Validation of NINA-DISH food frequency questionnaire with multiple 24-hour dietary recalls among pregnant women in Pune, India

Abstract Adequate dietary intake is critical to prevent adverse pregnancy outcomes. India has a high burden of maternal and child morbidity and mortality, but there is a lack of adequate tools to assess dietary intake. We validate a food frequency questionnaire (FFQ), New-Interactive Nutrition Assistant-Diets in India Study of Health (NINA-DISH), among pregnant women living with and without HIV in Pune, India. Women were selected from a cohort study investigating immune responses to HIV and latent TB during pregnancy. The FFQ was administered during the third trimester and validated against multiple 24-hour diet recalls (24-HDRs) collected in second and third trimesters. Data for analysis was available from 58 women out of 70 enrolled into this sub-study, after excluding those with incomplete data or implausible energy intake. The median (Q1, Q3) age of study participants was 23 (20, 25) years. Median (Q1, Q3) daily energy intakes were 2522 (1912, 2858) kcal and 2551 (2034, 3337) kcal by 24-HDR and FFQ, respectively with FFQ overestimating nutrient intake. Pearson correlations between log-transformed estimates from FFQ and 24-HDR for energy, protein, carbohydrate, fat, iron and zinc were 0.47, 0.48, 0.45, 0.33, 0.4, and 0.54, respectively. Energy-adjusted and deattenuated correlations ranged from 0.41 (saturated fat) to 0.73 (sodium). The highest misclassification into extreme tertiles was observed for fat (22%), saturated fat (21%), and sodium (21%). Bias existed at higher intake levels as observed by Bland-Altman plots. In conclusion, NINA-DISH is a valid and feasible tool for estimating dietary intakes among urban pregnant women in western India.

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Validation of a food-frequency questionnaire for use in pregnancy

Public Health Nutrition ◽

10.1079/phn2005876 ◽

2006 ◽

Vol 9 (4) ◽

pp. 515-522 ◽

Cited By ~ 49

Author(s):

Theodora Mouratidou ◽

Fiona Ford ◽

Robert B Fraser

Keyword(s):

Pregnant Women ◽

Correlation Coefficient ◽

Food Frequency Questionnaire ◽

Large Scale ◽

Economic Status ◽

Dietary Intakes ◽

Added Sugar ◽

Food Frequency ◽

Royal Hallamshire Hospital ◽

24 Hour Recall

AbstractObjectivesAs a part of an ongoing project to develop a nutritional screening tool, we evaluated the performance of a semi-quantitative food-frequency questionnaire (FFQ) in terms of validity in a Sheffield Caucasian pregnant population using two different statistical approaches – the correlation coefficient and the limits of agreement (LOA). The FFQ was designed specifically for pregnant women and previously used in a large-scale study.DesignA validation study.SettingA community-based field study of a general population of pregnant women booked for their first antenatal appointment at the Jessop Wing, Royal Hallamshire Hospital, Sheffield, UK.SubjectsOne hundred and twenty-three women of different socio-economic status, aged between 17 and 43 years, provided complete dietary data.ResultsThe validity of the FFQ was tested against a series of two 24-hour recalls. As expected, the intakes of all examined nutrients, except for iodine, carotene, vitamin E, biotin, vitamin C and alcohol, were higher when determined by the FFQ than when determined by 24-hour recall. Pearson's correlation coefficient between the two methods ranged from 0.19 (added sugar, zinc) to 0.47 (Englyst fibre). The LOA were broader for some of the nutrients, e.g. protein, Southgate fibre and alcohol, and an increasing lack of agreement between the two methods was identified with higher dietary intakes.ConclusionsThe FFQ gave useful estimates of the nutrient intakes of Caucasian pregnant women and appears to be a valid tool for categorising pregnant women according to dietary intake. The FFQ performed well for most nutrients and had acceptable agreement with the 24-hour recall.

