Queensland University of Technology, School of Exercise and Nutrition Sciences, Brisbane, Queensland, Australia.
Commonwealth Scientific and Industrial Research Organisation (CSIRO), Agriculture and Food, Brisbane, Queensland, Australia.
Nutr Rev. 2024 Mar 11;82(4):453-466. doi: 10.1093/nutrit/nuad067.
Fish and seafood consumption makes an important but often under-recognized contribution to dietary patterns and nutrition, particularly in low- and middle-income countries (LMICs). Therefore, valid, and reliable dietary assessment tools (DATs) and methods to measure seafood consumption in resource-poor settings are needed.
To review the available DATs that have been used to measure fish and seafood consumption in LMICs and to assess their quality.
A systematic search of the electronic databases Scopus, Embase, and Medline was conducted, identifying 1541 initial articles, of which 122 eligible full-text articles were reviewed.
Data extraction focused on the purpose of dietary assessment, setting, target population group, DAT type, administration mode, type of fish and seafood assessed, specific measure of food intake, use of a portion-size-estimation aid, and details of validity, reliability, and pilot testing of the DATs.
The most common DATs used were food frequency questionnaires (n = 80; 58%), of which 36 (25%) were semi-quantitative. The majority of tools (n = 107; 78%) included measurement of consumption frequency; only 41 studies (30%) measured frequency, quantity, and type of seafood consumed. Only 41 DATs (30%) solely focused on fish or seafood intake. Most DATs were interviewer administered (n = 80; 58%), 23 (16%) mentioned the use of a portion-size-estimation aid, and validity was tested for only 13% of DATs (n = 18).
This systematic review reveals a lack of sufficient detail in the use of standard DATs to fully capture the contribution of fish and seafood to diets in LMICs. Consequently, the need to develop or adapt existing DATs to capture frequency, quantity, and type of fish and seafood intake with consideration of cultural eating practices has been highlighted. This is essential for informing appropriate interventions to leverage the nutritional benefits of seafood consumption in LMICs.
PROSPERO registration no. CRD42021253607.
鱼类和海鲜的消费对饮食模式和营养具有重要意义，但往往被低估，尤其是在低收入和中等收入国家（LMICs）。因此，需要有效的、可靠的饮食评估工具（DATs）和方法来衡量资源匮乏环境下的海鲜消费。
综述用于测量 LMICs 中鱼类和海鲜消费的现有 DAT，并评估其质量。
系统检索电子数据库 Scopus、Embase 和 Medline，共检索到 1541 篇初始文章，其中 122 篇全文符合条件。
数据提取重点关注饮食评估的目的、设置、目标人群组、DAT 类型、管理模式、评估的鱼类和海鲜类型、食物摄入量的具体衡量标准、使用的部分尺寸估计辅助工具，以及 DAT 的有效性、可靠性和试点测试的详细信息。
使用最广泛的 DAT 是食物频率问卷（n=80；58%），其中 36 个（25%）是半定量的。大多数工具（n=107；78%）包括对消费频率的测量；只有 41 项研究（30%）测量了海鲜的消耗频率、数量和类型。只有 41 个 DAT（30%）仅专注于鱼类或海鲜的摄入量。大多数 DAT 是由采访者管理的（n=80；58%），23 个（16%）提到使用部分尺寸估计辅助工具，只有 13%（n=18）的 DAT 进行了有效性测试。
本系统综述揭示了在充分利用标准 DAT 来全面捕捉鱼类和海鲜对 LMICs 饮食贡献方面存在的不足。因此，需要开发或改编现有的 DAT，以考虑到文化饮食习惯，捕捉鱼类和海鲜摄入的频率、数量和类型。这对于为利用海鲜消费的营养益处在 LMICs 中实施适当的干预措施提供了信息。
PROSPERO 注册编号 CRD42021253607。
Zotero 插件
