J Nutr Health.  2024 Apr;57(2):244-260. 10.4163/jnh.2024.57.2.244.

Development of evaluation items for accessing practice and compliance with dietary guidelines among Korean adults

Affiliations
  • 1Department of Foodservice Management and Nutrition, Graduate School, Sangmyung University, Seoul 03016, Republic of Korea
  • 2College of Science and Industry Convergence, Ewha Womans University, Seoul 03760, Republic of Korea
  • 3Department of Nutritional Science and Food Management, Ewha Womans University, Seoul 03760, Republic of Korea
  • 4Department of Food and Nutrition, Yongin University, Yongin 17092, Republic of Korea
  • 5Major of Foodservice Management and Nutrition, Sangmyung University, Seoul 03016, Republic of Korea

Abstract

Purpose
With the 2021 revision of dietary guidelines in Korean emphasizing environmentally sustainable dietary practices, this study attempted to develop an evaluation tool to comprehensively evaluate the degree of practice and compliance with food and nutrient intake, dietary habits, and dietary culture guidelines based on the revised dietary guidelines.
Methods
The candidate evaluation items were collected by reviewing 934 literature reviews on domestic and foreign dietary evaluations. Fifty-nine candidate items were derived by selecting the items corresponding to dietary guidelines. The content validity ratio (CVR) cutoff point evaluation was conducted with 11 experts to delete 11 items that did not meet the CVR standard. Fifty-five pilot survey candidate items were selected through revision and additional process according to expert opinion. Seventy final candidate items were selected by adding 15 questions for validity verification and reference. A pilot survey was conducted online and offline on 332 adults aged 19–64 in Seoul and the metropolitan area, and exploratory factor analysis was used to verify the construct validity of the evaluation items. Through exploratory factor analysis, the Kaiser–Meyer–Olkin, Bartlett's sphericity test, variance explained, and Cronbach's alpha criteria were confirmed in each process.
Results
Exploratory factor analyses derived three criteria: food and nutrient intakes (11 items), eating behaviors (9 items), and dietary culture (14 items), consisting of 34 evaluation items.
Conclusion
The present scale was validated and can be used for comprehensive evaluations of the dietary guidelines for Korean adults in a simple way.

Keyword

food intake; diet; behavior; checklist; adults
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