Department of Women and Child Health, Hospital for Children and Adolescents and Center for Pediatric Research (CPL), Leipzig University, Liebigstrasse 20a, 04103Leipzig, Germany.
LIFE - Leipzig Research Center for Civilization Diseases, Leipzig University, Leipzig, Germany.
Public Health Nutr. 2021 Dec;24(18):6227-6235. doi: 10.1017/S1368980021002445. Epub 2021 Jun 28.
The project aimed to validate a short questionnaire (CoCu pregnancy - Composition and Culture of Eating during pregnancy) and to investigate associations with age and socio-economic status (SES).
The questionnaire was developed according to the validated CoCu for children and adolescents containing a diet composition (fourteen items) and a culture of eating part (six items). A Nutritional Health Score (NHS) was calculated based on diet composition (-120 and +120, with higher scores indicating healthier diets). The validity was assessed by comparing answers in CoCu pregnancy with a FFQ. In a subsample (n 97), we assessed the percentage of having chosen the same (or adjacent) response categories in the 24th and 36th week of pregnancy (wp).
Data were collected within the LIFE Child study in Leipzig, Germany.
We evaluated 430 questionnaires of pregnant women (24th wp).
The results indicated a healthy diet in the present sample (NHS at 24th wp = 49·74 (95 % CI 47·27, 52·22)). The analyses revealed significant positive correlations between CoCu and FFQ (rho ranging from 0·32 to 0·61). For each food item, >90 % of women had chosen the same (50-60 %) or adjacent response categories in the 24th and 36th wp. The analysis revealed associations of the NHS with age (β = 0·11, P = 0·027), SES (β = 0·21, P < 0·001), snacking (β = -0·24, P < 0·001) and media use (β = -0·18, P < 0·001).
The questionnaire represents a useful tool for surveying the diets during pregnancy for research and clinical practice.
本项目旨在验证一份简短问卷（CoCu 妊娠 - 孕期饮食构成和文化），并研究其与年龄和社会经济地位（SES）的关联。
该问卷根据已验证的 CoCu 儿童和青少年问卷制定，包含饮食构成（十四项）和饮食文化（六项）部分。根据饮食构成计算出营养健康评分（NHS）（-120 至 +120，得分越高表示饮食越健康）。通过将 CoCu 妊娠问卷的答案与 FFQ 进行比较来评估有效性。在一个亚样本（n 97）中，我们评估了在怀孕第 24 周和第 36 周选择相同（或相邻）应答类别的百分比。
数据收集于德国莱比锡的 LIFE Child 研究中。
我们评估了 430 份孕妇问卷（第 24 周）。
本研究样本的饮食较为健康（第 24 周 NHS = 49·74（95 % CI 47·27, 52·22））。分析显示 CoCu 与 FFQ 之间存在显著正相关（rho 范围为 0·32 至 0·61）。对于每种食物，>90 %的女性在第 24 周和第 36 周选择了相同（50-60 %）或相邻的应答类别。分析显示 NHS 与年龄（β = 0·11，P = 0·027）、SES（β = 0·21，P < 0·001）、吃零食（β = -0·24，P < 0·001）和媒体使用（β = -0·18，P < 0·001）相关。
该问卷是研究和临床实践中调查孕妇饮食的有用工具。
