Application of a Modified Healthy Eating Index (HEI-Flex) to Compare the Diet Quality of Flexitarians, Vegans and Omnivores in Germany

authored by
Anja Bruns, Mattea Müller, Inga Schneider, Andreas Hahn
Abstract

Interest in plant-based nutrition has steadily increased in the western world in the recent years. The number of people following a meat-reduced, flexitarian diet is growing continuously. However, little is known about the diet quality of flexitarians compared to vegans or omnivores. Therefore, in this cross-sectional study, the food intake of 94 participants aged between 25–45 years was recorded via a validated food frequency questionnaire and 28 self-designed questions about the consumption of plant-based alternatives. An adapted Healthy Eating Index, HEI-flex, was developed to evaluate the diet quality of flexitarians, vegans and omnivores. Higher score points (SP) of the HEI-flex are associated with higher compliance with the official diet recommendations (Vmax = 100 SP). Finally, flexitarians scored significantly more highly when compared to omnivores (54 ± 8 vs. 47 ± 9 SP; p = 0.008) but lower than vegans (54 ± 8 vs. 61 ± 10 SP; p = 0.010). The results showed that the HEI-flex is a useful tool for assessing and comparing the diet quality of flexitarians, vegans and omnivores. Despite the consumption of highly processed plant-based alternatives, reduction in meat and meat products seems to be accompanied by increased overall diet quality.

Organisation(s)
Nutrition Physiology and Human Nutrition Section
Institute of Food Science and Human Nutrition
Type
Article
Journal
NUTRIENTS
Volume
14
ISSN
2072-6643
Publication date
24.07.2022
Publication status
Published
Peer reviewed
Yes
ASJC Scopus subject areas
Food Science, Nutrition and Dietetics
Electronic version(s)
https://doi.org/10.3390/nu14153038 (Access: Open)