Development, validity and reproducibility of a dish-based semi-quantitative food frequency questionnaire in Iran

Author(s):  
Samaneh Sadat Ayoubi ◽  
Mohsen Nematy ◽  
Maryam Amini ◽  
Habibollah Esmaily ◽  
Sara Movahed ◽  
...  

BACKGROUND: The food frequency questionnaire (FFQ) is the method of choice for dietary assessment in epidemiological studies. FFQs focusing on mixed-dishes and simple food items are useful where mixed-dishes are an essential part of food consumption. OBJECTIVE: Regarding the fact that the nature of the Iranian diet is mixed-dish, the present study aimed to design and assess the validity and reproducibility of a dish-based semi-quantitative FFQ in the Iranian adult population. METHODS: A list of 302 food items was collected from four geographical areas around Iran. The validation study was conducted on 97 healthy adults. The FFQ was introduced at the beginning of the study and 10 months after; two three-day food records were collected during the study. Also, biomarkers including 24-hour urinary potassium and nitrogen, serum retinol, and alpha-tocopherol were measured. RESULTS: A 142-food-item FFQ was concluded. The correlation coefficient between the second FFQ and the second three-day food record ranged from 0.225 to 0.323 for macronutrients and 0.128 to 0.476 for micronutrients. The percentile agreements (same or adjacent quartile) between the two methods were more than 60%for all nutrients. The intraclass correlation coefficient between FFQs (except for vitamin E) ranged from 0.363 to 0.578. The correlation coefficient between the second FFQ and the second biomarker assessment was 0.241 for protein.

Nutrients ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 1163
Author(s):  
Suzana Shahar ◽  
Mohd Razif Shahril ◽  
Noraidatulakma Abdullah ◽  
Boekhtiar Borhanuddin ◽  
Mohd Arman Kamaruddin ◽  
...  

Measuring dietary intakes in a multi-ethnic and multicultural setting, such as Malaysia, remains a challenge due to its diversity. This study aims to develop and evaluate the relative validity of an interviewer-administered food frequency questionnaire (FFQ) in assessing the habitual dietary exposure of The Malaysian Cohort (TMC) participants. We developed a nutrient database (with 203 items) based on various food consumption tables, and 803 participants were involved in this study. The output of the FFQ was then validated against three-day 24-h dietary recalls (n = 64). We assessed the relative validity and its agreement using various methods, such as Spearman’s correlation, weighed Kappa, intraclass correlation coefficient (ICC), and Bland–Altman analysis. Spearman’s correlation coefficient ranged from 0.24 (vitamin C) to 0.46 (carbohydrate), and almost all nutrients had correlation coefficients above 0.3, except for vitamin C and sodium. Intraclass correlation coefficients ranged from −0.01 (calcium) to 0.59 (carbohydrates), and weighted Kappa exceeded 0.4 for 50% of nutrients. In short, TMC’s FFQ appears to have good relative validity for the assessment of nutrient intake among its participants, as compared to the three-day 24-h dietary recalls. However, estimates for iron, vitamin A, and vitamin C should be interpreted with caution.


2010 ◽  
Vol 2010 ◽  
pp. 1-5 ◽  
Author(s):  
Michelle Miller ◽  
Yee Chi Yeo ◽  
May Jiun Khor ◽  
Emma Clover ◽  
Anthea Magarey

Objective. To assess the repeatability of the validated Flinders Calcium Food Frequency Questionnaire(FFQCA)for estimating dietary calcium intake in a sample of community dwelling older Australians.Methods. A test-retest repeatability study involving 100 subjects (≥65 years) living independently in metropolitan Adelaide, Australia. Estimates of daily calcium intake from the first(FFQCA1)and repeated administration(FFQCA2)were calculated from two versions (35-item and 15-item) of theFFQCA. The intraclass correlation coefficient (ICC) was used to assess the repeatability.Results. Moderate and comparable ICC values (r=0.5,r=0.6) were found across the two versions of theFFQCA.Conclusion. BothFFQCAversions demonstrated moderate repeatability, supporting the results of previous studies.


