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通过双标水法和多次24小时回顾法评估的基于网络的食物频率问卷的有效性。

The validity of a web-based FFQ assessed by doubly labelled water and multiple 24-h recalls.

作者信息

Medin Anine C, Carlsen Monica H, Hambly Catherine, Speakman John R, Strohmaier Susanne, Andersen Lene F

机构信息

1Department of Nutrition,Institute of Basic Medical Sciences,University of Oslo,0317 Oslo,Norway.

2Institute of Biological and Environmental Sciences,University of Aberdeen,Aberdeen, AB24 2TZ,Scotland,UK.

出版信息

Br J Nutr. 2017 Dec;118(12):1106-1117. doi: 10.1017/S0007114517003178. Epub 2017 Dec 5.

Abstract

The aim of this study was to validate the estimated habitual dietary intake from a newly developed web-based FFQ (WebFFQ), for use in an adult population in Norway. In total, ninety-two individuals were recruited. Total energy expenditure (TEE) measured by doubly labelled water was used as the reference method for energy intake (EI) in a subsample of twenty-nine women, and multiple 24-h recalls (24HR) were used as the reference method for the relative validation of macronutrients and food groups in the entire sample. Absolute differences, ratios, crude and deattenuated correlations, cross-classifications, Bland-Altman plot and plots between misreporting of EI (EI-TEE) and the relative misreporting of food groups (WebFFQ-24HR) were used to assess the validity. Results showed that EI on group level was not significantly different from TEE measured by doubly labelled water (0·7 MJ/d), but ranking abilities were poor (r -0·18). The relative validation showed an overestimation for the majority of the variables using absolute intakes, especially for the food groups 'vegetables' and 'fish and shellfish', but an improved agreement between the test and reference tool was observed for energy adjusted intakes. Deattenuated correlation coefficients were between 0·22 and 0·89, and low levels of grossly misclassified individuals (0-3 %) were observed for the majority of the energy adjusted variables for macronutrients and food groups. In conclusion, energy estimates from the WebFFQ should be used with caution, but the estimated absolute intakes on group level and ranking abilities seem acceptable for macronutrients and most food groups.

摘要

本研究的目的是验证一种新开发的基于网络的食物频率问卷(WebFFQ)所估计的习惯性饮食摄入量,以供挪威成年人群使用。总共招募了92名个体。在29名女性的子样本中,使用双标水测量的总能量消耗(TEE)作为能量摄入(EI)的参考方法,在整个样本中,多次24小时回顾法(24HR)作为宏量营养素和食物组相对验证的参考方法。使用绝对差异、比率、原始和去衰减相关性、交叉分类、Bland-Altman图以及EI误报(EI-TEE)与食物组相对误报(WebFFQ-24HR)之间的图来评估有效性。结果表明,组水平上的EI与双标水测量的TEE没有显著差异(0·7 MJ/d),但排序能力较差(r -0·18)。相对验证表明,使用绝对摄入量时,大多数变量存在高估,尤其是食物组“蔬菜”和“鱼类及贝类”,但能量调整摄入量的测试工具与参考工具之间的一致性有所改善。去衰减相关系数在0·22至0·89之间,对于大多数宏量营养素和食物组的能量调整变量,观察到的严重错误分类个体水平较低(0-3%)。总之,WebFFQ的能量估计应谨慎使用,但组水平上估计的绝对摄入量和排序能力对于宏量营养素和大多数食物组似乎是可以接受的。

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