Multiple Metrics of Carbohydrate Quality Place Starchy Vegetables Alongside Non-starchy Vegetables, Legumes, and Whole Fruit

Adam Drewnowski; Matthieu Maillot; Florent Vieux

doi:10.3389/fnut.2022.867378

Multiple Metrics of Carbohydrate Quality Place Starchy Vegetables Alongside Non-starchy Vegetables, Legumes, and Whole Fruit

Front Nutr. 2022 May 2:9:867378. doi: 10.3389/fnut.2022.867378. eCollection 2022.

Authors

Adam Drewnowski¹, Matthieu Maillot², Florent Vieux²

Affiliations

¹ Center for Public Health Nutrition, University of Washington, Seattle, WA, United States.
² MS-Nutrition, Faculté de Médecine La Timone, Marseille, France.

Abstract

Background: Starchy vegetables, including white potatoes, are often categorized as "lower-quality" carbohydrate foods, along with refined grains, 100% fruit juices, sweetened beverages, and sugars, snacks and sweets. Among "higher-quality" carbohydrates are whole grains, non-starchy vegetables, legumes, and whole fruits.

Objective: To apply multiple nutrient profiling (NP) models of carbohydrate quality to foods containing >40% carbohydrate by dry weight in the USDA Food and Nutrient Database for Dietary Studies (FNDDS 2017-18).

Methods: Carbohydrate foods in the FNDDS (n = 2423) were screened using four recent Carbohydrate Quality Indices (CQI) and a new Carbohydrate Food Quality Score (CFQS-4). Cereal products containing >25% whole grains by dry weight were classified as whole grain foods.

Results: Based on percent items meeting the criteria for 4 CQI scores, legumes, non-starchy and starchy vegetables, whole fruit, and whole grain foods qualified as "high quality" carbohydrate foods. Distribution of mean CFQS-4 values showed that starchy vegetables, including white potatoes placed closer to non-starchy vegetables and fruit than to candy and soda.

Conclusion: Published a priori determinations of carbohydrate quality do not always correspond to published carbohydrate quality metrics. Based on CQI metrics, specifically designed to assess carbohydrate quality, starchy vegetables, including white potatoes, merit a category reassignment and a more prominent place in dietary guidance.

Keywords: Carbohydrate Food Quality Score (CFQS-4); Carbohydrate Quality Indices (CQI); dietary guidelines; legumes; starchy vegetables; white potatoes.