Department of Social and Preventive Epidemiology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
J Epidemiol. 2012;22(2):151-9. doi: 10.2188/jea.je20110075. Epub 2012 Feb 18.
A comprehensive self-administered diet history questionnaire (DHQ: 150-item semi-quantitative questionnaire) and a brief self-administered DHQ (BDHQ: 58-item fixed-portion-type questionnaire) were developed for assessing Japanese diets. We compared the relative validity of nutrient intake derived from DHQ with that from the BDHQ, using semi-weighed 16-day dietary records (DRs) as reference.
Ninety-two Japanese women aged 31 to 69 years and 92 Japanese men aged 32 to 76 years completed a 4-nonconsecutive-day DR, a DHQ, and a BDHQ 4 times each (once per season) in 3 areas of Japan (Osaka, Nagano, and Tottori).
No significant differences were seen in estimates of energy-adjusted intakes of 42 selected nutrients (based on the residual method) between the 16-day DRs and the first DHQ (DHQ1) or between the DR and the first BDHQ (BDHQ1) for 18 (43%) and 14 (33%) nutrients, respectively, among women and for 4 (10%) and 21 (50%) nutrients among men. The median (interquartile range) Pearson correlation coefficients with the DR for energy-adjusted intakes of the 42 nutrients were 0.57 (0.50 to 0.64) for the DHQ1 and 0.54 (0.45 to 0.61) for the BDHQ1 in women; in men, the respective values were 0.50 (0.42 to 0.59) and 0.56 (0.41 to 0.63). Similar results were observed for the means of the 4 DHQs and BDHQs.
The DHQ and BDHQ had satisfactory ranking ability for the energy-adjusted intakes of many nutrients among the present Japanese population, although these instruments were satisfactory in estimating mean values for only a small number of nutrients.
为评估日本饮食,我们开发了一份全面的自我管理饮食史问卷(DHQ:150 项半定量问卷)和一份简短的自我管理 DHQ(BDHQ:58 项固定分量问卷)。我们将 DHQ 得出的营养素摄入量与 BDHQ 得出的摄入量进行了比较,以半定量的 16 天饮食记录(DR)作为参考。
92 名年龄在 31 至 69 岁的日本女性和 92 名年龄在 32 至 76 岁的日本男性在日本的 3 个地区(大阪、长野和鸟取)完成了 4 次 4 天的非连续 DR、DHQ 和 BDHQ(每个季节 1 次)。
在 42 种选定营养素(基于残差法)的能量校正摄入量方面,DR 与第 1 次 DHQ(DHQ1)或 DR 与第 1 次 BDHQ(BDHQ1)之间未见显著差异,女性中分别有 18 种(43%)和 14 种(33%)营养素,男性中分别有 4 种(10%)和 21 种(50%)营养素。对于能量校正摄入量,42 种营养素与 DR 的中位数(四分位距)皮尔逊相关系数分别为 DHQ1 为 0.57(0.50 至 0.64),BDHQ1 为 0.54(0.45 至 0.61);男性的相应值分别为 0.50(0.42 至 0.59)和 0.56(0.41 至 0.63)。对于 4 个 DHQ 和 BDHQ 的平均值,也观察到了类似的结果。
DHQ 和 BDHQ 对当前日本人群中许多营养素的能量校正摄入量具有令人满意的分级能力,尽管这些工具仅能很好地估计少数营养素的平均值。