Additional file 3 of Healthy diets can create environmental trade-offs, depending on how diet quality is measured

Additional file 3: Supplemental Table 1. Scoring standards for each component of the Healthy Eating Index-2015 (HEI-2015) and Alternative Healthy Eating Index-2010 (AHEI-2010) EPA, eicosapentaenoic acid (20:5, n-3). DHA, docosahexaenoic acid (22:6, n-3). 1Development and validation available at https://epi.grants.cancer.gov/hei/developing.html#2005 2Energy-adjusted to 1000 kcal, except for unsaturated fatty acids, saturated fatty acids, and added sugars. 3Cup equivalents and ounce equivalents were obtained from the USDA Food Pattern Equivalents Database ( https://www.ars.usda.gov/northeast-area/beltsville-md-bhnrc/beltsville-human-nutrition-research-center/food-surveys-research-group/docs/fped-overview/ ). 4Development, validation, scoring standards, cup equivalents, and ounce equivalents from Chiuve et al. (2012). Alternative dietary indices both strongly predict risk of chronic disease. Journal of Nutrition, 142:1009–1018. To adapt the scoring standards for children, modifications were made to the scores for sodium and alcohol (see relevant footnotes for details), and the scores for the other components were energy-adjusted to 1849 kcal, which reflects the mean energy intake of the source population from which this index was constructed (from Chiuve et al., 2012). 5To adapt the scoring standards for children, scores were energy-adjusted to 1849 kcal, which reflects the mean energy intake of the source population from Chiuvre et al. (2012). Alternative dietary indices both strongly predict risk of chronic disease. Journal of Nutrition, 142:1009–1018. 6Beverages with ≥15 g of added sugar per 8 oz serving. 7Age categories (years): 1–3, 4–8, 9–13, 14–18, 19–30, 31–50, 51–70, ≥70. 8Adult non-drinkers received 2.5 points. Children (附加文件3：补充表1。《2015年健康饮食指数（Healthy Eating Index-2015, HEI-2015）》与《2010年替代健康饮食指数（Alternative Healthy Eating Index-2010, AHEI-2010）》各组成部分的评分标准。EPA：二十碳五烯酸（eicosapentaenoic acid, 20:5, n-3）；DHA：二十二碳六烯酸（docosahexaenoic acid, 22:6, n-3）。1 开发与验证方法详见：https://epi.grants.cancer.gov/hei/developing.html#2005。2 除不饱和脂肪酸、饱和脂肪酸及添加糖外，其余指标均按每1000千卡能量进行能量校正。3 杯当量与盎司当量数据源自美国农业部（USDA）食品模式当量数据库（https://www.ars.usda.gov/northeast-area/beltsville-md-bhnrc/beltsville-human-nutrition-research-center/food-surveys-research-group/docs/fped-overview/）。4 评分标准的开发、验证、评分细则及杯、盎司当量数据源自Chiuve等人（2012）发表的研究《两种新型膳食指数均可显著预测慢性病发病风险》，刊载于《营养学杂志》，142卷：1009–1018。为适配儿童群体的评分规则，本研究对钠与酒精的评分标准进行了调整（具体详见相关脚注），其余组成部分均按1849千卡进行能量校正，该数值对应构建该指数的源人群平均能量摄入水平（数据源自Chiuve等人2012年的研究）。5 为适配儿童群体的评分标准，所有指标均按1849千卡进行能量校正，该数值对应Chiuve等人（2012）发表的上述研究中的源人群平均能量摄入水平。6 单份8盎司装饮品中添加糖含量≥15克者归入此类。7 年龄分组（岁）：1–3、4–8、9–13、14–18、19–30、31–50、51–70、≥70。8 成年非饮酒者可获得2.5分。儿童（