Department of Social and Preventive Epidemiology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Department of Social and Preventive Epidemiology, School of Public Health, The University of Tokyo, Tokyo, Japan.
Public Health Nutr. 2021 Feb;24(2):223-242. doi: 10.1017/S136898002000172X. Epub 2020 Aug 6.
OBJECTIVE: To summarise the existing evidence of development, validation and current status of utilisation of dish-based dietary assessment tools. DESIGN: Scoping review. SETTING: Systematic search using PubMed and Web of Science. RESULTS: We identified twelve tools from seventy-four eligible publications. They were developed for Koreans (n 4), Bangladeshis (n 2), Iranians (n 1), Indians/Malays/Chinese (n 1), Japanese (n 3) and Chinese Americans (n 1). Most tools (10/12) were composed of a dish-based FFQ. Although the development process of a dish list varied among the tools, six studies classified mixed dishes based on the similarity of their characteristics such as food ingredients and cooking methods. Tools were validated against self-reported dietary information (n 9) and concentration biomarkers (n 1). In the eight studies assessing the differences between the tool and a reference, the mean (or median) intake of energy significantly differed in five studies, and 26-83 % of nutrients significantly differed in eight studies. Correlation coefficients for energy ranged from 0·15 to 0·87 across the thirteen studies, and the median correlation coefficients for nutrients ranged from 0·12 to 0·77. Dish-based dietary assessment tools were used in fifty-nine studies mainly to assess diet-disease relationships in target populations. CONCLUSIONS: Dish-based dietary assessment tools have exclusively been developed and used for Asian-origin populations. Further validation studies, particularly biomarker-based studies, are needed to assess the applicability of tools.
目的:总结盘式膳食评估工具的开发、验证和当前应用现状的现有证据。
设计:范围综述。
设置:使用 PubMed 和 Web of Science 进行系统搜索。
结果:我们从 74 篇合格文献中确定了 12 种工具。它们是为韩国人(n=4)、孟加拉国人(n=2)、伊朗人(n=1)、印度人/马来西亚人/中国人(n=1)、日本人(n=3)和华裔美国人(n=1)开发的。大多数工具(12/12)由基于盘的 FFQ 组成。尽管盘列表的开发过程因工具而异,但有 6 项研究根据食物成分和烹饪方法等特征的相似性对混合菜肴进行了分类。有 9 项研究针对自我报告的饮食信息,1 项研究针对浓度生物标志物对工具进行了验证。在评估工具与参考值之间差异的 8 项研究中,有 5 项研究中能量的平均(或中位数)摄入量存在显著差异,8 项研究中有 26-83%的营养素存在显著差异。在 13 项研究中,能量的相关系数范围为 0·15 至 0·87,而营养素的中位数相关系数范围为 0·12 至 0·77。盘式膳食评估工具主要用于 59 项研究,用于评估目标人群中的饮食与疾病关系。
结论:盘式膳食评估工具仅为亚洲血统人群开发和使用。需要进一步的验证研究,特别是基于生物标志物的研究,以评估工具的适用性。
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