Assessing the Validity of the Past-Month, Online Canadian Diet History Questionnaire II Pre and Post Nutrition Intervention

Dietary intake tools are used in epidemiological and interventional studies to estimate nutritional intake. The past-month Canadian Diet History Questionnaire II (CDHQII) has not yet been validated. This study aimed to assess the validity of the CDHQII in adults by comparing dietary results from the CDHQII to the same participants’ 24-h recalls consisting of two weekdays and one weekend day. The recalls were collected using the validated multiple-pass method. Participants were asked to complete both tools at baseline, and again at 3-month follow-up. The study further aimed to determine which dietary intake tool was preferred by study participants by comparing completion rates. Data collection occurred at baseline (pre-intervention) and 3-month follow-up (post-intervention). Paired sample t-tests were conducted to compare means for the following nutrients (grams and %kcal): calories, protein, carbohydrates, total fat, saturated fat, unsaturated fat and sodium. Intraclass correlation coefficients of agreement and coefficients of variation were further calculated. Chi-square tests were used to determine the dietary assessment method with the greatest participant completion rate. At baseline (n = 104), there were no significant differences between the results of the CDHQII and three 24-h recalls (averaged), with overall moderate correlation coefficients. At 3-months (n = 53), there were significant differences (p < 0.05) between dietary intake collection methods for all nutrients assessed in this study, except for saturated fat (%kcal), unsaturated fat (%kcal), protein (%kcal) and sodium (mg). Correlation coefficients were moderate. A significantly greater proportion of participants completed the three 24-h recalls compared to the CDHQII after 3 months (completion rates of 67.2% vs. 50.8% of the sample, respectively). The CDHQII provided estimates of mean nutritional intake (calories, macronutrients and sodium) that were comparable to mean intake established from three 24-h recalls, at baseline and was validated in a sample of primarily middle-aged, college-educated, Caucasian female adults with overweight and obesity for mean baseline or cross-sectional measurement only but not for assessing individual/patient dietary intake in clinical practice (r = 0.30–0.68). This tool was not validated at 3-month follow-up. Additionally, participants preferred the three 24-h recalls to the online, past-month CDHQII.

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Dietary Fat and Cardiovascular Disease: Ebb and Flow Over the Last Half Century

Advances in Nutrition ◽

10.1093/advances/nmz024 ◽

2019 ◽

Vol 10 (Supplement_4) ◽

pp. S332-S339 ◽

Cited By ~ 3

Author(s):

Alice H Lichtenstein

Keyword(s):

Cardiovascular Disease ◽

Systematic Reviews ◽

American Heart ◽

Saturated Fat ◽

Heart Association ◽

Polyunsaturated Fat ◽

Cvd Risk ◽

Unsaturated Fat ◽

The Past ◽

The Media

ABSTRACT Dietary modification has been the cornerstone of cardiovascular disease (CVD) prevention since the middle of the last century when the American Heart Association (AHA) first issued recommendations. For the vast majority of that time the focus has been on saturated fat, with or without concomitant guidance for total or unsaturated fat. Over the past few years there has been a renewed debate about the relation between dietary saturated fat and CVD risk, prompted by a series of systematic reviews that have come to what appears to be different conclusions. This triggered a robust discourse about this controversy in the media that in turn has led to confusion in the general public. The genesis of the different conclusions among the systematic reviews has been identified in several studies on the basis of isocaloric substitution analyses. When the data were analyzed on the basis of polyunsaturated fat replacing saturated fat, there was a positive relation between dietary saturated fat and CVD. When the data were analyzed on the basis of carbohydrate replacing saturated fat, there was a null relation between dietary saturated fat and CVD. When the substitution macronutrient was not taken into consideration, the differential effects of the macronutrient substitution went unrecognized and the relations judged as null. The lack of distinction among substituted macronutrients accounted for much of what appeared to be discrepancies. Dietary guidance consistent with replacing foods high in saturated fat with foods high in unsaturated fat, first recommended more than 50 y ago, remains appropriate to this day.

