本研究以台灣地區國人之飲食習慣為考量，擬發展出一份適合評估國人鈣質和鐵質攝取情況之飲食頻率問卷，並先就青少年族群進行信度與效度檢測。研究對象為台灣公立高中和國中學生，有效樣本共計193名，分別有96位高中生與97位國中生，其中男女學生人數各71名及122名。飲食頻率問卷之食物項目共八大類34項，其中用以評估鈣質攝取量之食物項目為28項，評估鐵質攝取量則有23項；使用份量參考圖片作為輔助工具。評估飲食頻率問卷之效度是以兩次三日飲食記錄做為效標；信度研究則比較二次間隔一個月之飲食頻率問卷。研究結果以t test、one way ANOVA、Pearson correlation、交叉分類及Kappa一致性等統計方法分析問卷之信度與效度。在信度研究方面，兩次飲食頻率問卷所測得之鈣質與鐵質攝取量的相關性分別達0.45和0.49，交叉分類結果顯示鈣質及鐵質攝取量分別有41%及39%以上受試者被歸在相同等分位，再以Kappa一致性係數來看，鈣質與鐵質攝取量分別呈現普通(0.22)和稍微(0.20)一致性；綜合研究結果，本研究之鈣質與鐵質飲食頻率問卷信度結果尚可接受。效度分析方面，經去除每日飲食變異性調整後，第二次鈣質飲食頻率問卷與兩次飲食記錄間相關性為0.48與0.51 (p< .01 )；而第二次鐵質飲食頻率問卷與兩次飲食記錄校正後相關性為0.33與0.32 (p< .01 )。為平衡飲食記錄資料收集順序所造成之測量誤差，將兩次飲食記錄結果平均，檢驗平均攝取量與第二次飲食頻率問卷之相關性，結果發現鈣質與鐵質之pearson相關性分別為0.50與0.33，皆達顯著相關(p< .01)。再將飲食記錄與飲食頻率問卷所測得之鈣質與鐵質攝取量，分別由高而低分為四等分位進行交叉分類比較，3成左右受試者其鈣質與鐵質攝取量在兩種評估方法比較後能正確分類至相同等分位。整體而言，鈣質飲食頻率問卷效度表現尚可，而鐵質飲食頻率問卷之效度較不理想，但仍屬可接受之範圍。

The purpose of this study was based on diet behavior of people living in Taiwan to develop a food frequency questionnaire (FFQ) of calcium and iron intake, and adolescent was the first conducted on the reproducibility and validity testing. The effective samples of this study are public senior high school and high school student with a total of 193. There are 96 senior high school students and 97 high school students respectively while the number of male are 71 and the number of female are 122. In FFQ, there are 34 food items in 8 categories, 28 items for evaluation of calcium intake and 23 items for evaluation of Iron intake, while the portion size was measured with referenced photos. Three-day food records were used as a reference standard for FFQ validity, and reproducibility of FFQ was tested 1-months apart. T test 、one-way ANOVA 、Pearson correlation 、Cross-classification and Kappa were used to evaluate the FFQ. For a test-retest reliability of the FFQ, the correlation for calcium and iron was respectively 0.45 and 0.49, and results showed that the cross-classification of calcium and iron intake were 41% and 39% of subjects were classified in the same quartile, then for Kappa statistic, calcium and iron intake were showing fair (0.22) and slightly (0.20) consistency. With these results, the reliability of this study for calcium and iron intake FFQs is acceptable. The correlation between calcium intakes as estimated by the second FFQ with two food records were 0.48 and 0.51 (deattenuated Pearson’s r), and the correlation between iron intakes as estimated by the second FFQ with two food records were 0.32 and 0.33 (deattenuated Pearson’s r). To balance the measurement error from the order of collecting food records, the two food records was averaged to examine the correlation with FFQ2, and the pearson correlation of calcium and iron are 0.50 and 0.33 (p <.01). Then participants were classified into quartiles according to their calcium and iron intake as estimated by two food records and FFQ, 30% of participants of their iron and calcium intake in the two assessment methods were correctly classified into the same quartiles. Overall, the validity of calcium FFQ was acceptable, and validity of iron FFQ was less desirable, but still acceptable

