Validity and reproducibility of an interviewer-administered food frequency questionnaire for healthy French-Canadian men and women

The aim of this study was to examine whether using gender specific-portion size (GS-PS) improves the accuracy of nutrient intake assessment by a quantitative food frequency questionnaire (QFFQ). For GS-PS quantification, a gram amount was assigned to each PS category for each food item for men and women separately using data from three 24 h dietary recalls (24HDRs) in a calibration study of the Multiethnic Cohort (men = 1141, women = 1150). Nutrient intakes were calculated from the QFFQ using the original-PS and the GS-PS, and were compared with 24HDRs. When intakes of energy and 15 nutrients were compared, absolute intakes calculated using the GS-PS were closer to intake levels of 24HDRs in both men and women. Using GS-PS did not affect intakes expressed as nutrient density or correlations between 24HDRs and the QFFQ. The current findings indicate that considering gender in PS determination can increase the accuracy of intake assessment by QFFQ for absolute nutrient intakes, but not for nutrient densities.

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Nutritional methods in the European Prospective Investigation of Cancer in Norfolk

Public Health Nutrition ◽

10.1079/phn2000102 ◽

2001 ◽

Vol 4 (3) ◽

pp. 847-858 ◽

Cited By ~ 231

Author(s):

Sheila A Bingham ◽

Ailsa A Welch ◽

Alison McTaggart ◽

Angela A Mulligan ◽

Shirley A Runswick ◽

...

Keyword(s):

Vitamin C ◽

Dietary Intake ◽

Food Frequency Questionnaire ◽

Nutrient Intake ◽

Plasma Vitamin ◽

Nutrient Intakes ◽

Food Frequency ◽

Men And Women ◽

Food And Nutrient Intake ◽

The Uk

AbstractObjective:To describe methods and dietary habits of a large population cohort.Design:Prospective assessment of diet using diet diaries and food-frequency questionnaires, and biomarkers of diet in 24-h urine collections and blood samples.Setting:Free living individuals aged 45 to 75 years living in Norfolk, UK.Subjects:Food and nutrient intake from a food-frequency questionnaire on 23 003 men and women, and from a 7-day diet diary from 2117 men and women. Nitrogen, sodium and potassium excretion was obtained from single 24-h urine samples from 300 individuals in the EPIC cohort. Plasma vitamin C was measured for 20 846 men and women.Results:The food-frequency questionnaire (FFQ) and the food diary were able to determine differences in foods and nutrients between the sexes and were reliable as judged by repeated administrations of each method. Plasma vitamin C was significantly higher in women than men. There were significant (P<0.001) differences in mean intake of all nutrients measured by the two different methods in women but less so in men. The questionnaire overestimated dairy products and vegetables in both men and women when compared with intakes derived from the diary, but underestimated cereal and meat intake in men. There were some consistent trends with age in food and nutrient intakes assessed by both methods, particularly in men. Correlation coefficients between dietary intake assessed from the diary and excretion of nitrogen and potassium in a single 24-h urine sample ranged from 0.36 to 0.47. Those comparing urine excretion and intake assessed from the FFQ were 0.09 to 0.26. The correlations between plasma vitamin C and dietary intake from the first FFQ, 24-h recall or diary were 0.28, 0.35 and 0.40.Conclusions:EPIC Norfolk is one of the largest epidemiological studies of nutrition in the UK and the largest on which plasma vitamin C has been obtained. Methods for obtaining food and nutrient intake are described in detail. The results shown here for food and nutrient intakes can be compared with results from other population studies utilising different methods of assessing dietary intake. The utility of different methods used in different settings within the main EPIC cohort is described. The FFQ is to be used particularly in pooled analyses of risk from diet in relation to cancer incidence within the larger European EPIC study, where measurement error is more likely to be overcome by large dietary heterogeneity on an international basis. Findings in the UK, where dietary variation between individuals is smaller and hence the need to use a more accurate individual method greater, will be derived from the 7-day diary information on a nested case–control basis. 24-h recalls can be used in the event that diary information should not be forthcoming from some eventual cases. Combinations of results utilising all dietary methods and biomarkers may also be possible.

