Department of Food, Nutrition and Dietetics, Uppsala University, Uppsala, Sweden.
J Hum Nutr Diet. 2012 Feb;25(1):50-8. doi: 10.1111/j.1365-277X.2011.01169.x. Epub 2011 May 25.
Dietary assessment in children is associated with misreporting, which is a problem with both child and parent reports. Therefore, it is of interest to study how children and parents report children's eating, respectively, although comparative studies are rare. The aim of the present article was to study the meal patterns and intake of certain snack foods of 10- to 12-year-old children as reported by the children and their parents, respectively, and to determine whether there was agreement between the child and parent reports. An additional aim was to study what factors might influence rater agreement.
School children aged 10-12years and their parents were given parallel questionnaires regarding the children's meal pattern. Matched pairs (n=147) were analysed for agreement. Descriptive statistics were used to study all variables. Rater agreement and whether agreement depends on the age and the sex of the child, the sex of the parent and household type were analysed using ordinal regression models. Correlations between the child and parent assessments were estimated as polychoric correlations.
There was a general agreement between child and parent reports, except with respect to sweets and chocolate, where children reported less frequent consumption than the parents did (P= 0.0001). The sex of the child was a significant factor regarding consumption of in-between meals (P=0.0001) and soft drinks (P=0.01). Most children had breakfast, school lunch and dinner every day, whereas it was less common to report daily consumption of in-between meals.
There was a general agreement between children's and parents' reports, and most children were reported to have a regular meal pattern.
儿童饮食评估与报告偏差有关，无论是儿童还是家长报告都存在这个问题。因此，分别研究儿童和家长如何报告儿童的饮食情况很有意义，尽管此类比较研究很少。本文旨在研究 10-12 岁儿童的进餐模式和某些零食的摄入量，分别由儿童及其家长报告，并确定儿童和家长报告之间是否存在一致性。另一个目的是研究哪些因素可能影响评价者之间的一致性。
10-12 岁的在校儿童及其家长分别填写关于儿童进餐模式的平行问卷。对 147 对匹配的个体进行分析以评估一致性。使用描述性统计方法研究所有变量。使用有序回归模型分析评价者之间的一致性以及一致性是否取决于儿童的年龄和性别、家长的性别和家庭类型。使用多元相关系数估计儿童和家长评估之间的相关性。
儿童和家长报告之间存在一般一致性，但在甜食和巧克力的消费方面存在差异，儿童报告的消费频率低于家长（P=0.0001）。儿童的性别是影响零食和软饮料消费的重要因素（P=0.0001 和 P=0.01）。大多数儿童每天都吃早餐、学校午餐和晚餐，而每天吃零食的情况则较少。
儿童和家长报告之间存在一般一致性，大多数儿童的进餐模式比较规律。
