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 (< 18 years) non-drinkers received 10 points and drinkers received 0 points.