对比三个综合指数来评估加拿大儿童的饮食质量:呼吁达成共识
Seyedehatefeh Panahimoghadam1, Paul J Veugelers1, Julia Dabravolskaj2
1School of Public Health, University of Alberta, Edmonton, AB, Canada.
Frontiers in nutrition
|January 22, 2025
概括
对比加拿大儿童的饮食质量指数,显示出相当或适度的共识. 指数的选择会影响结果,强调需要在研究和政策上达成共识,以便更好地实施饮食指南.
科学领域:
- 营养科学 营养科学
- 公共卫生 营养 公共卫生 营养
- 儿童营养学 儿童营养学
背景情况:
- 加拿大儿童的饮食通常使用健康饮食指数-加拿大2015 (HEI-C 2015),饮食质量指数-国际 (DQI-I) 和健康饮食食品指数2019 (HEFI-2019) 来评估.
- 了解这些指数的比较表现对于准确评估儿科患者的饮食状况至关重要.
研究的目的:
- 将HEI-C 2015,DQI-I和HEFI-2019进行比较,以了解他们捕捉加拿大儿童饮食质量的不同.
- 评估这些指数在不同人口子组的区分能力.
主要方法:
- 评估了1689名加拿大儿童 (4-6年级) 的饮食质量,使用2016年,2018年和2020/2021年的24小时饮食回忆.
- 分析了HEI-C 2015,DQI-I和HEFI-2019之间的协议,使用加权的科恩卡帕.
- 线性回归模型检查了按性别,学年级,社会经济地位和地理区域的饮食质量变化.
主要成果:
- 在HEFI-2019中,得分范围最广,而DQI-I得分范围最窄.
- 互指数协议的范围从公平 (0.55 HEI-C 2015/DQI-I) 到中度 (0.38 HEI-C 2015/HEFI-2019,0.29 DQI-I/HEFI-2019) 之间.
- 来自贫困地区的男孩和学生报告饮食质量较低;根据年级或地区没有发现差异. 能量摄入量显示与DQI-I和HEFI-2019的混合关联.
结论:
- 这三个饮食质量指数显示了加拿大儿童的公平到适度的协议和不同小组歧视能力.
- 选择特定的饮食质量指数会影响对儿童饮食质量决定因素的发现和结论的解释.
- 建议就首选的饮食质量指数建立共识,以提高饮食研究,政策制定和指南实施的一致性.
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