2021 ◽  
Vol 34 ◽  
Author(s):  
Graciella CHIARELLI ◽  
Doroteia Aparecida HÖFELMANN ◽  
João Luiz Gurgel Calvet da SILVEIRA ◽  
Maria Urania ALVES ◽  
Luciane Coutinho de AZEVEDO

ABSTRACT Objective This study evaluated reproducibility, relative validity, using a 24-hour recall questionnaire as a reference standard, and estimated calibration factors for a food frequency questionnaire adapted for use with German descendants living in Brazil. Methods The target population consisted of 50 volunteers, of both genders, aged over 20 years, living in a German colonization city in southern Brazil. The food frequency questionnaire was applied twice, in the first and third months of the investigation. During this period, three 24-hour recalls were applied, with an interval of one month between them. Reproducibility was estimated by the intraclass correlation coefficient. Validity was tested by the intraclass correlation coefficient, weighted kappa test and Bland-Altman method. Calibration factors were estimated using linear regression. Results Among the food frequency questionnaires, there was a strong correlation for energy and most of the nutrients corrected for energy. There was a weak correlation between a food frequency questionnaire and a 24-hour dietary recall. However, the exact concordance in the categorization in tertiles among the instruments ranged from 28% (vitamin A) to 52% (fiber and potassium). Gross values of the food frequency questionnaire were reduced with the calibration and approached the consumption data estimated by the 24-hour dietary recall. Conclusions The food frequency questionnaire showed good reproducibility, however, weak correlation with the 24-hour dietary recall. The calibration of the data obtained by the food frequency questionnaire brought them closer to the reference method.


2020 ◽  
Author(s):  
Noushin Mohammadifard ◽  
Narges Grau ◽  
Alireza Khosravi ◽  
Ahmad Esmaillzadeh ◽  
Awat Feizi ◽  
...  

Abstract Background Few semi-quantitative food frequency questionnaire (SFFQ) has yet been developed to assess sodium intake s in Middle East region. This study was performed to validate SFFQ for sodium consumption assessment and evaluation of food groups΄ contribution in sodium intake.Methods This was a validation study. This study was performed on 198 healthy participants aged ≥ 6 years in Isfahan city, central part of Iran in 2014–2015. They provided two SFFQ at the beginning and after one year to evaluate the reproducibility. The validity of SFFQ for assessment of sodium intake compared with 24-hour urine sodium and twelve 24-hour dietary recalls which were completed monthly during a year as two standard methods.Results Correlation coefficient between the contribution of food groups to sodium intake based on SFFQ and 24-hour dietary recalls varied from 0.04 for legumes (P = 0.667) to 0.47 for added salt (P < 0.001). There was a significant correlation between the estimated total sodium intake based on SFFQ and both standard methods (P < 0.01). Intraclass correlation coefficient (95% CI) between first and second SFFQ had a diverse range from 0.10 (0.05–0.17) for fats and oils to 0.49 (0.28–0.69) for bread. According to the Bland-Altman plots, we observed an acceptable level of agreement between the two methods for sodium intake.Conclusions The SFFQ was a relatively valid and reliable method for estimating sodium intake and food groups contribution in its intake. A combination of two or more methods will be useful in achieving more accurate results.


2015 ◽  
Vol 133 (5) ◽  
pp. 414-420 ◽  
Author(s):  
Livia Welter Mannato ◽  
Taisa Sabrina Silva Pereira ◽  
Gustavo Velasquez-Melendez ◽  
Letícia de Oliveira Cardoso ◽  
Isabela Martins Benseñor ◽  
...  

ABSTRACT CONTEXT AND OBJECTIVE: The food frequency questionnaire (FFQ) is the preferred instrument for obtaining dietary information in epidemiological studies. A short form of the FFQ was compared with the original version that was used in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), and also with three 24-hour dietary recalls. DESIGN AND SETTING: Cross-sectional study carried out in six Brazilian state capitals. METHODS: Multiple linear regression was used to reduce the original food and drink list of the FFQ, which had contained 114 food items. The frequency of consumption and nutritional composition of the foods were also taken into consideration. To assess the validity of the shortened FFQ, the energy and nutrients values of the 24-hour dietary recalls were deattenuated and log-transformed. RESULTS: The list of the FFQ of ELSA-Brasil was reduced to 76 food items. The intraclass correlation coefficients in the validation study ranged from 0.17 (selenium) to 0.66 (calcium). CONCLUSIONS: The number of items was reduced by 33%, while still maintaining relatively good capacity to measure energy and selected nutrients.


