data collected by Santé Québec in 1990.
  
  
  RESULTS
  The authors found that the indicator developed by Kennedy and collaborators works best for analysing the Québec data. Moreover, it allows comparisons with the USA. Some questions, such as whether or not to add calories from alcohol consumption to the model and whether the indicators should be adjusted to the different cultures and specific population groups remain unanswered.
  
  
  CONCLUSIONS
  In order to determine the role of nutrition in social health inequalities, it is important to develop standard indicators that are suitable for monitoring the relationship between dietary recommendations and eating habits.
authors.affiliation: Département de Médecine Sociale et Préventive, Pavillon de l'Est, Université Laval, Sainte-Foy, Québec, Canada. lise.dubois@msp.ulaval.ca
authors.forename: L
authors.initials: L
authors.lastname: Dubois
authors.forename: M
authors.initials: M
authors.lastname: Girard
authors.forename: N
authors.initials: N
authors.lastname: Bergeron
mesh_terms: D002170:Canada; D004032:Diet / Q000592:standards*; D005069:Evaluation Studies as Topic; D005260:Female; D006304:Health Status; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D018673:Nutrition Policy; D009749:Nutrition Surveys; D011634:Public Health; D014481:United States