荷兰孕妇健康饮食指数的制定和短期评估;DHD

发布时间:2025-01-17 09:48

《孕妇营养宝典》- 孕妇特殊时期的饮食指导 #生活技巧# #健康生活方式# #健康生活方式书籍# #健康饮食指南#

摘要

导言膳食质量指数是衡量整体膳食的快速指标,通常用于研究和监测。我们开发了荷兰孕妇健康饮食(DHD-P)指数,该指数由 22 个组成部分组成,与 2021 年荷兰孕妇食物膳食指南保持一致。我们的评估重点是评估其性能和对变化的敏感性。方法DHD-P指数是通过使用有效的食物频率问卷(FFQ)和24-41岁参加GLIMP-II研究的孕妇在妊娠12周和24周完成的两次24小时回忆来量化的。根据妊娠 24 周时 FFQ 和 24 小时回忆数据(n = 47)之间的去衰减相关系数来评估相关性的强度和方向。使用配对 t 检验或 Wilcoxon Signed Rank 检验(n = 27)比较妊娠 12 周和 24 周 FFQ 和回忆数据评估的 DHD-P 指数数据,评估对变化的敏感性。结果 FFQ 和 24 小时回忆数据之间的去衰减相关系数显示,DHD-P 总分具有良好的相关性(rho = 0.57),各组成部分得分具有中度到良好的相关性。FFQ 和回顾数据显示,12 周和 24 周的膳食摄入量相当,表明孕期变化极小。基于 FFQ 的评分与时间的相关性为中等至良好,基于 24hRs 的评分与时间的相关性为低至中等,这表明基于 FFQ 数据的评分具有更好的再现性。为了证实我们的研究结果并进一步探索 DHD-P 对变化的敏感性,需要进行包括所有相关食物组和营养素的膳食数据的研究。

本文章由计算机程序翻译,如有差异,请以英文原文为准。

Development and short evaluation of the Dutch healthy diet index for pregnant women; DHD-P

IntroductionDiet quality indices provide a quick indicator of overall diet and are commonly used in research and surveillance. We developed a Dutch Healthy Diet for pregnant women (DHD-P) index, comprising 22 components aligned with the 2021 Dutch food-based dietary guidelines for pregnant women. Our evaluation focused on assessing its performance and sensitivity to change.MethodsThe DHD-P index was quantified by using a validated Food Frequency Questionnaire (FFQ) and two 24-h recalls at 12 and 24 weeks gestation completed by 24-to-41 year old pregnant women participating in the GLIMP-II study. Strength and direction of associations were evaluated based on de-attenuated correlation coefficients between FFQ and 24-h recall data at 24 weeks gestation (

n

= 47). Sensitivity to change was evaluated by comparing DHD-P index data assessed by both FFQ and recalls at 12 and 24 weeks gestation using paired t-tests or Wilcoxon Signed Rank Test (

n

= 27).ResultsDe-attenuated correlation coefficients between FFQ and 24-recall data showed a good correlation for the total DHD-P score (rho = 0.57) and moderate to good correlations for component scores. FFQ as well as recall data showed comparable dietary intake at 12 and 24 weeks, suggesting minimal changes during pregnancy. Correlations over time were moderate-to-good for scores based on FFQ and low to moderate for scores based on 24hRs, indicating better reproducibility of scores based on FFQ data.ConclusionConsidering the moderate to good correlations, the DHD-P index appears to be an appropriate index to assess diet quality among pregnant women, and could serve as a foundation to provide dietary feedback toward healthier food choices. Studies including dietary data for all relevant food groups and nutrients are needed to substantiate our findings and further explore the DHD-P sensitivity to change.

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来源期刊

Frontiers in Nutrition

期刊介绍: No subject pertains more to human life than nutrition. The aim of Frontiers in Nutrition is to integrate major scientific disciplines in this vast field in order to address the most relevant and pertinent questions and developments. Our ambition is to create an integrated podium based on original research, clinical trials, and contemporary reviews to build a reputable knowledge forum in the domains of human health, dietary behaviors, agronomy & 21st century food science. Through the recognized open-access Frontiers platform we welcome manuscripts to our dedicated sections relating to different areas in the field of nutrition with a focus on human health. Specialty sections in Frontiers in Nutrition include, for example, Clinical Nutrition, Nutrition & Sustainable Diets, Nutrition and Food Science Technology, Nutrition Methodology, Sport & Exercise Nutrition, Food Chemistry, and Nutritional Immunology. Based on the publication of rigorous scientific research, we thrive to achieve a visible impact on the global nutrition agenda addressing the grand challenges of our time, including obesity, malnutrition, hunger, food waste, sustainability and consumer health.

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