一、中文部份

Bonnie, S.Worthington-Roberts (2004)。生命期營養（陳淑娟譯）。
台北市：合記。
Neuman,W.L.(2000)。社會研究方法：質化與量化取向（朱柔若譯）。台北
市：揚智文化。
中國預防醫學科學院、營養與食品衛生研究所（1991）。食物成份表。北京
市：人民衛生出版社。
余雅萍（2003）。學童版中式飲食頻率問卷之發展研究。國立台灣師範大學
人類發展與家庭學系碩士論文，未出版，台北市。
李貞慧（2001）。膳食葉酸攝取狀況與缺血性腦中風之危險相關性研究。輔
仁大學食品營養學系碩士論文，未出版，台北市。
李寧遠、朱裕誠、張志平、謝明哲、高美丁（1991）。民國七十五年至七十
七年台灣地區膳食營養狀況。中華民國營養學會雜誌，16，39-60。
吳幸娟、章雅惠、張新儀、潘文涵（2001）。台灣地區成人攝入礦物質（鈣
、磷、鐵、鈉）之食物來源：1993~1996國民養營健康狀況變遷調查結
果。中華營誌，26，142-158。
吳幸娟、吳佳娟、金惠民、胡淑惠、陳惠欣、章樂綺等（2001）。營養評估
。台中市：華格那。
林薇（1993）。飲食行為評估之方法學研究—二十四小時飲食回憶法之效度
研究。行政院國家科學委員會專題研究計畫報告（計劃編號：NSC 82-
0301-H-003-005），未出版。
牧野直子（2004）。食品熱量一覽表（李妙霜譯，劉育秀編）。台北市：笛
藤。
邱皓政（2004）。量化研究與統計分析。台北市：五南。
徐繼蔭（2000）。以病例對照研究探討大台北地區痛風飲食及非飲食危險因
子。國立台灣師範大學人類發展與家庭學系碩士論文，未出版，台北市。
許佑寧(2005)。婦女懷孕三期飲食狀況、膳食評估法與影響新生兒體型之前
瞻性研究分析。國立台灣師範大學人類發展與家庭學系碩士論文，未出版
，台北市。
黃伯超、魏小南、黃雪卿、游素玲（1978）。台灣產常用食品之營養成份表
，中華民國營養學會雜誌，3，11。
葉乃華（2003）。飲食頻率問卷之建立及其效度研究。國立台灣大學農業化
學研究所碩士論文，未出版，台北市。
楊國樞、文崇一、吳聰賢、李亦園編（1981）。社會及行為科學研究法。台
北市：東華。
新井映子、柳幸江、新山みつ枝編（2006）。食品成分表（13版)。東京書
籍。
潘文涵、章雅惠、陳正義、吳幸娟、曾明淑、高美丁（1998）。以二十四小
時飲食回顧法評估國人膳食營養狀況。國民營養現況：1993-1999國民營
養健康狀況變遷調查結果(27-50頁)。台北市：行政院衛生署。
蕭寧馨、王瑞蓮、陳慧君（2004年12月）。貧血相關之營養素與國人維生
素和礦物質營養狀況綜合報告。蕭寧馨(主持人)。營養監測與政策發
展國際研討會，中研院。

二、英文部份

Angus, R.M., Sambrook, P.N., Pocock, N.A., & Eisman J.A.
(1989). A simple method for assessing calcium intake in
Caucasian women. Journal of the American Dietetic
Association, 89(2), 209-14.
Bingham, S.A., Nelson, M., Paul, A.A., Haraldsdottir, J.,
LØKEN, E.B., Van Staveren, W.A., et al. (1988). Methods
for data collection at an individual level. In M.E.
Cameron, & W.A. Van Staveren (Eds.), Manual on Methodology for Food Consumption Studies (pp. 53-106). New
York：Oxford University Press.
Block, G., Hartman, A.M., Dresser, C.M., Carroll, M.D.,
Gannon, J., & Gardner, L. (1986). A data-based approach
to diet questionnaire design and testing. American
Journal of Epidemiology, 124, 453-469.
Block, G., & Hartman, A.M. (1989). Issues in
reproducibility and vilidity of dietary studies. American
Journal of Clinical Nutrition, 50, 1133-1138.
Briefel, R.R., Flegal, K.M., Winn, D.M., Loria, C.M.,
Johnson, C.L., & Sempos, C.T. (1992). Assessing the
nation's diet: Limitations of the food frequency
questionnaire. Journal of the American Dietetic
Association, 92(8), 959-62.
Brown, J.L., & Griebler, R. (1993). Reliability of a short
and long version of the block food frequency form for
assessing changes in calcium intake. Journal of the
American Dietetic Association, 93(7), 784-789
Buzzard, M.(1998).24-hour dietary recall and food record
methods. In W. Willet (Eds.), Nutritional Epidemiology.
(2nd ed.). New York：Oxford University Press.
Cade, J.E., Burley, V.J., Warm, D.L., Thompson, R.L., &
Margetts, B.M. (2004). Food-frequency questionnaires: a
review of their design, validation and
utilization. Nutrition Research Reviews, 17(1), 5-22.