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Dietary patterns in middle-aged Irish men and women defined by cluster analysis

Public Health Nutrition ◽

10.1079/phn2004638 ◽

2004 ◽

Vol 7 (8) ◽

pp. 1017-1024 ◽

Cited By ~ 66

Author(s):

R Villegas ◽

A Salim ◽

MM Collins ◽

A Flynn ◽

IJ Perry

Keyword(s):

Cluster Analysis ◽

Food Frequency Questionnaire ◽

Dietary Patterns ◽

Population Sample ◽

Saturated Fat ◽

Vitamin B ◽

Irish Population ◽

Food Frequency ◽

Men And Women ◽

Prudent Diet

AbstractObjectives:To identify and characterise dietary patterns in a middle-aged Irish population sample and study associations between these patterns, sociodemographic and anthropometric variables and major risk factors for cardiovascular disease.Design:A cross-sectional study.Subjects and methods:A group of 1473 men and women were sampled from 17 general practice lists in the South of Ireland. A total of 1018 attended for screening, with a response rate of 69%. Participants completed a detailed health and lifestyle questionnaire and provided a fasting blood sample for glucose, lipids and homocysteine. Dietary intake was assessed using a standard food-frequency questionnaire adapted for use in the Irish population. The food-frequency questionnaire was a modification of that used in the UK arm of the European Prospective Investigation into Cancer study, which was based on that used in the US Nurses' Health Study. Dietary patterns were assessed primarily by K-means cluster analysis, following initial principal components analysis to identify the seeds.Results:Three dietary patterns were identified. These clusters corresponded to a traditional Irish diet, a prudent diet and a diet characterised by high consumption of alcoholic drinks and convenience foods. Cluster 1 (Traditional Diet) had the highest intakes of saturated fat (SFA), monounsaturated fat (MUFA) and percentage of total energy from fat, and the lowest polyunsaturated fat (PUFA) intake and ratio of polyunsaturated to saturated fat (P:S). Cluster 2 (Prudent Diet) was characterised by significantly higher intakes of fibre, PUFA, P:S ratio and antioxidant vitamins (vitamins C and E), and lower intakes of total fat, MUFA, SFA and cholesterol. Cluster 3 (Alcohol & Convenience Foods) had the highest intakes of alcohol, protein, cholesterol, vitamin B12, vitamin B6, folate, iron, phosphorus, selenium and zinc, and the lowest intakes of PUFA, vitamin A and antioxidant vitamins (vitamins C and E). There were significant differences between clusters in gender distribution, smoking status, physical activity, body mass index, waist circumference and serum homocysteine concentrations.Conclusion:In this general population sample, cluster analysis methods yielded two major dietary patterns: prudent and traditional. The prudent dietary pattern is associated with other health-seeking behaviours. Study of dietary patterns will help elucidate links between diet and disease and contribute to the development of healthy eating guidelines for health promotion.

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Comparison of Dietary Quality Assessment Using Food Frequency Questionnaire and 24-hour-recalls in Older Men and Women

AIMS Public Health ◽

10.3934/publichealth.2017.4.326 ◽

2017 ◽

Vol 4 (4) ◽

pp. 326-346 ◽

Cited By ~ 3

Author(s):

Elizabeth Procter-Gray ◽

◽

Barbara Olendzki ◽

Kevin Kane ◽

Linda Churchill ◽

...

Keyword(s):

Quality Assessment ◽

Food Frequency Questionnaire ◽

Older Men ◽

Dietary Quality ◽

Food Frequency ◽

Men And Women ◽

Older Men And Women

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Development and relative validation of a food frequency questionnaire for French-Canadian adolescent and young adult survivors of acute lymphoblastic leukemia

Nutrition Journal ◽

10.1186/s12937-018-0355-9 ◽

2018 ◽

Vol 17 (1) ◽

Cited By ~ 11

Author(s):

Sophia Morel ◽

Olivia Portolese ◽

Yasmine Chertouk ◽

Jade Leahy ◽

Laurence Bertout ◽

...

Keyword(s):

Acute Lymphoblastic Leukemia ◽

Young Adult ◽

Food Frequency Questionnaire ◽

Lymphoblastic Leukemia ◽

Adult Survivors ◽

Adolescent And Young Adult ◽

French Canadian ◽

Food Frequency ◽

Young Adult Survivors

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Does Incorporating Gender Differences into Quantifying a Food Frequency Questionnaire Influence the Association of Total Energy Intake with All-Cause and Cause-Specific Mortality?

Nutrients ◽

10.3390/nu12102914 ◽

2020 ◽

Vol 12 (10) ◽

pp. 2914

Author(s):

Minji Kang ◽

Song-Yi Park ◽

Carol J. Boushey ◽

Lynne R. Wilkens ◽

Loïc Le Marchand ◽

...