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Carotenoid, Tocopherol, and Fatty Acid Biomarkers and Dietary Intake Estimated by Using a Brief Self-Administered Diet History Questionnaire for Older Japanese Children and Adolescents

Journal of Nutritional Science and Vitaminology ◽

10.3177/jnsv.55.231 ◽

2009 ◽

Vol 55 (3) ◽

pp. 231-241 ◽

Cited By ~ 45

Author(s):

Masayuki OKUDA ◽

Satoshi SASAKI ◽

Noriko BANDO ◽

Michio HASHIMOTO ◽

Ichiro KUNITSUGU ◽

...

Keyword(s):

Fatty Acid ◽

Dietary Intake ◽

Children And Adolescents ◽

Japanese Children ◽

Diet History Questionnaire ◽

Diet History ◽

Fatty Acid Biomarkers

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Low-, medium- and high-glycaemic index carbohydrates and risk of type 2 diabetes in men

British Journal Of Nutrition ◽

10.1017/s000711451000485x ◽

2010 ◽

Vol 105 (8) ◽

pp. 1258-1264 ◽

Cited By ~ 19

Author(s):

Minna E. Similä ◽

Liisa M. Valsta ◽

Jukka P. Kontto ◽

Demetrius Albanes ◽

Jarmo Virtamo

Keyword(s):

Type 2 Diabetes ◽

Glycaemic Index ◽

Diabetes Risk ◽

Glycaemic Load ◽

Nutrient Density ◽

Cox Proportional Hazard ◽

Diet History Questionnaire ◽

Diet History

Findings on dietary glycaemic index (GI) and glycaemic load (GL) as risk factors for type 2 diabetes have been controversial. We examined the associations of dietary GI and GL and the associations of substitution of lower-GI carbohydrates for higher-GI carbohydrates with diabetes risk in a cohort of Finnish men. The cohort consisted of 25 943 male smokers aged 50–69 years. Diet was assessed, at baseline, using a validated diet history questionnaire. During a 12-year follow-up, 1098 incident diabetes cases were identified from a national register. Cox proportional hazard modelling was used to estimate the risk of diabetes, and multivariate nutrient density models were used to examine the effects of substitution of different carbohydrates. Dietary GI and GL were not associated with diabetes risk; multivariate relative risk (RR) for highest v. lowest quintile for GI was 0·87 (95 % CI 0·71, 1·07) and for GL 0·88 (95 % CI 0·65, 1·17). Substitution of medium-GI carbohydrates for high-GI carbohydrates was inversely associated with diabetes risk (multivariate RR for highest v. lowest quintile 0·75, 95 % CI 0·59, 0·96), but substitution of low-GI carbohydrates for medium- or high-GI carbohydrates was not associated with the risk. In conclusion, dietary GI and GL were not associated with diabetes risk, and substitutions of lower-GI carbohydrates for higher-GI carbohydrates were not consistently associated with a lower diabetes risk. The associations of dietary GI and GL with diabetes risk should be interpreted by considering nutritional correlates, as foods may have different properties that affect risk.

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Relative validity of dietary patterns derived from a self-administered diet history questionnaire using factor analysis among Japanese adults

Public Health Nutrition ◽

10.1017/s1368980009993211 ◽

2010 ◽

Vol 13 (7) ◽

pp. 1080-1089 ◽

Cited By ~ 39

Author(s):

Hitomi Okubo ◽

Kentaro Murakami ◽

Satoshi Sasaki ◽

Mi Kyung Kim ◽

Naoko Hirota ◽

...

Keyword(s):

