Development of an index to assess adherence to the traditional Mexican diet using a modified Delphi method

Selene Valerino-Perea; Miranda Elaine Glynis Armstrong; Angeliki Papadaki

doi:10.1017/S1368980020004565

Development of an index to assess adherence to the traditional Mexican diet using a modified Delphi method

Selene Valerino-Perea, Miranda Elaine Glynis Armstrong, Angeliki Papadaki

University of Bristol

Research output: Contribution to journal › Article › peer-review

10 Citations (SciVal)

Abstract

OBJECTIVE: Promoting a traditional Mexican diet (TMexD) could potentially reduce high rates of non-communicable diseases (NCD) and support food sustainability in Mexico. This study aimed to develop an index to assess adherence to the TMexD.

DESIGN: A three-round Delphi study was conducted to examine the food groups, specific foods and food-related habits that would constitute a TMexD index. Participants selected the TMexD items using Likert scales, lists of responses, and yes/no questions. Consensus was determined using percentages of agreement, mean values and/or coefficients of variation.

SETTING: Online Delphi study.

PARTICIPANTS: Seventeen nutrition and food experts in Mexico completed all three rounds.

RESULTS: The resulting index (ranging from 0 to 21 points) consisted of 15 food groups, containing 102 individual foods. Food groups included in higher quantities were maize, other grains, legumes, vegetables, fruits, herbs, nuts and seeds, and tubers. Animal foods, vegetable fats and oils, homemade beverages, maize-based dishes, and plain water were also included, but in lower quantities. The food-related habits included were consuming homemade meals, socialising at meals and buying food in local markets. Consensus was reached for all index items apart from quantities of consumption of six food groups (herbs, nuts, grains, tubers, dairy and eggs).

CONCLUSIONS: Although future research could improve the measures for which consensus was not reached, the TMexD index proposed in this study potentially displays a healthy and sustainable dietary pattern and could be used to examine links between the TMexD and health outcomes in Mexican populations.

Original language	English
Pages (from-to)	4387-4396
Number of pages	10
Journal	Public Health Nutrition
Volume	24
Issue number	14
Early online date	13 Nov 2020
DOIs	https://doi.org/10.1017/S1368980020004565
Publication status	Published - 13 Oct 2021

Bibliographical note

Publisher Copyright:
© The Author(s), 2020. Published by Cambridge University Press on behalf of The Nutrition Society.

Acknowledgements

The authors would like to thank the
experts who participated in the Delphi process for their
valid input and kind efforts.

Funding

Financial support: SV-P. This research was funded by Consejo Nacional de Ciencia y Tecnología (CONACYT), grant number 747560. CONACYT had no role in the design, analysis or writing of this article.

Keywords

Delphi technique
Dietary pattern index
Sustainable diet
Traditional Mexican diet
Animals
Diet
Feeding Behavior
Fruit
Humans
Mexico
Vegetables

ASJC Scopus subject areas

Medicine (miscellaneous)
Nutrition and Dietetics
Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1017/S1368980020004565

Cite this

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title = "Development of an index to assess adherence to the traditional Mexican diet using a modified Delphi method",

abstract = "OBJECTIVE: Promoting a traditional Mexican diet (TMexD) could potentially reduce high rates of non-communicable diseases (NCD) and support food sustainability in Mexico. This study aimed to develop an index to assess adherence to the TMexD.DESIGN: A three-round Delphi study was conducted to examine the food groups, specific foods and food-related habits that would constitute a TMexD index. Participants selected the TMexD items using Likert scales, lists of responses, and yes/no questions. Consensus was determined using percentages of agreement, mean values and/or coefficients of variation.SETTING: Online Delphi study.PARTICIPANTS: Seventeen nutrition and food experts in Mexico completed all three rounds.RESULTS: The resulting index (ranging from 0 to 21 points) consisted of 15 food groups, containing 102 individual foods. Food groups included in higher quantities were maize, other grains, legumes, vegetables, fruits, herbs, nuts and seeds, and tubers. Animal foods, vegetable fats and oils, homemade beverages, maize-based dishes, and plain water were also included, but in lower quantities. The food-related habits included were consuming homemade meals, socialising at meals and buying food in local markets. Consensus was reached for all index items apart from quantities of consumption of six food groups (herbs, nuts, grains, tubers, dairy and eggs).CONCLUSIONS: Although future research could improve the measures for which consensus was not reached, the TMexD index proposed in this study potentially displays a healthy and sustainable dietary pattern and could be used to examine links between the TMexD and health outcomes in Mexican populations.",

