新疆饮食特点食物频率问卷信度和效度评价
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摘要
目的对自行设计的食物频率问卷信度和效度进行评价,为饮食习惯与慢性疾病关联性的研究提供一个简便、可靠的测量工具。方法 2018年9月,以自愿参与的形式招募118名乌鲁木齐市居民,通过自行设计的食物频率问卷结合连续3天24 h膳食记录,了解调查对象膳食摄入水平。对调查对象进行第1次食物频率问卷调查后,间隔4周再进行第2次相同的食物频率问卷调查,比较前后2次调查结果所得能量与各营养素的相关性检验问卷的信度;对同一调查对象在进行第1次食物频率问卷调查之后,用连续3天24 h膳食记录法作为对照,进行效度检验。结果 (1)信度研究中,总能量和各营养素摄入量均呈显著正相关,Pearson相关系数在0.431(锰)和0.988(维生素A)之间,平均相关系数为0.775。(2)效度研究中,食物频率问卷与连续3天24 h膳食记录膳食调查所得总能量和营养素摄入量呈显著正相关,Pearson相关系数在0.312(硫胺素)和0.993(锌)之间,平均值为0.627。(3)在一致率分析中,膳食营养素的信度一致率为96%,膳食营养素的效度一致率为100%。结论所制订的膳食食物频率问卷具有较好的信度和效度,可用于膳食营养与慢性病相关性研究。
[Objective] To evaluate the reliability and validity of the self-designed food frequency questionn aire(FFQ), and provide a simple and reliable measurement for the study of the relationship between dietary habits and chronic diseases.[Methods] In September 2018, 118 residents were recruited for the study on a voluntary. Using a self-designed FFQ combined with a continuous 3 days and 24 hours dietary record, to evaluate the dietary intake of the study subjects. After the first FFQ and the second FFQ in 4 weeks interval, the reliability of the questionnaire was tested by comparing the energy and nutrients from the two surveys. After the first FFQ, the validity test was carried out with the method of dietary records for 3 days and 24 hours.[Results] ①In the reliability evaluation,there was a significant positive correlation between total energy and nutrients intake. The Pearson correlation coefficient(r) was 0.431(manganese)-0.988(vitamin A),with the average value of 0.775. ②In the validity evaluation,there was a significant positive correlation between total energy and nutrients intake from FFQ survey and dietary records for 3 days and 24 hours. Pearson r ranged from 0.312(thiamine)to 0.993(zinc),with the average value of 0.627. ③In the consistency evaluation,the reliability consistency rate of dietary nutrients was 96%,and the validity consistency rate was100%.[Conclusion] The self-designed FFQ has good reliability and validity. It can be used to evaluate the relationship between dietary nutrition and chronic diseases.
[Objective] To evaluate the reliability and validity of the self-designed food frequency questionn aire(FFQ), and provide a simple and reliable measurement for the study of the relationship between dietary habits and chronic diseases.[Methods] In September 2018, 118 residents were recruited for the study on a voluntary. Using a self-designed FFQ combined with a continuous 3 days and 24 hours dietary record, to evaluate the dietary intake of the study subjects. After the first FFQ and the second FFQ in 4 weeks interval, the reliability of the questionnaire was tested by comparing the energy and nutrients from the two surveys. After the first FFQ, the validity test was carried out with the method of dietary records for 3 days and 24 hours.[Results] ①In the reliability evaluation,there was a significant positive correlation between total energy and nutrients intake. The Pearson correlation coefficient(r) was 0.431(manganese)-0.988(vitamin A),with the average value of 0.775. ②In the validity evaluation,there was a significant positive correlation between total energy and nutrients intake from FFQ survey and dietary records for 3 days and 24 hours. Pearson r ranged from 0.312(thiamine)to 0.993(zinc),with the average value of 0.627. ③In the consistency evaluation,the reliability consistency rate of dietary nutrients was 96%,and the validity consistency rate was100%.[Conclusion] The self-designed FFQ has good reliability and validity. It can be used to evaluate the relationship between dietary nutrition and chronic diseases.
引文
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[15]李国强,李彦川,冯任南,等.基于网络的食物频率问卷信度和效度研究[J].哈尔滨医科大学学报,2014,48(5):376-380.
[16]申雨燕,宋杰,谢雪健.成都地区老年人群的简化膳食频率问卷信度和效度评价[J].现代预防医学,2016,43(9):1545-1549.
[17]BJERREGAARD AA,HALLDORSSON TI,KAMPMANN FB,et al.Relative validity of a web-based food frequency questionnaire for Danish adolescents[J].Nutr J,2018,17(1):9.
