Development of a Semi-Quantitative Food Frequency Questionnaire for Pre-school Children in Korea

미취학 어린이를 위한 반정량적 식품섭취 빈도조사지 개발

  • Lim, Young (Department of Food & Nutrition, Kyung Hee University) ;
  • Oh, Se-Young (Department of Food & Nutrition, Kyung Hee University)
  • 임영 (경희대학교 식품영양학과) ;
  • 오세영 (경희대학교 식품영양학과)
  • Published : 2002.02.01

Abstract

The purpose of the study was to develop and evaluate the reliability of a semi-quantitative food frequency questionnaire (SFFQ) intended to measure mainly nutrient intake (energy, protein, fat, calcium and iron) related to growth in pre-schoolers in Korea. Based on foods with up to 90 cumulative percent contribution of the 5 nutrients, we developed a SFFQ for 86 foods. In order to evaluate the reliability of both nutrient and food intakes, caregivers of a sample of 101 children aged 4 to 6 years completed the SFFQ repeatedly at 3 month intervals. There were small differences in the nutrient intakes assessed by the SFFQ ranging from 0.55% to 9.91%. There were no significant differences in nutrient values calculated from the repeat questionnaires, except in the case of niacin and vitamin C. The Pearson correlation coefficients of most of the nutrients ranged form 0.54 to 0.75 (mean = 0.66). When energy intake was adjusted, there was approximately a 0.2 decrease in the correlation coefficient of most nutrients, due to the high correlation of energy intake with other nutrients (r=0.7-0.9). The amount of food intake differed by 0.1 to 66.4% (mean = 17.5%), depending on the food item. Out of 86 foods, 74 foods (86%) showed less than a 30% difference in intake and 30 foods (35%) showed less than a 10% difference. Only 6 (7%) out of the 86 foods presented statistically significant differences in intake. The Spearman correlation coefficients of most food intakes assessed repeatedly by the SFFQ ranged from 0.4 to 0.7. Reproducibility of the nutrient and food intakes found in this study was better or similar to those found in cases of Korean adults. Therefore, the SFFQ developed in the present study can be a useful tool to assess the dietary intake of pre-schoolers in Korea.

