中国人群食物频率法的建立与应用
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摘要
目的建立、验证并推广中国人群食物频率评价方法。方法 1996—1999年开展"膳食、生活方式与慢性疾病的前瞻性研究"对1. 2万人群进行调查,建立包括17类食物的简化食物频率问卷(FFQ); 1998—2000年,"中国对不同菜系地区居民膳食、营养与健康特点的研究"中对四个菜系地区540名中老年人进行调查,建立了包括16类84种食物的FFQ长问卷;于1999—2001年进行"用食物频率法对中国人膳食及营养状况进行评价的信度与效度研究",所用问卷包括17类149种食物,共有300名成年人参加。结果建立并验证了适合中国膳食特点的、可用于不同规模、不同目的 FFQ膳食调查法。2002年至今,食物频率法被推广应用在20余项各种膳食评价目的的国内外研究中,包括在国家级调查和监测工作中持续使用。结论中国食物频率法的建立和应用推动了中国膳食评价方法的进步,为评价长期膳食习惯和营养状况对健康的影响建立了可行的方法。
Objective To establish, validate and promote the method of food frequency questionnaire( FFQ) in Chinese population. Methods From 1996 to 1999, " Prospective study on diet,lifestyle and chronic diseases" was conducted,and 12 000 Chinese residents were investigated. A simplified FFQ including 17 types of foods was first established. In 1998, " Study on the characteristics of diet,nutrition and health of residents in different cuisines in China" was conducted,which surveyed 540 middle-aged and senior people in four cuisine region and a more comprehensive FFQ including 84 types of food in 16 categories was established. From 1999 to 2001, " Study on the reliability and validity of food frequency questionnaire for Chinese diet and nutritional status " was conducted,which surveyed 300 adults and the questionnaire contained 17 types and 149 kinds of food. Results Studies above established and verified the FFQ which is suitablefor Chinese dietary characteristics and can be applied for different scales. Since 2002,the method of FFQ has been widely applied in more than 20 domestic and foreign studies for dietary evaluations, which contained national surveys and monitoring projects.Conclusion The establishment and application of Chinese FFQ method has promoted the development of Chinese dietary assessment and established a scientific and feasible standard to assess the impacts of long-term dietary habits and nutritional status on health.
Objective To establish, validate and promote the method of food frequency questionnaire( FFQ) in Chinese population. Methods From 1996 to 1999, " Prospective study on diet,lifestyle and chronic diseases" was conducted,and 12 000 Chinese residents were investigated. A simplified FFQ including 17 types of foods was first established. In 1998, " Study on the characteristics of diet,nutrition and health of residents in different cuisines in China" was conducted,which surveyed 540 middle-aged and senior people in four cuisine region and a more comprehensive FFQ including 84 types of food in 16 categories was established. From 1999 to 2001, " Study on the reliability and validity of food frequency questionnaire for Chinese diet and nutritional status " was conducted,which surveyed 300 adults and the questionnaire contained 17 types and 149 kinds of food. Results Studies above established and verified the FFQ which is suitablefor Chinese dietary characteristics and can be applied for different scales. Since 2002,the method of FFQ has been widely applied in more than 20 domestic and foreign studies for dietary evaluations, which contained national surveys and monitoring projects.Conclusion The establishment and application of Chinese FFQ method has promoted the development of Chinese dietary assessment and established a scientific and feasible standard to assess the impacts of long-term dietary habits and nutritional status on health.
引文
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[18]MUNGER R G,FOLSOM A R,KUSHI L H,et al.Dietary assessment of older Iowa women with a food frequency questionnaire:nutrient intake,reproducibility,and comparison with 24-hour dietary recall interviews[J].Am J Epidemiol,1992,136(2):192-200.
[19]KATSOUYANNI K,RIMM E B,GNARDELLIS C,et al.Reproducibility and relative validity of an extensive semi-quantitative food frequency questionnaire using dietary records and biochemical markers among Greek schoolteachers[J].Int JEpidemiol,1997,26(Suppl 1):S118.上接第页
[20]LISTED N.Relative validity and reproducibility of a diet history questionnaire in Spain.I.Foods.EPICGroup of Spain.European Prospective Investigation into Cancer and Nutrition[J].Int J Epidemiol,1997,26(Suppl 1):S110.
