scholarly journals Food Frequency Questionnaires: Are they appropriate for foods that are consumed irregularly, such as eggs?

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Emmy van den Heuvel ◽  
Jane L. Murphy ◽  
Katherine M. Appleton
Keyword(s):  
Older Adults ◽  
Dietary Assessment ◽  
Epidemiological Studies ◽  
Community Dwelling ◽  
Nutrition Survey ◽  
Food Frequency ◽  
Mean Values ◽  
Dietary Assessment Methods ◽  
Diet Records ◽  
Habitual Intake

AbstractEggs tend to be eaten irregularly, e.g. they are often eaten as a standby for unplanned meals, and have been reported to be eaten as a treat or on special occasions. This intrapersonal variation may impact the accuracy of measuring the habitual intake of eggs. Food frequency questionnaires (FFQs) are often validated for nutrients but not foods, and may not be suitable for measuring the consumption of individual foods. The validity of measuring the consumption of specific foods can be particularly affected for foods with a greater within-person variation. Moreover, FFQs rarely include a detailed intake measure of eggs, and often do not include eggs in mixed dishes. With epidemiological studies focussing on individual foods to assess associations between foods and diseases, it is important to consider the accuracy of dietary assessment methods in measuring intake of individual foods.In the current study we compare egg intake data from a validated FFQ and egg intake data from an FFQ specifically designed to measure egg intake. Both questionnaires were completed by a sample of 100 community-dwelling healthy older adults, which included 54 females and 46 males, with mean age 70 (SD = 7) years. Both FFQs had a similar layout, but the validated FFQ section on egg intake consisted of three questions on egg intake, while the egg FFQ included 18 preparations of eggs, including mixed dishes.Mean monthly egg consumption for the validated FFQ was 16 (SD = 13) eggs, while the egg FFQ showed an egg intake of 22 (SD = 16) eggs per month, suggesting under- or over-reporting on one or both measures. Although the mean values are noticeably different, validated FFQ egg intake correlates strongly with egg FFQ intake (r = .773, p < .001).National Diet and Nutrition Survey data indicates that British older adults (65 years + ) consume 33 g of eggs/egg dishes per day, the equivalent of 16–17 eggs per month. This means that the validated FFQ egg intake of 16 eggs per month is more similar to the NDNS data. However, FFQs generally tend to overestimate food intake compared to diet records and the validated FFQ is validated for the total nutrient intake, not for individual foods. With only three questions and without including mixed dishes, the validated FFQ may under-estimate intake of eggs, while the egg FFQ may be more comprehensive. More research is needed to explore the most appropriate methods for measuring intakes of foods that are irregularly consumed, such as eggs.

scholarly journals Comparison of dietary assessment methods in nutritional epidemiology: weighed records v. 24 h recalls, food-frequency questionnaires and estimated-diet records

1994 ◽  
Vol 72 (4) ◽  
pp. 619-643 ◽  
Author(s):  
S. A. Bingham ◽  
C. Gill ◽  
A. Welch ◽  
K. Day ◽  
A. Cassidy ◽  
...  
Keyword(s):  
Dietary Assessment ◽  
Assessment Methods ◽  
Portion Size ◽  
Nutritional Epidemiology ◽  
Food Diary ◽  
Individual Values ◽  
Food Frequency ◽  
Dietary Assessment Methods ◽  
Diet Records ◽  
Habitual Diet

Women (n 160) aged 50 to 65 years were asked to weigh their food for 4 d on four occasions over the period of 1 year, using the PETRA (Portable Electronic Tape Recorded Automatic) scales. Throughout the year, they were asked to complete seven other dietary assessment methods: a simple 24 h recall, a structured 24 h recall with portion size assessments using photographs, two food-frequency questionnaires, a 7 d estimated record or open-ended food diary, a structured food-frequency (menu) record, and a structured food-frequency (menu) record with portion sizes assessed using photographs. Comparisons between the average of the 16 d weighed records and the first presentation of each method indicated that food-frequency questionnaires were not appreciably better at placing individuals in the distribution of habitual diet than 24 h recalls, due partly to inaccuracies in the estimation of frequency of food consumption. With a 7 d estimated record or open-ended food diary, however, individual values of nutrients were most closely associated with those obtained from 16 d weighed records, and there were no significant differences in average food or nutrient intakes.

scholarly journals A Novel Food Record App for Dietary Assessments Among Older Adults With Type 2 Diabetes: Development and Usability Study

