scholarly journals Development and Validation of Food Frequency Questionnaire for Food and Nutrient Intake of Adults in Butajira, Southern Ethiopia

2020 ◽  
Author(s):  
Ilili Feyesa ◽  
Bilal S Endris ◽  
Esete Habtemariam ◽  
Hamid Y Hassen ◽  
Seifu H Gebreyesus

Abstract Background: To date, there is no culture-specific and validated Food Frequency Questionnaire (FFQ) available in Ethiopia. We developed a FFQ and evaluated its validity as compared to estimates of a food group and nutrient intakes derived from two 24-Hour Dietary Recalls (24-HRs).Method: The FFQ has a total of 89 food items. A total of 105 adults aged 20 to 65 years participated in this study. Wilcoxon- signed rank test, Spearman’s correlation, Cross-classification, kappa, and Bland-Altman analysis were used to validate food group intakes and nutrients derived from the FFQ against two 24-HRs.Results: Mean energy and macronutrient intakes obtained from the FFQ were significantly higher than those obtained from the mean of two 24-HRs. For energy and macronutrients, the correlation between two instruments ranged from 0.05 (total fat) to 0.32 (carbohydrate). Whereas, for micronutrients, it ranged from 0.1 (calcium) to 0.49 (vitamin B1). Visual inspection of the Bland-Altman plots for both energy and macronutrients shows no consistent trend across the intake values. For the majority of the food groups, no significant difference was observed in median intake of foods and nutrients between 24-HRs and the FFQ. The correlation coefficients for food groups ranged from 0.12 (egg) to 0.78 (legumes). The FFQ showed a fair classification agreement with the 24-HRs for cereals, legumes, and roots and tubers intake. A systematic trend of overestimation for roots and tubers and under estimation of beverage intakes at higher values was observed when we used FFQ.Conclusion: The FFQ is valid to assess and rank individuals in terms of intakes of most food groups according to high and low intake categories. However, estimates of roots and tuber and beverages should be interpreted with caution.

2020 ◽  
Author(s):  
Ilili Feyesa ◽  
Bilal S Endris ◽  
Esete Habtemariam ◽  
Hamid Y Hassen ◽  
Seifu H Gebreyesus

Abstract Background: To date, there is no culture-specific and validated Food Frequency Questionnaire (FFQ) available in Ethiopia. We developed a FFQ and evaluated its validity as compared to estimates of a food group and nutrient intakes derived from two 24-Hour Dietary Recalls (24-HRs).Method: The FFQ has a total of 89 food items. A total of 105 adults aged 20–65 years participated in this study. Wilcoxon- signed rank test, Spearman’s correlation, Cross-classification, kappa, and Bland-Altman analysis were used to validate food group intakes and nutrients derived from FFQ against two 24-HRs.Results: Mean energy and macronutrient intakes obtained from the FFQ were significantly higher than those obtained from the mean of two 24-HRs. For energy and macronutrients, the correlation between two instruments ranged from 0.05 (total fat) to 0.32 (carbohydrate). Whereas, for micronutrients it ranged from 0.1 (calcium) to 0.49 (vitamin B1). Visual inspection of the Bland-Altman plots for both energy and macronutrients shows no consistent trend across the intake values. For the majority of the food groups, no significant difference was observed in median intake of foods and nutrients between 24-HRs and FFQ. Correlation coefficients for food groups ranged from 0.12 (egg) to 0.78 (legumes). The FFQ showed a fair classification agreement with the 24-HRs for cereals, legumes, and roots and tubers intakes. A systematic trend of overestimation for roots and tubers and under estimation of beverage intakes at higher values was observed when we used FFQ.Conclusion: The FFQ is valid to assess and rank individuals in terms of intakes of most food groups according to high and low intake categories. However, estimates of roots and tuber and beverages should be interpreted with caution.