Author(s):  
Kazuko Ishikawa-Takata ◽  
Kaori Okamoto ◽  
Motoko Taguchi

Abstract Background Food frequency questionnaires are considered an effective method for assessing habitual dietary intake, but they must be developed or validated with the target population. Portion size, supplement use and food choice are thought to be especially important methodological considerations for assessing athletes’ dietary intake. This study aimed to develop and validate a food frequency questionnaire for Japanese athletes using data from this population. Methods We used dietary records from 440 Japanese athletes involved in our previous projects. Food items were analyzed using cumulative percentage contributions and multiple regression analysis, to give a selection of 62 basic food items and four supplemental items. The validity of the questionnaire was evaluated among another 77 Japanese athletes by comparing nutrient intakes assessed using the questionnaire with dietary records. Reproducibility was evaluated by comparing a second questionnaire completed 2–3 weeks later by 36 of the athletes in the validation study. Validity was assessed using crude Spearman’s correlation coefficients (CCs), energy-adjusted CCs, intraclass CCs (ICCs), and Kappa index values. Reproducibility was assessed by CCs, energy-adjusted CCs, and ICCs. Results In the validation analysis, the median crude CC for all of the nutrients was 0.407, ranging from 0.222 for dietary fiber to 0.550 for carbohydrate. The median energy-adjusted CC was 0.478, and the median ICC was 0.369. When we divided the athletes into quartiles, 65% (vitamin B1) to 86% (iron) of athletes were classified into the same or adjacent categories using the questionnaire and dietary records, with a median Kappa statistic of 0.32. In the reproducibility analysis, the median crude CC between the two completed questionnaires was 0.654, ranging from 0.582 (carbohydrate) to 0.743 (vitamin B2). The median energy-adjusted CC was 0.643, and the median ICC was 0.647. Conclusions The new 62-item food frequency questionnaire is both reliable and valid and may be useful for assessing food intake in Japanese athletes.


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.


2003 ◽  
Vol 6 (6) ◽  
pp. 581-588 ◽  
Author(s):  
Carine A Vereecken ◽  
Lea Maes

AbstractObjective:In the Health Behaviour in School-Aged Children (HBSC) survey, the frequency of consumption of a limited number of food items – focusing on fibre, calcium and less healthy items – is queried using a 15-item food-frequency questionnaire (FFQ). The present study was conducted to assess the reliability and relative validity of the HBSC FFQ among school pupils in Belgium.Design and subjects:To assess the reliability of the FFQ, 207 pupils aged 11–12 years and 560 pupils aged 13–14 years completed the questionnaire twice, with a test–retest interval of 6 to 15 days. To assess the relative validity of the FFQ, in a first study data were collected as part of the Flemish HBSC 2000 survey: 7072 pupils (11–18 years) completed the FFQ and a 24-hour food behaviour checklist (FBC). In a second study, 101 pupils (11–12 years) completed the FFQ and a 7-day food diary (FD).Results:Reliability – weighted kappa values between test and retest ranged from 0.43 to 0.70, percentage agreement from 37 to 87%, and Spearman correlations from 0.52 to 0.82. Relative validity – comparison of the FBC with the percentage of respondents who should have consumed the food items on a random day, computed from the FFQ, showed good agreement between the FFQ and the FBC for most items. Only for cereals, diet soft drinks and other milk products were considerably higher food frequencies than expected found from the FBC. Comparison of the FFQ with the FD showed overestimation for all but three food items (cheese, soft drinks and chips). Spearman correlations ranged between 0.10 for crisps and 0.65 for semi-skimmed milk.Conclusion:The HBSC FFQ is a reliable questionnaire that can be used for ranking subjects for most food items, although one must consider the overestimation when the FFQ is used for estimating prevalences.


1990 ◽  
Vol 131 (5) ◽  
pp. 864-876 ◽  
Author(s):  
ISABELLE ROMIEU ◽  
MEIR J. STAMPFER ◽  
W. SCOTT STRYKER ◽  
MAURICIO HERNANDEZ ◽  
LAWRENCE KAPLAN ◽  
...  

2010 ◽  
Vol 26 (11) ◽  
pp. 2196-2204 ◽  
Author(s):  
Luiz Antonio dos Anjos ◽  
Vivian Wahrlich ◽  
Mauricio Teixeira Leite de Vasconcellos ◽  
Danielle Ribeiro de Souza ◽  
Maria Teresa Anselmo Olinto ◽  
...  

With the purpose of generating a list of foods for a food-frequency questionnaire, data from 24h dietary recalls on a typical day from a probabilistic sample of 1,724 adults of Niterói, Rio de Janeiro, Brazil, were analyzed. The frequency of food intake, the total intake of energy and macronutrients and the relative contribution of each food item to total energy and macronutrient intake were calculated. The most frequently reported food items (> 50% of adults) were rice, coffee, beans, refined canesugar, and bread. Whole milk was consumed more frequently then skimmed milk or semi-skimmed milk. Beef was consumed by more adults than chicken, pork or fish. Approximately 90% of energy and macronutrients intake was explained by 65 food items. The list of food items generated in the present analysis is similar to those found in other samples of adults from urban areas in Brazil. It may be possible to generate a core list of common foods with addition of regional foods to be used nationally in urban areas of the country.


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