Dywer, J.T. (1994). Dietary assessment. In M.E. Shils, J.A.
Olson, M. Shike (Eds.), Modern Nutrition in Health and
Disease. (8th ed.). Philadelphia：Lea & Febiger.
Gibson, R.S. (1990). Principles of Nutritional Assessment.
New York：Oxford University Press.
George, G.C., Milani, T.J., Hanss-Nuss, H., Kim, M., &
Freeland-Graves, J.H.(2004). Development and validation
of a semi-quantitative food frequency questionnaire for
young adult women in the southwestern United States.
Nutrition Research, 24, 29-43.
Gray, G..E., Paganini-Hill, A., Ross, R.K., & Henderson,
B.E. (1984). Assessment of three brief methods of
estimation of vitamin A and C intakes for a prospective
study of cancer：Comparison with dietary history.
American Journal of Epidemiology, 119, 581-590.
Harnack, L.J., Lytle, L.A., Story, M., Galuska, D.A.,
Schmitz, K., Jacobs, D.R., et al. (2006). Reliability and
validity of a brief questionnaire to assess calcium
intake of middle-school-aged children. Journal of the
American Dietetic Association, 106(11), 1790-1795.
Heath, A.L., Skeaff C.M., & Gibson R.S. (2000). The
relative validity of a computerized food frequency
questionnaire for estimating intake of dietary iron and
its absorption modifiers. European Journal of Clinical
Nutrition, 54, 592-599.
Jensen, J.K., Gustafson, D., Boushey, C.J., Auld, G., Bock,
M.A., Bruhn, C.M., et al. (2004). Development of a food
frequency questionnaire to estimate calcium intake of
Asian, Hispanic, and white youth. Journal of the American
Dietetic Association, 104(5), 762-9.
Karvetti, R.L., & Knuts, L.R. (1985).Validity of the 24-
hour dietary recall. Journal of the American Dietetic
Association, 85, 1437-1442.
Kim, M.K., & Youl, C.B. (2002). The influence of portion
size data on the agreement of classification of
individuals according to nutrient estimates by food
frequency questionnaire in a rural area of Korea.
Nutrition Research, 22(3), 271-281.
Kuzma, J.W., & Lindsted, K.D. (1990). Determinants of eight-
year diet recall ability. Epidemiology, 1, 386-391.
Lazarus, R., Wilson, A., Gliksman, M., & Aiken, J. (1995).
Repeatability of Nutrient Intakes Estimated by a
Semiquantitative Food Frequency Questionnaire in Elderly
Subjects. Annals of Epidemiology, 5(1), 65-68.
Larkin, F.A., Metzner, H.L., Thompson, F.E., Flegal, K.M.,
& Guire, K.E. (1989). Comparison of estimated nutrient
intakes by food frequency and dietary records in adult.
Journal of the American Dietetic Association, 89(2),215-
223.
Lee, R.D., & Nieman, D.C. (1996). Nutritional Assessment
(2nd ed.). Boston, Massachusetts : WCB/McGraw-Hill.
Liu, K. (1994). Statistical issues related to
semiquantitative food-frequency questionnaires. The
American Journal of Clinical Nutrition, 59(1 Suppl),
262S-265S.
Lyu, L.C., Hankin, J.H., Liu, L.Q., Wilkens, L.R., Lee,
J.H., Goodman, M.T., et al. (1998). Telephone vs face-to-
face interviews for quantitative food frequency
assessment. Journal of the American Dietetic Association,
98(1), 44-8.
Magkos, F., Manios, Y., Babaroutsi, E., & Sidossis, L.S.
(2006). Development and validation of a food frequency
questionnaire for assessing dietary calcium intake in the
general population. Osteoporos Int, 17(2), 304-312
Marla, A., & Swaim, B.S. (2002). General and iron nutrition
knowledge of two adolescent study group. Unpublished
doctoral dissertation, Texas Woman's University, Texas.
Montomoli, M., Gonnelli, S., Giacchi, M., Mattei, R., Cuda
C, Rossi, S., et al. (2002). Validation of a food
frequency questionnaire for nutritional calcium intake assessment in Italian women. European Journal of Clinical
Nutrition, 56(1), 21-30.
Morgan, R.W., Jain, M., Miller, A.B., Choi, N.W., Matthews,
V., Munan, L., et al. (1978). A comparison of dietary
methods in epidemiologic studies. American Journal of
Epidemiology, 107, 488-498.