Keywords

References

  1. 김미경 . 이상선 . 안윤옥(1996) : 자가기록식 반정량적 식이섭취빈도조사의 신뢰도 및 타당도 연구. 대한지역사회영양학회지1(3) : 376-394
  2. 김화영 . 원혜숙(2000) 노인의 영양상태 평가를 위한 반정량 식품 섭취빈도조사지의 개발 및 타당도 검증 한국영향학회지 33(3) : 314-323
  3. 백회영 . 문현경 . 이홍규 . 류지영 , 최정숙 . 안윤진 . 박용수 . 김용익 (1995) : 한국농촌성인의 식이섭취조사를 위한 식품섭취빈도 조사지의 개발 및 검증. 한국영양학회지 28(9) : 914-922
  4. 오세영 . 홍명희 (1998) 한국노인을 위한 반정량척 식품섭취빈도조사지의 신뢰도 검증. 한국영양학회지 31(7) : 1183-1191
  5. 계승희 . 박계동(1993) : 아동복지시설 미취학 아동들의 신체발육과 영양실태조사. 한국영양식량학회지 22(5) : 552-558
  6. 문현경 . 박송이 . 백희영 (1999) : 영양상태에 따른 학년전 아동의 건강 및 식생활 요인, 한국식품영양과학회지28(3) : 722-731
  7. 박송이 . 백회영 . 문현경 (1999) : 학령전 아동의 식습관과 식이섭취 평가에 관한 연구. 한국영양학회지 32(4) 419-429
  8. 성재은 . 백희영 . 문현경 . 김영옥(2001) : 서울 및 근교에 거주하는 한국인의 연령별 식생활 보고 및 평가 : (1) 영양소 섭취 비교. 한국영양학회지 34(5) : 554-567
  9. 임수정 . 안홍석 . 김운주(1995) : 유아기 어린이의 영양인식과 관련된 요인 분석 III. 식이섭취와 영양인식. 한국식생활문화학회지 10(4) : 345-355
  10. 정은정 . 남혜원 엄영숙(1998) : 서울과 경기 일부지역의 소득수준별 미취학 아동의 식생활 태도 및 영양상태에 관한 비교연구. 한국식생활문화학회지13(4) : 293-305
  11. 대한영양사회 . 삼성서울병원(1999) : 사진으로 보는 음식의 눈대중량, 대한영양사회
  12. .한국영양학회(1995) 한국인 영양권장량1 제 6 차 개정/ 중앙문화 진수 출판사, 서울
  13. 한국영양학회 (2000) 한국인 영양권장량r 제 7 차 개정, 중앙문화 진수 출판사, 서울
  14. 대한영양사회 (1995) 식품교환표, 대한영양사회, 서울
  15. 보건복지부(1997) : ’95 국빈영양조사결과보고서, 보건복지부
  16. Byers TJ, Marshall E, Anthony E, Feidler R, Zielezny M(1987) : The reliability of dietary history from the distant past. Am J Epidemiology 125 : 999-1011
  17. Cody RP, Smith JK(1997) : Applied statistics and the SAS programrning language, 4th ed., New Jersey: Prentice-Hall Inc
  18. Feskanich DE, Rimrn B, Giovannucci EL, Coldits GA, Stampfer MI, Litin LB, Willett WC(1993) : Reproducibility and validity of food intake measurements from a semiquantitative food frequency questionnaire. J Am Diet Assoc 93 ; 790-796
  19. Gibson RS(1990) : Principle of nutritional assessment, pp.37-54, Oxford University Press, New York, Oxford
  20. Lindroos AK, Lissner L, Sjastrtim(1993) : Validity and reprodudbility of a self- administered dietary questionnaire in obese and nonobese subjects. Eur J Clin Nutr 47: 461-481
  21. Mannisto SM, Virtanen SM, Mikkonen T, Pietinen P(1996) : Reprodudbility and validity of a food frequency questionnaire in a case-control study on breast cancer. J Clin Epidemiology 49 : 401-409 https://doi.org/10.1016/0895-4356(95)00551-X
  22. Nomura AJ, Hankin JH, Rhoads GG(1976) : The reproducibility and dietary intake data in prospective study of gastrointestinal cancer. Am J Clin Nutr 29 : 1432-1436
  23. Ocke MC, Bueno-de-Mesquita HB, Goddijin HE, Hansen A, Pols MA, Staveren WA, Kromhout D(1997) : The Dutch EPIC food frequency questionnaire. I. Description of the questionnaire, and relative validity and reproducibility for food groups. Int J Epidemiology 26(suppl) : S37-S48
  24. Pietinen P, Faggiano F, Krogh V, Palli D, Vineis P, Berrino F(1997) : Relative validity and reproducibility of a food frequency dietary questionnaire for use in the italian EPIC centers. Int J Epidemiology 26(suppl) : S152-S160
  25. Rockett HR, Wolf AM, Colditz GA(1995) : Development and reproducibility of food frequency questionnaire to assess diets of older children and adolescents. J Am Dietetic Assoc 95 : 336-340 https://doi.org/10.1016/S0002-8223(95)00086-0
  26. Stein AD, Shea S, Basch CE, Contento JR, Zybert P(1992) : Consistency of the Willett's semiquantitative food frequency questionnaire and 24 hour dietary recalls in estimating nutrient intakes of preschool children. Am J Hpidemiol 135 : 667-677
  27. Willett WC(1998a) : Nutritional epidemiology. 2nd ed., pp.74-147, Oxford University Press, New York, Oxford
  28. Willett WC(1998b) : Nutritional epidemiology. 2nd ed., pp.133, Oxford University Press, New York, Oxford
  29. Willett WC(1998c) : Nutritional epidemiology. 2nd ed., pp.273-301, Oxford University Press, New York, Oxford
  30. Willett WC, Sampson L, Browne ML, Srarnpfer MJ, Rosner B, Hennekens CH, Speizer FE(1988) : The use of a self-administered questionnaire to assess diet four years in the past. Am J Epidemiology 127(1) ; 188-199