Factor Analysis ◽

Dietary Patterns ◽

Pearson Correlation ◽

Dietary Assessment ◽

Correlation Coefficients ◽

Food Groups ◽

Relative Validity ◽

Japanese Adults ◽

Diet History Questionnaire ◽

Diet History

AbstractObjectiveAlthough dietary pattern approaches derived from dietary assessment questionnaires are widely used, only a few studies in Western countries have reported the validity of this approach. We examined the relative validity of dietary patterns derived from a self-administered diet history questionnaire (DHQ) among Japanese adults.DesignThe DHQ, assessing diet during the preceding month, and 4 d dietary records (DR) were collected in each season over one year. To derive dietary patterns, 145 food items in the DHQ and 1259 in the DR were classified into thirty-three predefined food groups, and entered into a factor analysis.SettingThree areas in Japan; Osaka (urban), Nagano (rural inland) and Tottori (rural coastal).SubjectsA total of ninety-two Japanese women and ninety-two Japanese men aged 31–76 years.ResultsWe identified three dietary patterns (‘healthy’, ‘Western’ and ‘Japanese traditional’) in women and two (‘healthy’ and ‘Western’) in men, which showed a relatively similar direction and magnitude of factor loadings of food groups across the first and mean of four DHQ (DHQ1 and mDHQ, respectively) and 16 d DR. The Pearson correlation coefficients between DHQ1 and 16 d DR for the healthy, Western and Japanese traditional patterns in women were 0·57, 0·36 and 0·44, and for the healthy and Western patterns in men were 0·62 and 0·56, respectively. When mDHQ was examined, the correlation coefficients improved for women (0·45–0·69).ConclusionsDietary patterns derived from the DHQ could be used for epidemiological studies as surrogates of those derived from DR.

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Data-driven development of the Meal-based Diet History Questionnaire for Japanese adults

British Journal Of Nutrition ◽

10.1017/s0007114520004936 ◽

2020 ◽

pp. 1-25

Author(s):

Kentaro Murakami ◽

Nana Shinozaki ◽

Tracy A McCaffrey ◽

M Barbara E Livingstone ◽

Satoshi Sasaki

Keyword(s):

Dietary Intake ◽

Large Scale ◽

Time Of Day ◽

Food Groups ◽

Nutrition Research ◽

Japanese Adults ◽

Dietary Record ◽

Consumption Frequency ◽

Diet History Questionnaire ◽

Diet History

Abstract Food frequency questionnaires, the primary method of dietary assessment in large-scale nutritional epidemiologic studies, preclude an informed evaluation of the timing of dietary intake and meal-specific dietary intake. In this study, we developed the Meal-based Diet History Questionnaire (MDHQ), a self-administered questionnaire designed for estimating food and nutrient intakes for each meal type separately. The development was done based on a 16-day dietary record obtained from 242 Japanese adults. The MDHQ consisted of the three different parts, with a total of 196 items. Part 1 of the MDHQ asks about consumption frequency of generic food groups (n 24) for each meal type: breakfast, morning snack, lunch, afternoon snack, dinner, and night snack. Part 2 of the MDHQ asks about relative consumption frequency of sub-food groups within one of the generic food groups which are asked in Part 1. Combining information derived from Parts 1 and 2 enables to increase the number of foods we can estimate efficiently but within a limited number of questions. Part 3 of the MDHQ asks about general eating behaviors, which are intended to use in a variety of ways during dietary intake calculation. A series of calculation algorithms for food groups, energy, and nutrients were also prepared. Given that the MDHQ was empirically developed based on comprehensive information on actual food consumption, this innovative tool may be promising for future epidemiological research on meal patterns and time of day of dietary intake, or chrono-nutrition research. A rigorous evaluation of validity of the MDHQ is warranted.

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Validation of a diet history questionnaire for use with Costa Rican adults

Public Health Nutrition ◽

10.1017/s1368980007000225 ◽

2008 ◽

Vol 11 (1) ◽

pp. 65-75 ◽

Cited By ~ 6

Author(s):

Anne Chinnock

Keyword(s):

