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国际多中心动脉粥样硬化研究(INTERMAP):饮食数据——过程与质量控制

INTERMAP: the dietary data--process and quality control.

作者信息

Dennis B, Stamler J, Buzzard M, Conway R, Elliott P, Moag-Stahlberg A, Okayama A, Okuda N, Robertson C, Robinson F, Schakel S, Stevens M, Van Heel N, Zhao L, Zhou B F

机构信息

Department of Biostatistics, Collaborative Studies Coordinating Centre, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

出版信息

J Hum Hypertens. 2003 Sep;17(9):609-22. doi: 10.1038/sj.jhh.1001604.

Abstract

The aim of this report is to describe INTERMAP standardized procedures for assessing dietary intake of 4680 individuals from 17 population samples in China, Japan, UK and USA: Based on a common Protocol and Manuals of Operations, standardized collection by centrally trained certified staff of four 24 h dietary recalls, two timed 24-h urines, two 7-day histories of daily alcohol intake per participant; tape recording of all dietary interviews, and use of multiple methods for ongoing quality control of dietary data collection and processing (local, national, and international); one central laboratory for urine analyses; review, update, expansion of available databases for four countries to produce comparable data on 76 nutrients for all reported foods; use of these databases at international coordinating centres to compute nutrient composition. Chinese participants reported 2257 foods; Japanese, 2931; and UK, 3963. In US, use was made of 17,000 food items in the online automated Nutrition Data System. Average time/recall ranged from 22 min for China to 31 min for UK. Among indicators of dietary data quality, coding error rates (from recoding 10% random samples of recalls) were 2.3% for China, 1.4% for Japan, and UK; an analogous US procedure (re-entry of recalls into computer from tape recordings) also yielded low discrepancy rates. Average scores on assessment of taped dietary interviews were high, 40.4 (Japan) to 45.3 (China) (highest possible score: 48); correlations between urinary and dietary nutrient values--similar for men and women--were, for all 4680 participants, 0.51 for total protein, range across countries 0.40-0.52; 0.55 for potassium, range 0.30-0.58; 0.42 for sodium, range 0.33-0.46. The updated dietary databases are valuable international resources. Dietary quality control procedures yielded data generally indicative of high quality performance in the four countries. These procedures were time consuming. Ongoing recoding of random samples of recalls is deemed essential. Use of tape recorded dietary interviews contributed to quality control, despite feasibility problems, deemed remediable by protocol modification. For quality assessment, use of correlation data on dietary and urinary nutrient values yielded meaningful findings, including evidence of special difficulties in assessing sodium intake by dietary methods.

摘要

本报告旨在描述INTERMAP研究中对来自中国、日本、英国和美国17个群体样本的4680名个体膳食摄入量进行评估的标准化程序:基于通用方案和操作手册,由经过集中培训的认证工作人员对每位参与者进行标准化收集,包括4次24小时膳食回顾、2次定时24小时尿液样本、2次7天每日酒精摄入量记录;对所有膳食访谈进行录音,并采用多种方法对膳食数据收集和处理进行持续质量控制(地方、国家和国际层面);由一个中央实验室进行尿液分析;对四个国家现有的数据库进行审查、更新和扩展,以生成所有报告食物中76种营养素的可比数据;在国际协调中心使用这些数据库来计算营养成分。中国参与者报告了2257种食物;日本为2931种;英国为3963种。在美国,在线自动化营养数据系统中使用了17000种食物。每次回顾的平均时间从中国的22分钟到英国的31分钟不等。在膳食数据质量指标中,编码错误率(对10%的随机回顾样本进行重新编码)在中国为2.3%,在日本和英国为1.4%;美国的类似程序(从录音带中将回顾内容重新录入计算机)也产生了较低的差异率。对录音膳食访谈的评估平均得分较高,从日本的40.4分到中国的45.3分(满分48分);在所有4680名参与者中,男女尿液和膳食营养素值之间的相关性,总蛋白为0.51,各国范围在0.40 - 0.52之间;钾为0.55,范围在0.30 - 0.58之间;钠为0.42,范围在0.33 - 0.46之间。更新后的膳食数据库是宝贵的国际资源。膳食质量控制程序产生的数据总体上表明这四个国家的表现质量较高。这些程序耗时较长。对随机回顾样本进行持续重新编码被认为是必不可少的。尽管存在可行性问题,但使用录音膳食访谈有助于质量控制,通过修改方案可以解决这些问题。对于质量评估,使用膳食和尿液营养素值的相关数据产生了有意义的结果,包括通过膳食方法评估钠摄入量存在特殊困难的证据。

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