Additional file 18 of Healthy diets can create environmental trade-offs, depending on how diet quality is measured

Additional file 18: Supplemental Table 16. Unadjusted and adjusted Alternative Healthy Eating Index-2010 scores (2005–2016). Adjusted scores reflect two changes to the Alternative Healthy Eating Index-2010 scoring algorithm to adapt this instrument to a population that includes individuals < 18 years: 1) consumption amounts were energy adjusted to the mean energy intake of the source population (1849 kcal/day), and 2) individuals < 18 years were awarded 10 points for the alcohol component if they reported zero consumption and were awarded zero points if they reported any alcohol consumption.. 1Wald tests with P < 0.05 tested the difference between unadjusted and adjusted scores within each age group.