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Assessment of dietary intake by food frequency questionnaire among pregnant women

FOOD SCIENCE RESEARCH JOURNAL ◽

10.15740/has/fsrj/6.2/304-309 ◽

2015 ◽

Vol 6 (2) ◽

pp. 304-309

Author(s):

NAVJOT KAUR ◽

PRIYA SINGLA

Keyword(s):

Dietary Intake ◽

Pregnant Women ◽

Food Frequency Questionnaire ◽

Food Frequency

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Dietary Intake in the Lifelines Cohort Study: Baseline Results from the Flower Food Frequency Questionnaire among 59,982 Participants

Nutrients ◽

10.3390/nu14010048 ◽

2021 ◽

Vol 14 (1) ◽

pp. 48

Author(s):

A. Mireille Baart ◽

Elske M. Brouwer-Brolsma ◽

Corine W. M. Perenboom ◽

Jeanne H. M. de Vries ◽

Edith J. M. Feskens

Keyword(s):

Cohort Study ◽

Dietary Intake ◽

Food Frequency Questionnaire ◽

Healthy Aging ◽

Current Knowledge ◽

Macronutrient Intake ◽

Food Groups ◽

Food Frequency ◽

General Dutch Population ◽

Study Participants

The role of nutrition in health and disease is well established. However, more research on this topic is needed to fill gaps in our current knowledge. The Lifelines cohort study, a large Dutch prospective cohort study, was established as a resource for international researchers, aiming to obtain insight into the aetiology of healthy ageing. The study started with 167,729 participants, covering three generations, aiming to follow them for thirty years. This article describes the habitual dietary intake, assessed using the Flower Food Frequency Questionnaire (FFQ), among Lifelines cohort study participants at baseline, stratified by sex and different categories of age, socioeconomic status (SES) and body mass index (BMI). A total of 59,982 adults (23,703 men and 36,279 women), who completed the Flower FFQ and reported plausible habitual dietary intake, were included in the analyses. Median daily energy intake was higher in men (2368 kcal) than in women (1848 kcal), as well as macronutrient intake. Energy and macronutrient intake decreased with increasing age and BMI categories; no differences were observed between SES categories. Intake of most micronutrients was higher in men than in women. Differences were observed between age categories, but not between SES and BMI categories. Food groups were consumed in different amounts by men and women; differences between age, SES and BMI categories were observed as well. The Lifelines cohort study provides extensive dietary intake data, which are generalisable to the general Dutch population. As such, highly valuable dietary intake data are available to study associations between dietary intake and the development of chronic diseases and healthy aging.

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960Dietary intakes of patients with first Acute Coronary Syndrome: the MENZACS study

International Journal of Epidemiology ◽

10.1093/ije/dyab168.094 ◽

2021 ◽

Vol 50 (Supplement_1) ◽

Author(s):

Kathryn Bradbury ◽

Yeunhyang Choi ◽

Christie Fyfe ◽

Katrina Poppe ◽

Anna Rolleston ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Energy Intake ◽

Food Frequency Questionnaire ◽

Saturated Fat ◽

Dietary Intakes ◽

Median Percentage ◽

Food Frequency ◽

Coronary Syndrome ◽

Future Work ◽

First Time

Abstract Background In New Zealand (NZ) approximately 10,000 people experience an acute coronary syndrome (ACS) annually. Little is known about the diets of people who present with first ACS. Methods The Multi-Ethnic NZ study of Acute Coronary Syndromes (MENZACS) is a multi-centre, longitudinal cohort study of patients with first-time ACS. At baseline, patients complete a validated short food frequency questionnaire (FFQ) asking about dietary intakes in the 12 months preceding their event. Participants are followed up for rehospitalisation and mortality. Results Here we present the dietary intakes of the 2,015 participants enrolled into MENZACS. We excluded 90 participants who did not start the FFQ and 42 participants who had extreme energy intakes. For men (n = 1489), the median energy intake was 8637 kJ, and the median percentage of energy from carbohydrate, protein, fat, and saturated fat were 40.3%, 17.9%, 34.7% and 17.8%, respectively. For women (n = 394), the median energy intake was 7499 kJ, and the median percentage of energy from carbohydrate, protein, fat and saturated fat were 40.3%, 18.4%, 35.6%, and 18.0%, respectively. Conclusions Both men and women reported high saturated fat intakes in the year preceding their first ACS. Future work will examine dietary predictors of rehospitalisation and mortality, as well as analyse baseline blood samples for Lipoprotein(a) and lipidomics. Key messages Patients in hospital with first time ACS are able to complete a short food frequency questionnaire, with little missing data.

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Validity and Reproducibility of a Food Frequency Questionnaire to Assess Nutrients Intake of Pregnant Women in the South-East of Spain

Nutrients ◽

10.3390/nu13093032 ◽

2021 ◽

Vol 13 (9) ◽

pp. 3032

Author(s):

Daniel Hinojosa-Nogueira ◽

Desirée Romero-Molina ◽

María José Giménez-Asensio ◽

Beatriz Gonzalez-Alzaga ◽

Inmaculada Lopéz-Flores ◽

...

