两种用于全球饮食质量评分应用程序的食物分量估计方法的验证
Validation of Two Portion Size Estimation Methods for Use with the Global Diet Quality Score App.
作者信息
Moursi Mourad, Vossenaar Marieke, Arsenault Joanne E, Bell Winnie, Chen Mario, Deitchler Megan
机构信息
Intake-Center for Dietary Assessment, FHI 360, Washington, DC 20037, USA.
Biostatistics and Data Sciences, FHI 360, Durham, NC 27701, USA.
出版信息
Nutrients. 2025 Apr 29;17(9):1497. doi: 10.3390/nu17091497.
: The Global Diet Quality Score (GDQS) was developed to provide crucial information on diet quality. The GDQS app standardizes the collection of GDQS data using portion size estimation at the food group level with 3D cubes of pre-defined size. Playdough was proposed as a possible alternative method. This validation study assessed whether the GDQS obtained using cubes or playdough with the GDQS app was equivalent to the GDQS estimated by weighed food records (WFRs) for the same 24 h reference period. : We used a repeated measures design where 170 participants aged 18 years or older estimated portion sizes using both the WFR and the GDQS app with cubes and playdough. To assess the equivalence between the GDQS-WFR and GDQS-cubes or GDQS-playdough, we utilized the paired two one-sided t-test (TOST), with 2.5 points pre-specified as the equivalence margin. We used the Kappa coefficient to quantify agreement between WFR, risk of poor diet quality outcomes, and food group consumption using the cubes or playdough. : GDQS-WFR, GDQS-cubes, and GDQS-playdough were all equivalent within the pre-specified 2.5-point margin ( = 0.006 for cubes and < 0.001 for playdough). The cubes (κ = 0.5685, < 0.0001) and playdough (κ = 0.5843, < 0.0001) showed moderate agreement with WFR when classifying individuals at risk of poor diet quality outcomes. There was substantial to almost perfect agreement between the cubes and playdough methods and WFR for 22 out of the 25 GDQS food groups. Liquid oils exhibited the lowest agreement (κ = 0.059, 27.7% agreement, = 0.009). : Using the GDQS app with cubes or playdough was equivalent to the WFR in assessing diet quality as measured by GDQS. These findings contribute to the growing body of research, validating simplified tools for dietary assessment and paving the way for more frequent evaluations of diet quality.
全球饮食质量评分(GDQS)旨在提供有关饮食质量的关键信息。GDQS应用程序通过在食物组层面使用预定义大小的3D立方体进行份量估计,实现了GDQS数据收集的标准化。橡皮泥被提议作为一种可能的替代方法。这项验证研究评估了使用立方体或橡皮泥与GDQS应用程序获得的GDQS是否等同于在相同的24小时参考期内通过称重食物记录(WFR)估计的GDQS。
我们采用重复测量设计,170名18岁及以上的参与者使用WFR以及带有立方体和橡皮泥的GDQS应用程序来估计份量。为了评估GDQS - WFR与GDQS - 立方体或GDQS - 橡皮泥之间的等效性,我们使用了配对双侧单侧t检验(TOST),预先指定2.5分为等效性界限。我们使用卡帕系数来量化WFR、不良饮食质量结果风险以及使用立方体或橡皮泥的食物组消费之间的一致性。
GDQS - WFR、GDQS - 立方体和GDQS - 橡皮泥在预先指定的2.5分界限内都是等效的(立方体的P = 0.006,橡皮泥的P < 0.001)。在对饮食质量结果不佳风险的个体进行分类时,立方体(κ = 0.5685,P < 0.0001)和橡皮泥(κ = 0.5843,P < 0.0001)与WFR显示出中等程度的一致性。在25个GDQS食物组中的22个中,立方体和橡皮泥方法与WFR之间存在实质性到几乎完美的一致性。液态油的一致性最低(κ = 0.059,一致性为27.7%,P = 0.009)。
使用带有立方体或橡皮泥的GDQS应用程序在评估由GDQS衡量的饮食质量方面与WFR等效。这些发现为不断增长的研究做出了贡献,验证了用于饮食评估的简化工具,并为更频繁地评估饮食质量铺平了道路。