DOI QR코드

DOI QR Code

웹 기반 시스템을 이용한 반정량적 식품섭취빈도 조사지의 적용 및 평가

Application and Evaluation of Web-based Food Frequency Questionnaire for Korean Adolescents

  • 염진희 (성신여자대학교 식품영양학과) ;
  • 이승민 (성신여자대학교 식품영양학과)
  • Yum, Jinhee (Department of Food and Nutrition, Sungshin Women's University) ;
  • Lee, Seungmin (Department of Food and Nutrition, Sungshin Women's University)
  • 투고 : 2016.10.13
  • 심사 : 2016.10.27
  • 발행 : 2016.10.30

초록

Objectives: We previously developed a dish-based semi-quantitative food frequency questionnaire (FFQ) for Korean adolescents and reported that it had reasonable reliability and validity. The objective of the current study was to construct a web-based dietary evaluation system applying the FFQ for Korean adolescents and examine its applicability in the context of reliability and validity. Methods: A web-based food frequency questionnaire system was designed using a comprehensive approach, incorporating not only dietary data survey but also up-to-date nutrition information and individualized eating behavior guidelines. A convenience sample of 50 boys and girls aged 12~18 years agreed to participate in the study and completed the FFQ twice and 3 days of dietary recall on the developed website during a two-month period. The FFQ's reliability and validity was examined using correlation and cross classification analysis. We also measured participants' subjective levels of the web site's usability, visual effect, understanding, and familiarity. Results: Spearman correlation coefficients for reliability ranged from 0.74 (for vitamin A) to 0.94 (for energy). From cross-classification analyses, the proportion of subjects in the same intake quartile was highest for energy (82.0%) and lowest for vitamin A (56.0%). With regard to validity analysis, Spearman correlation coefficients ranged from 0.34 (for fiber) to 0.79 (for energy). The proportions of subjects in the opposite categories between the first FFQ and 3-day diet recall data were generally low from 0.00% (for fat) to 36.2% (for sodium). Average subjective levels of the website's usability, visual effect, understanding, and familiarity were all found to be over 4 points out of 5 points. Conclusions: The web-based dietary evaluation system developed can serve as a valid and attractive tool for administering FFQ to Korean adolescents.

