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用于评估6至12个月大儿童食物摄入量的秘鲁食物摄影图谱的设计与验证

Design and validation of a photographic atlas of Peruvian foods to evaluate the food consumption of children from 6 to 12 months of age.

作者信息

Mamani-Urrutia Víctor, Durán-Galdo Rafael, Salvatierra-Ruiz Rosa, Rivera-Medina Juan, Delgado Carlos, Montag Doreen

机构信息

Universidad Científica del Sur, Lima, Peru.

Department of Global Public Health and Primary Care and Centre for International Health, University of Bergen, Norway.

出版信息

Appetite. 2024 Nov 1;202:107611. doi: 10.1016/j.appet.2024.107611. Epub 2024 Jul 27.

DOI:10.1016/j.appet.2024.107611
PMID:39074616
Abstract

OBJECTIVE

Design and validation a photographic atlas of Peruvian foods to evaluate the food consumption of children from 6 to 12 months of age.

METHODS

Quantitative, descriptive, and cross-sectional study. 12 food groups were established according to their nutrient content. The atlas is designed to be applied to mothers, fathers, or caregivers of children from 6 to 12 months of age. The methodology was divided into four stages: i) selection of the food list, regional recipe books from Peru were reviewed, then interviews with mothers of children in the age range were verified for the final selection of the food list; ii) preparation and weighing of food, utensils were used to establish home measurements and with the established weight the macro and micronutrients were calculated with tables of composition of Peruvian foods; iii) development of the photographic session, a professional photographer with previous experience in similar works was used; and iv) expert validation, with the participation of 5 nutritionists with experience in infant feeding.

RESULTS

The proposed atlas includes 57 foods with a total of 91 photographs. The content validity coefficient according to food category and in total obtained an assessment of 0.75 (Cohen's kappa coefficient), which gives it acceptable validity and agreement.

CONCLUSIONS

The photographic atlas of food portions for infant feeding in Peru is a practical, reliable, and culturally appropriate visual tool to help estimate the amount of food consumed by this population, which will facilitate the estimation of food intake.

摘要

目的

设计并验证一本秘鲁食物图谱,以评估6至12个月大儿童的食物摄入量。

方法

定量、描述性横断面研究。根据营养成分确定了12个食物组。该图谱旨在供6至12个月大儿童的母亲、父亲或照料者使用。方法分为四个阶段:i)食物清单的选择,查阅秘鲁的地方食谱,然后对该年龄段儿童的母亲进行访谈,以最终确定食物清单;ii)食物的准备和称重,使用器具确定家庭测量方法,并根据既定重量利用秘鲁食物成分表计算宏量和微量营养素;iii)拍照环节,由一位有类似工作经验的专业摄影师进行拍摄;iv)专家验证,由5名有婴儿喂养经验的营养学家参与。

结果

所提议的图谱包含57种食物,共91张照片。根据食物类别和总体计算的内容效度系数为0.75(科恩kappa系数),表明其具有可接受的效度和一致性。

结论

秘鲁婴儿喂养食物份量图谱是一种实用、可靠且符合文化背景的视觉工具,有助于估算该人群的食物摄入量,从而便于估计食物摄取量。

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