Simulated Adaptations to an Adult Dietary Self-Report Tool to Accommodate Children: Impact on Nutrient Estimates

Simulated Adaptations to an Adult Dietary Self-Report Tool to Accommodate Children: Impact on Nutrient Estimates
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DOI:
10.1080/07315724.2013.789339
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发表时间:
2013-04-01
影响因子:
3.5
通讯作者:
Baranowski, Tom
Baranowski, Tom
中科院分区:
医学4区
文献类型:
--
作者:
Douglass, Deirdre;Islam, Noemi;Baranowski, Tom

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目的:为了模拟儿童友好(CF)适应美国国家癌症研究所的自动自我管理的24小时饮食回忆(ASA 24)对估计的nutritional intake.Method的影响:120名儿童,8- 13岁,进入他们的前一天的摄入量使用ASA 24,并完成了采访者管理的回忆使用研究营养数据系统(NDSR)。基于对ASA 24的拟议调整不会显著影响平均营养估计值的假设,在给药后对ASA 24数据进行操作,以模拟CF版本,其中删除了2类数据收集:(1)根据先前对国家饮食数据的分析,儿童不太可能食用的食物(45%)和(2)食物细节问题(探针)儿童不太可能知道答案(46%),根据我们的experience.Results:平均估计的选择营养素之间的测试版ASA 24和模拟CF回忆显示没有显着差异,表明食物和探针消除没有显着影响结果。然而,对原始ASA 24、CF版本和NDSR之间的总糖和维生素C评估的比较表明,自我管理方法中两种营养素的每日营养素总量显著较高(ASA 24和CF版本)比NDSR(采访者管理),这保证了不同的方法来获得信息的食物,这些营养素的来源进行审查。结论:CF适应的模拟表明,它是可行的,从而减少CF响应负担,而不会显着影响结果。
Objective: To simulate the effect of child-friendly (CF) adaptations of the National Cancer Institute's Automated Self-Administered 24-Hour Dietary Recall (ASA24) on estimates of nutrient intake.Method: One hundred twenty children, 8-13years old, entered their previous day's intake using the ASA24 and completed an interviewer-administered recall using the Nutrition Data System for Research (NDSR). Based on a hypothesis that proposed adaptations to the ASA24 will not significantly affect mean nutrient estimates, ASA24 data were manipulated postadministration to simulate a CF version in which 2 categories of data collection were removed: (1) foods not likely to be consumed by children (45%) based on previous analyses of national dietary data and (2) food detail questions (probes) to which children are unlikely to know the answers (46%), based on our experience.Results: Mean estimates of select nutrients between the beta version of ASA24 and the simulated CF recall showed no significant differences, indicating that the food and probe elimination did not significantly affect results. However, a comparison of total sugar and vitamin C assessments between the original ASA24, the CF version, and NDSR showed that the daily nutrient totals for both nutrients were significantly higher in the self-administered methods (both ASA24 and CF version) than in NDSR (interviewer-administered), which warrants a review of different methods for obtaining information about foods that are sources of these nutrients.Conclusion: The simulation of CF adaptations showed that it is feasible to implement, thereby reducing CF response burden without significantly affecting the results.