Validation of the brazilian healthy eating index-revised using biomarkers in children and adolescents

R.B.D. Toffano, E. Hillesheim, M.G. Mathias, C.A. Coelho-Landell, R.G. Salomão, M.O.R.V. Almada, J.M. Camarneiro, T.T. Barros, J.S. Camelo-Junior, S. Rezzi, L. Goulet, M.P. Giner, L. Da Silva, F.-P. Martin, I. Montoliu, S. Moco, S. Collino, J. Kaput, J.P. Monteiro

Research output: Contribution to JournalArticleAcademicpeer-review


© 2018 by the authors. Licensee MDPI, Basel, Switzerland.The Brazilian Healthy Eating Index-Revised (BHEI-R) can be used to determine overall dietary patterns. We assessed the BHEI-R scores in children and adolescents, aged from 9 to 13 years old, and associated its component scores with biomarkers of health and dietary exposure. Three 24-h recalls were used to generate BHEI-R. Biomarkers were analyzed in plasma and red blood cells. Correlation tests, agreement, and covariance analyses were used to associate BHEI-R components with biomarkers. Data from 167 subjects were used. The strongest correlations were between fruits, vegetables and legumes with omega-6 and omega-3 fatty acids, and β-carotene intakes. Milk and dairy correlated with plasma retinol and pyridoxine. All components rich in vegetable and animal protein sources correlated with plasma creatine. Total BHEI-R scores were positively associated with intakes of omega-6, omega-3, fiber and vitamin C, and inversely associated with energy and saturated fat intakes of individuals. Plasma β-carotene and riboflavin biomarkers were positively associated with total BHEI-R. An inadequate food consumption pattern was captured by both biomarkers of health and dietary exposure. BHEI-R was validated for the above dietary components and can be associated with metabolomics and nutritional epidemiological data in future pediatric studies.
Original languageEnglish
Article number154
Issue number2
Publication statusPublished - 1 Feb 2018
Externally publishedYes


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