Oliveira Giovanna Angela Leonel, Saldanha Marina Pimentel, Araújo Giovanna Soutinho, Barrio Daniela Oliveira Llorente, Gubert Muriel Bauermann, Toral Natacha
University of Brasilia, Faculty of Health Science, Postgraduate Program in Human Nutrition, Center for Epidemiological Studies in Health and Nutrition - NESNUT, Brasilia, Distrito Federal, Campus Universitário Darcy Ribeiro, Asa Norte, CEP: 70910-900, Brazil.
University of Brasilia, Faculty of Health Science, Department of Nutrition, Center for Epidemiological Studies in Health and Nutrition - NESNUT, Brasilia, Distrito Federal, Campus Universitário Darcy Ribeiro, Asa Norte, CEP: 70910-900, Brazil.
Appetite. 2023 Jan 1;180:106359. doi: 10.1016/j.appet.2022.106359. Epub 2022 Nov 2.
The Illustrated Questionnaire on Eating and Sedentary Behaviors (QUICAS) was developed and validated for schoolchildren seven to ten years old. It used previous day recall and was illustrated with ten eating behaviors (referring to the act of eating without distractions, with company, on a regular basis, the type of food eaten, and participation in tasks involved in meal preparation) and five sedentary behaviors (related to the use of television, computer, tablet, cell phone, and video game). The instrument was validated in four stages: (1) Its content was developed based on literature review and expert evaluation; (2) Items were validated by comparing the responses of children and their parents, through a questionnaire on Google Forms. At this stage, a convenience sample was adopted, consisting of 145 parent-child dyads. High sensitivity (average of 90.7%); high specificity (mean of 87.9%); low number of false positives (mean of 12.1%); low number of false negatives (mean of 9.3%); almost perfect agreement between the child's and the parent's reports (k = 0.81); and low disagreement (≤22%) were found. In addition, the child's gender and age did not significantly influence the child's report. (3) The illustrations were validated in a focus group with 18 children, who satisfactorily described all the eating and sedentary behaviors of the illustrations. (4) In the pretest of the questionnaire on Google Forms, with the participation of 15 children, the majority (86.7%) judged the questionnaire as excellent or good. Therefore, the QUICAS is valid to assess eating and sedentary behaviors in schoolchildren seven to ten years old.
《饮食与久坐行为 Illustrated 问卷》（QUICAS）是专门为 7 至 10 岁的学童开发并验证的。它采用前一天回忆法，并配有十项饮食行为（指在无干扰情况下进食、与他人一起进食、规律进食、所吃食物类型以及参与 meal preparation 中的任务）和五项久坐行为（与电视、电脑、平板电脑、手机和电子游戏的使用有关）的插图。该工具分四个阶段进行验证：（1）其内容是根据文献综述和专家评估制定的；（2）通过谷歌表单上的问卷比较儿童及其父母的回答来验证项目。在此阶段，采用了一个便利样本，由 145 对亲子组成。结果发现具有高敏感性（平均 90.7%）；高特异性（平均 87.9%）；低假阳性数量（平均 12.1%）；低假阴性数量（平均 9.3%）；儿童和父母报告之间几乎完全一致（k = 0.81）；以及低不一致性（≤22%）。此外，儿童的性别和年龄对儿童的报告没有显著影响。（3）插图在一个由 18 名儿童组成的焦点小组中进行了验证，这些儿童令人满意地描述了插图中的所有饮食和久坐行为。（4）在谷歌表单问卷的预测试中（有 15 名儿童参与），大多数（86.7%）将问卷评为优秀或良好。因此，QUICAS 对于评估 七至 10 岁学童的饮食和久坐行为是有效的。 （注：原文中“meal preparation”未准确翻译，推测可能是“用餐准备”之类的意思，这里保留英文未译）
