Ocké Marga, Brants Henny, Dofkova Marcela, Freisling Heinz, van Rossum Caroline, Ruprich Jiri, Slimani Nadia, Temme Elisabeth, Trolle Ellen, Vandevijvere Stefanie, Huybrechts Inge, de Boer Evelien
National Institute for Public Health and the Environment (RIVM), PO Box 1, 3720 BA, Bilthoven, The Netherlands,
Eur J Nutr. 2015 Aug;54(5):721-32. doi: 10.1007/s00394-014-0750-8. Epub 2014 Aug 10.
To test the feasibility of tools and procedures for a pan-European food consumption survey among children 0-10 years and to recommend one of two tested dietary assessment methods.
Two pilot studies including 378 children were conducted in Belgium and the Czech Republic in the Pilot studies for Assessment of Nutrient intake and food Consumption among Kids in Europe. One protocol included a 3-day food diary which was checked with a parent, and data were entered afterwards using EPIC-Soft. The alternative protocol consisted of two non-consecutive 1-day food diaries followed by EPIC-Soft completion interviews. Both protocols included general and food propensity questionnaires and anthropometric measurements. The protocols were compared using evaluation questionnaires among the participating parents and study personnel.
The parents found the questionnaires and instructions for filling in the food diaries understandable. Food description and food quantification was evaluated as problematic by 29 and 15% of the participants for the 3-day diaries versus 15 and 12% for the 1-day diaries. The protocol with 1-day food diaries was evaluated as less burdensome by the parents and logistically more challenging by the interviewers.
Both dietary assessment methods with related tools and administration protocols were evaluated as feasible. The administration protocol with two 1-day food diaries with completion interviews offers more advantages for the future pan-European survey in children 0-10 years. The positive evaluation of feasibility of tools and materials is an important step towards harmonised food consumption data at European level among the younger age groups.
测试在0至10岁儿童中开展泛欧洲食物消费调查的工具和程序的可行性,并从两种经过测试的膳食评估方法中推荐一种。
在欧洲儿童营养摄入与食物消费评估试点研究中,于比利时和捷克共和国开展了两项包括378名儿童的试点研究。一种方案包括一份3天的食物日记,由家长进行核对,之后使用EPIC-Soft录入数据。另一种方案包括两份非连续的1天食物日记,随后进行EPIC-Soft完成情况访谈。两种方案均包括一般和食物倾向问卷以及人体测量。通过向参与的家长和研究人员发放评估问卷对两种方案进行比较。
家长认为食物日记的问卷和填写说明易于理解。对于3天的日记,分别有29%和15%的参与者认为食物描述和食物定量存在问题,而对于1天的日记,这一比例分别为15%和12%。家长认为1天食物日记的方案负担较小,而访谈人员认为其在后勤方面更具挑战性。
两种膳食评估方法及其相关工具和管理方案均被评估为可行。包含两份1天食物日记及完成情况访谈的管理方案为未来针对0至10岁儿童的泛欧洲调查提供了更多优势。对工具和材料可行性的积极评估是朝着在欧洲层面统一较年轻年龄组食物消费数据迈出的重要一步。