Musgrave, K.O., Giambalvo, L., Leclerc, H.L., Cook, R.A., &
Rosen, C.J. (1989). Validation of a quantitative food
frequency questionnaire for rapid assessment of dietary
calcium intake. Journal of the American Dietetic
Association, 89(10), 1484-8.
Nelson, M. & Bingham, S.A. (1997). Assessment of food
consumption and nutrient intake. In B.M. Margetts, & M.
Nelson (Eds.), Design Concepts in Nutritional
Epidemiology (pp.123-169). (2nd ed.). Oxford:Oxford
University Press.
Rockett, H.R., Breitenbach, M., Frazier, A.L., Witschi, J.,
Wolf, A.M., Field, A.E., et al. (1997). Validation of a
youth/adolescent food frequency questionnaire. Preventive
Medicine, 26, 808-816.
Rockett, H.R., Wolf, A.M., & Colditz, G.A. (1995).
Development and Reproducibility of a Food Frequency
Questionnaire to Assess Diets of Older Children and
Adolescents. Journal of the American Dietetic
Association, 95(3), 336-340.
Rolfes, S.R., DeBruyne, L.K., Whitney, E.N. (1998). Life
Span Nutrition: Conception Through Life.(2nd ed.).
Belmont,California : Wadsworth Publishing Company.
Sato, Y., Tamaki, J., Kitayama, F., Kusaka, Y., Kodera, Y.,
Koutani, A., et al.(2005). Development of a food-frequency questionnaire to measure the dietary calcium
intake of adult Japanese women. The Tohoku Journal of
Experimental Medicine, 207(3), 217-22
Sempos, C.T., Johnson, N.E., Smith, E., & Gilligan, C.
(1985). Effect of intraindividual and interindividual
variation in repeated dietary records. American Journal
of Epidemiology, 121(1), 120-130.
Shahar, D., Fraser, D., Shai, I., & Vardi, H. (2003).
Development of a food frequency questionnaire (FFQ) for
an elderly population based on a population survey.
Journal of Nutrition, 133(11), 3625-9.
Stefanik, P.A., & Trulson, M.F. (1962). Determining the
frequency of foods in large group studies. American
Journal of Clinical Nutrition, 11, 335-343.
Stevens, J., Metcalf, P.A., Dennis, B.H., Tell, G.S.,
Shimakawa, T., & Folsom, A.R. (1996). Reliability of a
food frequency questionnaire by ethnicity, gender, age
and education. Nutrition Research, 16, 735-745.
Subar, A.F., Thompson, F.E., Smith, A.F., Jobe, J.B.,
Ziegler, R.G., Potischman, N., et al. (1995). Improving
food frequency questionnaire：A qualitative approach
using cognitive interviewing. Journal of the American
Dietetic Association, 79, 547-551.
Taitano, R.T., Novotny, R., Davis, J.W., Ross, P.D., &
Wasnich, R.D. (1995). Validity of a food frequency
questionnaire for estimating calcium intake among
Japanese and white women. Journal of the American
Dietetic Association, 95(7), 804-6.
Thompson, F.E., & Byers, T. (1994). Dietary assessment
resourse manual. Journal of Nutrition, 124, 2245S-2317S.
Tsubono, Y., Sasaki, S., Kobayashi, M., Akabane, M., &
Tsugane, S. (2001). Food Composition and Empirical Weight
Methods in Predicting Nutrient Intakes from Food
Frequency Questionnaire. Annals of Epidemiology, 11, 213-
218.
Trowbridge, F. (2002). Prevention and control of iron
deficiency: priorities and action steps. Journal of
Nutrition, 132, 880S-882S.
Xu, L., Porteous, J.E., Phillips, M.R., & Zheng, S. (2000).
Development and validation of a calcium intake
questionnaire for postmenopausal women in China. Annals
of Epidemiology, 10(3), 169-175.
Willett, W. (1998). Nutritional Epidemiology. (2nd ed.).
New York: Oxford University Press.
Willett, W.C., Reynolds, R.D., Cottrell-Hoehner, S.,
Sampson, L., & Browne, M.L.(1987). Validation of a semi-
quantitative food frequency questionnaires：comparison
with a 1-year diet record. Journal of the American
Dietetic Association, 87(1), 43-47.
Willett, W. & Lenart, E.(1998).Reproducibility and validity
of food-frequency questionnaires. In W. Willett (Eds.),
Nutritional Epidemiology (pp. 101-147). (2nd ed.). New
York: Oxford University Press.
Wise, A., & Birrell, N.M. (2002). Design and analysis od
food frequency questionnaires-review and novel method.
International Journal of Food Sciences and Nutrition, 53,
273-279.