幼児の食事調査のための質問票BDHQ3y ――8日間食事記録との比較により、BDHQ3yの妥当性を全国規模で検証――

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2026-10-09 東京大学

東京大学大学院医学系研究科の研究グループは、3~6歳の幼児の食事摂取量を簡便に評価する質問票「BDHQ3y」の妥当性を、全国規模の調査で検証した。幼児期は成長と発達に重要な時期だが、保育園や幼稚園で食事をする子どもでは、保護者が日々の食事内容を正確に把握することが難しい。研究では、32都道府県の未就学児500人を対象に、保護者が回答したBDHQ3yの推定値を、各季節に2日ずつ実施した計8日間の食事記録と比較した。その結果、調査した44の栄養素のうち26項目で、集団の摂取量中央値の差が10%未満となり、おおむね良好な一致が認められた。一方、食品群で同様の一致が得られたのは26群中3群に限られ、個人ごとの摂取量を正確に推定するには限界があった。本質問票は、幼児集団の栄養状況の把握や、保育施設での食事モニタリング、地域の栄養改善施策の評価に活用できる可能性がある。目的に応じて適切な栄養素や食品群を選び、結果を解釈することが重要である。

幼児の食事調査のための質問票BDHQ3y ――8日間食事記録との比較により、BDHQ3yの妥当性を全国規模で検証――
本研究の概要

<関連情報>

3~6歳児を対象とした簡易型自己記入式食事歴質問票(BDHQ3y)から推定される栄養素および食品群摂取量の相対的妥当性 Relative Validity of Nutrient and Food Group Intakes Estimated From the Brief-type Self-administered Dietary History Questionnaire for Japanese Preschool Children Aged 3–6 Years (BDHQ3y)

Ryoko Tajima, Hitomi Okubo, Nana Shinozaki, Shizuko Masayasu, Satoshi Sasaki, Kentaro Murakami
Journal of Epidemiology  Published:October 09, 2026
DOI:https://doi.org/10.2188/jea.JE20250707

Abstract

Background: To evaluate the relative validity of nutrient and food group intakes estimated using the brief-type self-administered Diet History Questionnaire for Japanese preschool children aged 3–6 years (BDHQ3y).

Methods: This study included 500 children (253 boys and 247 girls) aged 3–6 years recruited from 32 prefectures in Japan. Guardians completed the BDHQ3y to report their child’s dietary intake over the previous month and then 8-day weighed dietary records (DRs) over a year (2 days per season). From the BDHQ3y and DRs, energy-adjusted intakes of 44 nutrients and 26 food groups were estimated based on the density method.

Results: Percentage differences in median intakes were within 10% for 26 nutrients (most energy-providing nutrients and several vitamins and minerals) and three food groups (cereals, fish/shellfish and milk/dairy products). The median Spearman’s rank correlation coefficients were 0.31 (interquartile range [IQR], 0.23–0.40) for nutrients and 0.32 (IQR, 0.23–0.41) for food groups. Correlations exceeded 0.40 for 11 nutrients (eg, added sugar, dietary fiber and calcium) and nine food groups (eg, vegetables, fruits and milk/dairy products). Bland-Altman plots showed wide limits of agreement, with overestimation of intakes of protein, fats, carbohydrates, fruits, and milk/dairy products, as well as underestimation of intake of vegetables at higher intake levels. Similar findings were made when boys and girls were analyzed separately.

Conclusion: The BDHQ3y has the potential to monitor population-level intakes of a range of nutrients. However, its utility for ranking individuals and assessing individual-level intake remains limited, requiring cautious interpretation and application.

医療・健康
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