2021 ◽  
Author(s):  
Ilili Feyesa Regassa ◽  
Bilal S Endris ◽  
Esete Habtemariam ◽  
Hamid Y Hassen ◽  
Seifu H Ghebreyesus

Abstract Background: To date, there is no culture-specific and validated Food Frequency Questionnaire (FFQ) available in Ethiopia. We developed a FFQ and evaluated its validity as compared to estimates of a food group and nutrient intakes derived from two 24-Hour Dietary Recalls (24-HRs).Method: A total of 105 adults, of which 43 (41%) were men and 62 (59%) women aged 20-65 years participated in this study. To evaluate the validity of FFQ against two 24-HRs, we used a paired t-test and Wilcoxon- signed rank test to compare mean and median daily nutrient and food intakes obtained from the averages of the two 24-HRs and the FFQ, correlation coefficients to measure the strength and direction of the correlation, Cross-classification and kappa to assess classification agreement and Bland-Altman analysis for assessing limits of agreement between the two methods.Results: Mean energy and macronutrient intakes obtained from the FFQ were significantly higher than those obtained from the mean of two 24-HRs. For energy and macronutrients, the crude correlation between two instruments ranged from 0.05 (total fat) to 0.32 (carbohydrate). Whereas, for micronutrients, it ranged from 0.1 (calcium) to 0.49 (vitamin B1). The de-attenuated correlation ranged from to 0.10 (total fat) to 0.80 (vitamin A) Visual inspection of the Bland-Altman plots for both energy and macronutrients shows no consistent trend across the intake values. For the majority of the food groups, no significant difference was observed in median intake of foods and nutrients between 24-HRs and FFQ. Crude correlation for food groups ranged from 0.12 (egg) to 0.78 (legumes). The de-attenuated correlation ranged from 0.24 (egg) to 0.10 (Meat/Poultry/Fish). The FFQ showed a fair classification agreement with the 24-HRs for cereals, legumes, and roots and tubers intakes. A systematic trend of overestimation for roots and tubers and under estimation of beverage intakes at higher values was observed when we used FFQ.Conclusion: The FFQ is valid to assess and rank individuals in terms of intakes of most food groups according to high and low intake categories. Individual level validity was acceptable for energy and most nutrients as indicated by de-attenuated correlation coefficients and Bland-Altman plots. However, group level validity was poor for most nutrients.


2021 ◽  
Vol 10 ◽  
Author(s):  
Ilili F. Regassa ◽  
Bilal S. Endris ◽  
Esete Habtemariam ◽  
Hamid Y. Hassen ◽  
Seifu H. Ghebreyesus

Abstract We developed a culturally-specific Food Frequency Questionnaire (FFQ) to the Ethiopian context and evaluate its validity in comparison to two 24-h dietary recalls (24-HRs) of food and nutrient intake. To evaluate the validity of a culturally-specific FFQ against two 24-HRs, we used a paired t-test, Wilcoxon-signed-rank test, Correlation coefficients, cross-classification, κ and Bland-Altman analysis. The FFQ was obtained 15 d after the second 24-HR was completed. A total of 105 adults, of which 43 (41 %) were men and 62 (59 %) women, aged 20–65 years participated in this present study. Mean energy and macronutrient intake obtained from the FFQ were significantly higher than those obtained from the mean of two 24-HRs. For energy and nutrient intakes, the crude correlation ranged from 0⋅05 (total fat) to 0⋅49 (vitamin B1). The de-attenuated correlation ranged from to 0⋅10 (total fat) to 0⋅80 (vitamin A). For the majority of food groups, no significant difference was observed in the median intake of food and nutrients. Crude correlation for food groups ranged from 0⋅12 (egg) to 0⋅78 (legumes). The de-attenuated correlation ranged from 0⋅24 (egg) to 1⋅00 (meat/poultry/fish and dairy). The FFQ is valid to assess and rank individuals in terms of intake of most food groups according to high and low intake categories.


