Reliability and Validity of the Child and Adolescent Trial for Cardiovascular Health (CATCH) Food Checklist: A Self-report Instrument to Measure Fat and Sodium Intake by Middle School Students

Objective To develop a scoring algorithm and evaluate the reliability and validity of scores from the Child and Adolescent Trial for Cardiovascular Health (CATCH) Food Checklist (CFC) as measures of total fat, saturated fat, and sodium intake in middle school students. Design Randomized, controlled...

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Veröffentlicht in:Journal of the American Dietetic Association 2001-06, Vol.101 (6), p.635-647
Hauptverfasser: SMITH, KEVIN W, HOELSCHER, DEANNA M, LYTLE, LESLIE A, DWYER, JOHANNA T, NICKLAS, THERESA A, ZIVE, MICHELLE M, CLESI, ANN L, GARCEAU, ANNE O, STONE, ELAINE J
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container_end_page 647
container_issue 6
container_start_page 635
container_title Journal of the American Dietetic Association
container_volume 101
creator SMITH, KEVIN W
HOELSCHER, DEANNA M
LYTLE, LESLIE A
DWYER, JOHANNA T
NICKLAS, THERESA A
ZIVE, MICHELLE M
CLESI, ANN L
GARCEAU, ANNE O
STONE, ELAINE J
description Objective To develop a scoring algorithm and evaluate the reliability and validity of scores from the Child and Adolescent Trial for Cardiovascular Health (CATCH) Food Checklist (CFC) as measures of total fat, saturated fat, and sodium intake in middle school students. Design Randomized, controlled trial in which participants were assigned to 1 of 3 study protocols that varied the order of CFC and 24-hour dietary recall administration. Criterion outcomes were percent energy from total fat, percent energy from saturated fat, and sodium intake in milligrams. Subjects/setting A multiethnic sample (33% ethnic and racial minorities) of 365 seventh-grade students from 8 schools in 4 states. Statistical analyses Multivariable regression models were used to calibrate the effects of individual food checklist items; bootstrap estimates were used for cross-validation; and kappa statistics, Pearson correlations, t tests, and effect sizes were employed to assess reliability and validity. Results The median same-day test-retest reliability kappa for the 40 individual CFC food items was 0.85. With respect to item validity, the median kappa statistic comparing student choices to those identified by staff dietitions was 0.54. Test–retest reliability coefficients ranged from 0.84 to 0.89 for CFC total nutrient scores. Correlations between CFC scores and 24-hour recall values were 0.36 for total fat, 0.36 for saturated fat, and 0.34 for sodium; CFC scores were consistent with hypothesized gender differences in nutrient intake. Applications/conclusions The CFC is a reliable and valid tool for measuring fat, saturated fat, and sodium intake in middle school students. Its brevity and ease of administration make the CFC a cost-effective way to measure middle school students’ previous day’s intake of selected nutrients in school surveys and intervention studies. J Am Diet Assoc. 2001;101:635-642,647.
doi_str_mv 10.1016/S0002-8223(01)00161-4
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Design Randomized, controlled trial in which participants were assigned to 1 of 3 study protocols that varied the order of CFC and 24-hour dietary recall administration. Criterion outcomes were percent energy from total fat, percent energy from saturated fat, and sodium intake in milligrams. Subjects/setting A multiethnic sample (33% ethnic and racial minorities) of 365 seventh-grade students from 8 schools in 4 states. Statistical analyses Multivariable regression models were used to calibrate the effects of individual food checklist items; bootstrap estimates were used for cross-validation; and kappa statistics, Pearson correlations, t tests, and effect sizes were employed to assess reliability and validity. Results The median same-day test-retest reliability kappa for the 40 individual CFC food items was 0.85. With respect to item validity, the median kappa statistic comparing student choices to those identified by staff dietitions was 0.54. Test–retest reliability coefficients ranged from 0.84 to 0.89 for CFC total nutrient scores. Correlations between CFC scores and 24-hour recall values were 0.36 for total fat, 0.36 for saturated fat, and 0.34 for sodium; CFC scores were consistent with hypothesized gender differences in nutrient intake. Applications/conclusions The CFC is a reliable and valid tool for measuring fat, saturated fat, and sodium intake in middle school students. Its brevity and ease of administration make the CFC a cost-effective way to measure middle school students’ previous day’s intake of selected nutrients in school surveys and intervention studies. 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Human ecophysiology ; Humans ; Male ; Medical sciences ; Mental Recall ; Nutrition ; Nutrition surveys ; Nutritional survey. 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Design Randomized, controlled trial in which participants were assigned to 1 of 3 study protocols that varied the order of CFC and 24-hour dietary recall administration. Criterion outcomes were percent energy from total fat, percent energy from saturated fat, and sodium intake in milligrams. Subjects/setting A multiethnic sample (33% ethnic and racial minorities) of 365 seventh-grade students from 8 schools in 4 states. Statistical analyses Multivariable regression models were used to calibrate the effects of individual food checklist items; bootstrap estimates were used for cross-validation; and kappa statistics, Pearson correlations, t tests, and effect sizes were employed to assess reliability and validity. Results The median same-day test-retest reliability kappa for the 40 individual CFC food items was 0.85. With respect to item validity, the median kappa statistic comparing student choices to those identified by staff dietitions was 0.54. Test–retest reliability coefficients ranged from 0.84 to 0.89 for CFC total nutrient scores. Correlations between CFC scores and 24-hour recall values were 0.36 for total fat, 0.36 for saturated fat, and 0.34 for sodium; CFC scores were consistent with hypothesized gender differences in nutrient intake. Applications/conclusions The CFC is a reliable and valid tool for measuring fat, saturated fat, and sodium intake in middle school students. Its brevity and ease of administration make the CFC a cost-effective way to measure middle school students’ previous day’s intake of selected nutrients in school surveys and intervention studies. 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Test–retest reliability coefficients ranged from 0.84 to 0.89 for CFC total nutrient scores. Correlations between CFC scores and 24-hour recall values were 0.36 for total fat, 0.36 for saturated fat, and 0.34 for sodium; CFC scores were consistent with hypothesized gender differences in nutrient intake. Applications/conclusions The CFC is a reliable and valid tool for measuring fat, saturated fat, and sodium intake in middle school students. Its brevity and ease of administration make the CFC a cost-effective way to measure middle school students’ previous day’s intake of selected nutrients in school surveys and intervention studies. J Am Diet Assoc. 2001;101:635-642,647.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11424542</pmid><doi>10.1016/S0002-8223(01)00161-4</doi><tpages>13</tpages></addata></record>
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subjects Adolescent
Algorithms
Analysis
Biological and medical sciences
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - prevention & control
Child
Children & youth
Clinical trials
Diet Records
Dietary Fats - administration & dosage
Energy Intake
Female
Food Analysis
Food and nutrition
Food programs
Health aspects
Health care
Human physiology applied to population studies and life conditions. Human ecophysiology
Humans
Male
Medical sciences
Mental Recall
Nutrition
Nutrition surveys
Nutritional survey. Food supply and nutritional requirement
Regression Analysis
Reproducibility of Results
Self Disclosure
Sodium Chloride, Dietary - administration & dosage
Students
title Reliability and Validity of the Child and Adolescent Trial for Cardiovascular Health (CATCH) Food Checklist: A Self-report Instrument to Measure Fat and Sodium Intake by Middle School Students
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