Development and Validation of a Food Frequency Questionnaire

2005 ◽  
Vol 66 (2) ◽  
pp. 67-75 ◽  
Author(s):  
Bryna Shatenstein ◽  
Sylvie Nadon ◽  
Catherine Godin ◽  
Guylaine Ferland

Regular diet monitoring requires a tool validated in the target population. A 73-item, semiquantitative, self-administered food frequency questionnaire (FFQ), was adapted in French and English from the Block National Cancer Institute Health Habits and History Questionnaire. The FFQ was used to capture usual long-term food consumption among adults living in Quebec. A representative sample of adults aged 18 to 82 (57% female) was recruited by random digit dialling in the Montreal region. Approximately 64% of recruits completed and returned the instrument by mail (n=248). The FFQ was validated in a subsample (n=94, 61% female) using four nonconsecutive food records (FRs). Median energy intakes (in kcal) for men and women, respectively, were FFQ (total sample) 2,112 and 1,823, FFQ (subsample) 2,137 and 1,752, and FR (subsample) 2,510 and 1,830. Spearman correlation analyses between FFQ and FR nutrients were positive (with r ranging from 0.32 for folate to 0.58 for saturated fatty acids) and statistically significant (p<0.001), with better results among women. On average, cross-classification of energy and 24 nutrients from the FFQ and means of four FRs placed 39% into identical quartiles and 78% into identical and contiguous quartiles, with only 4% frankly misclassified. These results suggest that the FFQ is a relatively valid instrument for determining usual diet in Quebec adults.

2016 ◽  
Vol 9 ◽  
pp. NMI.S38374 ◽  
Author(s):  
Ayumi Yanagisawa ◽  
Noriko Sudo ◽  
Yukiko Amitani ◽  
Yuko Caballero ◽  
Makiko Sekiyama ◽  
...  

This study aimed to develop and evaluate the validity of a food frequency questionnaire (FFQ) for rural Rwandans. Since our FFQ was developed to assess malnutrition, it measured energy, protein, vitamin A, and iron intakes only. We collected 260 weighed food records (WFRs) from a total of 162 Rwandans. Based on the WFR data, we developed a tentative FFQ and examined the food list by percent contribution to energy and nutrient intakes. To assess the validity, nutrient intakes estimated from the FFQ were compared with those calculated from three-day WFRs by correlation coefficient and cross-classification for 17 adults. Cumulative contributions of the 18-item FFQ to the total intakes of energy and nutrients reached nearly 100%. Crude and energy-adjusted correlation coefficients ranged from -0.09 (vitamin A) to 0.58 (protein) and from -0.19 (vitamin A) to 0.68 (iron), respectively. About 50%-60% of the participants were classified into the same tertile. Our FFQ provided acceptable validity for energy and iron intakes and could rank Rwandan adults in eastern rural area correctly according to their energy and iron intakes.


2019 ◽  
Vol 89 (3-4) ◽  
pp. 200-209
Author(s):  
Mohammadreza Pakseresht ◽  
Maj Earle ◽  
Fariba Kolahdooz ◽  
Loïc Le Marchand ◽  
Sangita Sharma

Abstract. Objective: To measure the validity of a quantitative food frequency questionnaire (QFFQ). Design : A cross-sectional validation study of the QFFQ against a four-day food record (4DR) using Spearman correlation, cross-classification, kappa statistics, and Bland–Altman plotting. Setting : The Gastroenterology Department of Kaiser Permanente Hawaii. Subjects: 76 healthy Japanese American men and women, aged 40–75 years. Results : Somewhat stronger average correlations were observed between the QFFQ and the 4DR for macronutrients compared to micronutrients (Spearman rho of 0.47 vs. 0.35). Moderate correlations between the two tools were observed for macronutrients (including saturated fatty acids and dietary fibre), iron, β-carotene, vitamin C, and ethanol ( rho: 0.38–0.58). Overall, stronger correlations were found among men than women between the two tools (mean rho 0.41 vs. 0.26). In a cross classification analysis, for more than 75% of the observations, a complete to relative agreement between the two methods was observed for fat, α-carotene, folate, vitamin D, and ethanol. Sex difference in agreement was minimal in cross-classification (overall extreme misclassification of 9.80% for men and 12.40% for women). Bland–Altman plots showed over-estimations of dietary fibre and α-carotene intake and an under-estimation of cholesterol intake by the QFFQ at high levels of consumption. However, the QFFQ estimation for fat, dietary fibre, folate, cholesterol, α-carotene, vitamins D and C, and ethanol intake was less than 7% different compared to the 4DR. Conclusions: The QFFQ has an adequate validity for fat, folate, vitamin D, and ethanol and can correctly categorize participants for intakes of cholesterol, dietary fibre, α-carotene, and zinc.