키워드

참고문헌

  1. Statistics Korea. The cause of death statistics in 2015 [Internet]. Statistics Korea; 2015 [cite 2015 Sep 30]. Available from: http://kostat.go.kr/portal/korea/index.action.
  2. Mokdad AH, Marks JS, Stroup DF, Gerberding JL. Actual causes of death in the United States. JAMA 2004; 291(10): 1238-1245. https://doi.org/10.1001/jama.291.10.1238
  3. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. In-depth Analysis on the 2013 Korea National Health and Nutrition Examination Survey (KNHANES VI-1): Nutrition Survey. Cheongwon: Ministry of Health and Welfare; 2014.
  4. Willett W. Nutritional Epidemiology. 2nd ed. New York (NY): Oxford University Press; 1998.
  5. Davison K. Finding nutrition information on the net. J Am Diet Assoc 1996; 96(8): 749-750. https://doi.org/10.1016/S0002-8223(96)00203-9
  6. Lee YM, Moon SJ. Communication technology and network information in food and nutrition. Korean J Nutr 1997; 30(7): 870-878.
  7. Korea Internet & Security Agency. Summary Report on 2015 Internet Use Survey[Internet]. Korea Internet & Security Agency; 2015 [cited 2016 Oct 4]. Available from: http://isis.kisa.or.kr/board/?pageId=060100&bbsId=7&itemId=813&pageIndex=1.
  8. Arab L, Tseng CH, Ang A, Jardack P. Validity of a multipass, web-based, 24-hour self-administered recall for assessment of total energy intake in blacks and whites. Am J Epidemiol 2011; 174(11):1256-1265. https://doi.org/10.1093/aje/kwr224
  9. Kim MJ, Kim KW, Seo JS, Lee YM, Oh YJ, Ahn HS et al. The development of web-based food selection program for nutrition education of children. Proceedings of 2008 Spring-Summer Symposium of the Korean Society of Community Nutrition 2008; 2008 Jun 20; Seoul: p. 167.
  10. Rochester CD, Pradel F. Students' perceptions and satisfaction with a web-based human nutrition course. Am J Pharmaceu Edu 2008; 72(4): 91. https://doi.org/10.5688/aj720491
  11. Maes L, Vereecken CA, Gedrich K, Rieken K, Sichert-Hellert W, De Bourdeaudhuij I et al. A feasibility study of using a diet optimization approach in a web-based computer-tailoring intervention for adolescents. Int J Obes 2008; 32: S76-81.
  12. Hanning RM, Royall D, Toews JE, Blashill L, Wegener J, Driezen P. Web-based food behaviour questionnaire: validation with grades six to eight students. Can J Diet Pract Res 2009; 70(4): 172-178. https://doi.org/10.3148/70.4.2009.172
  13. Matthys C, Pynaert I, Keyzer W, Henauw S. Validity and reproducibility of an adolescent web-based food frequency questionnaire. J Am Diet Assoc 2007; 107(4): 605-610. https://doi.org/10.1016/j.jada.2007.01.005
  14. Filippi AR, Amodio E, Napoli G, Breda J, Bianco A, Jemni M et al. The web-based ASSO-food frequency questionnaire for adolescents: relative and absolute reproducibility assessment. Nutr J 2014; 13(1): 119. https://doi.org/10.1186/1475-2891-13-119
  15. Segovia-Siapco G, Oda K, Sabate J. Evaluation of the relative validity of a web-based food frequency questionnaire used to assess soy isoflavones and nutrient intake in adolescents. BMC Nutr 2016; 2(1): 39. https://doi.org/10.1186/s40795-016-0080-8
  16. Siapco GS, Oda K, Sabate J. Comparison of a web-based food frequency questionnaire with photograph-assisted food records in assessing nutrient intake of adolescents. FASEB J 2016; 30(1): 1153-1159.
  17. Hong S, Kim G. Manipulation system for nutrition counseling based on internet. J Korean Diet Assoc 2004; 10(3): 284-292.
  18. Moore TJ, Alsabeeh N, Apovian CM, Murphy MC, Coffman GA, Cullum-Dugan D et al. Weight, blood pressure, and dietary benefits after 12 months of a web-based nutrition education program (DASH for health): longitudinal observational study. J Med Internet Res 2008; 10(4): e52. https://doi.org/10.2196/jmir.1114
  19. McMahon GT, Gomes HE, Hohne SH, Hu TM, Levine BA, Conlin PR. Web-based care management in patients with poorly controlled diabetes. Diabetes Care 2005; 28(7): 1624-1629. https://doi.org/10.2337/diacare.28.7.1624
  20. Han JS, Jeong JH. A web-based internet program for nutritional counseling and diet management of patient with diabetes mellitus. J Korean Soc Food Sci Nutr 2004; 33(1): 114-122. https://doi.org/10.3746/jkfn.2004.33.1.114
  21. Hyun TS, Yon MY, Kim SH, Kim NH, An SM, Lee SM et al. Development of a nutrition education website for children. Korean J Community Nutr 2003; 8(3): 259-269.
  22. Yang IS, Kim HY, Lee HY, Kang YH. Effectiveness of webbased nutritional education program for junior and senior high school students. Korean J Nutr 2004; 37(7): 576-584.
  23. Dalton JE. Web-based care for adults with type 2 diabetes. Can J Diet Pract Res 2008; 69(4): 185-191. https://doi.org/10.3148/69.4.2008.185
  24. Margolis LM, Grediagin A, Koenig C, Sanders LF. Effectiveness and acceptance of web-based learning compared to traditional face-to-face learning for performance nutrition education. Mil Med 2009; 174(10): 1095-1099. https://doi.org/10.7205/MILMED-D-04-1208
  25. Sacks N, Cabral H, Kazis LE, Jarrett KM, Vetter D, Richmond R et al. A web-based nutrition program reduces health care costs in employees with cardiac risk factors: before and after cost analysis. J Med Internet Res 2009; 11(4): e43. https://doi.org/10.2196/jmir.1263
  26. Stopponi MA, Alexander GL, McClure JB, Carroll NM, Divine GW, Calvi JH et al. Recruitment to a randomized web-based nutritional intervention trial: characteristics of participants compared to non-participants. J Med Internet Res 2009; 11(3): e38. https://doi.org/10.2196/jmir.1086
  27. Alexander GL, McClure JB, Clavi JH, Divine GW, Stopponi MA, Rolnick SJ et al. A randomized clinical trial evaluating online interventions to improve fruit and vegetable consumption. Am J Public Health 2010; 100(2): 319-326. https://doi.org/10.2105/AJPH.2008.154468
  28. Yon MY, Park C, Yoo KH, Hyun TS. Development and evaluation of a nutrition education website for the prevention and management of childhood obesity. Korean J Community Nutr 2012; 17(4): 390-406. https://doi.org/10.5720/kjcn.2012.17.4.390
  29. Yum JH, Lee SM. Development and evaluation of a dish-based semiquantitative food frequency questionnaire for Korean adolescents. Nutr Res Pract 2016; 10(4): 433-441. https://doi.org/10.4162/nrp.2016.10.4.433

피인용 문헌

  1. 사진촬영을 이용한 1회 섭취 분량 추정의 타당도 연구 vol.32, pp.2, 2016, https://doi.org/10.7318/kjfc/2017.32.2.162