ABSTRACT
Background. In order to assess intake of antioxidants and retinol, we evaluated the valid ity and reproducibility of a semiquantitative food frequency questionnaire. Methods. Data were collected from 110 women, aged 15-54 years, who resided in the southern part of Mexico City. Study participants were asked to complete the food frequency questionnaire before and after completing four series of 4 days of 24-h diet recalls. We obtained the 24-h recalls at 3-month intervals designed to account for seasonal variability. In addition, we measured serum blood levels of retinol and various carotenoids at 3 and 9 months baseline. Results. Intraclass correlation coefficients for intake of energy-adjusted daily nutrients, assessed by the questionnaires 1 year apart ranged from 0.23 for lutein/zaezanthin to 0.50 for total carotenes. Correlation coefficients between energy-adjusted nutrient intakes were measured by means of the sixteen 24-h dietary recalls, and the second questionnaire ranged from 0.09 for lutein/zexanthin to 0.45 for total carotenes. The correlations were higher after adjusting for day-to-day variations in diets ranging from 0.11 for lutein/zeaxanthin to 0.49 for vitamin C. Correlation coefficients between intake and biochemical measures were 0.32 for alpha-carotene, 0.34 for beta-carotene, and 0.40 for total carotene after adjustinf for age, body mass index, cholesterol and triglyceride plasma levels, smoking status, and caloric intake. Conclusions. These data support the ability of our food frequency questionnaire to provide valid information on the relative antake of these nutrients and to confirm its usefulness in epidemiological studies of diet-disease relations. However, its application outside Mexico City or in different age or gender populations will require additional modifications and validation efforts
Subject(s)
Humans , Female , Adolescent , Adult , Middle Aged , Antioxidants/administration & dosage , Diet Records , Vitamin A/administration & dosage , Evaluation Study , Surveys and QuestionnairesSubject(s)
Eating/standards , Diet , Feeding Behavior , Nutritional Sciences , Handbook , Mexico , Teaching MaterialsABSTRACT
En este trabajo se plantea III necesidad de organizar un Sistema de Vigilancia Epidemiológica de la Nutrición (SMN) y se discute su implementación a través de un Programa Integrado para la Atención Nutricional Regional, cuyo principal antecedente es el Paquete de Detección- Atención. Este Paquete consiste de un conjunto de elementos de diagnóstico, medidas preventivas y acciones correctivas sencillas y de bajo costo que inciden en el corto plazo, enla Ireducción de los morbi-mortalidad por desnutrición y, en el largo plazo, en Ia mejoría de los patrones de crecimiento. Las medidas propuestas son el resultado de la experiencia acumulada del INNS:Z. en Chiapas y han demostrado su efectividad en la práctica. Estas acciones, dirigidas al núcleo familiar, dan prioridad a los grupos más vulnerables (mujeres embarazadas y lactantes, y preescolares). Se recomiendan también sistemas de apoyo que aseguren el éxito de los programas, como la capacitación del personal, y el uso de sistemas de información, registro y mecanismos de evaluación.