Development and Validation of a Dietary Screening Tool for High Sodium Consumption in Australian Renal Patients
Development and Validation of a Dietary Screening Tool for High Sodium Consumption in Australian Renal Patients
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DOI：
10.1053/j.jrn.2013.10.004
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发表时间：
2014-03-01
影响因子：
3.2
通讯作者：
Kark, Adrian
中科院分区：
文献类型：
--
作者：
Mason, Belinda;Ross, Lynda;Kark, Adrian
目的：本研究的目的是开发和评估的可行性和有效性的自我管理的评分钠问卷（SSQ）用于在澳大利亚慢性肾脏病（CKD）patients.Design和方法的常规临床护理：这项研究发生在社区为基础的外展诊所使用多学科模式的护理。使用全面的饮食史访谈（第1阶段）评估目标人群的饮食钠摄入来源，以告知10项食物频率问卷的开发情况，该问卷使用24小时尿钠和2种替代饮食摄入方法（第2阶段）进行评分和验证。受试者是患有CKD 3 - 5期的成年人（第1阶段n = 30;第2阶段n = 47）。干预：在一天内，参与者（n = 5 - 47）完成SSQ、可行性调查、24小时尿液收集和24小时食物记录。饮食史访谈也进行了确认钠摄入量的数据收集反映了习惯insulin.Main结果Measure：SSQ评分的有效性与24小时尿钠的相关性得到证实。有效性的SSQ评分，以正确识别高与低钠消费者的临界点，证实了受试者工作特征曲线分析：曲线下面积，灵敏度和specificity.Results：总SSQ评分与24小时尿钠显着相关（r = 0.371，P = 0.031）。24小时饮食记录与饮食史的相关性表明，数据采集日的钠摄入量反映了习惯性摄入（r =0.701; P
Objective: The study objective was to develop and evaluate the feasibility and validity of a self-administered Scored Sodium Questionnaire (SSQ) for use in the routine clinical care of Australian chronic kidney disease (CKD) patients.Design and Methods: The study took place in community-based outreach clinics using a multidisciplinary model of care. Assessment of sources of dietary sodium intake in the target population used comprehensive diet history interviews (Phase 1) to inform development of a 10-item food frequency questionnaire that was scored and validated using 24-hour urinary sodium and 2 alternative dietary intake methods (Phase 2). Subjects were adults with CKD Stages 3 to 5 (Phase 1 n = 30; Phase 2 n = 47).Intervention: On a single day, participants (n 5 47) completed the SSQ, feasibility survey, 24-hour urine collection, and 24-hour food record. A diet history interview was also conducted to confirm sodium intake on the day of data collection reflected habitual intake.Main Outcome Measure: Validity of the SSQ score was confirmed by correlation with 24-hour urine sodium. Validity of a cutpoint on the SSQ score to correctly identify high-versus low-sodium consumers was confirmed by receiver operating characteristic curve analysis: area under the curve, sensitivity, and specificity.Results: Total SSQ score correlated significantly with 24-hour urine sodium (r = 0.371; P = .031). Correlation between 24-hour food record and diet history sodium confirmed consumption on the data collection day reflected habitual intake (r =0.701; P