2021 ◽  
pp. 1-26
Author(s):  
CES Jovanovic ◽  
J Whitefield ◽  
DM Hoelscher ◽  
B Chen ◽  
N Ranjit ◽  
...  

Abstract Objective: The purpose of this study was to examine the validity of a Food Frequency Questionnaire (FFQ) utilized in the Food Retail: Evaluating Strategies for a Healthy Austin (FRESH Austin) study, designed to evaluate changes in the consumption of fruits and vegetables (FV) in diverse low-income communities in Austin, TX. Design: The FRESH Austin FFQ was validated against three 24-hour dietary recalls (24hDRs). All dietary assessments were administered (in-person or by telephone) by trained investigators. Setting: Recruitment was conducted at sites within the geographic areas targeted in the FRESH Austin recruitment. People at a community health clinic, a local health center, and a YMCA within the intervention area were approached by trained and certified data collectors, and invited to participate. Participants: Among n=56 participants, 83% were female, 46% were non-White, 24% had income < $25K/year, and 30% spoke only/mostly Spanish at home. Results: The FFQ and average of three 24hDRs produce similar estimates of average total servings per day across FV (6.68 and 6.40 servings per day, respectively.) Correlations produced measures from 0.01 for “Potatoes” and 0.59 for “Other Vegetables”. Mean Absolute Percentage Errors (MAPE) values were small for all FV, suggesting the variance of the error estimates were also small. Bland-Altman plots indicate acceptable levels of agreement between the two methods. Conclusion: These outcomes indicate that the FRESH FFQ is a valid instrument for assessing FV consumption. The validation of the FRESH Austin FFQ provides important insights for evaluating community-based efforts to increase FV consumption in diverse populations.


Nutrition ◽  
2019 ◽  
Vol 62 ◽  
pp. 39-46 ◽  
Author(s):  
Martien CJM van Dongen ◽  
Nicole E.G. Wijckmans-Duysens ◽  
Louise JCJ den Biggelaar ◽  
Marga C. Ocké ◽  
Saskia Meijboom ◽  
...  

2013 ◽  
Vol 11 (4) ◽  
pp. 511-524 ◽  
Author(s):  
Izabele Vian ◽  
Paulo Zielinsky ◽  
Ana Maria Zilio ◽  
Anne Mello ◽  
Bruna Lazzeri ◽  
...  

Nutrients ◽  
2017 ◽  
Vol 9 (10) ◽  
pp. 1121 ◽  
Author(s):  
Carly Rodriguez ◽  
Emily Smith ◽  
Eduardo Villamor ◽  
Nelly Zavaleta ◽  
Graciela Respicio-Torres ◽  
...  

2002 ◽  
Vol 5 (5) ◽  
pp. 691-698 ◽  
Author(s):  
Monica M Rodríguez ◽  
Humberto Méndez ◽  
Benjamín Torún ◽  
Dirk Schroeder ◽  
Aryeh D Stein

AbstractObjective:The purpose of the study was to assess the validity of a 52-item semiquantitative food-frequency questionnaire (FFQ) by comparing it with multiple 24-hour dietary recalls.Design:Three non-consecutive 24-hour dietary recalls and one FFQ were administered over a one-month period.Setting:Four communities of El Progreso, Guatemala.Subjects:Seventy-three individuals aged 22–55 years.Results:Intakes of energy and other nutrients as measured by the FFQ were higher than intakes measured by 24-hour recalls. Energy was overestimated by 361 kcal, and nutrient overestimates were particularly great for vitamin C and iron. Pearson correlation coefficients for crude energy and nutrients intakes ranged from 0.64 for energy to 0.12 for vitamin C. Exact agreement for both methods (measured by the concordance correlation coefficient) ranged from 0.59 (fat) to 0.06 (vitamin C). Pearson correlation coefficients for energy-adjusted nutrients ranged from 0.59 (carbohydrates) to 0.11 (thiamin). Pearson correlation coefficients for the proportion of total energy derived from specific foods ranged from 0.59 (tortillas) to 0.01 (sugared beverages). Cross-classification of quartiles of crude nutrient intakes for both methods indicated that <11% were grossly misclassified; after adjusting for energy intake, <13% were grossly misclassified.Conclusions:This FFQ provides good measures of energy and macronutrient intakes and a reasonably reliable measure of micronutrient intake, indicating its suitability for comparing exposures within a study population in reference to heath-related endpoints. Our results highlight the need to adapt any FFQ to specific cultural needs – in this case, the Guatemalan ‘core foods’ (tortilla, bread and beans), for which inter-individual variability in intake is high.


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