Crespo Escobar Paula, Calvo Lerma Joaquim, Hervas Marin David, Donat Aliaga Ester, Masip Simó Etna, Polo Miquel Begoña, Ribes Koninckx Carmen
Department of Pediatric Gastroenterology and Hepatology, La Fe University and Polytechnic Hospital, Valencia..
Instituto de Investigación Sanitaria La Fe, Department of Biostatistics, Valencia..
Nutr Hosp. 2015 Nov 1;32(5):2080-90. doi: 10.3305/nh.2015.32.5.9655.
precise information on gluten consumption is crucial for specifically studying the impact of gluten introduction and gluten intake in celiac disease development. Our aim was to develop and validate tools (food frequency questionnaires, FFQs) for the assessment of gluten consumption in Spanish children aged 7-36 months.
a total of 342 children, who attended primary healthcare centers for routine health surveys or La Fe Hospital for minor health problems as well as healthy children (recruited in nurseries and primary schools) participated in this survey. We have developed two different FFQs (one for 7-12 months and other for 13-36 months). For validation, results from two FFQs were compared with results of 2-day food records and also with the gold standard 7-day records. The mean gluten intake obtained by the 2DR vs. FFQ and the 7DR vs. FFQ, were compared using the Bland Altman plot method and also Lin's concordance correlation coefficient.
we found a good agreement between our FFQs and the 2DR and 7DR according to the results of both the Bland-Altman plots and Lin's concordance correlation coefficient.
our two new FFQs are therefore the only validated questionnaires available to determine gluten consumption in Spanish children. They are user-friendly and offer excellent instruments to assess gluten intake in children up to 36 months of age.
准确的麸质摄入量信息对于专门研究麸质引入和麸质摄入量在乳糜泻发病过程中的影响至关重要。我们的目的是开发并验证用于评估7至36个月大西班牙儿童麸质摄入量的工具（食物频率问卷，FFQ）。
共有342名儿童参与了本次调查，这些儿童因常规健康检查前往初级保健中心或因小健康问题前往拉斐医院就诊，以及在托儿所和小学招募的健康儿童。我们开发了两种不同的FFQ（一种用于7至12个月大的儿童，另一种用于13至36个月大的儿童）。为了进行验证，将两种FFQ的结果与2天食物记录的结果以及金标准7天记录的结果进行比较。使用布兰德-奥特曼图法以及林氏一致性相关系数比较2天食物记录与FFQ、7天食物记录与FFQ获得的平均麸质摄入量。
根据布兰德-奥特曼图和林氏一致性相关系数的结果，我们发现我们的FFQ与2天食物记录和7天食物记录之间具有良好的一致性。
因此，我们的两种新FFQ是目前唯一经过验证的可用于确定西班牙儿童麸质摄入量的问卷。它们使用方便，为评估36个月以下儿童的麸质摄入量提供了出色的工具。