10.2196/14760 ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. e14760
Author(s):  
Hyunggu Jung ◽  
George Demiris ◽  
Peter Tarczy-Hornoch ◽  
Mark Zachry
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Qualitative Data ◽  
Dietary Assessment ◽  
Assessment Methods ◽  
Smartphone App ◽  
Food Record ◽  
Food Items ◽  
Dietary Assessment Methods

Background More than 1 in 4 people in the United States aged 65 years and older have type 2 diabetes. For diabetes care, medical nutrition therapy is recommended as a clinically effective intervention. Previous researchers have developed and validated dietary assessment methods using images of food items to improve the accuracy of self-reporting over traditional methods. Nevertheless, little is known about the usability of image-assisted dietary assessment methods for older adults with diabetes. Objective The aims of this study were (1) to create a food record app for dietary assessments (FRADA) that would support image-assisted dietary assessments, and (2) to evaluate the usability of FRADA for older adults with diabetes. Methods For the development of FRADA, we identified design principles that address the needs of older adults and implemented three fundamental tasks required for image-assisted dietary assessments: capturing, viewing, and transmitting images of food based on the design principles. For the usability assessment of FRADA, older adults aged 65 to 80 years (11 females and 3 males) were assigned to interact with FRADA in a lab-based setting. Participants’ opinions of FRADA and its usability were determined by a follow-up survey and interview. As an evaluation indicator of usability, the responses to the survey, including an after-scenario questionnaire, were analyzed. Qualitative data from the interviews confirmed the responses to the survey. Results We developed a smartphone app that enables older adults with diabetes to capture, view, and transmit images of food items they consumed. The findings of this study showed that FRADA and its instructions for capturing, viewing, and transmitting images of food items were usable for older adults with diabetes. The survey showed that participants found FRADA easy to use and would consider using FRADA daily. The analysis of the qualitative data from interviews revealed multiple categories, such as the usability of FRADA, potential benefits of using FRADA, potential features to be added to FRADA, and concerns of older adults with diabetes regarding interactions with FRADA. Conclusions This study demonstrates in a lab-based setting not only the usability of FRADA by older adults with diabetes but also potential opportunities using FRADA in real-world settings. The findings suggest implications for creating a smartphone app for an image-assisted dietary assessment. Future work still remains to evaluate the feasibility and validity of FRADA with multiple stakeholders, including older adults with diabetes and dietitians.

scholarly journals Development and Usability Assessment of a Food Record App for Dietary Assessments among Older Adults with Type 2 Diabetes (Preprint)

2019 ◽  
Author(s):  
Hyunggu Jung ◽  
George Demiris ◽  
Peter Tarczy-Hornoch ◽  
Mark Zachry
Keyword(s):  
Older Adults ◽  
Qualitative Data ◽  
Dietary Assessment ◽  
Smartphone Application ◽  
Design Principles ◽  
Assessment Methods ◽  
Food Record ◽  
Food Items ◽  
Usability Assessment ◽  
Dietary Assessment Methods

BACKGROUND More than one in four people in the United States aged 65 years and older have diabetes. For diabetes care, medical nutrition therapy (MNT) is recommended as a clinically effective intervention. Prior researchers have developed and validated dietary assessment methods using images of food items for improving the accuracy of self-reporting over traditional methods. Nevertheless, little is known about the usability of image-assisted dietary assessment methods for older adults with diabetes. OBJECTIVE The aims of this study were: a) to create a food record app for dietary assessments (FRADA) that would support image-assisted dietary assessments, and b) to evaluate the usability of FRADA for older adults with diabetes. METHODS For the development of FRADA, we identified design principles that address the needs of older adults and implemented three fundamental tasks required for image-assisted dietary assessments: capturing, viewing, and transmitting images of food based on the design principles. For the usability assessment of FRADA, older adults aged 65 to 80 (11 females and 3 males) were assigned to interact with FRADA in a lab-based setting. Participants’ opinions of FRADA and its usability were determined by a follow-up survey and interview. As an evaluation indicator of usability, the responses to the survey including an After-Scenario Questionnaire were analyzed. Qualitative data from the interviews confirmed the responses to the survey. RESULTS We developed a smartphone application that enables older adults with diabetes to capture, view, and transmit images of food items they consumed. The findings of this study showed that FRADA and its instructions for capturing, viewing, and transmitting images of food items were usable for older adults with diabetes. The survey showed that FRADA was easy to use, and study participants would consider using FRADA daily. The analysis of the qualitative data from interviews revealed multiple themes, such as the usability of FRADA, potential benefits and features of FRADA, and concerns of older adults with diabetes when interacting with FRADA. CONCLUSIONS This study demonstrates in a lab-based setting, not only the usability of FRADA with older adults who have diabetes, but it also demonstrates potential opportunities using FRADA in real-life settings. The findings suggest implications for creating a smartphone application for an image-assisted dietary assessment. Future work still remains to evaluate the feasibility and validity of FRADA with multiple stakeholders involving older adults with diabetes and dietitians.

