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评估营养干预前后的过去一个月、在线加拿大饮食史问卷 II 的有效性。

Assessing the Validity of the Past-Month, Online Canadian Diet History Questionnaire II Pre and Post Nutrition Intervention.

机构信息

Health and Rehabilitation Sciences, The University of Western Ontario, London, ON N6A 3K7, Canada.

The East Elgin Family Health Team, Aylmer, ON N5H 1K9, Canada.

出版信息

Nutrients. 2020 May 18;12(5):1454. doi: 10.3390/nu12051454.

Abstract

Dietary intake tools are used in epidemiological and interventional studies to estimate nutritional intake. The past-month Canadian Diet History Questionnaire II (CDHQII) has not yet been validated. This study aimed to assess the validity of the CDHQII in adults by comparing dietary results from the CDHQII to the same participants' 24-h recalls consisting of two weekdays and one weekend day. The recalls were collected using the validated multiple-pass method. Participants were asked to complete both tools at baseline, and again at 3-month follow-up. The study further aimed to determine which dietary intake tool was preferred by study participants by comparing completion rates. Data collection occurred at baseline (pre-intervention) and 3-month follow-up (post-intervention). Paired sample -tests were conducted to compare means for the following nutrients (grams and %kcal): calories, protein, carbohydrates, total fat, saturated fat, unsaturated fat and sodium. Intraclass correlation coefficients of agreement and coefficients of variation were further calculated. Chi-square tests were used to determine the dietary assessment method with the greatest participant completion rate. At baseline ( = 104), there were no significant differences between the results of the CDHQII and three 24-h recalls (averaged), with overall moderate correlation coefficients. At 3-months ( = 53), there were significant differences ( < 0.05) between dietary intake collection methods for all nutrients assessed in this study, except for saturated fat (%kcal), unsaturated fat (%kcal), protein (%kcal) and sodium (mg). Correlation coefficients were moderate. A significantly greater proportion of participants completed the three 24-h recalls compared to the CDHQII after 3 months (completion rates of 67.2% vs. 50.8% of the sample, respectively). The CDHQII provided estimates of mean nutritional intake (calories, macronutrients and sodium) that were comparable to mean intake established from three 24-h recalls, at baseline and was validated in a sample of primarily middle-aged, college-educated, Caucasian female adults with overweight and obesity for mean baseline or cross-sectional measurement only but not for assessing individual/patient dietary intake in clinical practice (r = 0.30-0.68). This tool was not validated at 3-month follow-up. Additionally, participants preferred the three 24-h recalls to the online, past-month CDHQII.

摘要

膳食摄入量工具在流行病学和干预研究中用于估计营养摄入量。过去一个月的加拿大饮食史问卷 II(CDHQII)尚未经过验证。本研究旨在通过将 CDHQII 的饮食结果与同一参与者的 24 小时回忆(包括两个工作日和一个周末)进行比较,来评估 CDHQII 在成年人中的有效性。回忆使用经过验证的多通道法收集。参与者被要求在基线时完成这两个工具,然后在 3 个月的随访时再次完成。该研究还旨在通过比较完成率来确定研究参与者更喜欢哪种饮食摄入工具。数据收集发生在基线(干预前)和 3 个月随访(干预后)。进行配对样本 t 检验比较以下营养素(克和%卡路里)的平均值:卡路里、蛋白质、碳水化合物、总脂肪、饱和脂肪、不饱和脂肪和钠。进一步计算了一致性的组内相关系数和变异系数。卡方检验用于确定具有最大参与者完成率的饮食评估方法。在基线时(= 104),CDHQII 与三个 24 小时回忆(平均值)的结果之间没有显著差异,整体相关性系数适中。在 3 个月时(= 53),除了饱和脂肪(%卡路里)、不饱和脂肪(%卡路里)、蛋白质(%卡路里)和钠(mg)外,所有评估的营养素的饮食摄入方法之间均存在显著差异(<0.05)。相关性系数适中。3 个月后,完成三个 24 小时回忆的参与者比例明显高于 CDHQII(完成率分别为 67.2%和样本的 50.8%)。CDHQII 提供的平均营养摄入量(卡路里、宏量营养素和钠)估计值与基线时从三个 24 小时回忆中建立的平均摄入量相当,并且在主要为中年、受过大学教育、白种女性超重和肥胖的成年人样本中进行了验证,仅用于平均基线或横断面测量,但不适用于评估临床实践中的个体/患者饮食摄入(r = 0.30-0.68)。该工具在 3 个月随访时未得到验证。此外,参与者更喜欢三个 24 小时回忆,而不是在线的过去一个月的 CDHQII。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0d1/7285220/fb301cf0dc38/nutrients-12-01454-g001.jpg

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