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Changes in diet quality over 10 years of nutrition transition in Colombia: analysis of the 2005 and 2015 nationally representative cross-sectional surveys.

  • Mora-García, Gustavo1, 2
  • Ruiz-Díaz, María Stephany3, 4
  • Villegas, Rodrigo5
  • García-Larsen, Vanessa6
  • 1 Department of Family Medicine and Public Health, Faculty of Medicine, Universidad de Cartagena, Cartagena de Indias, Colombia. , (Colombia)
  • 2 Department of International Health, The Johns Hopkins School of Public Health, Baltimore, USA.
  • 3 Research Division, Center for Innovation and Research in Metabolism and Diabetes - INNOVATID, Cartagena de Indias, Colombia. , (Colombia)
  • 4 Graduate Program in Tropical Medicine, Faculty of Medicine, Universidad de Cartagena, Cartagena De Indias, Colombia. , (Colombia)
  • 5 Program in Biostatistics, School of Public Health, Universidad de Chile, Santiago, Chile. , (Chile)
  • 6 Program in Human Nutrition, Department of International Health, The Johns Hopkins Bloomberg School of Public Health, Suite 2546, 615 N Wolfe Street, Baltimore, MD, 21205, USA. [email protected]
Published Article
International journal of public health
Publication Date
Jul 07, 2020
DOI: 10.1007/s00038-020-01396-1
PMID: 32632458


To describe the changes in diet quality in Colombians using nationally representative samples from the 2005 and 2015 nutrition surveys. Repeated cross-sectional analyses of the National Nutrition Surveys from 2005 and 2015. Children (4-17 y.o.) and adults (≥ 18 y.o.) were included. The Alternative Healthy-Eating Index (AHEI) was derived from 24-h recall questionnaires and used to examine diet quality. A total of 33,971 participants (20,122 children, 13,849 adults) were included in 2005, and 26,445 participants (15,304 children, 11,141 adults) in 2015. Over the ten-year period, the AHEI decreased from 46.3 to 44.3 in children (Cohen's d = 0.19) and from 49.0 to 46.2 in adults. (Cohen's d = 0.25). On average, those in the highest socioeconomic level had the worst diet quality; however, the difference between the less and most affluent groups shrank by 4.0% over the observation period. Between 2005 and 2015, there was a worsening in the diet quality of Colombian children and adults. Less affluent individuals had a greater worsening of diet quality compared to groups from higher socioeconomic levels.

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