Reliability and comparative validity of a Diet Quality Index for assessing dietary patterns of preschool-aged children in Sydney, Australia.

Autor: Kunaratnam K; Faculty of Health Sciences, The University of Sydney, Sydney, NSW, 2006, Australia., Halaki M; Faculty of Health Sciences, The University of Sydney, Sydney, NSW, 2006, Australia., Wen LM; Health Promotion Service, Sydney Local Health District, Sydney, NSW, 2006, Australia.; School of Public Health, The University of Sydney, Sydney, NSW, 2006, Australia., Baur LA; School of Public Health, The University of Sydney, Sydney, NSW, 2006, Australia.; Discipline of Pediatrics and Child Health, The University of Sydney, Sydney, NSW, 2006, Australia., Flood VM; Faculty of Health Sciences, The University of Sydney, Sydney, NSW, 2006, Australia. vicki.flood@sydney.edu.au.; Westmead Hospital (Western Sydney Local Health District), Sydney, NSW, 2145, Australia. vicki.flood@sydney.edu.au.
Jazyk: angličtina
Zdroj: European journal of clinical nutrition [Eur J Clin Nutr] 2018 Mar; Vol. 72 (3), pp. 464-468. Date of Electronic Publication: 2017 Dec 18.
DOI: 10.1038/s41430-017-0020-y
Abstrakt: Background/objectives: To report on the reliability and validity of a Diet Quality Index (DQI) to assess preschoolers dietary patterns using a short food frequency questionnaire (sFFQ) and 3-day food records (3d-FR).
Subjects/methods: Seventy-seven preschool carers/parents completed a telephone interview on preschoolers (2-5-year olds) dietary habits in metropolitan Sydney. Agreement in scores was assessed using intraclass correlation (ICC) and paired t-tests for repeated sFFQ-DQI scores and Bland-Altman methods and paired t-tests for sFFQ-DQI and 3d-FR-DQI scores.
Results: Mean-total sFFQ-DQI ICC scores was high = 0.89, 95% CI (0.81, 0.93). There was weak agreement between sFFQ-DQI and 3d-FR-DQI scores (r = 0.36, p < 0.01). The 3d-FR-DQI scores were positively associated with carbohydrate, folate, ß-carotene, magnesium, calcium, protein, total fat and negatively associated with sugar, starch, niacin, vitamin C, phosphorus, polyunsaturated fat, and monounsaturated fat.
Conclusions: The sFFQ-DQI demonstrated good reliability but weak validity. Associations between nutrients and 3d-FR-DQI scores indicate promising usability and warrants further investigation. Further research is needed to establish its validity in accurately scoring children's diet quality using sFFQ compared to 3d-FR before the tool can be implemented for use in population settings.
Databáze: MEDLINE
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