Abstract 22: Visit-to-Visit Variability in Blood Pressure is Related to Late-Life Cognitive Decline

Circulation ◽  
2015 ◽  
Vol 131 (suppl_1) ◽  
Author(s):  
Bo Qin ◽  
Anthony J Viera ◽  
Linda S Adair ◽  
Brenda L Plassman ◽  
Lloyd J Edwards ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Cognitive Function ◽  
Cognitive Decline ◽  
Verbal Memory ◽  
Repeated Measures ◽  
Community Dwelling ◽  
Cognitive Testing ◽  
Cognitive Test ◽  
Nutrition Survey

Introduction: Recent studies suggest higher visit-to-visit variability of blood pressure (BP) is associated with worse cognitive function, but evidence based on longitudinal cognitive testing has not been reported. Hypothesis: We assessed the hypothesis that higher visit-to-visit variability in BP, but not mean BP, would be associated with faster decline in cognitive function among community-dwelling older adults. Methods: This prospective cohort study comprised 1213 adults who had two or more waves of BP measurements as part of the China Health and Nutrition Survey from 1991, up to their first cognitive tests, and completed a cognitive screening test at two or more waves in 1997, 2000 or 2004. Mean (SD) age at first cognitive test was 64 (6) y. Outcomes were repeated measures of global cognitive scores (baseline mean ± SD: 19 ± 6 points), standardized composite cognitive and verbal memory scores (standardized units [SU]). Visit-to visit BP variability was expressed as the standard deviation [SD] or as the variation independent of mean (SD/mean^x, with x derived from curve fitting) in BP measures obtained at a mean interval of 3.6 years. Multivariable-adjusted linear mixed-effects models were used to determine the association of changes in cognitive scores with visit-to visit BP variability. Results: Higher visit-to-visit variability in systolic BP, but not mean systolic BP, was associated with a faster decline of cognitive function (adjusted mean difference [95% CI] for high vs. low tertile of SD in variability (Figure): global score -0.23 points/y [-0.41 to -0.04], composite scores -0.029 SU/y [-0.056 to -0.002] and verbal memory -0.044 SU/y [-0.075 to -0.012]). Higher visit-to-visit variability in diastolic BP was associated with a faster decline of global cognitive function only among adults 55-64 years, independent of mean diastolic BP. Conclusion: Higher long-term BP visit-to-visit variability predicted a faster rate of cognitive decline among older adults.

scholarly journals Comparative validation of standard, picture-sort and meal-based food-frequency questionnaires adapted for an elderly population of low socio-economic status

2007 ◽  
Vol 10 (5) ◽  
pp. 524-532 ◽  
Author(s):  
Sara A Quandt ◽  
Mara Z Vitolins ◽  
Shannon L Smith ◽  
Janet A Tooze ◽  
Ronny A Bell ◽  
...  
Keyword(s):  
Older Adults ◽  
Native American ◽  
Economic Status ◽  
Dietary Assessment ◽  
Random Order ◽  
Assessment Instruments ◽  
Poverty Level ◽  
Food Frequency ◽  
Socio Economic Status ◽  
Highly Correlated

AbstractObjectiveTo compare the validity of a modified Block food-frequency questionnaire (FFQ), a picture-sort administration of the FFQ (PSFFQ) and a meal pattern-based questionnaire (MPQ) in a multi-ethnic population of low socio-economic status (SES).DesignParticipants completed six 24-hour dietary recalls (24HR) over six months; the FFQ, PSFFQ and MPQ were completed in random order in the subsequent month. Instruments were interviewer-administered. The PSFFQ and MPQ were developed in formative research concerning difficulties for older adults in responding to standard food-frequency instruments.SettingRural North Carolina, USA.SubjectsOne hundred and twenty-two African American, Native American and white adults aged ≥ 65 years, with approximately one-third in each ethnic group. Inclusion criteria included education ≤ 12 years and income ≤ 150% of national poverty level or Medicaid recipient.ResultsComparing median intakes from the average of the 24HR with the three diet assessment instruments, the MPQ tended to overestimate intakes compared with the FFQ and PSFFQ. Correlations among nutrients obtained by the 24HR and the other three instruments were generally statistically significant and positive. Across nutrients, the PSFFQ was most highly correlated with the 24HR for women, while the FFQ was most highly correlated with the 24HR for men.ConclusionsDietary assessments using 24HR and FFQ were similar to results reported elsewhere, although correlations between 24HR and FFQ were somewhat lower. Interviewer-administered dietary assessments should be used with caution to evaluate dietary intake among older adults with low SES. Gender differences and the lower correlations should be investigated more thoroughly to assist in choosing dietary assessment instruments for this population.

