开发用于测量膳食多样性和其他膳食质量指标的膳食质量调查表

IF 3.8 Q2 NUTRITION & DIETETICS Current Developments in Nutrition Pub Date : 2024-08-01 DOI:10.1016/j.cdnut.2024.103798
Anna W Herforth , Terri Ballard , Andrew Rzepa
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引用次数: 0

摘要

背景为了监测健康和可持续膳食的发展趋势,需要有可行的、跨文化有效的、低成本的和低专业要求的调查工具。本研究的目的是开发一种方法来收集适合监测普通人群(所有年龄段的女性和男性)膳食质量的数据,这种方法在多主题调查中是可行的,对调查者和被调查者的负担都较小,在人群水平上有效,并能捕捉到了解全球和地方膳食质量所需的信息。方法 通过文献综述来确定已达成共识的膳食质量结构、现有全球需求的指标以及可行且有效的方法。研究结果提交给一个技术咨询小组进行讨论,最终就一系列需要测量的结构、预期指标、可行的数据收集平台以及测试和试点方法达成共识。结果基于食物组的指标和 24 小时回忆期被选为最可行和有效的人群监测方法。我们编制了一份包含 29 个项目的膳食质量调查表(DQQ),其中每个 "是/否 "问题都询问前一天或前一天晚上某一食物组别的摄入情况。选择食品组的目的是为了得出指标,以捕捉已达成共识的结构:营养素充足性和预防非传染性疾病,包括积极和消极的风险因素。结论 DQQ 成本低,在现有的大规模调查中可行,克服了过去阻碍日常膳食质量监测的膳食数据收集障碍。这种新颖的方法现已在盖洛普世界民意调查和其他调查中应用于 85 个国家,产生了第一批具有国家代表性的妇女最低膳食多样性数据集和补充性膳食质量指标。
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Development of the Diet Quality Questionnaire for Measurement of Dietary Diversity and Other Diet Quality Indicators

Background

To monitor trends toward healthy and sustainable diets, there is a need for feasible survey tools, with cross-cultural validity, low-cost, and low-expertise requirements.

Objectives

The objective of this research was to develop a method to gather data suitable for monitoring diet quality in the general population (women and men of all ages) that is feasible within multitopic surveys, low burden for both enumerators and respondents, valid at population level, and that captures the information necessary for understanding diet quality at global and local levels.

Methods

A literature review was conducted to identify constructs of diet quality with existing consensus, indicators with existing global demand, and methods that may be feasible and valid. Results were presented to a technical advisory group for debate, resulting in consensus on a set of constructs to be measured, desired indicators, viable data collection platforms, and an approach for testing and piloting.

Results

Food group-based indicators and 24-h recall period were selected as the most feasible and valid approach for population-level monitoring. A 29-item Diet Quality Questionnaire (DQQ) was developed, where each yes/no question asks about the consumption of a distinct food group on the previous day or night. The food groups were selected for the purpose of deriving indicators to capture the constructs for which there was consensus: nutrient adequacy, and protection against noncommunicable diseases, including both positive and negative risk factors.

Conclusions

The DQQ is low cost and feasible to administer in existing large-scale surveys, overcoming barriers to diet data collection that have precluded the routine monitoring of diet quality in the past. This novel approach has now been used across >85 countries in the Gallup World Poll and other surveys, generating the first nationally representative available datasets on Minimum Dietary Diversity for Women and complementary diet quality indicators.

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来源期刊
Current Developments in Nutrition
Current Developments in Nutrition NUTRITION & DIETETICS-
CiteScore
5.30
自引率
4.20%
发文量
1327
审稿时长
8 weeks
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