Vereecken C A, Covents M, Sichert-Hellert W, Alvira J M F, Le Donne C, De Henauw S, De Vriendt T, Phillipp M K, Béghin L, Manios Y, Hallström L, Poortvliet E, Matthys C, Plada M, Nagy E, Moreno L A
Department of Public Health, Ghent University, Ghent, Belgium.
Int J Obes (Lond). 2008 Nov;32 Suppl 5:S26-34. doi: 10.1038/ijo.2008.180.
To describe the development of a European computerized 24-h dietary recall method for adolescents, and to investigate the feasibility of self-administration (self report) by comparison with administration by a dietician (interview).
Two hundred and thirty-six adolescents (mean age 14.6 years (s.d.=1.7)) of eight European cities completed the 24-h recall (Young Adolescents Nutrition Assessment on Computer (YANA-C)) twice (once by self-report and once by interview).
A small but significant underestimate in energy (61 (s.e.=31) kcal) and fat (4.2 (s.e.=1.7) g) intake was found in the self-reports in comparison with the interviews; no significant differences were found for the intake of carbohydrates, proteins, fibre, calcium, iron and ascorbic acid. Spearman's correlations were highly significant for all nutrients and energy ranging between 0.86 and 0.91. Agreement in categorizing the respondents as consumers and non-consumers for the 29 food groups was high (kappa statistics >or=0.73). Percentage omissions were on average 3.7%; percentage intrusions: 2.0%. Spearman's correlations between both modes were high for all food groups, for the total sample (>or=0.76) as well as for the consumers only (>or=0.72). Analysing the consumer only, on an average 54% of the consumed amounts were exactly the same; nevertheless, only for one group 'rice and pasta' a significant difference in consumption was found.
Adaptation, translation and standardization of YANA-C make it possible to assess the dietary intake of adolescents in a broad international context. In general, good agreement between the administration modes was found, the latter offering significant potential for large-scale surveys where the amount of resources to gather data is limited.
描述一种针对青少年的欧洲计算机化24小时膳食回顾方法的开发过程，并通过与营养师管理（访谈）进行比较，研究自我管理（自我报告）的可行性。
来自欧洲八个城市的236名青少年（平均年龄14.6岁（标准差=1.7））完成了两次24小时回顾（计算机化青少年营养评估（YANA-C））（一次通过自我报告，一次通过访谈）。
与访谈相比，自我报告中发现能量（61（标准误=31）千卡）和脂肪（4.2（标准误=1.7）克）摄入量存在轻微但显著的低估；碳水化合物、蛋白质、纤维、钙、铁和抗坏血酸的摄入量没有显著差异。所有营养素和能量的斯皮尔曼相关性在0.86至0.91之间，高度显著。将29个食物组的受访者分类为消费者和非消费者的一致性很高（卡方统计量≥0.73）。遗漏百分比平均为3.7%；侵入百分比：2.0%。两种方式之间的斯皮尔曼相关性对于所有食物组、总样本（≥0.76）以及仅消费者组（≥0.72）都很高。仅分析消费者，平均54%的摄入量完全相同；然而，仅在“米饭和面食”一组中发现了消费上的显著差异。
YANA-C的改编、翻译和标准化使得在广泛的国际背景下评估青少年的膳食摄入量成为可能。总体而言，发现管理方式之间具有良好的一致性，后者在收集数据资源有限的大规模调查中具有显著潜力。
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