[21]LISTED N.Relative validity and reproducibility of a diet history questionnaire in Spain.II.Nutrients.EPIC Group of Spain.European Prospective Investigation into Cancer and Nutrition[J].Int JEpidemiol,1997,26(Suppl 1):S100.
[22]VAN LIERE M J,LUCAS F,CLAVEL F,et al.Relative validity and reproducibility of a French dietary history questionnaire[J].Int J Epidemiol,1997,26(Suppl 1):128-136.
[23]OCK M C,BUENODEMESQUITA H B,POLS M A,et al.The Dutch EPIC food frequency questionnaire.II.Relative validity and reproducibility for nutrients[J].Int J Epidemiol,1997,26(Suppl 1):S49.
[24]PISANI P,FAGGIANO F,KROGH V,et al.Relative validity and reproducibility of a food frequency dietary questionnaire for use in the Italian EPIC centres[J].Int J Epidemiol,1997,26(Suppl 1):S152.
[25]BOHLSCHEID-THOMAS S,HOTING I,BOEINGH,et al.Reproducibility and relative validity of energy and macronutrient intake of a food frequency questionnaire developed for the German part of the EPIC project.European Prospective Investigation into cancer and nutrition[J].Int J Epidemiol,1997,26(Suppl 1):S71-81.
[26]OH S.Reproducibility and validity of a semiquantitative food frequency questionnaire to assess dietary intakes for the Korean elderly[J].Ecol Food Nutr,2002,41(6):533-547.
[27]GIBSON R.Nutritional assessment:a laboratory manual[M].Oxford:Oxford Univ Press,1993.
[28]李艳平,何宇纳,翟凤英,等.称重法、回顾法和食物频率法评估人群食物摄入量的比较[J].中华预防医学杂志,2006,40(4):273-280.
[29]ZHANG N,B CARES L,CHANDOLA T.Patterns and determinants of double-burden of malnutrition among rural children:evidence from China[J].Plo Sone,2016,11(7):e0158119.
[2]CADE J E,BURLEY V J,WARM D L,et al.Foodfrequency questionnaires:a review of their design,validation and utilisation[J].Nutr Res Rev,2004,17(1):5-22.
[3]National Health and Family Planning Commission PRC.Report on Chinese resident’s chronic diseases and nutrition(2015)[R].Beijing:People’s Medical Publishing House,2015.
[4]WHO.Diet,nutrition,and the prevention of chronic diseases:report of a WHO Study Group(WHOTechnical Report Series 797)[EB/OL].1990.http://www.who.int/nutrition/publications/obesity/WHO_TRS_797/en/.
[5]王俊玲,赵文华.用简化的食物频率询问法进行膳食评价[J].中国慢性病预防与控制,2000,8(1):29-31.
[6]ZHAO W,HASEGAWA K,CHEN J.The use of food-frequency questionnaires for various purposes in China[J].Public Health Nutr,2002,5(6a):829-833.
[7]MIRMIRAN P,ESFAHANI F H,MEHRABI Y,et al.Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study[J].Public Health Nutr,2010,13(5):654.
[8]NANRI A,SHIMAZU T,ISHIHARA J,et al.Reproducibility and validity of dietary patterns assessed by a food frequency questionnaire used in the 5-year follow-up survey of the Japan Public Health Center-Based Prospective Study[J].JEpidemiol,2012,22(3):205.
[9]BEN TEZ-ARCINIEGA A A,MENDEZ M A,BAENA-D EZ J M,et al.Concurrent and construct validity of Mediterranean diet scores as assessed by an FFQ[J].Public Health Nutr,2011,14(11):2015-2021.
[10]HOLMES M D,POWELL I J,CAMPOS H,et al.Validation of a food frequency questionnaire measurement of selected nutrients using biological markers in African-American men[J].Eur J Clin Nutr,2007,61(11):1328-36.
[11]何丽,赵文华.12000名农村中老年人食物消费模式调查分析[J].中国慢性病预防与控制,2002,10(4):172-173.