2020 ◽  
Vol 19 (3) ◽  
pp. 373-381
Author(s):  
Papagianni Olga ◽  
Staramou Athanasia ◽  
Rigopoulos Nikolaos ◽  
Dimou Charalampia ◽  
Koutelidakis Antonios

The aim of the study was to investigate whether a food frequency questionnaire is a valid tool for recording and evaluating the frequency of consumption of different functional foods in a sample of the Greek population. Ninety healthy adults aged 18-75 years, not on a specific diet for the past six months and residing in the same location during the past one year were randomly selected to participate in this study. They answered a functional food frequency questionnaire, which included 76 food groups, and filled three consecutive 24-h recalls. The functional food frequency questionnaire was weighted by grams of each food group consumed per day. SPSS-21 program was used for the interpretation of the results. The nonparametric Wilcoxon sign rank test was used to correlate the variables derived from the functional food frequency questionnaire and those derived from the mean of the 24-h recall. The functional food frequency questionnaire was validated at the rate of 80.3%, especially for 61 of 76 functional food subgroups, and there was no statistically significant difference between the two assessment tools, concerning food frequency consumption. These findings showed that the developed functional food frequency questionnaire is a valid tool to investigate the frequency of functional foods consumption in the Greek population.


2007 ◽  
Vol 97 (5) ◽  
pp. 993-1000 ◽  
Author(s):  
Raquel Villegas ◽  
Gong Yang ◽  
DaKe Liu ◽  
Yong-Bing Xiang ◽  
Hui Cai ◽  
...  

We evaluated the validity and reproducibility of the FFQ used in the Shanghai Men's Health Study (SMHS). The study included 195 randomly selected participants of the SMHS who completed one FFQ at baseline, twelve 24-hour dietary recalls (24-HDR) (once a month for twelve consecutive months) and a second FFQ at the end of the study. The FFQ accounted for 88·78 % of the foods recorded in the 24-HDR surveys. The validity of the FFQ was evaluated by comparing nutrient and food group intake levels from the second FFQ and the multiple 24-HDR. Correlation coefficients ranged from 0·38 to 0·64 for macronutrients, 0·33 to 0·58 for micronutrients and 0·35 to 0·72 for food groups. Misclassification to opposite quartiles for nutrients and food groups was rare, ranging from 1·5 to 7·7 %, while exact agreement rates were between 31·8 and 53·3 %. The reliability of the FFQ was assessed by comparing the intake levels from the two FFQ. Correlation coefficients were 0·39 to 0·53 for macronutrients, 0·38 to 0·52 for micronutrients and 0·39 to 0·64 for food groups. Exact agreement rates for quartile distribution were between 31·8 and 49·2 %, while misclassification to opposite quartiles was between 1·5 and 6·2 %. These data indicate that the SMHS FFQ can reasonably categorise usual intake of nutrients and food groups among men living in urban Shanghai.


Nutrients ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 2081
Author(s):  
Leyre Notario-Barandiaran ◽  
Carmen Freire ◽  
Manuela García-de-la-Hera ◽  
Laura Mª Compañ-Gabucio ◽  
Laura Torres-Collado ◽  
...  

Tools to assess diet in a reliable and efficient way are needed, particularly in children and adolescents. In this study, we assess the reproducibility and validity of a semiquantitative food frequency questionnaire (FFQ) among adolescents in Spain. We analyzed data of 51 male adolescents aged 15–17 years from a prospective birth cohort study. Participants answered the FFQ twice in a self-administered way over a 12-month period. Reproducibility was assessed by comparing nutrient and food intakes from the FFQs, and validity by comparing nutrient intakes from the average of two FFQs and the average of two 24-Hour Dietary Recalls obtained in the period. Pearson correlation coefficients were calculated. The average of reproducibility correlation coefficients for food group intakes was 0.33, with the highest correlation for vegetable intake (r = 0.81); and the average for nutrient intake was 0.32, with the highest coefficients for α- and β-carotene (r = 0.65). Validity correlation coefficients ranged from 0.07 for carbohydrates to 0.53 for dietary fiber. The average of the validity correlation coefficients was r = 0.32. This study suggests that our FFQ may be a useful tool for assessing dietary intake of most nutrient and food groups among Spanish male adolescents in a self-administered way, despite reproducibility and, particularly validity, being low for some nutrients and food groups.


