Validation of a Food Frequency Questionnaire for Bone Nutrients in Pregnant Women

2016 ◽  
Vol 77 (3) ◽  
pp. 133-139 ◽  
Author(s):  
Maude Perreault ◽  
Victoria Y. Y. Xu ◽  
Suzanne Hamilton ◽  
Deslyn Wright ◽  
Warren Foster ◽  
...  

Purpose: The aim was to validate a food frequency questionnaire (FFQ) against a 3-day food record (3DFR) for pregnant women with a focus on nutrients important for bone health from food and supplements. Methods: The FFQ and 3DFR were administered to pregnant women (n = 42) aged 18–45 years in their third trimester of pregnancy in Hamilton, Ontario. Nutrient analysis of intakes was conducted using an FFQ calculator and Nutritionist-Pro software. The average daily serving consumption of Milk and alternatives group and Vegetable subgroup from Canada’s Food Guide were also compared. Results: There was a high positive correlation between methods for total dietary vitamin D (r = 0.83). Low positive associations were observed for total protein (r = 0.37), calcium (r = 0.36), vitamin K (r = 0.41), and servings of Milk and alternatives (r = 0.36). A cross-classification analysis using participants’ intake quartiles revealed no major misclassifications. Bland–Altman analysis showed that the FFQ mildly underestimated the intake for protein, whereas it grossly overestimated the intake of vitamin K, and daily servings of Milk and alternatives and Vegetable. Conclusions: This FFQ can serve as a useful tool in clinical and research settings to assess key bone nutrients from foods and supplement sources in pregnant women.

2008 ◽  
Vol 22 (S1) ◽  
Author(s):  
Nancy Presse ◽  
Bryna Shatenstein ◽  
Marie‐Jeanne Kergoat ◽  
Guylaine Ferland

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.


2009 ◽  
Vol 109 (7) ◽  
pp. 1251-1255 ◽  
Author(s):  
Nancy Presse ◽  
Bryna Shatenstein ◽  
Marie-Jeanne Kergoat ◽  
Guylaine Ferland

2019 ◽  
Author(s):  
Balqees Alawadhi ◽  
Rosalind Fallaize ◽  
Rodrigo Franco ◽  
Faustina Hwang ◽  
Julie Lovegrove

BACKGROUND The web-based EatWellQ8 food frequency questionnaire (FFQ) was developed as a dietary assessment tool for healthy adults in Kuwait. Validation against reliable instruments and an assessment of its reproducibility are required to ensure its accuracy in computing nutrient intake OBJECTIVE To assess the reproducibility and validity of the EatWellQ8 FFQ against a paper based (PFFQ) and a 4-day weighed food record (WFR). METHODS Reproducibility of the EatWellQ8 FFQ was assessed using test-retest methodology. Participants were required to complete the FFQ at two time points, 4 weeks apart. To assess validity of the EatWellQ8 FFQ, a subset of the participants were asked to complete a PFFQ or a 4-day WFR 1 week after administration of the EatWellQ8 FFQ. The level of agreement between nutrient and food group intakes estimated by repeated EatWellQ8 FFQ and the EatWellQ8 FFQ and the PFFQ and the 4-day WFR were evaluated using Bland-Altman methodology and classification into quartiles of daily intake. Crude unadjusted correlation coefficients were also calculated. RESULTS A total of 99 participants (65% female: 35% male) completed the study, 53 participated in the reproducibility study and the 4-day WFR validity study (mean age 37 years) and a further 46 participated in the PFFQ validity study (mean age 36 years). Crude unadjusted correlations for repeated EatWellQ8 FFQ ranged from (0.37-0.82) (P<0.01). Mean cross-classification into “exact agreement plus adjacent” was 88% for nutrient intakes, 86% for food groups, and Bland-Altman plots showed good agreement for energy-adjusted macronutrient intakes. Agreement between the EatWellQ8 FFQ and PFFQ varied, with crude unadjusted correlations ranging from (0.42-0.73) (P<0.05). Mean cross-classification into “exact agreement plus adjacent” was 84% for nutrient intake and 74% for food groups. Bland-Altman plots showed moderate agreement for both energy and energy-controlled nutrient intakes. Crude unadjusted correlations for the EatWellQ8 FFQ and the 4-day WFR ranged from (0.40-0.88) (P<0.01). Mean cross-classification into “exact agreement plus adjacent” was 85% for nutrient intake and 83% for food groups. Bland-Altman plots showed moderate agreement for energy-adjusted macronutrient intakes. CONCLUSIONS Results indicate that the web-based EatWellQ8 FFQ is reproducible for assessing nutrient and food group intake and has moderate agreement compared to a PFFQ and a 4-day WFR for measuring energy and nutrient intakes.


Author(s):  
Jamie W. Bellinge ◽  
Frederik Dalgaard ◽  
Kevin Murray ◽  
Emma Connolly ◽  
Lauren C. Blekkenhorst ◽  
...  

Background Dietary vitamin K (K 1 and K 2 ) may reduce atherosclerotic cardiovascular disease (ASCVD) risk via several mechanisms. However, studies linking vitamin K intake with incident ASCVD are limited. We aimed to determine the relationship between dietary vitamin K intake and ASCVD hospitalizations. Methods and Results In this prospective cohort study, participants from the Danish Diet, Cancer, and Health Study, with no prior ASCVD, completed a food‐frequency questionnaire at baseline and were followed up for hospital admissions of ASCVD; ischemic heart disease, ischemic stroke, or peripheral artery disease. Intakes of vitamin K 1 and vitamin K 2 were estimated from the food‐frequency questionnaire, and their relationship with ASCVD hospitalizations was determined using Cox proportional hazards models. Among 53 372 Danish citizens with a median (interquartile range) age of 56 (52–60) years, 8726 individuals were hospitalized for any ASCVD during 21 (17–22) years of follow‐up. Compared with participants with the lowest vitamin K 1 intakes, participants with the highest intakes had a 21% lower risk of an ASCVD‐related hospitalization (hazard ratio, 0.79; 95% CI: 0.74–0.84), after multivariable adjustments for relevant demographic covariates. Likewise for vitamin K 2 , the risk of an ASCVD‐related hospitalization for participants with the highest intakes was 14% lower than participants with the lowest vitamin K 2 intake (hazard ratio, 0.86; 95% CI, 0.81–0.91). Conclusions Risk of ASCVD was inversely associated with diets high in vitamin K 1 or K 2 . The similar inverse associations with both vitamin K 1 and K 2 , despite very different dietary sources, highlight the potential importance of vitamin K for ASCVD prevention.


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.


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.


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.


Nutrition ◽  
2013 ◽  
Vol 29 (5) ◽  
pp. 752-756 ◽  
Author(s):  
Stéphanie E. Baddour ◽  
Hélène Virasith ◽  
Catherine Vanstone ◽  
Jean-Claude Forest ◽  
Yves Giguère ◽  
...  

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