Keyword(s):

Total Energy ◽

Pregnant Women ◽

Food Frequency Questionnaire ◽

Nutrient Intake ◽

Infant Development ◽

Good Health ◽

Birth Cohort Study ◽

Dietary Intakes ◽

Food Frequency ◽

Reproducibility Study

Proper nutrition during pregnancy is pivotal to maintain good health for the child and the mother. This study evaluates the reproducibility and validity of a food frequency questionnaire (FFQ) designed to assess nutrient intake during pregnancy in the GENEIDA (Genetics, Early life Environmental Exposures and Infant Development in Andalusia) prospective birth cohort study. In addition, the nutrient intake was estimated and then compared with European guidelines and other studies. Diet information was collected from 690 pregnant women using a FFQ administered at two periods of pregnancy (used for the reproducibility study) and 24-h dietary recall (for the validity study). Statistical approaches included Spearman’s correlation coefficient and percentage agreement, classifying women into the same or adjacent quintiles to assess reproducibility, and limits of agreement (LoA) to evaluate validity. In the study of reproducibility, significant correlations for nutrients adjusted for total energy had an average of 0.417. Moreover, the percentage of subjects classified in the same quintile for nutrient intakes were above 66%. In the validation study, the significant correlation for nutrients adjusted for total energy had an average of 0.272. Nevertheless, the percentage of results in the LoA was above 94%. Our results were similar to other studies suggesting that the FFQ used is a valid tool of collect dietary intakes for South-East Spanish pregnant women.

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Comparison of Dietary Intake Methods with Young Children

Psychological Reports ◽

10.2466/pr0.1994.74.3.883 ◽

1994 ◽

Vol 74 (3) ◽

pp. 883-889 ◽

Cited By ~ 15

Author(s):

Ronald J. Iannotti ◽

Alan E. Zuckerman ◽

Elaine M. Blyer ◽

Robert W. O'Brien ◽

Jeremy Finn ◽

...

Keyword(s):

Preschool Children ◽

Food Intake ◽

Home Care ◽

Dietary Intake ◽

Food Frequency Questionnaire ◽

Saturated Fat ◽

Accurate Assessment ◽

Food Frequency ◽

Dietary Recall ◽

The Third

To select a valid method for obtaining dietary intake of preschool children, food intake of 17 children (8 in daycare programs and 9 in home care) was measured for three days. Each day, home caregivers and daycare staff were asked to recall what the child had eaten during the previous 24 hours. After the third day, the Willett Food Frequency Questionnaire was administered to assess intake during the preceding seven days, which included the three days of measured foods. There were no significant differences between means from measured and recalled intake. Although the children's gender and care status (daycare versus home care) made no difference in measured intake, there were significant differences in recalled intake for energy and percent of calories from saturated fat. In this study the questionnaire did not provide an accurate assessment of measured intake and could not replace the dietary recall.

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Improvement in dietary intake estimates through the combined use of different approaches

Revista de Nutrição ◽

10.1590/1678-9865201932e180137 ◽

2019 ◽

Vol 32 ◽

Author(s):

Raíssa do Vale Cardoso LOPES ◽

Juliana Araújo TEIXEIRA ◽

Dirce Maria MARCHIONI ◽

Luisa Lina VILLA ◽

Anna Regina GIULIANO ◽

...

Keyword(s):

Dietary Intake ◽

Food Frequency Questionnaire ◽

Correlation Coefficients ◽

Reference Method ◽

Weighted Kappa ◽

Target Population ◽

Dietary Intakes ◽

Food Frequency ◽

24 Hour Recall ◽

Calibration Equations

ABSTRACT Objective This study aimed to compare dietary intake estimates using two different methodological approaches: use of new portions obtained with the 24-Hour Diet Recall, which was applied in the current study population, and the application of calibration equations, which were estimated using the same 24h-recalls. Methods Calibration equations were estimated using linear regression. The medians and confidence intervals of energy and nutrient intakes were assessed using all the approaches. The U Mann Whitney test was applied to verify differences among dietary intakes obtained with the 24 Hour Recall and Food Frequency Questionnaire-based methods. The correlation between different measures was assessed with Spearman coefficient. Weighted Kappa was used to verify the capability of the Food Frequency Questionnaire -based methods to classify individuals in the same intake levels of the 24 Hour Recall. Results Nine of the eleven components that were analyzed using the Food Frequency Questionnaire with standard portions and calibrated had medians significantly different from those obtained using the 24 Hour Recall; only the measurements of vitamin E and energy were statistically equal. For the Food Frequency Questionnaire with 24 Hour Recall portions, only the medians of vitamin D and B12 did not significantly differ from the 24 Hour Recall medians. Finally, for the Food Frequency Questionnaire with 24 Hour Recall portions and calibrated, all components, except folate and iron, had medians statistically equal to those obtained using the 24 Hour Recall. Spearman correlation coefficients were higher for the Food Frequency Questionnaire with 24 Hour Recall portions calibrated for all the assessed components, and the values ranged from 0.27 (total fat) to 0.57 (iron). Higher Kappa correlation coefficients were found for the Food Frequency Questionnaire 24 Hour Recall portions calibrated. Conclusion Calibrated FFQ with portions estimated from the own target population obtained better estimates of dietary intake, with values considerably more similar to those obtained with the reference method.

