Piderit Monique C, White Zelda, Becker Piet J, Wenhold Friedeburg A M
Department of Human Nutrition, Faculty of Health Sciences University of Pretoria Pretoria South Africa.
Research Office, Faculty of Health Sciences University of Pretoria Pretoria South Africa.
Food Sci Nutr. 2024 Jun 4;12(8):5932-5941. doi: 10.1002/fsn3.4187. eCollection 2024 Aug.
The "Dairy Diary" is a user-friendly web-based dairy intake screener. The reliability and validity are unknown. We aimed to evaluate the screener in terms of test-retest reliability and comparative validity. In a diagnostic accuracy study, a purposefully recruited sample of 79 (age: 21.6 ± 3.8 years) undergraduate dietetics/nutrition students from three South African universities completed 3 non-consecutive days of weighed food records (reference standard) within a seven-day period (comparative validity), followed by two administrations, 2 weeks apart, of the screener (index test) (reliability). For the four dairy product serving scores (PSSs) and the summative dairy serving scores (DSSs) of the screener and the food records, t-tests, correlations, Bland-Altman, Kappa, McNemar's, and diagnostic accuracy were determined. For reliability, mean PSSs and DSSs did not differ significantly ( > .05) between the screener administrations. The mean PSSs were strongly correlated: milk ( = .69; < .001), maas (fermented milk) ( = .72; < .001), yoghurt ( = .71; < .001), cheese ( = .74; < .001). For DSSs, Kappa was moderate ( = 0.45; < .001). Non-agreeing responses suggest symmetry ( = .334). For validity, the PSSs of the screener and food records were moderately correlated [milk ( = .30; = .0129), yoghurt ( = .38; < .001), cheese ( = .38; < .001)], with = 0.31 ( = .006) for DSS. Bland-Altman analyses showed acceptable agreement for DSSs (bias: -0.49; 95% CI: -0.7 to -0.3). Categorized DSSs had high sensitivity (81.4%) and positive predictive value (93.4%), yet low specificity (55.6%) and negative predictive value (27.8%). The area under the receiver operating characteristic curve (0.7) was acceptable. The "Dairy Diary" is test-retest reliable with moderate comparative validity to screen for dairy intake of nutrition-literate consumers.
“乳制品日记”是一款用户友好的基于网络的乳制品摄入量筛查工具。其可靠性和有效性尚不清楚。我们旨在从重测信度和比较效度方面评估该筛查工具。在一项诊断准确性研究中,从南非三所大学有意招募了79名本科饮食学/营养学专业学生(年龄:21.6±3.8岁),他们在7天内连续3天完成称重食物记录(参考标准)(比较效度),随后在间隔2周的时间里对筛查工具进行两次施测(指标测试)(信度)。对于筛查工具和食物记录中的四种乳制品份数得分(PSS)以及汇总乳制品份数得分(DSS),确定了t检验、相关性、Bland-Altman分析、Kappa分析、McNemar分析以及诊断准确性。就信度而言,筛查工具两次施测之间的平均PSS和DSS差异不显著(>0.05)。平均PSS之间呈强相关:牛奶(=0.69;<0.001)、马司(发酵乳)(=0.72;<0.001)、酸奶(=0.71;<0.001)、奶酪(=0.74;<0.001)。对于DSS,Kappa值为中等(=0.45;<0.001)。不一致的回答显示出对称性(=0.334)。就效度而言,筛查工具和食物记录的PSS呈中度相关[牛奶(=0.30;=0.0129)、酸奶(=0.38;<0.001)、奶酪(=0.38;<0.001)],DSS的=0.31(=0.006)。Bland-Altman分析显示DSS具有可接受的一致性(偏差:-0.49;95%CI:-0.7至-0.3)。分类后的DSS具有高灵敏度(81.4%)和阳性预测值(93.4%),但特异性低(55.6%)和阴性预测值低(27.8%)。受试者工作特征曲线下面积(0.7)是可接受的。“乳制品日记”重测信度良好,对有营养知识的消费者筛查乳制品摄入量具有中等的比较效度。