Standard Method ◽

Rural Areas ◽

Nutrient Intake ◽

Correlation Coefficients ◽

Food Group ◽

Food Groups ◽

Food Record ◽

Diet History Questionnaire ◽

Diet History ◽

The Mean

AbstractObjectiveTo validate a diet history questionnaire (DHQ) using a weighed food record (WFR) as the standard method in the estimation of food consumption and nutrient intake in a group of adults.DesignWFR: all foods consumed by subjects during 7 consecutive days were weighed and recorded by nutrition students. Two DHQ interviews were carried out on days 1 (first diet history questionnaire, DHQ1) and 28 (second diet history questionnaire, DHQ2).SettingCosta Rica.SubjectsSixty adults: 30 men and 30 women; 30 living in urban and 30 in rural areas.ResultsIn comparison to the WFR, the DHQ1 gave statistically significant higher estimates of the mean intake of 19 nutrients for men and of three nutrients for women. The uncorrected correlation coefficients for nutrient intake according to both methods ranged from 0.40 to 0.83 for males and from 0.22 to 0.62 for females. Percentage of subjects classified in the same quartiles of nutrient intake according to each method ranged from 33.3% to 63.3% for males and from 23.3% to 53.3% for females. Misclassification in extreme quartiles ranged from 0% to 13.3% for both sexes. The mean food group consumption, according to the DHQ1, when compared with the WFR, gave statistically significant differences for three of the 18 food groups for men and for two groups in the case of women. The two applications of the DHQ gave similar results.ConclusionValidation of a DHQ using a WFR as the standard method gave results that compare favourably with those reported by other authors. This study found important differences in the response of men and women to the DHQ: among men, the estimates of mean nutrient intake from DHQ1 were significantly greater than those of the WFR, while in the case of women, the mean nutrient intake estimates from both methods were not significantly different. There was a higher degree of correlation between the DHQ1 and the WFR mean nutrient intakes among men than among women. The DHQ showed good reproducibility.

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Strength of the relationships between three self-reported dietary intake instruments and serum carotenoids: the Observing Energy and Protein Nutrition (OPEN) Study

Public Health Nutrition ◽

10.1017/s1368980011003272 ◽

2012 ◽

Vol 15 (6) ◽

pp. 1000-1007 ◽

Cited By ~ 26

Author(s):

Stephanie M George ◽

Frances E Thompson ◽

Douglas Midthune ◽

Amy F Subar ◽

David Berrigan ◽

...

Keyword(s):

Dietary Intake ◽

Open Study ◽

Individual Variability ◽

Montgomery County ◽

Fruit And Vegetable ◽

Blood Draw ◽

Diet History Questionnaire ◽

Diet History ◽

Serum Carotenoids ◽

Β Carotene

AbstractObjectiveTo assess the strength of the relationships between serum carotenoids and three self-reported dietary intake instruments often used to characterize carotenoid intake in studies of diet and disease.DesignParticipants completed a Diet History Questionnaire (DHQ), two 24 h dietary recalls (24HR), a fruit and vegetable screener and a fasting blood draw. We derived dietary intake estimates of α-carotene, β-carotene, cryptoxanthin, lutein, zeaxanthin and lycopene from each diet instrument and calculated sex-specific multivariate correlations between dietary intake estimates and their corresponding serum values.SettingMontgomery County, Maryland, USA.SubjectsFour hundred and seventy women and men aged 40–69 years in the National Cancer Institute's Observing Protein and Energy Nutrition (OPEN) Study.ResultsSerum carotenoids correlated more strongly with the DHQ (r = 0·34–0·54 for women; r = 0·38–0·56 for men) than with the average of two recalls (r = 0·26–0·47 for women; r = 0·26–0·40 for men) with the exception of zeaxanthin, for which the correlations using recalls were higher. With adjustment for within-person variation, correlations between serum carotenoids and recalls were greatly improved (r = 0·38–0·83 for women; r = 0·42–0·74 for men). In most cases, correlations between serum carotenoids and the fruit and vegetable screener resembled serum–DHQ correlations.ConclusionsEvidence from the study provides support for the use of the DHQ, a fruit and vegetable screener and deattenuated recalls for estimating carotenoid status in studies without serum measures, and draws attention to the importance of adjusting for intra-individual variability when using recalls to estimate carotenoid values.

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Association between dietary intake and serum biomarkers of long-chain PUFA in Japanese preschool children

Public Health Nutrition ◽

10.1017/s1368980019004269 ◽

2020 ◽

pp. 1-11

Author(s):

Emiko Ando ◽

Naho Morisaki ◽

Keiko Asakura ◽

Kohei Ogawa ◽

Satoshi Sasaki ◽

...