[12]DEARTH-WESLEY T,WANG H,POPKIN B M.Under-and overnutrition dynamics in Chinese children and adults(1991-2004)[J].Eur J Clin Nutr,2008,62(11):1302-1307.
[13]赵文华,由悦,张馨,等.中国不同“菜系”地区中老年人的膳食模式及食物摄入量研究[J].卫生研究,2002,31(1):34-37.
[14]ZHAO W H,HUANG Z P,ZHANG X,et al.Reproducibility and validity of a Chinese food frequency questionnaire[J].Biomed Environ Sci,2010,23(Supplement):1-38.
[15]HUNT I F,LUKE L S,MURPHY N J,et al.Nutrient estimates from computerized questionnaires vs.24-hr.recall interviews[J].J Am Diet Assoc,1979,74(6):656-659.
[16]WILLETT W C,SAMPSON L,STAMPFER M J,et al.Reproducibility and validity of a semiquantitative food frequency questionnaire[J].Am J Epidemiol,1985,122(1):51-65.
[17]BLOCK G,THOMPSON F E,HARTMAN A M,et al.Comparison of two dietary questionnaires validated against multiple dietary records collected during a 1-year period[J].J Am Diet Assoc,1992,92(6):686-693.
[18]MUNGER R G,FOLSOM A R,KUSHI L H,et al.Dietary assessment of older Iowa women with a food frequency questionnaire:nutrient intake,reproducibility,and comparison with 24-hour dietary recall interviews[J].Am J Epidemiol,1992,136(2):192-200.
[19]KATSOUYANNI K,RIMM E B,GNARDELLIS C,et al.Reproducibility and relative validity of an extensive semi-quantitative food frequency questionnaire using dietary records and biochemical markers among Greek schoolteachers[J].Int JEpidemiol,1997,26(Suppl 1):S118.上接第页
[20]LISTED N.Relative validity and reproducibility of a diet history questionnaire in Spain.I.Foods.EPICGroup of Spain.European Prospective Investigation into Cancer and Nutrition[J].Int J Epidemiol,1997,26(Suppl 1):S110.
[21]LISTED N.Relative validity and reproducibility of a diet history questionnaire in Spain.II.Nutrients.EPIC Group of Spain.European Prospective Investigation into Cancer and Nutrition[J].Int JEpidemiol,1997,26(Suppl 1):S100.
[22]VAN LIERE M J,LUCAS F,CLAVEL F,et al.Relative validity and reproducibility of a French dietary history questionnaire[J].Int J Epidemiol,1997,26(Suppl 1):128-136.
[23]OCK M C,BUENODEMESQUITA H B,POLS M A,et al.The Dutch EPIC food frequency questionnaire.II.Relative validity and reproducibility for nutrients[J].Int J Epidemiol,1997,26(Suppl 1):S49.
[24]PISANI P,FAGGIANO F,KROGH V,et al.Relative validity and reproducibility of a food frequency dietary questionnaire for use in the Italian EPIC centres[J].Int J Epidemiol,1997,26(Suppl 1):S152.
[25]BOHLSCHEID-THOMAS S,HOTING I,BOEINGH,et al.Reproducibility and relative validity of energy and macronutrient intake of a food frequency questionnaire developed for the German part of the EPIC project.European Prospective Investigation into cancer and nutrition[J].Int J Epidemiol,1997,26(Suppl 1):S71-81.
[26]OH S.Reproducibility and validity of a semiquantitative food frequency questionnaire to assess dietary intakes for the Korean elderly[J].Ecol Food Nutr,2002,41(6):533-547.
[27]GIBSON R.Nutritional assessment:a laboratory manual[M].Oxford:Oxford Univ Press,1993.
[28]李艳平,何宇纳,翟凤英,等.称重法、回顾法和食物频率法评估人群食物摄入量的比较[J].中华预防医学杂志,2006,40(4):273-280.
[29]ZHANG N,B CARES L,CHANDOLA T.Patterns and determinants of double-burden of malnutrition among rural children:evidence from China[J].Plo Sone,2016,11(7):e0158119.