[18]BOUCHER B,COTTERCHIO M,KREIGER N,et al.Validity and reliability of the Block98 food-frequency questionnaire in a sample of Canadian women[J].Public Health Nutr,2006,9(1):84-93.
[19]李灿,辛玲.调查问卷的信度与效度的评价方法研究[J].中国卫生统计,2008,25(5):541-544.
[20]MALEKSHAH AF,KIMIAGAR M,SAADATIANELAHI M,et al.Validity and reliability of a new food frequency questionnaire compared to 24 h recalls and biochemical measurements:pilot phase of Golestan cohort study of esophageal cancer[J].Eur J Clin Nutr,2006,60(8):971-977.
[21]RAQUEL V,GONG Y,DAKE L,et al.Validity and reproducibility of the food-frequency questionnaire used in the Shanghai Men's Health Study[J].Brit J Nutr,2007,97(5):993-1000.
[2]MARIE NG,FLEMING T,ROBINSON M,et al.Global,regional,and national prevalence of overweight and obesity in children and adults during 1980-2013:A systematic analysis for the global burden of disease study 2013[J].Lancet,2014,384(9945):766-781.
[3]刘建波,姚华,张丽,等.新疆维吾尔族成年居民膳食模式调查[J].中国公共卫生,2016,32(9):1212-1218.
[4]XU X,HALL J,BYLES J,et al.Dietary pattern is associated with obesity in older people in china:Data from china health and nutrition survey(chns)[J].Nutrients,2015,7(9):8170-8188.
[5]FORSTER H,FALLAIZE R,GALLAGHER C,et al.Online Dietary Intake Estimation:The Food4Me Food Frequency Questionnaire[J].J Med Int Res,2014,16(6):150.
[6]刘丹,何丽,张馨,等.中国人群食物频率法的建立与应用[J].卫生研究,2018,47(5):744-755.
[7]PAIK HY,LEE S,JUNG H,et al.The association between dietary intakes and food environment factors[J].Polym-Plast Technol,2014,53(2):141-149.
[8]于科,项永兵.食物频率问卷的信度和效度研究进展[J].中国慢性病预防与控制,2006,14(2):136-139.
[9]GOSADI IM,ALATAR AA,OTAYF MM,et al.Development of a Saudi Food Frequency Questionnaire and testing its reliability and validity[J].Saudi Med,2017,38(6):636-641.
[10]WILLETT W.Nutrition Epidemiology[M].Third Edition.New York Oxford University,2012:978.
[11]铁日格力,孙勇,韩加,等.515名维吾尔族居民膳食模式与肥胖的关联性研究[J].中华疾病控制杂志,2017,51(6):555-559.
[12]孙张颢.营养与食品卫生学[M].北京:人民卫生出版社,2017:201.
[13]JOAN D,BALLART FN,PIOL JL,et al.Relative validity of a semi-quantitative food-frequency questionnaire in an elderly MediterraneanpopulationofSpain[J].BritJNutr,2010,103(12):1808-1816.
[14]黄莉莉,罗小铭,谈晔,等.广州地区食物频率问卷信度和效度研究[J].中华疾病控制杂志,2013,17(8):711-714.
[15]李国强,李彦川,冯任南,等.基于网络的食物频率问卷信度和效度研究[J].哈尔滨医科大学学报,2014,48(5):376-380.
[16]申雨燕,宋杰,谢雪健.成都地区老年人群的简化膳食频率问卷信度和效度评价[J].现代预防医学,2016,43(9):1545-1549.
[17]BJERREGAARD AA,HALLDORSSON TI,KAMPMANN FB,et al.Relative validity of a web-based food frequency questionnaire for Danish adolescents[J].Nutr J,2018,17(1):9.
[18]BOUCHER B,COTTERCHIO M,KREIGER N,et al.Validity and reliability of the Block98 food-frequency questionnaire in a sample of Canadian women[J].Public Health Nutr,2006,9(1):84-93.
[19]李灿,辛玲.调查问卷的信度与效度的评价方法研究[J].中国卫生统计,2008,25(5):541-544.
[20]MALEKSHAH AF,KIMIAGAR M,SAADATIANELAHI M,et al.Validity and reliability of a new food frequency questionnaire compared to 24 h recalls and biochemical measurements:pilot phase of Golestan cohort study of esophageal cancer[J].Eur J Clin Nutr,2006,60(8):971-977.
[21]RAQUEL V,GONG Y,DAKE L,et al.Validity and reproducibility of the food-frequency questionnaire used in the Shanghai Men's Health Study[J].Brit J Nutr,2007,97(5):993-1000.