title: Development of dietary pattern evaluation tool for adults and correlation with Dietary Quality Index.
abstract: OBJECTIVE
  As the prevalence of chronic diseases has risen, the need for straightforward diagnostic tools for monitoring nutrition status to improve nutrition counseling and disease prevention has likewise increased. This study developed an easily usable dietary behavior pattern diagnosis checklist and investigated its correlation with dietary quality index.
  
  
  METHODS
  A draft dietary pattern evaluation tool was generated by analyzing previous studies. The draft questionnaire comprised 61 questions for assessing dietary habits. A survey was administered to 320 adults (19 to 64 years old) using the dietary pattern evaluation tool and 24-hour-recall method between March and May of 2014 in Jeonbuk province and the metropolitan area. Principal component analysis with varimax rotation was performed to identify dietary behavior patterns. Nutritional analysis was conducted using CAN-Pro 4.0, and the Diet Quality Index-International (DQI-I) was calculated to assess dietary quality. The correlation between dietary pattern scores and DQI-I scores was also analyzed.
  
  
  RESULTS
  The factor analysis resulted in a total of 34 questions mapped to four main dietary behavior patterns: "high fat and calorie" pattern (12 questions), "overeating/binge" pattern (nine questions), "dietary impulse" pattern (eight questions), and "unbalanced food intake" pattern (five questions). The four dietary behavior patterns were negatively correlated with DQI-I adequacy and total scores (P < 0.01).
  
  
  CONCLUSIONS
  The dietary pattern evaluation tool developed in this study can be used to diagnose a client's dietary behavior problems and is available as a nutrition counseling tool in the field.
authors.affiliation: Department of Food and Nutrition, Wonkwang University, 460 Iksan-daero, Jeonbuk 54538, Korea.
authors.forename: Yeo Do
authors.initials: YD
authors.lastname: Lee
authors.affiliation: Department of Food and Nutrition, Seoul Women's University, Seoul 01797, Korea.
authors.forename: Kyung Won
authors.initials: KW
authors.lastname: Kim
authors.affiliation: Department of Food Science and Nutrition, Daejin University, Gyeonggi 11159, Korea.
authors.forename: Kyung-Suk
authors.initials: KS
authors.lastname: Choi
authors.affiliation: Department of Food and Nutrition, Wonkwang University, 460 Iksan-daero, Jeonbuk 54538, Korea.
authors.forename: Misung
authors.initials: M
authors.lastname: Kim
authors.affiliation: Department of Food and Nutrition, Wonkwang University, 460 Iksan-daero, Jeonbuk 54538, Korea.
authors.forename: Yeo Jin
authors.initials: YJ
authors.lastname: Cho
authors.affiliation: Department of Food and Nutrition, Wonkwang University, 460 Iksan-daero, Jeonbuk 54538, Korea.
authors.forename: Cheongmin
authors.initials: C
authors.lastname: Sohn
keywords: Aadult; nutritional assessment; nutritional quality