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author = "Selene Valerino-Perea and Armstrong, \{Miranda Elaine Glynis\} and Angeliki Papadaki",

note = "Publisher Copyright: {\textcopyright} The Author(s), 2020. Published by Cambridge University Press on behalf of The Nutrition Society.",

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AU - Valerino-Perea, Selene

AU - Armstrong, Miranda Elaine Glynis

AU - Papadaki, Angeliki

N1 - Publisher Copyright: © The Author(s), 2020. Published by Cambridge University Press on behalf of The Nutrition Society.

PY - 2021/10/13

Y1 - 2021/10/13

N2 - OBJECTIVE: Promoting a traditional Mexican diet (TMexD) could potentially reduce high rates of non-communicable diseases (NCD) and support food sustainability in Mexico. This study aimed to develop an index to assess adherence to the TMexD.DESIGN: A three-round Delphi study was conducted to examine the food groups, specific foods and food-related habits that would constitute a TMexD index. Participants selected the TMexD items using Likert scales, lists of responses, and yes/no questions. Consensus was determined using percentages of agreement, mean values and/or coefficients of variation.SETTING: Online Delphi study.PARTICIPANTS: Seventeen nutrition and food experts in Mexico completed all three rounds.RESULTS: The resulting index (ranging from 0 to 21 points) consisted of 15 food groups, containing 102 individual foods. Food groups included in higher quantities were maize, other grains, legumes, vegetables, fruits, herbs, nuts and seeds, and tubers. Animal foods, vegetable fats and oils, homemade beverages, maize-based dishes, and plain water were also included, but in lower quantities. The food-related habits included were consuming homemade meals, socialising at meals and buying food in local markets. Consensus was reached for all index items apart from quantities of consumption of six food groups (herbs, nuts, grains, tubers, dairy and eggs).CONCLUSIONS: Although future research could improve the measures for which consensus was not reached, the TMexD index proposed in this study potentially displays a healthy and sustainable dietary pattern and could be used to examine links between the TMexD and health outcomes in Mexican populations.

AB - OBJECTIVE: Promoting a traditional Mexican diet (TMexD) could potentially reduce high rates of non-communicable diseases (NCD) and support food sustainability in Mexico. This study aimed to develop an index to assess adherence to the TMexD.DESIGN: A three-round Delphi study was conducted to examine the food groups, specific foods and food-related habits that would constitute a TMexD index. Participants selected the TMexD items using Likert scales, lists of responses, and yes/no questions. Consensus was determined using percentages of agreement, mean values and/or coefficients of variation.SETTING: Online Delphi study.PARTICIPANTS: Seventeen nutrition and food experts in Mexico completed all three rounds.RESULTS: The resulting index (ranging from 0 to 21 points) consisted of 15 food groups, containing 102 individual foods. Food groups included in higher quantities were maize, other grains, legumes, vegetables, fruits, herbs, nuts and seeds, and tubers. Animal foods, vegetable fats and oils, homemade beverages, maize-based dishes, and plain water were also included, but in lower quantities. The food-related habits included were consuming homemade meals, socialising at meals and buying food in local markets. Consensus was reached for all index items apart from quantities of consumption of six food groups (herbs, nuts, grains, tubers, dairy and eggs).CONCLUSIONS: Although future research could improve the measures for which consensus was not reached, the TMexD index proposed in this study potentially displays a healthy and sustainable dietary pattern and could be used to examine links between the TMexD and health outcomes in Mexican populations.

KW - Delphi technique

KW - Dietary pattern index

KW - Sustainable diet

KW - Traditional Mexican diet

KW - Animals

KW - Diet

KW - Feeding Behavior

KW - Fruit

KW - Humans

KW - Mexico

KW - Vegetables

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SN - 1368-9800

VL - 24

SP - 4387

EP - 4396

JO - Public Health Nutrition

JF - Public Health Nutrition

IS - 14

ER -

Development of an index to assess adherence to the traditional Mexican diet using a modified Delphi method

Abstract

Bibliographical note

Acknowledgements

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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