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Health Status Assessment Tool Development based on Dietary Patterns in Middle-Aged Women
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Research Article
Health Status Assessment Tool Development based on Dietary Patterns in Middle-Aged Women
Hye-Jin Lee, Kyung-Hea Leeorcid
Korean Journal of Community Nutrition 2016;21(1):37-52.
DOI: https://doi.org/10.5720/kjcn.2016.21.1.37
Published online: February 29, 2016

Department of Food and Nutrition, Changwon National University, Gyeongnam, Korea.

Corresponding author: Kyung-Hea Lee. Department of Food and Nutrition, Changwon National University, 20 Changwondaehakro, Uichang-gu, Changwon, Gyeongnam, 51140, Korea. Tel: (055) 213-3514, Fax: (055) 281-7480, khl@changwon.ac.kr
• Received: January 3, 2016   • Revised: February 13, 2016   • Accepted: February 13, 2016

Copyright © 2016 The Korean Society of Community Nutrition

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Objectives
    This study was performed to develop an assessment tool for middle aged women's health status based on dietary patterns, which will have practical applications in the working field of health and hygiene, aiming at improving the middle aged women's quality of life through their health improvement.
  • Methods
    As a first step, a literature review was conducted and the original data of '2008~2009 Korea Health and Nutrition Examination Survey' were reanalyzed. This analysis identified 65 preliminary questions that may be relevant to the study. After verifying the content validity by experts, the 65 questions were reduced into 51 questions. In order to secure higher validity of the candidate items, verification of their clinical validity was conducted among women aged between 45 and 60 years. Finally, an assessment tool was developed by applying weight and scoring.
  • Results
    Selected 51 questions were used to verify clinical validity and the results showed that 20 questions were relevant, nine questions ('regular meal time', 'regular amount of meal', 'intake frequency of dairy products', 'intake frequency of fruits', 'intake frequency of meat products', 'intake frequency of high cholesterol foods', 'intake frequency of salty foods', 'appetite', 'eat breakfast everyday') were related to dietary life. Eleven other questions ('self-rated health status', 'deep sleep', 'smoking', 'frequency of drinking', 'stress levels', 'health-related fitness levels', 'pounding of the heart', 'strange feelings on the skin', 'interfere with daily life', 'menopause will bring you a chance to see the life in a different perspective', and 'body mass index') were selected as valid questions. For the response scale for each question, 5 point Likert scale was used to make total 100 point score.
  • Conclusions
    This study is the first attempt to develop a health status assessment tool for middle aged women based on their dietary patterns. We conclude that this tool is expected to be a useful and practical tool in the field.
This research was supported by a grant from the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (grant number. 2011-0013053).
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Table 1

Components of the preliminary questions

kjcn-21-37-i001.jpg
Table 2

Content validity analysis results of the developed questionnaire for health status assessment

kjcn-21-37-i002.jpg

1) CVI: Content Validity Index.

Table 3

General information of the study subjects

kjcn-21-37-i003.jpg

1) Mean±SD

Table 4

Averages of clinical indicators

kjcn-21-37-i004.jpg

1) N (%)

Table 5

Mean value and significant correlations between health-related questions and clinical indicators

kjcn-21-37-i005.jpg

1) Maximum score is 5, 2) BMD: Bone Mass Density, 3) SBP: Systolic Blood Pressure, 4) DBP: Diastolic Blood Pressure, 5) TG: Triglyceride

*: p < 0.05, **: p < 0.01, ***: p < 0.001

Table 6

Mean value and significant correlations of between diet-related questions and clinical indicators

kjcn-21-37-i006.jpg

1) Maximum score is 5

*: p < 0.05, **: p < 0.01, ***: p < 0.001.

Table 7

Multiple regression analysis of questions with clinical indicators

kjcn-21-37-i007.jpg

Calculated by Regression analysis method

Table 8

Results of expert survey for setting weights of questions

kjcn-21-37-i008.jpg
Table 9

Applying to the calculation of weighted score

kjcn-21-37-i009.jpg
Table 10

The developed questionnaire for health status assessment tool

kjcn-21-37-i010.jpg

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  
    • Food consumption frequency of Korean adults based on whether or not having chewing difficulty using 2013–2016 KNHANES by sex-stratified comparative analysis
      Mi Jeong Kim
      Nutrition Research and Practice.2020; 14(6): 637.     CrossRef
    • Field Application and Evaluation of Health Status Assessment Tool based on Dietary Patterns for Middle-Aged Women
      Hye-Jin Lee, Kyung-Hea Lee
      Korean Journal of Community Nutrition.2018; 23(4): 277.     CrossRef

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    Health Status Assessment Tool Development based on Dietary Patterns in Middle-Aged Women
    Health Status Assessment Tool Development based on Dietary Patterns in Middle-Aged Women

    Components of the preliminary questions

    Content validity analysis results of the developed questionnaire for health status assessment

    1) CVI: Content Validity Index.

    General information of the study subjects

    1) Mean±SD

    Averages of clinical indicators

    1) N (%)

    Mean value and significant correlations between health-related questions and clinical indicators

    1) Maximum score is 5, 2) BMD: Bone Mass Density, 3) SBP: Systolic Blood Pressure, 4) DBP: Diastolic Blood Pressure, 5) TG: Triglyceride

    *: p < 0.05, **: p < 0.01, ***: p < 0.001

    Mean value and significant correlations of between diet-related questions and clinical indicators

    1) Maximum score is 5

    *: p < 0.05, **: p < 0.01, ***: p < 0.001.

    Multiple regression analysis of questions with clinical indicators

    Calculated by Regression analysis method

    Results of expert survey for setting weights of questions

    Applying to the calculation of weighted score

    The developed questionnaire for health status assessment tool

    Table 1 Components of the preliminary questions

    Table 2 Content validity analysis results of the developed questionnaire for health status assessment

    1) CVI: Content Validity Index.

    Table 3 General information of the study subjects

    1) Mean±SD

    Table 4 Averages of clinical indicators

    1) N (%)

    Table 5 Mean value and significant correlations between health-related questions and clinical indicators

    1) Maximum score is 5, 2) BMD: Bone Mass Density, 3) SBP: Systolic Blood Pressure, 4) DBP: Diastolic Blood Pressure, 5) TG: Triglyceride

    *: p < 0.05, **: p < 0.01, ***: p < 0.001

    Table 6 Mean value and significant correlations of between diet-related questions and clinical indicators

    1) Maximum score is 5

    *: p < 0.05, **: p < 0.01, ***: p < 0.001.

    Table 7 Multiple regression analysis of questions with clinical indicators

    Calculated by Regression analysis method

    Table 8 Results of expert survey for setting weights of questions

    Table 9 Applying to the calculation of weighted score

    Table 10 The developed questionnaire for health status assessment tool


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