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http://dx.doi.org/10.4163/kjn.2012.45.4.390

Development of a Nutrition Quotient (NQ) equation modeling for children and the evaluation of its construct validity  

Kim, Hye-Young (Department of Food & Nutrition, Yongin University)
Kwon, Se-Hyug (Department of Statistics, Hannam University)
Lee, Jung-Sug (FANSA (Food and Nutrition Statistical Analysis))
Choi, Young-Sun (Department of Food & Nutrition, Daegu University)
Chung, Hae-Rang (Nutrition for the Future Inc.)
Kwak, Tong-Kyung (Department of Food & Nutrition, Yonsei University)
Park, Ju-Yeon (Amway Koera Ltd.)
Kang, Myung-Hee (Department of Food & Nutrition, Daeduk Valley Campus, Hannam University)
Publication Information
Journal of Nutrition and Health / v.45, no.4, 2012 , pp. 390-399 More about this Journal
Abstract
The objective of this study was to develop and evaluate the construct validity of a Nutrition Quotient (NQ) for children. In a previous report (Kang, et al., 2012), the food behavior checklist for children's NQ, consisting of 19 items, was grouped into a 5-factor structure according to the exploratory factor analysis: balance, diversity, moderation, regularity, and practice. In this study, the construct validity of the NQ was assessed using a confirmatory factor analysis. Elementary school students (n = 1,393) from six large cities completed the NQ test. Indicator tests suggested an adequate model fit (goodness of fit index = 0.9613; adjusted GFI = 0.95; standardized root mean square residual = 0.0464; chi-square test statistics of < 0.001 p-value, 82.1), and item loadings were significant for all subscales (p < 0.05). The standardized path coefficients were used as the weights of the items. The NQ and the 5 factor scores of the student were calculated by the obtained weights of the questionnaire items. Logistic regression was applied to find the significant factors in order to affect a specific nutrient status. The receiver operation characteristic curve analyses were performed in order to find diagnostic cut-off points of the five factors. The food behavior checklist for children's NQ would be a handy and suitable instrument for evaluating dietary behaviors of Korean children.
Keywords
nutrition quotient; children; construct validity; dietary behavior;
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1 Kant AK. Dietary patterns and health outcomes. J Am Diet Assoc 2004; 104(4): 615-635   DOI   ScienceOn
2 Kwon S, Kim HY, Lee JS, Kwak TK, Chung HR, Choi YS, Kang MH. Statistical approach to test construct validity and obtain weights for the children's dietary life recognition and practice index. Korean J Nutr 2011; 44(1): 41-48   DOI
3 Feskanich D, Rockett HR, Colditz GA. Modifying the healthy eating index to assess diet quality in children and adolescents. J Am Diet Assoc 2004; 104(9): 1375-1383   DOI   ScienceOn
4 Hurley KM, Oberlander SE, Merry BC, Wrobleski MM, Klassen AC, Black MM. The healthy eating index and youth healthy eating index are unique, nonredundant measures of diet quality among low-income, African American adolescents. J Nutr 2009; 139(2): 359-364   DOI
5 Branscum P, Sharma M, Kaye G, Succop P. An evaluation of the validity and reliability of a food behavior checklist modified for children. J Nutr Educ Behav 2010; 42(5): 349-352   DOI   ScienceOn
6 Serra-Majem L, Ribas L, Ngo J, Ortega RM, Garcia A, Perez- Rodrigo C, Aranceta J. Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr 2004; 7(7): 931-935
7 Yon M, Hyun T. Development of an eating habit checklist for screening elementary school children at high risk of energy overintake. Korean J Nutr 2008; 41(5): 414-427