Keyword(s):

Gender Differences ◽

Total Energy ◽

Energy Intake ◽

Food Frequency Questionnaire ◽

Cancer Mortality ◽

Total Energy Intake ◽

Food Frequency ◽

Men And Women ◽

Increased Risk ◽

Portion Sizes

This study aims to evaluate whether incorporating gender differences in portion sizes as part of quantifying a food frequency questionnaire influences the association of total energy intake with mortality. The analysis included 156,434 participants (70,142 men and 86,292 women) in the Multiethnic Cohort Study, aged 45–75 years at baseline. A total of 49,728 deaths were identified during an average follow-up of 18.1 years. Total energy intake and percentage energy from macronutrients were calculated using original portion sizes (PSs) and gender specific (GS)-PS and were divided into quintiles for men and women. The associations of total energy intake and percentage energy from macronutrients with all-cause, cardiovascular disease (CVD), and cancer mortality were examined using Cox regression with adjustment for potential confounders. Mean ± standard deviation daily total energy intake using original-PS was 2449 ± 1135 kcal for men and 1979 ± 962 kcal for women; using GS-PS was 1996 ± 884 kcal for men and 1595 ± 731 kcal for women. For men, the hazard ratios (HRs) (95% confidence intervals) for all-cause, CVD, and cancer comparing the highest to the lowest quintile of total energy intake were 1.05 (1.00–1.10), 1.07 (0.99–1.16), 1.03 (0.95–1.13) using original-PS and 1.07 (1.02–1.12), 1.11 (1.03–1.20), 1.02 (0.94–1.12) using GS-PS, respectively. For women, the corresponding HRs were 1.03 (0.98–1.09), 0.99 (0.91–1.08), 1.10 (1.00–1.21) using original-PS and 1.06 (1.01–1.12), 1.02 (0.94–1.12), 1.07 (0.97–1.18) using GS-PS. Both versions of percentage energy from total fat were associated with an increased risk of all-cause, CVD, and cancer mortality; on the other hand, both versions of percentage energy from carbohydrate showed inverse associations with all-cause, CVD, and cancer mortality in both men and women. When using original-PS and GS-PS, the estimated total energy intake differed, resulting in marginal differences in the associations of total energy intake with all-cause, CVD, and cancer mortality.

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Accuracy of Different Reduced Versions of a Validated Food-Frequency Questionnaire in Italian Men and Women

Calcified Tissue International ◽

10.1007/s00223-009-9264-4 ◽

2009 ◽

Vol 85 (3) ◽

pp. 221-227 ◽

Cited By ~ 7

Author(s):

S. Gonnelli ◽

S. Rossi ◽

M. Montomoli ◽

C. Caffarelli ◽

C. Cuda ◽

...

Keyword(s):

Food Frequency Questionnaire ◽

Food Frequency ◽

Men And Women

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Development and Validation of a Salt Food Frequency Questionnaire (FFQ-Na) and a Discretionary Salt Questionnaire (DSQ) for the Evaluation of Salt Intake among French-Canadian Population

Nutrients ◽

10.3390/nu13010105 ◽

2020 ◽

Vol 13 (1) ◽

pp. 105

Author(s):

Maria Cecilia Gallani ◽

Alexandra Proulx-Belhumeur ◽

Natalie Almeras ◽

Jean-Pierre Després ◽

Michel Doré ◽

...

Keyword(s):

Food Frequency Questionnaire ◽

Salt Intake ◽

Temporal Stability ◽

Reliability And Validity ◽

French Canadian ◽

Food Record ◽

Food Frequency ◽

Canadian Population ◽

Salty Food ◽

Development And Validation

We assessed the reliability and validity of a Salty Food Frequency Questionnaire for Sodium (FFQ-Na) and a Discretionary Salt Questionnaire (DSQ) developed for the French-Canadian population. The reliability was evaluated according to temporal stability over a 7–15 day interval (n = 36). Validity was evaluated by testing the tools against a 24-h urine sodium excretion (24 h Uri-Na) and a 3-day food record, and this at individual and group levels (n = 164). The intra-class coefficients (ICC) values for the test-retest of the DSQ, the FFQ-Na and the two questionnaires combined were 0.73, 0.97 and 0.98 respectively. Correlations of the FFQ-Na with the 24 h Uri-Na and the 3-day food record were 0.3 (p < 0.001) and 0.35 (p < 0.001) respectively. The DSQ showed no significant correlation with the reference measures. The correlation between the two methods combined were 0.29 (p < 0.001) with the 24 h Uri-Na and 0.31 (p < 0.001) with the 3-day food record. The results of Bland–Altman indicated that for the combined questionnaires, there was a bias of measurement (underestimation of intake), but it was constant for every level of intake according to the reference measures. Finally, the cross-classification indicated an acceptable proportion of agreement, but a rate between 20% and 30% of classification in the opposite quartile. In conclusion, the developed tools are reliable and showed some facets of validity.

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