Guzmán Pincheira Carla, Fierro Jara Fernanda
Escuela de Nutrición y Dietética. Facultad de Ciencias para el Cuidado de la Salud. Universidad San Sebastián.
Nutr Hosp. 2023 Dec 14;40(6):1207-1218. doi: 10.20960/nh.04491.
Introduction: although there is evidence linking polyphenol consumption with better health outcomes, information on consumption patterns, particularly in Latin American countries, is scarce. Objective: to design and evaluate the validity of an online self-reported food frequency questionnaire to measure dietary total polyphenol intake in the Chilean adult population. Methods: the designed questionnaire (FFQ-P) was submitted to expert opinion for content validity coefficient estimation; then a pilot study was conducted in 47 adults who completed FFQ-P, in addition to a six-day food record as a reference method. Wilcoxon was applied in related samples, Spearman's correlation to determine the strength of association and Bland-Altman diagrams to examine the difference between methods. Results: content validity reflected concordant values for adequacy (0.94 ± 0.04) and relevance (0.93 ± 0.05). The percentage difference between both methods was 1.2 %, with greater variability observed in fruits (9 %) and alcoholic beverages (4 %). The Wilcoxon test showed no significant differences between food groups. Medium reliability was observed for vegetables, fruits, tea, and coffee (0.26 to 0.5) and moderate reliability for alcoholic beverages (0.5 to 0.75). The mean value of the difference was 9.8, being within a short distance of zero. Conclusion: FFQ-P is reliable for estimating polyphenol intake from fruits, vegetables, alcoholic beverages, tea, and coffee; however, the intake of non-alcoholic beverages, nuts and olives should be interpreted with reservation.
尽管有证据表明摄入多酚类物质对健康有益,但关于消费模式的信息却很匮乏,尤其是在拉丁美洲国家。目的:设计并评估一份在线自我报告食物频率问卷的有效性,以测量智利成年人群的膳食总多酚摄入量。方法:将设计好的问卷(FFQ-P)提交给专家评估,以估计内容效度系数;然后对47名成年人进行了一项试点研究,他们除了完成FFQ-P外,还记录了六天的食物摄入情况作为参考方法。对相关样本应用威尔科克森检验,用斯皮尔曼相关性来确定关联强度,并用布兰德-奥特曼图来检验两种方法之间的差异。结果:内容效度在充分性(0.94±0.04)和相关性(0.93±0.05)方面反映出一致的值。两种方法之间的百分比差异为1.2%,在水果(9%)和酒精饮料(4%)中观察到更大的变异性。威尔科克森检验显示不同食物组之间没有显著差异。蔬菜、水果、茶和咖啡的可靠性中等(0.26至0.5),酒精饮料的可靠性为中等(0.5至0.75)。差异的平均值为9.8,与零的距离较短。结论:FFQ-P对于估计水果类、蔬菜类、酒精饮料、茶和咖啡中的多酚摄入量是可靠的;然而,对于非酒精饮料、坚果和橄榄的摄入量应谨慎解读。