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Dietary assessment of a population of pregnant women in Sheffield, UK

British Journal Of Nutrition ◽

10.1017/bjn20061945 ◽

2006 ◽

Vol 96 (5) ◽

pp. 929-935 ◽

Cited By ~ 49

Author(s):

Theodora Mouratidou ◽

Fiona Ford ◽

Foteini Prountzou ◽

Robert Fraser

Keyword(s):

Pregnant Women ◽

Dietary Assessment ◽

Dietary Intakes ◽

Nutrient Intakes ◽

Nutrition Survey ◽

Food Frequency ◽

The North ◽

The Mean ◽

The Uk ◽

Study Participants

The present study examined the dietary intakes of a population of pregnant women living in the North of England. The objectives of the paper were to assess and describe the dietary intakes of the population and relate the findings to existing data on the diet of pregnant and non-pregnant women in the UK. A total of 250 pregnant women attending their first antenatal appointment at the Jessop Wing Hospital, Sheffield, UK were recruited. Information on their diet was assessed by an interviewer-administered semi-quantified food frequency questionnaire (FFQ). The mean intakes as assessed by the FFQ were similar to other studies of UK pregnant population; however Sheffield pregnant women had lower intakes of calcium and folate. Study findings were also related to the National Diet and Nutrition Survey and to the Estimated Nutrient Intakes (EAR). Of the study participants, 40 % did not meet the EAR for calcium, 67 % for iron and 69 % for folate. Subgroup comparisons suggested lower nutrient intakes of participants living in the 40 % most deprived electoral wards. The study findings suggest that the diet of pregnant women in Sheffield is characterised by low intakes of important nutrients for pregnancy such as folate and nutrient variations by electoral wards.

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Validation of a Short Food Frequency Questionnaire to Measure Dietary Intake of a Selection of Micronutrients in Oncology Patients Undergoing Systemic Therapy

Nutrients ◽

10.3390/nu13124557 ◽

2021 ◽

Vol 13 (12) ◽

pp. 4557

Author(s):

Mitali S. Mukherjee ◽

Shawgi Sukumaran ◽

Christopher L. Delaney ◽

Michelle D. Miller

Keyword(s):

Dietary Intake ◽

Food Frequency Questionnaire ◽

Reference Method ◽

Dietary Intakes ◽

Omega 3 ◽

Alpha Linolenic Acid ◽

Oncology Patients ◽

Isoleucine Leucine ◽

Food Frequency ◽

Diet History

Dietary intake, specifically consumption of anti-inflammatory micronutrients, can play a role in both cancer initiation as well as the treatment-related outcomes experienced by patients receiving systemic cancer therapy. Increasing research is being conducted to determine whether micronutrient supplementation can aid in altering the tumor microenvironment (TME), reducing inflammatory side effects and immune-related adverse events (irAEs). However, further research pertaining to the adequacy of dietary micronutrient intake is indicated in the oncology cohort. Currently, no tool measuring dietary intakes of various micronutrients exists in the oncology population. In this study, a 21-item food frequency questionnaire (FFQ) measuring intakes of 14 different micronutrients was validated using diet history as the reference method in 112 oncology patients. Bland Altman plot and Passing Bablok regression analysis were conducted to determine agreement between the two methods. The results showed adequate agreement between FFQ and diet history for 12 nutrients including copper, iron, vitamins A, E, and D, alpha linolenic acid (ALA), long-chain omega 3 fatty acids (LC n3-FA), arginine, glutamic acid, isoleucine, leucine, and valine. This 21-item FFQ, which takes an average of 10 min to complete, can be utilized as a quick screening tool to determine adequacy for 12 different micronutrients in place of a diet history.

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