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用于筛查中年及以上日本成年人绝对摄入量的食物频率问卷估计的钠、钾和钠钾比摄入量的有效性。

Validity of the Food Frequency Questionnaire-Estimated Intakes of Sodium, Potassium, and Sodium-to-Potassium Ratio for Screening at a Point of Absolute Intake among Middle-Aged and Older Japanese Adults.

机构信息

Department of Food Science and Nutrition, Graduate School of Humanities and Sciences, Nara Women's University, Kitauoyahigashimachi Nara-shi, Nara 630-8506, Japan.

Graduate School of Environmental Health, Azabu University, 1-17-71 Fuchinobe, Chuo-ku, Sagamihara-City 252-5201, Kanagawa, Japan.

出版信息

Nutrients. 2022 Jun 23;14(13):2594. doi: 10.3390/nu14132594.

Abstract

Using Food Frequency Questionnaires (FFQs) to compare dietary references for screening has been in high demand. However, FFQs have been widely used for ranking individuals in a population based on their dietary intake. We determined the validity of sodium (salt equivalent) intake, potassium intake, and sodium-to-potassium (Na/K) ratio obtained using the FFQ for identifying individuals who deviated from the dietary reference intakes (DRIs) measured using multiple 24-h urinary excretion measurements or 12-day weighed food records (WFR). This study included 235 middle-aged subjects. The correlation coefficients (CCs) between the FFQ and WFR estimates were mostly moderate (0.24−0.54); the CCs between the FFQ and 24-h urinary excretion measurements were low or moderate (0.26−0.38). Values of area under the receiver-operating curve (AUC) at the point of DRIs for salt equivalent or potassium were >0.7 with the WFR as the reference standard and 0.60−0.76 with the 24-h urinary excretion as the reference standard. Using both standard measures, the AUC for the Na/K ratio was <0.7. The accuracy of salt equivalent and potassium intake estimation using the FFQ to determine absolute intake point was comparable to that using WFR, allowing for quantified error, but not as good as that of 24-h urinary excretion.

摘要

使用食物频率问卷 (FFQ) 来比较筛查的饮食参考值的需求一直很高。然而,FFQ 已广泛用于根据人群的饮食摄入量对个体进行排名。我们确定了使用 FFQ 测量的钠(盐当量)摄入量、钾摄入量和钠钾比 (Na/K) 来识别偏离膳食参考摄入量 (DRI) 的个体的有效性,这些 DRI 是通过多次 24 小时尿液排泄测量或 12 天称重食物记录 (WFR) 测量得出的。本研究包括 235 名中年受试者。FFQ 和 WFR 估计值之间的相关系数 (CC) 大多为中度 (0.24-0.54);FFQ 和 24 小时尿液排泄测量值之间的 CC 为低或中度 (0.26-0.38)。当 WFR 作为参考标准时,盐当量或钾的 DRI 点的接收者操作特征曲线 (AUC) 值>0.7,当 24 小时尿液排泄作为参考标准时,AUC 值为 0.60-0.76。使用两种标准测量方法,Na/K 比值的 AUC<0.7。使用 FFQ 确定绝对摄入量点来估计盐当量和钾摄入量的准确性与使用 WFR 相当,允许量化误差,但不如 24 小时尿液排泄好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c82/9268135/81d582640c23/nutrients-14-02594-g001.jpg

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