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1、食物频率法问卷调查（FFQ）参试者姓名 出生年月 性别居住地址市（县区（乡）街道（村）号联系电话请记忆过去的三个月内,您是否吃过以下食物，并估计这些食物的平均食用量和次数.食物 编码分 类食物名称单位分量进食次数（只选一项）平均每次进 食量每天每周每月不吃主食大米饭糯米饭米粥包子、馒头芝麻糊燕麦片其他干 豆 类 及 制 品黄豆豆腐、豆花豆浆豆腐皮、豆腐干绿豆、豌豆等其他零 食巧克力饼干（膨化食品）糖果土豆片牛肉干山楂果丹皮其他奶 类鲜奶（羊、牛奶）奶粉豆奶奶油酸奶蛋 类鹌鹑蛋鸡蛋鸭蛋咸鸭蛋皮蛋其他酒 类白酒30红酒啤酒其他肉 类 及 制 品猪肉牛羊肉猪排骨猪肝、猪血鸡鸭鹅及内脏鸽子及内脏其他水
2、产类淡水鱼泥鳅黄鳝（鳝鱼）虾、蟹其他水 果 类橙西瓜菠萝苹果桂圆梨葡萄香蕉其他干果 及 种类果脯葡萄干枣（干）核桃花生、花生米板栗杏仁松子柿饼南瓜子葵花子菌 藻 类金针菇（智力菇）香菇冬菇紫菜海带黑木耳蔬 菜 类菠菜菜花大白菜生菜青蒜（大蒜）苋菜萬苣笋（萬苣）小白菜油菜韭菜芫荽（香菜）芹菜（茎）圆白菜蒜苗（蒜台）豆苗马铃薯藕（莲藕）菜苔冬瓜佛手瓜黄瓜（胡瓜）南瓜丝瓜西葫芦番茄（西红柿）辣椒（尖、青）茄子豆角毛豆、豌豆胡萝卜白萝卜其他杂 类粉丝粉条、凉粉蜂蜜黑芝麻其他咸 菜 类大头菜（酱）酱黄瓜榨菜萝卜干其他饮 料 类茶水可乐果汁其他调查员审核员 调查时间 审核时间FFQ TABLE (In E
3、nglish )Food CodingClassificationFood namesUnitFeeding times ( Check one only)Average intakeEvery dayWeeklyMonthlyDo not eatStaple foodRiceGlutinous riceRice porridgeDumplings, steamed breadSesame pasteOatmealOtherDryBeansAnd theProductsSoy beansTofu and bean curdSoya-bean milkBean curd, beanMung be
4、an, pea and otherOtherSnacksChocolateCracker (food)CandyPotato chipBeef jerkyHawthorn fruit of cortex moutanOtherMilkFresh milk (sheep, cow)Milk powderSoy milkCreamYogurtEggsQuail eggsEggDuck eggs Salted duckeggPreserved eggOtherWine classesLiquorRed wineBeerOtherMeat and its productsPorkBeef and la
5、mbPork ribsLiver, pigs bloodChickens, ducks and geese and offalPigeons and offalOtherAquatic classesFreshwater fishLoachEel (eel)Shrimp and crabOtherFruit groupOrangeWatermelonPineappleAppleDried longanPEARGrapeBananaOtherDried nuts and seedsPreserved fruitRaisinJujubes (dry)WalnutPeanut, peanutsChestnutAlmondPine nutsDried persimmonDried nuts and seedsPumpkin seedsSunflowerseedsBacteria and algaeMushroom (Pleurotus intelligence)Shiitake mushroomDriedmushroomsLaverKelpAuriculariaAuriculaVegetablesSpinachCauliflowerChinese cabbageLettuceGarlic (garlic)AmaranthStem lettuce(lettuce)Chi