8 Yon M, Hyun T. Development of an eating habit checklist for screening elementary school children at risk of inadequate micronutrient intake. Korean J Nutr 2009; 42(1): 38-47
9 Kang MH, Lee JS, Kim HY, Kwon S, Choi YS, Chung HR, Kwak TK, Cho YH. Selecting items of a food behavior checklist for development of Nutrition Quotient (NQ) for children. Korean J Nutr 2012; 45(4): 372-389   DOI
10 Lee RD, Nieman DC. Nutritional assessment, 4th ed. Boston: McGraw-Hill; 2007
11 Johnson RA, Wichern DW. Applied multivariate statistical analysis. Upper Saddle River: Prentice Hall; 1992
12 Hair FH Jr, Anderson RE, Tatham RL, Black WC. Multivariate data analysis. Upper Saddle River: Prentice Hall; 1995
13 Joreskog KG, Sorbom D. LISREL 8: Structural equation modelling with the SIMPLIS command language. Chicago: Scientific Software International; 1993
14 The Korean Nutrition Society. Dietary reference intakes for Koreans. Seoul; 2010
15 Ahn JA, Rhu KY. Medicine and health statistical analysis. Seoul: Hannarae Publishing Co.; 2008. p.297-307
16 Kleiser C, Mensink GB, Scheidt-Nave C, Kurth BM. HuSKY: a healthy nutrition score based on food intake of children and adolescents in Germany. Br J Nutr 2009; 102(4): 610-618   DOI   ScienceOn
17 Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. The fifth Korea National Health and Nutrition Examination Survey report (KNHANES V-1). 2011
18 Johnson F, Wardle J, Griffith J. The adolescent food habits checklist: reliability and validity of a measure of healthy eating behaviour in adolescents. Eur J Clin Nutr 2002; 56(7): 644-649   DOI   ScienceOn
19 Smith KW, Hoelscher DM, Lytle LA, Dwyer JT, Nicklas TA, Zive MM, Clesi AL, Garceau AO, Stone EJ. 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. J Am Diet Assoc 2001; 101(6): 635-647   DOI   ScienceOn
20 Kant AK. Indexes of overall diet quality: a review. J Am Diet Assoc 1996; 96(8): 785-791   DOI   ScienceOn
21 Seoul City Healthy Tuckshop. [cited 2012 Jul 21]. Available from: http://www.healthytuckshop.or.kr
22 Jang NS, Kang MH, Chung HK. Community nutrition. Paju: Kyomunsa; 2009. p.334
23 Lazarou C, Newby PK. Use of dietary indexes among children in developed countries. Adv Nutr 2011; 2(4): 295-303   DOI
24 Thiagarajah K, Fly AD, Hoelscher DM, Bai Y, Lo K, Leone A, Shertzer JA. Validating the food behavior questions from the elementary school SPAN questionnaire. J Nutr Educ Behav 2008; 40(5): 305-310   DOI   ScienceOn
25 Patterson RE, Haines PS, Popkin BM. Diet quality index: capturing a multidimensional behavior. J Am Diet Assoc 1994; 94(1): 57-64   DOI   ScienceOn
26 Haines PS, Siega-Riz AM, Popkin BM. The diet quality index revised: a measurement instrument for populations. J Am Diet Assoc 1999; 99(6): 697-704   DOI   ScienceOn
27 Townsend MS, Kaiser LL, Allen LH, Joy AB, Murphy SP. Selecting items for a food behavior checklist for a limited-resource audience. J Nutr Educ Behav 2003; 35(2): 69-77   DOI   ScienceOn
28 Kennedy ET, Ohls J, Carlson S, Fleming K. The healthy eating index: Design and applications. J Am Diet Assoc 1995; 95(10): 1103-1108   DOI   ScienceOn
29 Guenther PM, Reedy J, Krebs-Smith SM, Reeve BB, Basiotis PP. Development and evaluation of the healthy eating index-2005. Technical report. Alexandria (VA): Center for Nutrition Policy and Promotion, U.S. Department of Agriculture; 2007
30 Murphy SP, Kaiser LL, Townsend MS, Allen LH. Evaluation of validity of items for a food behavior checklist. J Am Diet Assoc 2001; 101(7): 751-761   DOI   ScienceOn
31 Blackburn ML, Townsend MS, Kaiser LL, Martin AC, West EA, Turner B, Joy AB. Food behavior checklist effectively evaluates nutrition education. Calif Agric 2006; 60(1): 20-24   DOI   ScienceOn