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。健康饮食指数-2015（Healthy Eating Index-2015，HEI-2015）与替代健康饮食指数-2010（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 其开发与验证方法可参见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1000千卡进行能量校正。 3 杯当量与盎司当量数据来源于美国农业部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 该指数的开发、验证、评分标准、杯当量与盎司当量数据源自Chiuve等人（2012）发表于《Journal of Nutrition》的研究《替代膳食指数均可显著预测慢性病发病风险》，卷期页码为142卷：1009–1018。为适配儿童群体的评分标准，研究团队对钠与酒精的评分进行了调整（详见相关脚注），其余组成部分的评分均按1849千卡进行能量校正——该数值对应构建本指数所用源人群的平均能量摄入水平（数据源自Chiuve等人，2012）。 5 为适配儿童群体的评分标准，需将评分按1849千卡进行能量校正，该数值对应Chiuvre等人（2012）的研究，该研究发表于《Journal of Nutrition》142卷：1009–1018，题为《替代膳食指数均可显著预测慢性病发病风险》。 6 每份8盎司装的饮品中添加糖含量≥15克。 7 年龄分组（单位：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（