The EAT-Lancet Commission on Food, Planet, Health promulgated a universal reference diet. Subsequently, researchers constructed an EAT-Lancet diet score (0-14 points), with lower bound intake values for various dietary components set at 0 g/d, and reported inverse associations with risks of major health outcomes in a high-income population. We assessed associations between EAT-Lancet diet scores, without or with (>0 g/d) minimum intake values, and the Mean Probability of Micronutrient Adequacy (MPA) in food and nutrition insecure women of reproductive age (WRA) from low- and middle-income countries (LMICs). We analysed single 24-h diet recall data (n=1,950) from studies in rural Democratic Republic of the Congo, Ecuador, Kenya, Sri Lanka, and Vietnam. Associations between EAT-Lancet diet scores and MPA were assessed by fitting linear mixed-effects models with random intercept and slope. EAT-Lancet diet scores (mean ± SD) were 8.8 ± 1.3 and 1.9 ± 1.1 without or with minimum intake values, respectively. Furthermore, pooled MPA was 0.58 ± 0.22 and total energy intake was 2521 ± 1100 kcal/d. One-point increase in the EAT-Lancet diet score, without minimum intake values, was associated with a 2.6 ± 0.7 percentage points decrease in MPA (P<0.001). In contrast, the EAT-Lancet diet score, with minimum intake values, was associated with a 2.4 ± 1.3 percentage points increase in MPA (P=0.07). Further analysis indicated positive associations between EAT-Lancet diet scores and MPA adjusted for total energy intake (P<0.05). Our findings indicate that the EAT-Lancet diet score requires minimum intake values for nutrient-dense dietary components to avoid positively scoring non-consumption of food groups and subsequently predicting lower MPA of diets, when applied to rural WRA in LMICs.