中国循证儿科杂志 ›› 2023, Vol. 18 ›› Issue (4): 276-280.DOI: 10.3969/j.issn.1673-5501.2023.04.006

• 论著 • 上一篇    下一篇

中文版学龄前儿童营养指数量表的信度和效度研究

何雯楠1,李云2,陈红燕1,钱甜1,余文娴2,顾晓妍1,张羿1,陈逍天1,窦亚兰1,张晓华2,高翔3,黄俊4,严卫丽1,5   

  1. 1 复旦大学附属儿科医院,国家儿童医学中心上海,201102;2 上海闵行区妇幼保健院上海,201102;3 复旦大学公共卫生学院上海,200032;4 上海闵行区疾病预防控制中心上海,201101;5 中国医学科学院小儿遗传相关心血管疾病早期防控创新单元(2018RU002)上海,201102


  • 收稿日期:2023-07-07 修回日期:2023-08-03 出版日期:2023-08-25 发布日期:2023-08-25
  • 通讯作者: 严卫丽,黄俊

Reliability and validity of a Chinese version of nutrition quotient for preschoolers

HE Wennan1, LI Yun2, CHEN Hongyan1, QIAN Tian1, YU Wenxian2, GU Xiaoyan1, ZHANG Yi1, CHEN Xiaotian1, DOU Yalan1, ZHANG Xiaohua2, GAO Xiang3, HUANG Jun4, YAN Weili1,5#br#

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  1. 1 Children's Hospital of Fudan University, National Children's Medical Center, Shanghai 201102, China; 2 Maternity and Child Heath Care Center in Minhang District, Shanghai 201102, China; 3 Department of Public health, Fudan University, Shanghai 200032, China; 4 Center for Disease Control and Prevention in Minhang District, Shanghai 201101, China; 5 Research Unit of Early Intervention of Genetically Related Childhood Cardiovascular Diseases (2018RU002), Chinese Academy of Medical Sciences, Shanghai 201102, China
  • Received:2023-07-07 Revised:2023-08-03 Online:2023-08-25 Published:2023-08-25
  • Contact: YAN Weili, email: yanwl@fudan.edu.cn;HUANG Jun, email: huangjunyian@sina.com

摘要: 背景:学龄前儿童饮食生活方式需要日常监测并进行引导,但是目前国内尚缺乏高效、便捷的工具来综合量化这一方面的水平。 目的:引进韩国版学龄前儿童营养指数量表(NQ-P),并分析其信度和效度。 设计:横断面研究。 方法:对英文版NQ-P进行翻译、文化调适,选择2家幼儿园的学龄前儿童家长进行中文版NQ-P量表调查和信效度分析。 主要结局指标:中文版NQ-P评分。 结果:中文版NQ-P量表计算评分和加权方式与原版一致,共14个条目,分为3个领域(平衡、节制、环境)。共440名(97.3%)3~6.5岁儿童家长提供了有效问卷,男童占比51.8%。参与调查的家长72.0%为母亲,282名(64.1%)为儿童的主要饮食负责人。验证性因子分析结果显示,3个领域总分的CFI为0.768,RMSEA为0.063,单个领域评分的CFI为0.905~0.909,RMSEA为0.031~0.043。总分和单个领域的Cronbach's α系数为0.706~0.774,14个条目的重测Kappa值为0.79~0.98。 结论:中文版NQ-P量表效度和信度较好,可用于针对中国家长的学龄前儿童饮食行为质量的初步评估。

关键词: 学龄前儿童, 饮食行为, 量表引进, 饮食质量

Abstract: Background:Preschoolers are experiencing a key period of shaping healthy dietary behaviors, for which daily monitoring and timely intervention is urgently required. However, there is a lack of efficient tools for quantifying this level in China so far. Objective:To introduce a scale questionnaire named Nutrition Quotient for Preschoolers from the South Korea (NQ-P), and evaluate its reliability and validity. Design:Crosssectional study. MethodsThe Chinese version of NQ-P was obtained after forward and backward translation, research group review and modification. Guardians of preschoolers in two kindergartens were crosssectionally investigated and the data was collected for reliability and validity analysis. Main outcome measures;NQ-P(Chinese version) scores. Results:The Chinese version of NQ-P used the same scoring and weighting method as the original version, which included 14 items and 3 dimensions (balance, moderation, environment). A total of 440 guardians of preschoolers aged 36.5 years completed the study (97.3%). Among 440, 51.8% were boys, and among those who filled the questionnaires, 317(72.0%) were mothers, 115(26.1%) were fathers, and 282 of them were primary meal planners. Confirmatory factor analysis showed CFI were 0.768 for NQ-P total score, 0.9050.909 for 3 dimensions, RMSEA were 0.063 for NQ-P total score and 0.0310.043 for 3 dimensions. Cronbach's α were 0.7060.774 for NQ-P scores. Retest Kappa were 0.790.98 for 14 items. Conclusions:The Chinese version of NQ-P has acceptable validity and reliability, and can be used to initially evaluate the dietary quality of preschoolers by investigating their guardians.

Key words: Preschool children, Dietary behaviors, Scale questionnaire, Dietary quality