부산대학교 도서관

We developed a brief, inexpensive, culturally sensitive 24-hour food checklist to identify middle school students enrolled in the Child and Adolescent Trial for Cardiovascular Health (CATCH), whose food choices over the previous day were high in total fat, saturated fat, or sodium. Food checklists were coded from 224 24-hour recalls previously collected from CATCH students in the fifth grade to simulate responses to it. Administration procedures for the food checklist were then pretested on 71 schoolchildren in grades 6 through 8. Regression results indicated that consumption of 10 items on the checklist had a positive effect on fat intake; 13, on saturated fat; and 11, on sodium intake. Some foods were removed from the checklist because of their small effect size or infrequency of reported consumption; others were combined or subdivided to form new food groups, or were reworded to improve comprehension. The final food checklist consisted of 40 foods or food groups. The median same-day test-retest reliability Kappa was 0.85; item validity, as measured by the median Kappa statistic, was 0.54. The food checklist procedures described may be helpful for developing similar food checklists. Nutrition educators and teachers may find that the food checklist is a useful educational tool for informing students about their fat intakes. [ABSTRACT FROM AUTHOR]