Keyword(s):

Preschool Children ◽

Dietary Intake ◽

Single Centre ◽

Pufa Intake ◽

Chain Pufa ◽

Epa And Dha ◽

Old Japanese ◽

Diet History Questionnaire ◽

Diet History ◽

Positive Correlations

Abstract Objective: Recent research supports the importance of PUFA intake in children, particularly of EPA and DHA; however, few verified methods to assess whether PUFA intake is adequate are available. Design: We assessed the correlation between serum PUFA and lipid concentrations with seafood and PUFA intake measured using a brief-type self-administered diet history questionnaire for Japanese preschool children (BDHQ3y). Setting: Single centre birth cohort in Japan. Participants: A total of 152 36-month-old Japanese children. Results: Average dietary intake of daily seafood, EPA and DHA was 13·83 (sd 10·36) g, 49·4 (sd 43·5) mg and 98·3 (sd 64·6) mg, respectively. Significant weak-to-moderate correlations were observed between dietary intake and serum EPA (Spearman rho = 0·41, P < 0·001; Pearson r = 0·44, P < 0·001); DHA (Spearman rho = 0·40, P < 0·001; Pearson r = 0·42, P < 0·001) and AA (arachidonic acid) (Spearman rho = 0·33, P < 0·001; Pearson r = 0·32, P < 0·001), whereas no significant correlation was observed for dihomo-γ-linolenic acid (DGLA) (Spearman rho = 0·06, P = 0·484; Pearson r = 0·07, P = 0·387). Correlations between seafood intake and serum EPA and DHA were also moderate (0·39–0·43). A negative correlation between serum TAGs and serum EPA, as well as positive correlations between serum cholesterol (total cholesterol, LDL and HDL) with serum EPA and DHA were observed, whereas no significant correlations between seafood intake and serum lipid profiles. Based on this model, we estimated 61–98 g/week of seafood intake is required to meet current EPA/DHA intake recommendations by the WHO (100–150 mg/d). Conclusions: For children of 2–4 years of age, weekly intake of 61–98 g of seafood is required to meet WHO recommendations of EPA/DHA intake.

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The association of dietary macronutrients with anthropometric changes, using iso-energetic substitution models: Tehran lipid and glucose study

Nutrition & Metabolism ◽

10.1186/s12986-019-0411-2 ◽

2019 ◽

Vol 16 (1) ◽

Author(s):

Firoozeh Hosseini-Esfahani ◽

Glareh Koochakpoor ◽

Parvin Mirmiran ◽

Samira Ebrahimof ◽

Fereidoun Azizi

Keyword(s):

Weight Loss ◽

Lower Risk ◽

Saturated Fat ◽

Plant Proteins ◽

Dietary Intakes ◽

Food Frequency ◽

Unsaturated Fat ◽

Simple Carbohydrates

Abstract Background The consequences of optimal dietary macronutrient compositions especially quality of proteins on weight gain still remain controversial. The aim of the current study was to evaluate the iso-energetic substitution of dietary macronutrients in relation to anthropometric changes. Methods This prospective study was conducted on 2999 men and 4001 women aged 20–70 years who were followed for 3.6 years. A valid and reliable 168-item semi-quantitative food frequency questionnaire was used to assess usual dietary intakes. Weight (kg) and waist circumference (WC) (cm) changes were calculated by subtracting the weight and WC at baseline from their measurements at follow up. Participants were divided into two groups; those with no change or decrease in weight or WC and those with increase in weight or WC. Dietary macronutrients (percentage of energy) divided by 5 to calculate one unit. Results A one unit higher proportion of carbohydrates at the expense of all types of fatty acids was associated with weight loss in men (P < 0.05). A one unit higher proportion of plant proteins at the expense of animal protein (β = − 0.84), non-starch carbohydrates (β = − 0.86), saturated fat (β = − 0.76), mono-unsaturated fat (β = − 0.76) and poly-unsaturated fat (β = − 0.86) was associated with weight loss (P < 0.05). A one unit higher proportion of plant proteins at the expense of animal proteins (OR: 0.49), non-starch carbohydrates (OR: 0.49), saturated fat (OR: 0.49), mono-unsaturated fat (OR: 0.49), and poly-unsaturated fat (OR: 0.48) was associated with a lower risk of increase in WC (P < 0.05). Conclusions A higher proportion of dietary plant protein in replacement of simple carbohydrates, fats and animal proteins was associated with a lower increase in weight or WC.

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