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与非营养师相比,女性营养师对钠、钾和蛋白质摄入量的误报相对严重。

Relatively severe misreporting of sodium, potassium, and protein intake among female dietitians compared with nondietitians.

作者信息

Sugimoto Minami, Asakura Keiko, Masayasu Shizuko, Sasaki Satoshi

机构信息

Department of Social and Preventive Epidemiology, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.

Interfaculty Initiative in Information Studies, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.

出版信息

Nutr Res. 2016 Aug;36(8):818-26. doi: 10.1016/j.nutres.2016.04.011. Epub 2016 Apr 28.

Abstract

To investigate the hypothesis that misreporting observed in dietary assessments would be associated with nutrition knowledge and health consciousness, we compared the degree of misreporting between 99 female dietitians and 117 nondietitians who worked at welfare facilities in Japan. Sodium, potassium, and protein intake were assessed by two 24-hour urine collections, 4-day semiweighed dietary records, and 2 validated diet history questionnaires. Intake of these 3 nutrients measured by each method was compared. The ratio of self-reported intake to biomarker-based intake was used as an index of reporting accuracy and compared between dietitians and nondietitians. Correlation coefficients between biomarker-based and self-reported intakes were also compared between dietary assessment methods within the same group, as well as between the 2 groups. The dietitians tended to underreport sodium and protein intake more severely than the nondietitians and overreported potassium intake more obviously. However, the degree of misreporting did not significantly differ between the 2 groups. The correlation coefficients between biomarker-based and self-reported intakes were significantly lower with the 2 diet history questionnaires than with the diet record, particularly in the dietitians. In conclusion, misreporting was strongly suspected to be more severe among the dietitians, and the validity of the diet history questionnaires differed between the 2 groups and this result suggests that misreporting might be associated with higher nutrition knowledge and health consciousness.

摘要

为了研究膳食评估中观察到的误报是否与营养知识和健康意识相关这一假设,我们比较了日本福利机构工作的99名女性营养师和117名非营养师之间的误报程度。通过两次24小时尿液收集、4天半称重膳食记录和2份经过验证的饮食史问卷来评估钠、钾和蛋白质的摄入量。比较了每种方法测量的这3种营养素的摄入量。自我报告摄入量与基于生物标志物的摄入量之比用作报告准确性的指标,并在营养师和非营养师之间进行比较。同一组内不同膳食评估方法之间以及两组之间,还比较了基于生物标志物的摄入量与自我报告摄入量之间的相关系数。营养师比非营养师更倾向于严重低估钠和蛋白质的摄入量,而高估钾摄入量则更为明显。然而,两组之间的误报程度没有显著差异。两份饮食史问卷中基于生物标志物的摄入量与自我报告摄入量之间的相关系数明显低于膳食记录,尤其是在营养师中。总之,强烈怀疑营养师中的误报更为严重,并且两组之间饮食史问卷的有效性存在差异,这一结果表明误报可能与更高的营养知识和健康意识有关。

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