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'Boden Food Plate': Novel Interactive Web-based Method for the Assessment of Dietary Intake
Published on: September 18, 2018
A Nutrient Ratio-Based, Web-Enabled Food Quality Score Is Associated With Weight and Blood Pressure Compared With
Christopher J Damman1,2, Cara L Frankenfeld3
1Department of Medicine, Division of Gastroenterology, University of Washington, Seattle, WA, United States.
Current Developments in Nutrition
|July 12, 2026
Summary
The Nutrient Consume Score (NCS) effectively assesses diet quality, showing associations with lower BMI and blood pressure. This ratio-based system offers a valuable tool for understanding cardiometabolic health risks.
Area of Science:
- Nutrition Science
- Public Health
- Cardiovascular Health
Background:
- Rising chronic cardiometabolic conditions linked to dietary shifts.
- Nutrient Profiling Systems (NPSs) aim to guide healthier food choices but vary in effectiveness.
- Assessing NPS utility is crucial for public health interventions.
Purpose of the Study:
- Compare the web-enabled Nutrient Consume Score (NCS) with other leading NPSs (Nutri-Score, Health Star Rating, NOVA, Food Compass 2.0).
- Examine associations between NCS, its nutrient ratios, and obesity and blood pressure.
- Evaluate associations with cardiometabolic biomarkers and identify key food contributors to scores.
Main Methods:
- Utilized cross-sectional data from 9971 US adults (NHANES 2015-2016).
- Assessed dietary intake via 24-h recall and calculated NPS scores.
- Employed multivariable regression and compositional analysis, adjusting for confounders.
Main Results:
- Higher NCS correlated with lower BMI, waist circumference, systolic, and diastolic blood pressure.
- Effect sizes were comparable to other NPSs.
- Specific nutrient ratios (e.g., calorie-to-weight, sodium-to-potassium) linked to weight and blood pressure outcomes.
Conclusions:
- The NCS demonstrates utility in assessing diet quality relative to cardiometabolic risk factors.
- Findings support the potential of ratio-based, web-enabled NPS for public health.
- NCS shows comparable effectiveness to other NPSs in this analysis.
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