2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Nahomi Imaeda ◽  
Chiho Goto ◽  
Tae Sasakabe ◽  
Haruo Mikami ◽  
Isao Oze ◽  
...  

Abstract Purpose The purpose of this study was to evaluate the reproducibility and validity of a short food frequency questionnaire (FFQ) for food group intake in Japan, the reproducibility and partial validity of which were previously confirmed for nutrients. Methods A total of 288 middle-aged healthy volunteers from 11 different areas of Japan provided nonconsecutive 3-day weighed dietary records (DRs) at 3-month intervals over four seasons. We evaluated reproducibility based on the first (FFQ1) and second (FFQ2) questionnaires and their validity against the DRs by comparing the intake of 20 food groups. Spearman’s rank correlation coefficients (SRs) were calculated between energy-adjusted intake from the FFQs and that from the DRs. Results The intake of 20 food groups estimated from the two FFQs was mostly equivalent. The median energy-adjusted SRs between the FFQ1 and FFQ2 were 0.61 (range 0.38–0.86) for men and 0.66 (0.45–0.84) for women. For validity, the median de-attenuated SRs between DRs and the FFQ1 were 0.51 (0.17–0.76) for men and 0.47 (0.23–0.77) for women. Compared with the DRs, the proportion of cross-classification into exact plus adjacent quintiles with the FFQ1 ranged from 58 to 86% in men and from 57 to 86% in women. According to the robust Z scores and the Bland–Altman plot graphs, the underestimation errors in the FFQ1 tended to be greater in individuals with high mean levels of consumption for meat for men and for other vegetables for both men and women. Conclusion The FFQ demonstrated high reproducibility and reasonable validity for food group intake. This questionnaire is short and remains appropriate for identifying associations between diet and health/disease among adults in Japan.


Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 933 ◽  
Author(s):  
Jesus Vioque ◽  
Manuela Garcia-de-la-Hera ◽  
Sandra Gonzalez-Palacios ◽  
Laura Torres-Collado ◽  
Leyre Notario-Barandiaran ◽  
...  

The purpose of this study was to examine if the short semi-quantitative food frequency questionnaire (FFQ) is a reliable and valid tool to assess the diet of Spanish children aged 7–9 years. We collected data from 156 children of the birth cohort INMA (Infancia y Medio Ambiente (Environment and Childhood)). Children’s parents or care-givers completed a 46-item FFQ on two occasions over a 9–12-month period about the children’s diet. To explore the reproducibility of the FFQ, the nutrient and food group intake collected from the both FFQs were compared, while validity was examined by contrasting the nutrient values from the FFQs and the average of three 24-hour dietary recalls (24hDRs) taken in this period, and also with the concentration of several vitamins in the blood (carotenoids, vitamin D and α-tocopherol). Pearson and de-attenuated correlation coefficients were calculated. The average correlation coefficients for nutrient intake’s reproducibility was 0.41, ranging from 0.25 (calcium) to 0.65 (β-carotene), and for food group intake was 0.45, ranging from 0.18 (cereals) to 0.68 (sweetened beverages). Correlation coefficients slightly improved when we compared energy-adjusted intakes. The average correlation coefficients for validity against 24hDRs was 0.34 for energy-adjusted intakes, and 0.39 when de-attenuation coefficients were used. The validity coefficients against the blood concentrations of vitamins were 0.38 for β-cryptoxanthin, 0.26 for lycopene, 0,23 for α-carotene and 0.15 for β-carotene, all of them statistically significant (p < 0.05). This study suggests that our brief FFQ is a suitable tool for the dietary assessment of a wide range of nutrients and food groups in children 7–9 years, despite the low to moderate reproducibility and validity observed for some nutrients.


