Between April and September 2022, our project team conducted a literature review on
multiple topics related to screener development (e.g. diets and health outcomes, diets and
nutrient intake adequacy, vegan diet patterns, environmental aspects of diets, ultra-
processed plant-based foods, development of diet guidelines, plant-based and vegan diet
guidelines, development of nutrition assessment tools including screeners, overview of
existing tools, including screeners) and produced a report for informing the work of the core
team and the Delphi team of experts.
In October 2022, our core expert team reviewed collected evidence and, in a series of
meetings, proposed and voted for a number of indicators of vegan diet quality under five pre-
identified domains of the diet quality construct: 1. Intake of foods/food groups associated with
health/a lower NCD risk, 2. Intake of foods/food groups associated with a higher NCD risk, 3.
Intake of foods/food groups associated with nutrient adequacy/inadequacy in vegans, 4.
Intake of critical nutrients (not adequate in vegan diets and should be taken as supplements
by vegans), 5. Other eating/food-related behaviors that influence diet quality in vegans.