Cargando…
Adaptation and Validation of the Chinese Version of the Nutrition Environment Measurement Tool for Stores
Changes in lifestyle and food environment have created a heavy burden of obesity and chronic disease in China. However, measurements of the food environment have been rarely reported in China or other countries with similar food cultures; this measurement shortage is partially due to the lack of val...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6427157/ https://www.ncbi.nlm.nih.gov/pubmed/30836654 http://dx.doi.org/10.3390/ijerph16050782 |
_version_ | 1783405147152449536 |
---|---|
author | Liu, Yang Song, Shenzhi Gittelsohn, Joel Jiang, Nan Hu, Jiajin Ma, Yanan Wen, Deliang |
author_facet | Liu, Yang Song, Shenzhi Gittelsohn, Joel Jiang, Nan Hu, Jiajin Ma, Yanan Wen, Deliang |
author_sort | Liu, Yang |
collection | PubMed |
description | Changes in lifestyle and food environment have created a heavy burden of obesity and chronic disease in China. However, measurements of the food environment have been rarely reported in China or other countries with similar food cultures; this measurement shortage is partially due to the lack of valid and reliable measurement tools. The aim of the present study was to adapt and validate a Chinese version of the Nutritional Environment Measurement Survey for Stores (C-NEMS-S). Categories and items of the NEMS-S were culturally adapted to fit the Chinese population and included grains, dry beans, starchy tubers, vegetables, fruits, seafood, meat and poultry, dietary oils, milk, bread, instant noodles, and beverages. A scoring sheet for each food category was created to measure availability, quality, and pricing. Then, the C-NEMS-S was validated in 10 large-sized supermarkets and 10 convenience stores in Shenyang, China. Two trained raters performed their evaluations separately at the same store. The intra-class correlation coefficient (ICC) of the availability composite score was 0.98. All food measures had a moderate or good ICC (0.41 to 1.00). The kappa for each food measure ranged from 0.52 to 1.00. C-NEMS-S was able to show the difference in healthy food availability between large-sized supermarkets and convenience stores, as well as the price differences between healthier options and regular options. Large-sized supermarkets had a significantly higher total score (p < 0.001) and healthier option availability for all food measures (all items were statistically significant (p < 0.05), except sugar-free beverages). Healthier options cost more than regular options for grains, milk, bread, and instant noodles (from 4% to 153%). The adapted C-NEMS-S can be used to measure the consumer food environment in stores in China. |
format | Online Article Text |
id | pubmed-6427157 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-64271572019-04-10 Adaptation and Validation of the Chinese Version of the Nutrition Environment Measurement Tool for Stores Liu, Yang Song, Shenzhi Gittelsohn, Joel Jiang, Nan Hu, Jiajin Ma, Yanan Wen, Deliang Int J Environ Res Public Health Article Changes in lifestyle and food environment have created a heavy burden of obesity and chronic disease in China. However, measurements of the food environment have been rarely reported in China or other countries with similar food cultures; this measurement shortage is partially due to the lack of valid and reliable measurement tools. The aim of the present study was to adapt and validate a Chinese version of the Nutritional Environment Measurement Survey for Stores (C-NEMS-S). Categories and items of the NEMS-S were culturally adapted to fit the Chinese population and included grains, dry beans, starchy tubers, vegetables, fruits, seafood, meat and poultry, dietary oils, milk, bread, instant noodles, and beverages. A scoring sheet for each food category was created to measure availability, quality, and pricing. Then, the C-NEMS-S was validated in 10 large-sized supermarkets and 10 convenience stores in Shenyang, China. Two trained raters performed their evaluations separately at the same store. The intra-class correlation coefficient (ICC) of the availability composite score was 0.98. All food measures had a moderate or good ICC (0.41 to 1.00). The kappa for each food measure ranged from 0.52 to 1.00. C-NEMS-S was able to show the difference in healthy food availability between large-sized supermarkets and convenience stores, as well as the price differences between healthier options and regular options. Large-sized supermarkets had a significantly higher total score (p < 0.001) and healthier option availability for all food measures (all items were statistically significant (p < 0.05), except sugar-free beverages). Healthier options cost more than regular options for grains, milk, bread, and instant noodles (from 4% to 153%). The adapted C-NEMS-S can be used to measure the consumer food environment in stores in China. MDPI 2019-03-04 2019-03 /pmc/articles/PMC6427157/ /pubmed/30836654 http://dx.doi.org/10.3390/ijerph16050782 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Liu, Yang Song, Shenzhi Gittelsohn, Joel Jiang, Nan Hu, Jiajin Ma, Yanan Wen, Deliang Adaptation and Validation of the Chinese Version of the Nutrition Environment Measurement Tool for Stores |
title | Adaptation and Validation of the Chinese Version of the Nutrition Environment Measurement Tool for Stores |
title_full | Adaptation and Validation of the Chinese Version of the Nutrition Environment Measurement Tool for Stores |
title_fullStr | Adaptation and Validation of the Chinese Version of the Nutrition Environment Measurement Tool for Stores |
title_full_unstemmed | Adaptation and Validation of the Chinese Version of the Nutrition Environment Measurement Tool for Stores |
title_short | Adaptation and Validation of the Chinese Version of the Nutrition Environment Measurement Tool for Stores |
title_sort | adaptation and validation of the chinese version of the nutrition environment measurement tool for stores |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6427157/ https://www.ncbi.nlm.nih.gov/pubmed/30836654 http://dx.doi.org/10.3390/ijerph16050782 |
work_keys_str_mv | AT liuyang adaptationandvalidationofthechineseversionofthenutritionenvironmentmeasurementtoolforstores AT songshenzhi adaptationandvalidationofthechineseversionofthenutritionenvironmentmeasurementtoolforstores AT gittelsohnjoel adaptationandvalidationofthechineseversionofthenutritionenvironmentmeasurementtoolforstores AT jiangnan adaptationandvalidationofthechineseversionofthenutritionenvironmentmeasurementtoolforstores AT hujiajin adaptationandvalidationofthechineseversionofthenutritionenvironmentmeasurementtoolforstores AT mayanan adaptationandvalidationofthechineseversionofthenutritionenvironmentmeasurementtoolforstores AT wendeliang adaptationandvalidationofthechineseversionofthenutritionenvironmentmeasurementtoolforstores |