Validity of a Self-Reported Neglect Scale Among Older Adults in Poland

2019 ◽  
Vol 60 (3) ◽  
pp. e117-e126
Author(s):  
Katarzyna Zawisza ◽  
Aleksander Galas ◽  
Beata Tobiasz-Adamczyk ◽  
Tomasz Grodzicki
Keyword(s):  
Older Adults ◽  
Classical Test Theory ◽  
Epidemiological Studies ◽  
Psychological Needs ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Test Theory ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Hospital Patients

Abstract Background and Objectives The purpose of the study was to create and validate a tool that could be implemented easily to recognize the presence and assess the level of neglect in community-dwelling older adults, and to provide information about the prevalence of the phenomenon in different subgroups of older adults in Poland. Research Design and Methods The cross-sectional study of elder neglect and self-neglect was conducted in Lesser Poland in 2017. It included 2,443 face-to-face interviews with randomly selected community-dwelling individuals from among the general population (1,635), social service users (280), and hospital patients (528). Classical Test Theory and Item Response Theory (IRT) were used to build the scale, and its content and construct validity and reliability were assessed. Results The Self-Reported Neglect Scale (SRNS) with a 2-factor structure (basic needs and psychological needs dimensions) was created. Results of the IRT analysis showed high item discrimination (2.7–4.8 for the first factor, 0.8–3.2 for the second). The 1-year prevalence of neglect as a percentage of nonzero values of the SRNS was estimated at 11.4%. Discussion and Implications The SRNS exhibited good psychometric properties. It may have promise as a tool for the assessment of neglect in epidemiological studies as well in the everyday practice of medical professionals and social workers.

scholarly journals Testing a Musical Game Activity for Community-Dwelling Older Adults

2019 ◽  
Vol 32 (1) ◽  
pp. 22-27
Author(s):  
Jordan Riggins ◽  
Susan M. McLennon
Keyword(s):  
Older Adults ◽  
Leisure Activities ◽  
Cost Effective ◽  
Community Dwelling ◽  
Convenience Sample ◽  
Mean Values ◽  
Quasi Experimental ◽  
The Difference ◽  
Mood Scale ◽  
Community Dwelling Older Adults

Leisure programs that combine music with active leisure activities are more common than music combined with passive activities. The latter offers alternatives for older adults with health declines. The purpose of this pilot study was to determine the effect of an innovative song bingo game on mood, satisfaction, and acceptability in community-residing older adults. The design was quasi-experimental. A convenience sample of 13 older adults (mean age = 74.4; 53.8% female, 38.5% black) were recruited from a community senior center. The intervention was an innovative song bingo program offered one time with staff assistance. A song list was created from age-appropriate music. Measures included a demographic survey, mood scale, and satisfaction and acceptability items. Data analysis was performed to compute descriptive items and compare mean mood scores before and after the program. Before the program, 33.4% of the participants reported their mood as “very happy” or “happy.” Afterwards, 61.5% reported their mood was either “very happy” or “happy.” When comparing the preprogram and postprogram mean mood scores, mean values increased from 5.0 (standard deviation [ SD] = 1.0) to 5.7 ( SD = 1.4), although the difference was not statistically significant ( t = −1.8, p = .09). Overall participants were satisfied and would play again. This program was cost-effective and improved mood in community-dwelling older adults. Replicating this study in a larger sample and different settings is recommended.

scholarly journals Collection of food intake data: a reappraisal of criteria for judging the methods

1990 ◽  
Vol 63 (3) ◽  
pp. 411-417 ◽  
Author(s):  
Renato Borrelli
Keyword(s):  
Dietary Assessment ◽  
Epidemiological Studies ◽  
Assessment Method ◽  
Dietary Assessment Methods ◽  
Valid Estimate ◽  
Precision And Accuracy ◽  
Controversial Area ◽  
Habitual Pattern ◽  
The Relationship ◽  
Dietary Assessment Method

The relationship between diet and the development of chronic disease still remains a controversial area. One major difficulty is to obtain a valid estimate of habitual pattern and level of food consumption for each individual. There is, in fact, a voluminous and largely negative literature on the validity of dietary assessment methods. In the present paper the utility of the most frequently used dietary assessment method in epidemiological studies is discussed in terms of precision and accuracy.

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