2003 ◽  
Vol 6 (2) ◽  
pp. 147-157 ◽  
Author(s):  
Keiko Ogawa ◽  
Yoshitaka Tsubono ◽  
Yoshikazu Nishino ◽  
Yoko Watanabe ◽  
Takayoshi Ohkubo ◽  
...  

AbstractObjectives:To examine the validity and reproducibility of a self-administered food-frequency questionnaire (FFQ) used for two cohort studies in Japan.Design:Cross-sectional study.Setting:Two rural towns in the Miyagi Prefecture, in north-eastern Japan.Subjects:Fifty-five men and 58 women.Results:A 40-item FFQ was administered twice, 1 year apart. In the mean time, four 3-day diet records (DRs) were collected in four seasons within the year. We calculated daily consumption of total energy and 15 nutrients, 40 food items and nine food groups from the FFQs and the DRs. We computed Spearman correlation coefficients between the FFQs and the DRs. With adjustment for age, total energy and deattenuation for measurement error with the DRs, the correlation coefficients for nutrient intakes ranged from 0.25 to 0.58 in men and from 0.30 to 0.69 in women, with median of 0.43 and 0.43, respectively. Median (range) of the correlation coefficients was 0.35 (−0.30 to 0.72) in men and 0.34 (−0.06 to 0.75) in women for food items and 0.60 (−0.10 to 0.76) and 0.51 (0.28–0.70) for food groups, respectively. Median (range) of the correlation coefficients for the two FFQs administered 1 year apart was 0.49 (0.31–0.71) in men and 0.50 (0.40–0.64) in women for nutrients, 0.43 (0.14–0.76) and 0.45 (0.06–0.74) respectively for food items, and 0.50 (0.30–0.70) and 0.57 (0.39–0.66) respectively for food groups. Relatively higher agreement percentages for intakes of nutrients and food groups with high validity were obtained together with lower complete disagreement percentages.Conclusions:The FFQ has a high reproducibility and a reasonably good validity, and is useful in assessing the usual intakes of nutrients, foods and food groups among a rural Japanese population.


2004 ◽  
Vol 7 (6) ◽  
pp. 745-749 ◽  
Author(s):  
Iris Shai ◽  
Danit R Shahar ◽  
Hillel Vardi ◽  
Drora Fraser

AbstractObjectives:To highlight the differences between the food list required in a food-frequency questionnaire (FFQ) to rank people by their intake and the food items that contribute to absolute intake, and to discuss possible applications.Methods:We conducted a nutritional survey among 1173 adults using an adapted 24-hour recall questionnaire.Statistical analysis:To develop an FFQ, we analysed the 24-hour recall survey data by performing a stepwise multiple regression after grouping conceptually similar food items into 175 food groups.Results:In total, 126 food groups were included in the developed FFQ in order to explain at least 80% of the variance in the consumption of each of 27 nutrients. The nutrients that were explained by a few food groups were vitamin A (one food group), alcohol (two), β-carotene (two), vitamin E (three) and cholesterol (five). Nutrients that were explained by a large number of food groups were energy (37 food groups), potassium (31), magnesium (31), dietary fibre (30), phosphorus (31) and sodium (29). Using energy intake as an example, soft drinks were the best between-person energy classifiers, while providing only 2.4% of the total energy intake. Wine, seeds and nuts, which contributed highly to the variance, were minor energy contributors. In contrast, milk, sugar, fried chicken/turkey breast or whole chicken/turkey, which explained little of the variation in the population, were major energy contributors.Conclusions:Developing an FFQ on the basis of common foods may not explain the between-person variation required for ranking individual intake in diet–disease studies. Producing lists of ‘discriminating items’ can be a useful application in developing mini-FFQs for selected nutrients.


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