Validation of a six-item dietary calcium screening tool among HIV patients in China
Bibliographic Data
| ID | 15096191 |
|---|---|
| Authors | Leslie Yingzhijie Tseng (0000-0002-5753-2046, Peking Union Medical College Hospital), Wenni Xie (Shenzhen Third People’s Hospital), Wei Pan (0000-0003-2410-9935, Yale University), Hui Lyu (0000-0002-0872-1617, Shenzhen Third People’s Hospital), Zhangping Yu (0000-0002-1923-4494, Chinese Academy of Medical Sciences & Peking Union Medical College), Wenyan Shi (0000-0001-7360-0371, Shenzhen Third People’s Hospital), Yun He (0000-0003-1145-3833, Shenzhen Third People’s Hospital), Wei Chen (0000-0002-9419-148X, Peking Union Medical College Hospital, corresponding author), Taisheng Li (0000-0002-7050-5675, Peking Union Medical College Hospital, corresponding author), Evelyn Hsieh (0000-0001-5018-8409, Chinese Academy of Medical Sciences & Peking Union Medical College) |
| Year | 2021 |
| Volume | 24 |
| Issue | 15 |
| Pages | 4786-4795 |
| Publication date | 2021-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980021001427 |
| PMID | 33820577 |
| OpenAlex | W3143981011 |
| Language | EN |
| References cited | 55 |
Objective: Individuals with HIV are at increased risk for osteoporosis. A healthy diet with adequate Ca is recommended to promote bone health. However, lengthy nutritional assessments pose barriers to routine screenings in clinical practice. This study aimed to examine the validity and reproducibility of a six-item dietary Ca screening tool among Chinese individuals with HIV. Design: We conducted a two time-point study in an outpatient setting. Volunteers self-administered the six-item tool upon enrolment and again at 1-month follow-up. At baseline, participants also completed a validated FFQ and surveys regarding demographic and clinical risk factors. Setting: Beijing, China; Shenzhen, Guangdong, China. Participants: Upon enrolment, 127 individuals with HIV participated in the study, of whom 83 completed the follow-up screening. Results: Mean age of participants was 35·2 ( sd 9·3) years, average BMI was 22·8 ( sd 3·8) kg/m 2 and 89 % were men. Among the participants, 54·7 % reported Ca intake less than 800 mg/d. The six-item tool demonstrated fair-to-moderate relative validity with a correlation of 0·39 and 75·7 % of subjects classified in same/adjacent quartiles as the reference, and moderate-to-good reproducibility with a correlation of 0·60 and 83·1 % of subjects classified in same/adjacent quartiles. Finally, receiver operating characteristic analyses yielded a sensitivity of 87·0 % and a specificity of 39·4 % with optimised cut-off level. Conclusions: The six-item tool presented adequate validity and reproducibility to identify individuals with low Ca intake among the target population, providing a convenient instrument for categorising Ca intake in clinical practice, prompting referrals for further assessment, and raising awareness of dietary Ca in bone disease prevention
Confidence interval · Environmental health · Osteoporosis · Physical therapy · Population · Quartile · Bone health and osteoporosis research · HIV-related health complications and treatments · Medicine · Vitamin D Research Studies · Internal Medicine
Social Desirability Bias in Dietary Self-Report May Compromise the Validity of Dietary Intake Measures
Misreporting of energy and micronutrient intake estimated by food records and 24 hour recalls, control and adjustment methods in practice
Adjustment for total energy intake in epidemiologic studies
Index for rating diagnostic tests
The Measurement of Observer Agreement for Categorical Data
Double burden of malnutrition
| Citation velocity | historical |
|---|---|
| Highly cited | No |